Ensaios sobre psicanálise, instituições e luta de classes no campo da Saúde Mental Coletiva

• Autor(a) principal: Périco, Waldir
• Data de Publicação: 2021
• Outros Autores: [e-mail]
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/18764
• topic: Psychic Treatments in Public Health; Reception Groups; Social Classes; Psychoanalysis; Historical Materialism; Tratamentos Psíquicos na Saúde Coletiva; Grupos de Recepção; Classes Sociais; Psicanálise; Materialismo Histórico; CIENCIAS HUMANAS::PSICOLOGIA::TRATAMENTO E PREVENCAO PSICOLOGICA::INTERVENCAO TERAPEUTICA

Our decade-long experience is the stage for the production of this thesis. We present four essays on the clinic and politics in the field of Collective Mental Health in the light of Freud's and Lacan's psychoanalysis, Marx's historical materialism and some subsidies of institutional analysis. Basically, these theoretical-practical references embodied the Psychiatric Reforms around the world which, with exceptions, were experiences that did not shake the structure of the Hospital-centric Medicalizing Psychiatric Paradigm. From this we infer that this dominant paradigm, from the Capitalist Way of Production, also constantly seeks to reform itself in order to maintain its hegemony in the face of social changes. For this reason, we start from the paradigmatic analysis of Mental Health proposed by Costa-Rosa, which delimits four analytical parameters that serve as “guides for the action/reflection” of workers who seek to overcome the Psychiatric Paradigm with the Psychosocial Paradigm in the ethical horizon. Conceiving the Psychiatric Reform as a stage of transformations, the first essay presents the paradigmatic analysis and proposes the need to go beyond reforms with the condition to make use of them. The set of setbacks in public policies in Brazil after the 2016 coup d'état highlights the relevance of Marx's analysis of the State, ideology, class struggle and the dialectical method. The second essay discusses the fact that the Psychosocial Paradigm requires the overcoming of professional specialisms and the training of new Mental Health workers. Locating the transdisciplinary statute of psychoanalysis and historical materialism, it differentiates the disciplinary workers of the Psychiatric Paradigm from the intercessor workers characterized by the ability to suspend the exercise of knowledge-power, so that the subjects of treatment become protagonists. The third essay addresses the four-year experience of implementing reception groups in a Mental Health Clinic, highlighting institutional movements, the clash of paradigmatic views and resistance to this process. Overcoming medicalizing screening and expanding the offer of speech therapies managed to substantially reduce waiting lines and medicalization. The fourth essay, starting from the clinic, deals with innovations in psychoanalysis for listening in the collective devices of reception and treatment, problematizing a form of collectivity that does not disregard the singular and vice versa. It also addresses the increase in deprivations that falls upon the proletarian classes and the potential and limits of psychoanalytic treatment with these subjects.