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SANTOS, Denner Rodrigues G.; REIS, Júlia Katarina N. dos; ROSARIO, Angela Bucciano do  and  KYRILLOS NETO, Fuad. The paradox of inclusion: the relevance of listening the subject in the CAPS. Vínculo [online]. 2019, vol.16, n.2, pp.68-87. ISSN 1806-2490.

The article aims to problematize the work performed in the substitutive services of mental health, emphasizing the Psychosocial Care Centers (CAPS), which are based on the precepts of the Psychiatric Reform. Through fragments of an account of the case of a young woman accompanied by the service, we will take psychoanalysis as the guiding axis of our discussion and, as a method of interlocution with the reality found in the service, applied psychoanalysis. We will discuss the listening of the psychotic subject, their impact on the work of the team, as well as the consequences of the social inclusion proposal, in the construction of the social bond of the users of the service. It is concluded that the guiding principles of anti-asylum control, especially the exclusion / inclusion antinomy, disregard the notion of subject in the context of practice in substitutive services. It is proposed that the teamwork, in the management of the psychosis clinic, consider the clinical listening and the singular construction that each subject find to deal with the suffering.

Keywords : CAPS; psychiatric reform; psychoanalysis; mental health.

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