Abstract

COSTA-ROSA, Abílio da. Why does Psychosocial Care require a clinic founded on the Psychoanalysis of the Freud - Lacan field?. Rev. Psicol. UNESP [online]. 2019, vol.18, n.spe, pp. 37-54. ISSN 1984-9044.

We discuss some fundamentals of a clinic founded on psychoanalysis of the " field Freud - Lacan " that aims to offer Attention to the subjectivity psychic impasses, in the context of Collective Health, from the perspective of the Psychosocial Paradigm defined as a dialectical overcoming of the Psychiatric Reform. So, if the ethical horizon of Psychosocial Care has became the implication of the subjects in desire and in bedurfnis, it is corrected to propose that this translates into a thrust to Psychoanalysis. Equally, we are connected ethically and politically with the Health Reform field, originated from the struggle for the implementation of Collective Health as a radical overcoming of Public Health. We highlight the indispensable place of the "Mental Health institution" and its establishments as necessary intermediaries between the worker s of the area and the subjects of the treatment. Thus, by addressing the pertinence of psychoanalysis in Collective Health, we elucidated three fundamental themes to advance in this direction: 1) To adapt the institutional device to fit the psychoanalysis; 2) The characterization of a Mental Health worker of a new type, named as worker - intercessor, and 3) The primordial notions of "event - subject" and of "transference" to work in this field. We also emphasize that, specifically on psychoanalysis, we are loca ted in the context of what Lacan defined as "psychoanalysis in Intension", so far from the notion of "applied psychoanalysis".

Keywords : Psychosocial Care; Psychoanalysis of the Freud - Lacan field; Collective Health; Institution.

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