Abstract

PEDROSA, Raquel Lima  and  TEIXEIRA, Leônia Cavalcante. Psychoanalysis and construction of the clinical case: considerations about a therapeutic device. Rev. Subj. [online]. 2015, vol.15, n.1, pp. 76-83. ISSN 2359-0769.

This article has as an objective to discuss the case construction as a psychoanalytical clinical device capable of providing an answer to the challenges of the mental health field. The methodology consists in a bibliographic mapping from psychoanalysis commentators that discuss clinical-institutional interventions in mental health, such as Vorcaro, Viganó and Figueiredo. The research had as reference the descriptors mental health, psychoanalysis and construction of clinical case. According to the discussion of said authors, the construction of the clinical case is characterized as a work and investigation proposal of psychoanalytical orientation that guides the team conduct from the reflection about the particularities experienced in the public health context, the institution and the subject's symptoms, enabling the accomplishment of the work in a soil common to all professionals of mental health area. The said characteristics are considered to be fundamental in facing the challenges of the mental health scenery which is characterized to be wider and heterogeneous by the time due to the changes resulted from the creation of the SUS and the psychiatric reform. This way, we defend the construction of the clinical case as a device able to cover the amplitude, the singularities and the divergences, raising problems about the organizer pillars of the clinic and the institutional hindrances, rallying the subject in his diagnostics allowing the emergence of a space for subjectivity to occur.

Keywords : psychoanalysis; clinical case construction; therapeutic device; institution; mental health.

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