Resumo

PEREIRA, Thais da Silva  e  MORETTO, Maria Lívia Tourinho. Psychoanalytic contributions to establishing a place for psychosis in the general hospital. Rev. SBPH [online]. 2025, vol.28, n.spe1, e004.  Epub 14-Nov-2025. ISSN 1516-0858.  https://doi.org/10.57167/rev-sbph.2025.v28.esp_1.901.

The psychotic patient often requires admission to a general hospital, whether due to psychotic episodes or organic illness. Analyzing the difficulties encountered by health teams in caring for these patients reveals that their presence alone does not guarantee a place within the hospital’s care logic. The medical discourse, rigid institutional organization, division between mental health and general health, and the encounter with psychosis as a familiar stranger seem to favor distancing from psychosis and what it announces as structure. The risk is that this distancing infiltrates care practices, reducing psychosis to a psychiatric diagnosis or common sense interpretation, leaving no room to consider the patient’s singular experience of hospitalization, thus resorting to excessive measures of control and maintenance of institutional order and knowledge. This paper aims to describe how such a place can be built by the hospital psychologist in collaboration with the health team, based on psychoanalytic theory. It is noted that, in taking a stance of not retreating in the face of psychosis, the analyst delineates a boundary around the excesses in care relationships, operating from a transferential work built with the health team, offering presence and listening as support for formulating a clinical question that includes psychosis as part of the team’s clinical reasoning. From this point, analytic operations with the case can be conveyed not only from a place of recognition but also through constructions of shared work in a care network to be established case by case. The analyst’s work in this context is thus clinical-institutional and political, as it wagers on constructing a place for these patients where there previously was none.

Palavras-chave : Psychoanalysis; Hospital; Psychosis; Health personnel; Hospital psychology.

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