A política do sintoma e a construção do caso clínico: modos de transmissão da psicanálise na prática coletiva em saúde mental

Abstract

This research concerns the theme of transmission of psychoanalytic symptom policy and its relevance to the current scenario of research and clinical methods that apply to mental health services. Our discussion relies on the method of 'Clinical Case Construction', that we use as a tool for assessing the clinical procedure of a team in such a way that the singularity of the symptom in the collective reading of the cases is included. The Case Construction is presented as a method of clinical research in psychoanalysis which allows one to conduct and evaluate a treatment process based on the formalization of elements extracted from the narratives and written records of cases followed in the institutional practice. The diagnostic discussion, the singular expression of symptoms, the transference process, the demands and the various moments of a treatment, are elements for the case construction which guide the teamwork. From these elements it is possible to extract a singular logic of the symptom in each case, thus showing how psychoanalysis may contribute to the collective work. In this context the method of Clinical Case Construction facilitates the transmission of psychoanalytic policy and its clinical principles to mental health services.