Sobre sofrimento e terapêuticas em um ambulatório público de saúde mental

Abstract

This work aims to introduce the conceptions of suffering and therapeutics in patients of a public Mental Health clinic. These, inserted in a holistic and hierarchic universe of value, contrast to the conceptions of suffering, person and therapeutics of psychological practices, which are based on individualistic values, on the experiences of a psychological inner self, freedom of choice and self-government. Thus, the consequences of this difference to the therapeutic relation are discussed. The study perceives that the interviewees` conceptions fits in the nervous configuration, in which physical and moral aspects of perturbation are imbricate. The sense of perturbation involves a process of self-representation emerged from interviewees familial and laborious relationships, that confer an identity in a hierarchical organization on them. The psychotherapy is also encompassed by the nervous configuration, differing from its original individualistic signification. In this sense, psychotherapy is treated as a conversation that has in view to spit it out as well as a way of thinking about other things two strategies considered therapeutical in the nervous configuration.