A construção da demanda por ajuda psicológica e o trabalho psicanalítico com as classes populares

Abstract

This dissertation aims at examing the practice of psychoanalysis at public health institutions, with the working classes, inserted in the present context of Brazil s social security system and the public health policies of SUS. In search of fundamental pillars of psychoanalysis, inside or outside private practice, Freud s writings are analyzed, as well as the ones of other contemporary authors. Clinical extracts are also included, whether they come from literature or the author s personal clinical experience. The main users of the public health system the working classes are examined through the content of their speech, whenever they look for help regarding their psychological or bodily suffering. Some fundamental elements of analysis were found through the process, such as the body, the field of labor and the doença dos nervos . Both debates above merge into a third, of a more practical nature, in which psychoanalysis and working classes meet at the daily routine of these institutions. The search now is not only for the meaning of practicing psychoanalysis at these places, but also for the portrait of these psychoanalysts that are capable of remaining creative and reinventing themselves whenever necessary This study also examines some of the obstacles that are present at this specific practice. Some conclusions were found. The first one is that this practice is only viable if professional are able to keep away from a narrow view of psychoanalysis, which limits their experience. Following the first is the belief that psychoanalysts also need to depart from regarding the patients as not only limites in their communicational skills, but also incapable of self-reflection.