PSICOSE E LAÇO SOCIAL: IMPASSES NA DIREÇÃO DO TRATAMENTO

Abstract

This research arises from the experience of an internship in mental health, guided by the psychoanalytic theory. In this context, it was possible to perceive obstacles between the social bond in the psychosis and the direction of treatment, since the subjects' position was disregarded or even foreclosured by the clinical team. Thus, the guiding question arises: how does the provision of listening supported by the clinic that gives voice to the subject, in psychoanalysis, interfere with the repositioning of the subject in the social bond? From the construction of a clinical case, the subject's clinic appears as a research tool in which the work experience in the context of mental health can contemplate not only descriptive aspects of their reality, but favors the emergence of elements that situate the discourses and the direction of treatment in psychosis. To address the issue, the general objective of this work is to investigate, based on a clinical case, the role of the psychoanalytic clinic in the modalization of the obstacles of the psychosis and the social bond. The specific objectives will be proposed: 1) Identify the place of the clinic in treating the obstacles of psychosis and the social bond; 2) Examine, based on the theories of Freud and Lacan, the particularities in the management of psychosis in view of the subject's position with the language; 3) Investigate the management of transference in psychosis and its consequences in the social bond, and 4) Discuss, based on the clinical case, how the management of enjoyment affects the social bond in psychosis. This work is justified insofar as the theme regarding the direction of the treatment of psychosis and its obstacles in the face of the social bond continue to circulate in the most diverse fields of knowledge and, with regard to psychoanalysis, Jacques Lacan's theory of discourses can bring important contributions that avoid the foreclosure of the subject operated by other areas. Furthermore, when thinking about how professional practices are guided, even in times of reform, one can see how the asylum and medicalizing discourse still appears as a dominant trend. Thus, psychoanalysis with its ethics can call for problematization and propose solutions based on the subject's clinic based on the management of the transference relationship in psychosis, which aims to contain the intrusive enjoyment of the Other, evidenced in the elementary phenomena of psychosis, such as delusions and hallucinations.