A participação social como diretriz estratégica do SUS: a psicanálise operando em lógicas coletivas na saúde

• Ano de defesa: 2017
• Autor(a) principal: Coaracy Neto, Augusto Ribeiro
• Orientador(a): Pacheco Filho, Raul Albino
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Psicologia: Psicologia Social
• Departamento: Faculdade de Ciências Humanas e da Saúde
• País: Brasil
• Palavras-chave em Português: Psicanálise; Humanização dos serviços de saúde; Controle social; Clínica ampliada
• Palavras-chave em Inglês: Psychoanalysis; Amplified clinic; Subject
• Área do conhecimento CNPq: CNPQ::CIENCIAS HUMANAS::PSICOLOGIA::PSICOLOGIA SOCIAL
• Link de acesso: https://tede2.pucsp.br/handle/handle/19957

This research seeks to establish a dialogue between psychoanalysis and the Amplified Clinic. The purpose of this interlocution is to discuss social participation as a strategic guideline of Brazil’s Unified Health System (SUS), from the perspective of a Participatory Democracy. For this, the subject notions related to psychoanalysis and to the Amplified Clinic are specified, which also delimits their clinical methods. To highlight the characteristics of the subject of the Amplified Clinic, the works of Gastão Wagner and Rosana Onocko are studied. In addition, a history chapter is elaborated, showing the struggle against the military dictatorship and Brazil’s redemocratization process, with emphasis on the work of Sérgio Arouca. Thus, we observe in the theories and commitments that create SUS a notion of subject that is characterized by the autonomy and responsibility to participate socially. These characteristics are linked to the forms of participation such as social control (Law 8.142/90) and sharing, taken as a principle of the Amplified Clinic. On the part of psychoanalysis, the subject of the unconscious is specified from the reading of Freud and Lacan. Hence, we conceive it as beyond the representation’s field, between the signifiers. In the sequence, we see how psychoanalysis allows a collective practice in health institutions oriented by the singularities of the subject, which stands out in three points: the savoir y faire with a symptom, the establishment of transference and the decentralization of the demands. Each point corresponds to ways of sustaining a mode of collective participation that includes the subject of the unconscious, which necessarily implies a distance from imperatives of participation or any form of domination of the subjects. This occurs in a case-by-case and contingency manner, provoking forms of participation in which the subject is able to bring the participatory discourse in the terms of his own narrative. In the end, as an effect of our interlocution we see the possibility of the collective production of responsibility and autonomy regarding the singularities of the subjects, which incites the differentiation of the offer and demand logic supported by the massifying and homogenizing principles of the capitalist discourse