Supervisão de campo na formação de estudantes em Acompanhamento Terapêutico: Uma perspectiva fenomenológica existencial

Abstract

Contextualized training in mental health demands training devices that act territorially and are linked to the public health and social assistance network, education, justice and other citizenship rights. In the Brazilian context, from the period of redemocratization onwards, territorial practices became widespread, especially therapeutic support, in a complex scenario, involving the colonial historical tradition, public demands, neoliberal guidelines in professional training and in the organization of higher education, the inheritance of the individualized liberal clinic model, among others. Thus, the present study aims to report the experience of field supervision as a training device in the practice of therapeutic monitoring as an articulating element of the network and promoter of the expanded clinic. Using clinical cartography from a phenomenological perspective, the field supervisor monitored the interns, recorded through logbooks, and participated in supervision with the teacher responsible for the internship, recorded and transcribed. The qualitative analysis was based on phenomenological hermeneutics, articulating the meanings of the journey through the territory and training to the social historical field that constitutes the experiences. Therefore, territorial practices demand new modes of care in the field, which encompass the multiple dimensions involved in the production of a demand, such as socioeconomic factors, the psychosocial support network and the socialization spaces of those involved. Displaced from the protected space of the school clinic, students in training need diverse references and resources for relevant action and for understanding the process of territorial intervention. In this sense, field supervision operates in the pedagogical sphere, allowing access to guidance at the time of care, and in the clinical sphere, offering welcome and listening to the intern, allowing care for caregivers in the field.