A escuta psicanalítica de crianças em um serviço de atenção básica

Abstract

Along the history, children have been relegated to the background, to a place of silence whether in society, public policy, health care practices or psychoanalysis itself. Nowadaysthey are the target of multiple discourses and actions that aim to frame them, standardize them, fix them. Thus, the psychoanalytic listening with children emerges as a possibility to promote a singular listening, and to subvert the position of children as an object and take them as a subject of desire. This research proposes to analyze the possibilities of producing a psychoanalytical listening of children in a primary health care, therefore the various power lines present in the institutional and social context. These power lines are composed of discourses, practices, ethics, cultural ideals, etc. To achieve this objective, it was used a psychoanalysis as a theoretical reference and methodological specially from authors such as Vorcaro, Rosa, Moretto, Couto, Serralha. Clinical vignettes and experience reports were also used, resulting from the researcher's experience of about 3 years that she worked as a psychologist of the Support Nucleus Family´s Healthy (Nasf- AB), in order to sustain a dialogue with the psychoanalytical theoretical propositions. In this way, we tried to discuss about the creation and structuring of the NASF within the Primary Care policy, as it is proposed by the SUS, and about the way the child was inserted in these devices. It was also about addressing the ideals of childhood and how they were built throughout history and how much the requirements to fix, cure and standardize are still present in discourses and care practices that aim the childhood. We sought to discuss about analytical listening and the practice of psychoanalysis with children, because in a listening proposal for children it is necessary to think about the way we understand the child and what ethics is based on our clinical practice. Finally, it was the question of psychoanalysis in public health and the practice of psychoanalyst in the polis and that it must be aware of the contexts and singularities of the subjects, always guided by the ethics of psychoanalysis, the ethics of desire. Thus, it was perceived that the psychoanalytic listening of children, despite the barriers, is possible in a primary care service, provided that there is a psychoanalyst willing to operate in this field, having his doing based on the ethics of psychoanalysis and with an implicated practice with social issues. It was also found that for this listening to happen it is necessary that psychoanalysts are more flexible and can dialogue with other expertise.