0238/2021 - DAS CONSULTAS TERAPÊUTICAS À CONSULTA CONJUNTA: CONTRIBUIÇÕES DE WINNICOTT À PRÁTICA DO APOIO MATRICIAL FROM THERAPEUTIC CONSULTATIONS TO JOINT CONSULTATION: WINNICOTT\'S CONTRIBUTIONS TO MATRIX SUPPORT PRACTICE
O artigo tem como objetivo revisitar as Consultas Terapêuticas do psicanalista Donald Winnicott, buscando identificar nesta estratégia clínica subsídios para a sustentação técnica e ética do apoio matricial e das consultas conjuntas no Sistema Único de Saúde (SUS). Para tanto, realiza-se uma releitura de textos de Winnicott e comentadores, colocando-os em debate com aspectos do trabalho em saúde mental na atenção básica. A partir da análise detalhada de uma das consultas descritas pelo psicanalista, abordam-se implicações para a prática do apoio matricial, tanto na intervenção junto à equipe, como na escuta do paciente e sua família. Além disso, com base no estudo dos relatos de consultas de Winnicott, apresentam-se contribuições para as consultas conjuntas no SUS, considerando seus eixos assistencial e formativo. Como resultados técnicos e éticos, destacam-se: (a) a prioridade da escuta direta da pessoa sobre quem advém a queixa; (b) a importância de sustentar o “espaço e tempo” que possibilite uma experiência significativa ao paciente; (c) o uso de instrumentos de entrevista à luz do “brincar partilhado”; (d) o paciente como sujeito ativo na construção de seu projeto terapêutico; (e) a importância da equipe local no suporte e “tradução” da experiência do paciente.
Palavras-chave:
Saúde Coletiva, Apoio Matricial, Psicanálise.
Abstract:
The article aims at revisiting Winnicott’s Therapeutic Consultations, in order to identify technical and ethical contributions in it which are able to strengthen the “matrix support” and joint consultations in the Unified Health System (SUS). A rereading of Winnicott\'s texts and commentators is carried out, presenting a debate between the author’s ideas and the work in mental health in primary care. From a detailed case analysis, the article addresses some implications for the practice of matrix support, both regarding the professional team, and the hearing of the patient and his family. In addition, based on a contextualized study of Winnicott\'s consultation reports, the work presents contributions for joint consultations in the SUS, both in its care and in its formative axis. As technical and ethical results, the following stand out: (a) the priority of hearing directly the person about whom the complaint arises; (b) the importance of sustaining “space and time” to allow a meaningful experience for the patient; (c) the use of interview instruments in the light of “shared playing”; (d) the patient as an active subject in the construction of his therapeutic project; (e) the importance of the local team in supporting and “translating” the patient\'s experience.
FROM THERAPEUTIC CONSULTATIONS TO JOINT CONSULTATION: WINNICOTT\'S CONTRIBUTIONS TO MATRIX SUPPORT PRACTICE
Resumo (abstract):
The article aims at revisiting Winnicott’s Therapeutic Consultations, in order to identify technical and ethical contributions in it which are able to strengthen the “matrix support” and joint consultations in the Unified Health System (SUS). A rereading of Winnicott\'s texts and commentators is carried out, presenting a debate between the author’s ideas and the work in mental health in primary care. From a detailed case analysis, the article addresses some implications for the practice of matrix support, both regarding the professional team, and the hearing of the patient and his family. In addition, based on a contextualized study of Winnicott\'s consultation reports, the work presents contributions for joint consultations in the SUS, both in its care and in its formative axis. As technical and ethical results, the following stand out: (a) the priority of hearing directly the person about whom the complaint arises; (b) the importance of sustaining “space and time” to allow a meaningful experience for the patient; (c) the use of interview instruments in the light of “shared playing”; (d) the patient as an active subject in the construction of his therapeutic project; (e) the importance of the local team in supporting and “translating” the patient\'s experience.
Vieira, G., Castanho, P.. DAS CONSULTAS TERAPÊUTICAS À CONSULTA CONJUNTA: CONTRIBUIÇÕES DE WINNICOTT À PRÁTICA DO APOIO MATRICIAL. Cien Saude Colet [periódico na internet] (2021/jul). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/das-consultas-terapeuticas-a-consulta-conjunta-contribuicoes-de-winnicott-a-pratica-do-apoio-matricial/18137?id=18137
