Abstract

Psychotherapeutic practice in hospitals in Brazil started in the 1950s even before the profession of psychologist in the country was formalized, and has been building a fairly rich history because it is differentiated according to the development of the practice over the decades as a function of the various clinical methods associated with it, as a consequence of the policies and/or different theoretical orientations that have underpinned it. Twenty years after this practice began, during the 1970s, the field of mental health was configured as a major center of absorption of psychologists in an attempt to change the prevailing medical model. It is at that time that we can first see the formation of multidisciplinary teams linked to psychotherapy treatments. When we examine the relationship between the advancement of the practice and its theoretical foundations, in a field where political orientations toward the practice carried no less weight, we realize that this entire movement has led to important developments in the history of psychology in general. In order to specify what clinical practice in hospitals has contributed to psychology in general, it is necessary to follow its guidelines over the decades, where we can confirm that a certain prevalence of psychoanalysis has been and is being established. To the extent that it is characterized as a discourse directed at the subject, it is fundamental that it allows for situating the work in the hospital in an exchange with the medical field in such a way that each field may sustain its own particularities, respect their differences, and contribute, each in their own way, toward the advancement of clinical work. From the 1950s through today, clinical practice highlights a concern with asserting subjectivity in hospitals where the contributions of some psychoanalytical developments to different forms of psychotherapy have not been lacking.

Highlights

  • The history of Psychotherapy in Hospitals is associated with the history of Hospital Psychology itself, which had its beginning at the end of the 19th century, in Massachusetts, in the United States, when the first multidisciplinary team including a psychologist was formed at McLean Hospital [1]

  • According to the authors we have studied in our research, psychoanalysis understands that the work of the psychologist in hospitals and in healthcare institutions in general is to offer a form of listening to the singularities, providing for the emergence of completely singular desire, involved with suffering and what is impossible to resolve with prior knowledge or even what is constructed by another, other than the subject themselves in their singularity

  • The “practice among many” or the “clinic among many” is an expanded psychoanalytical mechanism well-established in the public healthcare network, but it is a challenge we must face in the hospital, given the lack of psychological care for children and their caregivers

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Summary

Introduction

The history of Psychotherapy in Hospitals is associated with the history of Hospital Psychology itself, which had its beginning at the end of the 19th century, in Massachusetts, in the United States, when the first multidisciplinary team including a psychologist was formed at McLean Hospital [1]. Studies have found individual psychotherapy to be effective at improving symptoms in a wide array of mental illnesses— depression, anxiety, post-traumatic stress disorders, among others—making it both a popular and versatile treatment, but it can be used for families, couples or groups helping to improve the relationship between individuals as well as permitting them to deal with each other under less stress and anxiety It can be used in the field of institutional practices, when the psychologist or the psychiatrist or other related field therapists have to take into account the presence of multiple factors which do have holistic consequences on the treatment of a patient, for example, the relation with healthcare providers in a hospital. This society supports a Journal and maintains a frequency of biannual congresses, addressing the topic of the clinical practice of psychology in hospitals

The First Decades
Psychotherapy Practices in Hospitals: A Political Issue
Notes about Psychotherapy Treatments during the 1970s
The Second Period
Psychology in the Hospital and Psychoanalysis
Creating Listening Mechanisms
Findings
Discussion
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