Abstract
resumo: Discute-se sobre os instrumentos teóricos que a psicanálise lacaniana oferece para pensar a atuação do psicanalista frente a situações de urgência e de emergência. Entre eles, a identificação, o manejo clínico de testemunho e de secretáriado e a função de objeto a no ato de analista. Cconsiderando, sobretudo, os últimos trabalhos de Lacan, em que este concebe o trauma como da ordem do Real, o trabalho volta-se mais para o ato do analista e a direção do tratamento, para o saber-fazer.
Highlights
The Brazilian National Health Counsel (NHC), the highest level of deliberation of the Brazilian National Health System — SUS, has been promoting its Nation Agenda of Priorities in Health Research (Ministry of Health website, 2008) regarding the evaluation of programs, policies, projects and interventions for the monitoring of public health policies
Among the many topics covered by the Agenda, we find one specific to the issue of Mental Health and another specific to Violence, Accidents, and Traumas in which the problems of family, sexual, psychological and urban violence, as well as domestic, traffic, work and community accidents are discussed
Gonçalves, Morita and Haddad (2007) discuss the gravity of the traffic accident problem worldwide and debate the qualification of professionals for emergency care, aiming to minimize the magnitude of human suffering involved (2007, p.21). They designate the way in which patients are informed about accident sequelae as one of the most crucial aspects. They discuss the importance of providing care parameters and strategies to the health teams in both the pre-hospital and urgency and emergency settings
Summary
The Brazilian National Health Counsel (NHC), the highest level of deliberation of the Brazilian National Health System — SUS, has been promoting its Nation Agenda of Priorities in Health Research (Ministry of Health website, 2008) regarding the evaluation of programs, policies, projects and interventions for the monitoring of public health policies. Galetti Jr emphasizes the overall spending of billions, due to multiple-trauma, high number of deaths, hospital bed occupancy, subsequent consequences, incapacity to return to work affecting the family structure, and physical and psychological sequelae that will probably affect the trauma patient for his/her entire life. In this manner, one proposal of the Nation Agenda of Priorities in Health Research of National Health Counsel (NHC — Ministry of Health website, 2008) for public policy related to the issue of Accidents, Violence and Trauma is the proposal of health prevention strategies in schools and health units with the Family Health Strategy resource. Does psychoanalysis have resources? How to proceed? How to intervene? What theoretical instruments does mental health have to deal with practical situations of urgency and emergency?
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