Entre laços e transferências: articulação da clínica das psicoses com o acompanhamento terapêutico na perspectiva lacaniana

Abstract

This work aimed to articulate the field of treatment through psychoanalysis, especially Lacanian theory of psychoses, with the clinical practice of therapeutic accompaniment (TA). For this, a theoretical-bibliographic research in psychoanalysis was conducted. It mapped Freud's trajectory and his understanding of psychosis, highlighting his contribution to the clinic by understanding delusion as a particular work of the psychotic. The structural subject of Lacan was introduced, along with the entire conceptualization of the rejection of castration and the notion of foreclosure of the Name-of-the-Father. Additionally, the concept of outside-of-discourse was explored to understand the disorganization and crisis of the psychotic. The management of transference was discussed, emphasizing its relevance for the expansion of the clinic. A paradigm shift in the way TA is thought was depicted, moving from psychiatric reform, where it had a function as psychiatric assistance, to a practice considered, in the case of psychoanalysis, as a tactic of the psychoanalyst. Furthermore, the notion of inverted transference in this clinic was presented, where the subject responds to the transference of the Other due to the phenomenon of erotomania, resulting in an inversion in the dynamic of the relationship. This understanding was fundamental to enhancing the practice of testimony and thus elucidating a treatment of psychosis that goes through the singular invention of each subject, where they deal with their jouissance, and making it possible for some position in the social bond. It was proposed, then, from this work, to produce theoretical-clinical knowledge in the clinical studies of TA