Why does Psychosocial Care require a clinic founded on psychoanalysis of the Freud-Lacan field?

Abstract

We  discuss  some  fundamentals  of  a  clinic founded  on  psychoanalysis  of  the “field Freud-Lacan” that aims to offer Attention to the subjectivity psychic impasses, in the context of  Collective  Health,  from  the  perspective  of  the  Psychosocial  Paradigm  defined  as  a dialectical  overcoming  of  the  Psychiatric  Reform.  So, if  the  ethical  horizon of  Psychosocial Care has became the implication of the subjects in desire and in the lack, it is corrected to propose  that  this  translates  into  a  thrust  to  Psychoanalysis.  Equally, we are connected ethically  and  politically  with  the  Health  Reform  field, originated  from  the  struggle  for  the implementation of Collective Health as a radical overcoming of Public Health. We highlight the indispensable place of the "Mental Health institution" and its establishments as necessary intermediaries  between  the  workers  of  the  area  and  the  subjects  of  the  treatment.  Thus,  by addressing the  pertinence  of  psychoanalysis  in  Collective  Health,  we  elucidated three fundamental themes to advance in this direction: 1) To adapt the institutional device to fit the psychoanalysis;2) The characterization of a Mental Health  worker of a new type, named as worker-intercessor, and 3) The primordial notions of "event-subject" and of "transference" to work  in  this field.  We  also  emphasize  that,  specifically  on  psychoanalysis,  we  are  located  in the context of what Lacan defined as "psychoanalysis in Intension", so far from the notion of "applied psychoanalysis".