This work consists of studying the clinical and institutional practice in the
psychologist’s formation under the perspective of the totality in health in the
João de Barros Barreto Academical Hospital - HUJBB. The choice of the
study field was due to the knowledge of the hospital while work area, as well
as for the fact of this to be one of the three only places in Unique Wealth System
SUS that serve as practice for the Course of Psychology of UFPA, where
it is propitiated the students to have contact with the clinical and institutional
practice, applying theoretical-methodological backgrounds of Psychoanalysis,
institutional analysis, processes group and of communication and knowledge
of Public Health. Being used of the qualitative approach, the procedures of
collection of data were the semi-structured interview, the questionnaires and
the participant observation. Among the important aspects in the study was
observed: the constant fragmentation of the several involved professionals’
work and the psychologist’s search for a space more consolidated and articulate
of performance in the team of health; the lack of previous knowledge of
collective health on the part of the students motivating a concentrated effort
of the supervisors and field advisors in the relationship teaching-service; the
failed of the physical facilities and of the equipments of the hospital generating
difficulties, but, simultaneously, stimulating an expressed subjectivity in
the collaboration between employees and students; the effort of the Service of
Psychology in drill the work centered in the medical act and in the sick body
for an attention marked by the relationship with the patient as subject and for
the different manners of psychopathologic subjectivization that constitute the
theoretical-methodological problem placed for your psychotherapic effectiveness;
and, finally, its insert in the teams multiprofessionals. The plot formed
by the group of those protagonisms it configures the psychologist’s challenge,
with the other professionals, to understand and to carry out the wholeness
of the attention, in permanent exercise of construction in the hospital. Two
theoretical stand out in the argument that problematizes the integral attention
in the hospital - Canguilhem, for the discussion of the concept of health
while possibility to live in conformity with the middle and Winnicott, in the
possible clinical perspective in that adapts.
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