[Health care limits: representations and unconscious processes related to the population at the hospital emergency entrance].
This article presents some results from a study aimed at analyzing the limits and possibilities defined by inter-subjective and unconscious processes of solidarity, cooperation, and life care production in health services. A public hospital with an emergency department in the city of Rio de Janeiro, Brazil, was selected as a case study. The French school of psychosociology, oriented by the psychoanalytical clinical approach, the psychoanalytical theory on inter-subjective and group processes, and work psychodynamics provided the basis for the study's methodological strategies and analysis of the results. The study analyzed health professionals' psychological representations and unconscious processes related to emergency department users and their demands, and their consequences for the health care provided to this clientele. Some particularly important images such as "need" were used as a category that conceals the diversity of demand, in an unconscious process with multiple reductions: from denial of social suffering to denial of the patients' human condition.
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rua Leopoldo Bulhões 1480, Rio de Janeiro, Brazil. marilene@ensp.fiocruz.br
Marilene de Castilho
Mde C
Sá
Teresa Cristina
TC
Carreteiro
Maria Inês Assumpção
MI
Fernandes
D001938:Brazil; D004636:Emergency Service, Hospital; D019538:Health Care Surveys; D006282:Health Personnel / Q000523:psychology*; D006301:Health Services Needs and Demand; D006808:Humanism; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000523:psychology; D005791:Patient Care / Q000523:psychology*; D011369:Professional-Patient Relations; D011573:Psychoanalytic Interpretation; D011582:Psychological Theory; D012919:Social Behavior; D012938:Social Perception; D013315:Stress, Psychological; D014473:Unconscious, Psychology