A transferência na hospitalização por HIV/Aids: possíveis implicações na sua manifestação e no seu manejo

Abstract

The transfer is one of the four psychoanalytical fundamentals concepts, presents since the freudian pre psychoanalytical texts. In writings later, between the psychoanalytical technique texts, the transfer is presented as repetition of childish cliches that are the motor of the analysis and the via thought the resistances emerge as opposition to the analytical treatment. In the Lacan’s teaching, the concept of transfer is developed theoretically mainly about the relation of the supposed to know and the analyst desire as clinicals management operators. So, this master’s research goes from the premise present in the academic psychoanalytical literature, that what makes possible the psychoanalytical work on the hospital is the transfer. The objective of the study was to investigate possibles implications on the manifestation and the management of the transfer on the HIV/AIDS hospitalization context, considering the socio-historical particularities of this clinical. Methodologically, it´s psychoanalytical clinical research realized from psychoanalytical listen on the Infectious Parasitic Diseases nursery of the João de Barros Barreto University Hospital (DIP/HUJBB), at Belém of Pará. From this, it was chosen clinicals cases to illustrate and discuss about the thematic. Between the possibles implications, six points presented throughout the dissertation stood out: 1. Transference is what enables the psychoanalyst's work in health institutions, from clinical and institutional aspects; 2. The work in question, in the clinical aspect, is limited to carrying out preliminary interviews, however, some aspects of its classic conception need to be expanded; 3. The institution has specificities in its dynamics and also occupies a place in the subject's psyche; 4. The public health context has specificities that the analyst needs to take into account; 5. The history of HIV/AIDS is marked by stigmas that are agents of psychological suffering for hospitalized subjects and also producers of resistance to psychoanalytic treatment. Regarding the management of the transference, the psychoanalyst operates to enable the opening of the unconscious, leading the hospitalized subject to continue associating, in addition, the management of the transference includes the patient, the team and the hospitalized subject's companions. This can promote openness to the production of some knowledge about the case, even if in a different context from the classical analysis itself, since this moment of psychic work corresponds to a period prior to entry into analysis, in the case of preliminary interviews in psychoanalysis. As a result, it also addresses the role of the psychoanalyst in public health, supporting the importance of listening to the unique aspects of each case, which speaks to the ethics of psychoanalysis.