As redes de proteção à criança e ao adolescente constituem uma política pública recente no contexto nacional. O Conselho Tutelar é uma instituição que aciona o funcionamento das redes, sob a égide jurídica do Estatuto da Criança e do Adolescente (ECA). Nesse campo problemático e complexo, quais os significados e representações da função social do Conselho Tutelar construídas pelos seus atores principais? Esta pesquisa teve como objetivo analisar o funcionamento dessa instituição, a partir das práticas discursivas de seus agentes. Trata-se de um estudo qualitativo, referenciado na Teoria das Representações Sociais, segundo Moscovici e Jodelet. A coleta de dados ocorreu em cinco sessões de grupo focal, análise de documentos, prontuários e observação participante da rotina institucional, num Conselho Tutelar que atua num município de pequeno porte (85 mil habitantes) no interior do país. Os dados foram analisados através da técnica denominada Análise de Conteúdo, que consiste na identificação dos temas recorrentes e emergentes, seja nas regularidades ou singularidades discursivas. As unidades de significado foram organizadas em categorias temáticas que explicitaram os aspectos cognitivos, afetivos e políticos do dispositivo grupal. Enquanto resultados, afirma-se que os discursos indicam posicionamentos defensivos, ambivalentes e paradoxais no que tange ao trabalho do Conselho Tutelar e a Doutrina de Proteção Integral. Os enunciados trazem à tona incompatibilidades entre a esfera pública e a esfera privada. As condições institucionais, concretas e subjetivas, contribuem efetivamente para o sofrimento psíquico dos conselheiros tutelares, com destaque para a impotência e regressão psicofamiliar frente às pressões da sociedade. As representações sociais, objetivadas na prática desses agentes públicos, desvelam que o dispositivo acabou tomando a forma do mal social que visa a combater. Conclui-se, enquanto tese, que o Conselho Tutelar, tal como está estruturado no país, funciona como um dispositivo ideológico e propagandístico, sendo pouco capaz de atender aos anseios sociais por promoção de direitos, inclusão e cidadania. Frente ao julgamento ético e moral, as vítimas tendem a ser culpabilizadas, incorrendo na amenização ou negação dos danos, justificando a violência para fins idealistas na educação exemplar. Diante da condição paradoxal, constatou-se um processo de estereotipia, discriminação e demonização da clientela. / The child and adolescent protection network is a recent public politics in the national context. The Guardianship Council is an institution that actuates the networks functioning, under the legal aegis of the Child and Adolescent Statute (CAS). In this complex field, what are the meanings and representations of the function of the Guardianship Council constituted by its main actors? This study aimed to analyze the functioning of this institution, from its agents discursive practices. Its a qualitative study, having as reference the Theory of the Social Representations, according to Moscovici and Jodelet. The data collection occurred in five sessions of focal group, analysis of documents, records and participating observation of the institutional routine, at a Guardianship Council that acts in a small city (85 thousand inhabitants) in the countrys interior. The data were analyzed through the Content Analyzed, which consists in identifying the recurrent and emerging themes, on the discursive regularity or uniqueness. The meaning units were organized into thematic categories that show the cognitive, affective and political aspects of the group device. While results, its affirmed that the speeches indicated defensive, ambivalent and paradox positions regarding the Guardianship Councils work and the Integral Protective Doctrine, findings revealed an incompatibilities between the public and private spheres. The institutional conditions, concrete and subjective, contribute to the psychic suffering of the guardianship counselors, highlighting the psych familiar impotence and regression. The social representations, objectified at these public agent practices, unveiling that the device, ended taking the shape of the social ill that aims to combat. Its concluded, as thesis, that the Guardianship Council, as it is organized in Brazil, works as an ideological and propagandistic device, it is incapable to attend the social expectations by rights, social inclusion and citizenship. In view of the ethical and moral judgment, the victims tend to be blamed, incurring mitigation or denial of the damage, justifying the violence to idealistic ends at the exemplary education. Concluding, it has been found a process of stereotyping, discrimination and demonizing of the communities.

Bakgrund: I Sverige finns ca 35 000 personer diagnostiserade med schizofreni. Att insjukna i schizofreni innebär en livsomvälvande katastrof både för den som insjuknar och de närstående. Av de barn och ungdomar som drabbas av schizofreni får hälften ett livslångt handikapp. Deras föräldrar får ofta svårigheter med att möta sina barns lidande, bekymmer, att förstå deras förändrade livsvärld och den problematik som den psykiska störningen omfattar. Syfte: Denna litteraturstudies syfte var att beskriva föräldrarnas svårigheter hantera den uppkomna situationen och att förstå sina barns förändrade livsvärld och den problematik som den psykiska störningen innebär. Ett vidare syfte har varit att tydliggöra sjuksköterskans vägledande roll i denna process. Metod: En litteraturstudie med kvalitativ ansats som belyser föräldrarnas upplevelser av att ha ett barn med schizofreni. Resultat: Studiens resultat visar fem framträdande teman; Att inte förstå vad som händer med sitt barn, Moraliska och praktiska dilemman, Skuld och skam, Att som förälder sörja förlusten av det barn man en gång känt samt Vilken form av stöd/information söker föräldrarna? Slutsatser: Allvarlig psykisk störning orsakar ett stort lidande både för barnet som diagnostiserats och dess föräldrar. Det är en komplex situation för hela familjen och det ligger ett stort ansvar på vårdaren att vara öppensinnig i kommunikationen med denna patientgrupp och deras närstående för att kunna hjälpa och stödja.

To align the neuropsychological functioning of our adult euthymic patient group with that reported in previous studies on euthymic bipolar disorder (BD), we used a neuropsychological battery that examined sustained attention (Rapid Visual Information Processing Task), verbal memory (California Verbal Learning Task), executive functioning (Intradimensional-Extradimensional Shift Task, Barrett Impulsivity Task, and Framing Task), and emotion responsiveness/regulation (Positive Affect/Negative Affect Scales, Behavioral Inhibition/Behavioral Activation Scale, and Affective Lability/Affective Intensity Scales) in patients versus healthy volunteers (HV). Our results corroborated existing evidence of reduced sustained attention, impaired verbal memory and executive functioning, and abnormal emotional responsiveness and regulation in euthymic BD relative to healthy controls (Chapter 2). To investigate how abnormal development of brain function in BD leads to deficits in decision-making, motor inhibition, and response flexibility, we examined child and adult BD using a novel risky decision-making task, and used cross-sectional (age x diagnosis) functional magnetic resonance (fMRI) designs to examine neural activation associated with motor inhibition and response flexibility in BD relative to HV. During the risky decision-making task, adult euthymic BD patients were no different from healthy controls in their proportion of risky lottery choices over a range of competing lotteries. This matched behavioral performance was associated with similar prefrontal and striatal brain activation between the patient and control groups during response, anticipation, and outcome phases of decision-making (Chapter 3). These results are different from previous studies that have shown increased risk taking during decision-making in euthymic BD. Similarly, young BD patients were no different from age-matched healthy and patient controls in their pattern of decision making during the risky choice task. This was evidenced by a similar number of risky lottery selections over the range of changing expected values between the young BD group and control groups (Chapter 4). Using a cross-sectional, fMRI analytic design during the stop signal task, we found that child and adult BD showed similar behavioral performance to child and adult HV during motor inhibition. However, this matched behavioral performance was associated with abnormal neural activation in patients relative to controls. Specifically, during unsuccessful motor inhibition, there was an age group x diagnosis interaction, with BD youth showing reduced activity in left and right ACC compared to both age-matched HV and adult BD, and adult BD showing increased activation in left ACC compared to healthy adults. During successful motor inhibition there was a main effect of diagnosis, with HV showing greater activity in left VPFC and right NAc compared to BD (Chapter 5). These neuroimaging data support existing laboratory-based evidence of motor inhibition impairments in BD relative to HV, and indicate brain dysregulation during motor control is important to BD pathophysiology. A previous behavioral study showed impaired response flexibility in young BD patients relative to age-matched controls when using the change task. Here, we used the change task during fMRI to examine response flexibility in child and adult BD compared to child and adult HV. We found that patient and control groups showed similar change signal reaction times in response to change cues. However, this matched behavioral performance was associated with abnormal age group x diagnosis activations in brain regions important in signal detection, response conflict, response inhibition, and sustained attention. Specifically, during successful change trials, child BD participants showed frontal, parietal, and temporal hyperactivation relative to healthy children and adult BD, while adult BD showed hypoactivation in these regions relative to healthy adults. These novel fMRI findings during the change task indicate impaired neural activation during response flexibility may be important to the pathophysiology of BD development.

Background: Orphanhood is a major consequence of the HIV/AIDS epidemic in sub-Saharan Africa. There is little evidence concerning psychological problems for AIDS-orphaned children. This thesis explores the relationship between orphanhood status and mental health. It also examines mediating influences of environmental risk and protective factors, and interactions between factors, on children’s psychological problems. Methods: 1200 isiXhosa-speaking children were interviewed, using standardised questionnaires, in deprived urban settlements of Cape Town. A qualitative stage with 60 AIDS-orphaned children, 42 caregivers and 20 professionals explored participant perceptions of risk and protective factors. A quantitative stage compared 1025 AIDS-orphaned children to control groups of other-orphans and non-orphans. Data were analysed with t-tests, chi-sq, anovas, regression and log-linear analyses. The study took place in collaboration with Cape Town Child Welfare. Results: AIDS-orphaned children reported more depression (p<.001), peer relationship problems (p<.001), post-traumatic stress (p<.001), suicidal ideation (p<.05), delinquency (p<.001) and conduct problems (p<.001) than other-orphans and non-orphans. Anxiety showed no differences. Compared to Western norms, AIDS-orphaned children showed higher levels of internalising problems and delinquency, but lower levels of conduct problems. These differences remained when controlling for socio-demographic factors. A number of factors strongly mediated the relationship between AIDS-orphanhood and mental health. These include poverty-related factors (food, education and social security, p<.001). caregiving-related factors (caregiver illness, p<.001, excessive housework p<.001, being a streetchild, p<.001) and AIDS-related stigma (p<.001). Cumulative effects were also found. Food insecurity and AIDS-related stigma interacted to raise likelihood of disorder from 19% to 83%, and orphanhood status and bullying interacted to raise likelihood from 12% to 76%. Conclusions: This thesis shows clear evidence of heightened psychological problems amongst AIDS-orphaned children. It also indicates mediating factors and points to areas of possible intervention. The South African Ministry of Social Development plans to scale up the study to a national survey of AIDS-orphanhood.

Depression in adolescence is a major health problem, associated with poor psychological function and key risk factors both for later illness and suicidal behaviours. The antidepressant fluoxetine is commonly used in this population and it is shown to have a favourable benefit-to-risk profile. However, controversy still exists about the use of antidepressants in young people and there is little research focusing on underlying mechanisms of wanted and unwanted actions in this group. This doctoral thesis aims to investigate, for the first time, the acute effects of fluoxetine on emotional processing, using a combination of behavioural and neuroimaging techniques. The aim is to achieve a greater understanding of the mechanisms underlying fluoxetine use in depressed adolescents, in light of differences seen in their clinical presentation and response to antidepressant drugs. In the first study (Chapter Two), a single dose of fluoxetine was shown to decrease the recognition of anger in a sample of young adult volunteers, an effect not previously seen in acute studies of older participants. This effect may be particularly relevant for the treatment of adolescent depression, in which symptoms of anger and irritability are often prominent. Beyond this, fluoxetine was shown to increase the recognition of positive vs. negative facial information, and also exerted an anxiolytic-like influence, eliminating the emotion-potentiated startle effect. However, no influence was seen in measures of attentional vigilance to threat. In an attempt to overcome methodological limitations of this study, a paradigm was developed that is particularly sensitive to the detection of automatic biases towards threatening information (Chapter Three). Chapter Four describes a neuroimaging study with depressed adolescents, in which a single dose of fluoxetine was found to reduce amygdala activity in response to anger. Early changes in amygdala activity to fear correlated with decreased symptoms of anxiety and depression in the first 7-10 days of treatment. Chapter Five explores the effects of acute fluoxetine in a sample of high trait anger males. This study replicated the finding that fluoxetine acts to increase the recognition of positive information, whilst showing preliminary evidence for a reduction in attentional vigilance to angry faces. Overall, fluoxetine was found to decrease the processing of anger across studies. This effect was seen alongside a broader influence on positive vs. negative information and anxiolytic-like properties. Together, these results indicate that fluoxetine has direct effects on processes that are especially relevant to adolescent depression and suggest a potential cognitive mechanism for the efficacy of this particular antidepressant in adolescent patients.

Master of Science / Department of Family Studies and Human Services / Sandra M. Stith / This investigation explored a relatively understudied aspect of mindfulness: the experience of ninth graders in a public school classroom who practice a brief, daily mindfulness activity. The mixed-method study utilized both qualitative and quantitative research methods. Semi-structured interviews investigated the experience of those students and gleaned further information surrounding the question, ―What was the experience of mindfulness like for you?‖ The data from these interviews was analyzed using thematic analysis and was cross-coded by two outside researchers not part of the data collection. This study also explored the effects of classroom mindfulness activities through the Child and Adolescent Mindfulness Measure (Greco, Dew, & Baer, 2005). The participating students and a control group of students within the same school building and subject area took the measure before and after the study to determine the effects, if any, of participating in classroom mindfulness activities on adolescent mindfulness. These results were analyzed using paired sample T-tests using SPSS software. Results from both the interviews and the survey showed that students participating in the mindfulness activities had a consistently positive experience with the mindfulness exercise and increased their level of mindfulness. While unfamiliar with mindfulness at the beginning of the study, students in the experimental condition reported they found the experience beneficial in terms of personal growth, classroom environment, and adaption to other areas of their life. Any negative experiences concerning the mindfulness exercises centered around the initial unfamiliarity with mindfulness and specific components of one exercise. These results were further confirmed by the entries in a daily journal kept by the teacher.

Att barn blir utsatta för våld är i dagens samhälle inte ovanligt. Våld är ett komplicerat ämne att prata om med barn då barnen behöver lita på den som frågar, inte känna sig trängda och samtidigt åsidosätta sin lojalitet till en nära person för att våga berätta. Syftet med vår studie har varit att utifrån en triangulering, en kombination av kvalitativ och kvantitativ metod, undersöka hur yrkesverksamma inom barn- och ungdomspsykiatrin arbetar i kontakten med barn för att upptäcka om barnet utsätts för våld i hemmet och att uppmärksamma om eventuellt glapp finns mellan riktlinjer och verklighet. Undersökningen gjordes genom en enkät med 23 svarande som redovisas genom en deskriptiv analys av de kvantitativa frågorna samt en innehållsanalys av de kvalitativa frågorna. Resultatet visar att yrkesverksamma inom barn- och ungdomspsykiatrin idag frågar barn om de har utsatts för någon typ av våld när misstanke uppstår snarare än på rutin. Arbetsplatsens riktlinjer är bekanta för de flesta svarande och de vet hur de ska gå vidare om de får reda på att ett barn utsatts för våld. De yrkesverksammas upplevelser kring att fråga skiljer sig mellan olika typerna av våld och det är svårare att närma sig ämnet sexuellt våld än att prata om fysiskt våld. Trots olika svar på våra frågor kring att fråga om det förekommer våld i hemmet finns det ett genomgående tema: Det handlar om att fråga på ett sådant sätt att ingen känner sig trängd eller kränkt. / That children are exposed to violence is nothing unusual in the society of today. Violence is a complicated topic to talk about with children because the child has to trust the person who asks, not feel repressed and also, to tell someone about what has happened means to override their loyalty to a person close to them. The aim of our study has been, through a triangulation, a combination of qualitative and quantitative method, to investigate how the child and adolescent psychiatry work in the contact with children to discover if there is violence in the family, and whether they have knowledge of the workplace guidelines in the subject. The survey was conducted through a questionnaire with 23 respondents reported by a descriptive analysis of the quantitative material and a content analysis of the qualitative. The result shows that professionals in child and adolescent psychiatry today ask children if they have suffered any kind of violence when the suspicion arises rather than routine. Workplace guidelines are familiar to most respondents, and they know how they should proceed if they find out that a child is exposed to violence. The professionals' experiences on the issue differ between different types of violence and it is difficult to approach the topic of sexual violence than it is to talk about physical violence. Despite the various answers to our questions around the topic to ask if there is violence in the family, there is a consistent theme: It's all about to question in such a way that no one feels cornered or offended.

A violência doméstica é uma realidade evidenciada com grande frequência e apontada como um grave problema de saúde pública em nosso país. Ela se concretiza, sobretudo contra pessoas em fase de desenvolvimento como crianças e adolescentes. Nosso estudo teve como objetivo conhecer e descrever as ações na Atenção Primária à Saúde prestadas pelo(a) enfermeiro(a) às crianças e aos adolescentes vítimas de violência doméstica em Unidades de Saúde da Família localizadas no Distrito Oeste do Município de Ribeirão Preto - SP. Trata-se de um estudo com abordagem qualitativa, se delineando como pesquisa social estratégica, com modalidade de estudo de caso. Para a coleta de dados, foram realizadas entrevistas semiestruturadas, diário de campo e uma visita na Secretaria Municipal de Saúde de Ribeirão Preto, especificamente a Divisão de Vigilância Epidemiológica no Núcleo de Violência e Acidentes. Participaram do estudo 05 enfermeiras que atuam nos 05 Núcleos de Saúde da Família no Distrito Oeste da cidade de Ribeirão Preto. A análise dos dados foi realizada por meio da análise de conteúdo, modalidade temática. Emergiram dois núcleos temáticos principais: Ações Municipais na Atenção à Criança e ao Adolescente Vítima de Violência Doméstica e Enfermagem na Atenção Primária à Saúde: barreiras no combate à violência doméstica. No primeiro núcleo foi abordado as ações no Município de Ribeirão Preto para o combate à violência doméstica em crianças e adolescentes. Embora os esforços da Secretaria Municipal de Saúde promovendo eventos com o objetivo de promover à capacitação e educação permanente dos profissionais de saúde, muitas vezes, há dificuldade destes eventos serem inseridos nas agendas dos enfermeiros atuantes no Núcleo de Saúde da Família. Como rede de apoio social à criança e adolescente vitimizadas foram ressaltadas pelas entrevistadas à comunidade, os vizinhos e a escola. Encontramos em uma entrevista o tráfico de drogas atuando na proteção das vítimas de violência doméstica, o que nos evidenciou certa falência da atuação dos meios de proteção. No segundo núcleo foram apontados alguns fatores que dificultam a ação dos(as) enfermeiros(as) no combate à violência doméstica tal como a falta de capacitação dos conselheiros tutelares, que dificultam a articulação e o estabelecimento de vínculo com os profissionais de saúde. O medo dos(as) enfermeiros(as) em relação ao agressor, a falta de capacitação dos(as) enfermeiros(as) para executar ações contra a violência doméstica, tais como a prevenção, a notificação, o encaminhamento e acompanhamento das vítimas são fatores que dificultam o combate à violência contra crianças e adolescentes. Entendemos que estas considerações acerca das ações no combate à violência doméstica devem ser valorizadas não só pelos(as) enfermeiros(as), mas também por todos os profissionais que atuam nos serviços de atenção à infância e adolescência. / Domestic violence is a reality very common manifested and indicated as serious problem of health public in our country. It happens, mostly, against people in developing as children and adolescents. The aim of our study is to know and to describe the actions in primary health care accomplished by the nurses to children and adolescents victims of domestic violence in Family Health Center in the West District of the municipality of Ribeirão Preto - SP. In this study is used a qualitative approach, in which is considerate a strategy of social research, a modality of case study. For data collection, it was used semi structured interviews, field diary and one visit to Health Municipal Department in Ribeirão Preto, especially the Division of Epidemiological Surveillance in the Violence and Accident Center. The study included 5 nurses which work in 5 family health centers in west district of Ribeirão Preto. The analysis of data was made through the content analysis, thematic modality. Two main theme centers appeared: \"Municipal Actions in Attention to Child and Adolescent Victims of Domestic Violence\" and \"Nursing in Primary Health Care: limits in the domestic violence combat\". On the first center was discussed the actions in the city of Ribeirão Preto to combat the domestic violence against children and adolescents. Although the Municipal Department of Health`s effort to realize events to promote the permanent professional training and education of health professionals, often, there is a difficult to the nurses of Family`s Health Center to include in their agenda. The interviewed emphasized as social support network the community, the neighbor and school. The drug traffic was cited in the interview as protection of domestic violence\'s victims, what reveal failures in actions of protection. On the second center was pointed out some factors which difficult the action of nurses in the combat domestic violence such as lack of professional training of tutelaries, what make difficult the articulation and the establishment of the bond with health professionals. The fear of nurses in relation of aggressor, the lack of professional training of nurses to execute actions against domestic violence, such as prevention, notification, routing and follow up victims are factors which make difficult the combat violence in child and adolescent. Such considerations in relation the actions against domestic violence must be valued not only by the nurses, but also by all the professionals which deal in the attention services to children and adolescents.

Introdução: O atual modelo de saúde mental infantojuvenil tem como um dos seus pilares a transformação da postura dos profissionais da área. Espera-se que eles se coloquem de corpo inteiro e se impliquem subjetivamente no trabalho. Esses profissionais têm papel fundamental nas direções tomadas ao longo dos anos, contudo são historicamente desvalorizados e pouco estudados. Objetivo: Descrever e analisar a subjetividade, as experiências de formação e a trajetória de vida de trabalhadores de Centros de Atenção Psicossocial Infantojuvenis (CAPSi) e suas relações com o processo de inserção e prática nesse campo. Método: Foi realizado um questionário com perguntas semi abertas e entrevistas narrativas com 8 trabalhadores de diferentes categorias profissionais lotados em 2 CAPSis do Município de São Paulo, um deles gerenciado diretamente pela Prefeitura e outro por Organização Social de Saúde (OSS). Para análise das entrevistas narrativas foi utilizada a proposta de Shutze. O Referencial Teórico foi construído a partir de diferentes autores que dialogam entre si, dentre eles Dejours e Schwartz. Resultados: Constaram-se importantes diferenças entre os trabalhadores do CAPSi gerenciado por OSS e pela Prefeitura no que se refere ao perfil profissional, às motivações para o trabalho, ao tipo de formação que buscam e aos sentidos atribuídos ao trabalho. No entanto, todos os trabalhadores revelam características comuns: impacto recíproco que a vida pessoal e o trabalho na saúde mental exercem entre si; passagem prévia por hospital, escola ou consultório, de forma que essas instituições marcam sua atuação profissional; carência de capacitação oferecida pelos serviços e grande distância entre as necessidades reais do serviço e os treinamentos oferecidos. Conclusão: A tendência atual do mundo do trabalho caminha em sentido oposto às propostas da Reforma Psiquiátrica, fazendo com que os profissionais mais antigos encontrem dificuldades e os mais jovens se afastem dos pressupostos da Reforma Psiquiátrica. Junto a isso, a complexidade das propostas de tratamento nos CAPSis e a falta de espaços de discussão e potencialização do trabalho, que deviam ser oferecidos pelas instituições, faz com que ambos os grupos de profissionais sintam-se perdidos e sozinhos. A formação transcende o espaço técnico no qual ela se delimita inicialmente e se espraia para diversos setores da vida do indivíduo / Introduction: The current model of child and adolescents Mental Health Care are in transformation concerning the professionals approach. It is expected that they get deeply involved in a subjective way in their work. These professionals are very important in the directions taken in that field over the years, however, they are historically unevaluated and understudied. Objective: Describe and analyze subjectivity, as well as training experiences and life trajectories of employees of Psychosocial Care Centers for Children and Adolescents (CAPSi) and their relation to the process of professional insertion and practice in this field. Method: A semi-structured questionnaire and narratives interviews were conducted with 8 workers from 2 CAPSi from São Paulo City, Brazil; one managed directly by the City and one managed by Social Health Organizations- OSS. The narratives interviews have been subjected to Shutze analysis techniques. The Theoretical Framework was built from different authors who interact with each other, including Dejours and Schwartz. Results: It was found important differences between work team from CAPSi managed by the OSS and CAPSi managed directly by the City concerning professional profile, motivations for work, type of training searched and meanings attributed to work. However, all employees reveal common features: reciprocal impact that personal life and work in mental health influences on each other; previous works in hospitals, schools and office, so these institutions marked their professional performance; lack of training services and large distance between the real needs of the service and the training offered. Conclusion: It was found that the current trend in the field goes in opposite direction to the proposals of the Psychiatric Reform, causing the older professionals do not fit in and younger professional deviate from the Psychiatric Reform proposed. Along with this, the complexity of treatment proposed in CAPSi and lack of opportunities for discussion and empowerment work team of labor, which should be offered by institutions, makes both groups of professionals feel lost and alone. The technical training transcends space in which it delimits initially and spreads to various sectors of the life of the individual

O presente trabalho propõe refletir sobre o instituto jurídico da guarda e da adoção, contribuindo com alguns elementos teóricos da psicanálise que possam elucidar como esse processo ocorre subjetivamente, sem deixar de fora, nesse raciocínio, a questão do gozo, central na psicanálise e o contexto trazido pelas modificações dos referenciais simbólicos iniciados na modernidade. Inicialmente, expõe-se o conceito de lei jurídica na história a fim de se levantar uma reflexão sobre a lei na atualidade, dentro do ordenamento jurídico brasileiro, trazendo problemáticas do direito em relação ao seu papel na sociedade. Posteriormente, aborda-se o conceito de Lei na psicanálise, marcando a diferença entre essas áreas. Num segundo momento, o foco recai sobre o instituto da guarda e da adoção no sistema jurídico, pensando, principalmente o primeiro instituto como um meio para se concretizar a adoção. Logo em seguida, trouxemos a guarda e a adoção pela ótica da psicanálise, utilizando-se como referencial teórico basicamente a teoria de Lacan, especialmente as modificações trazidas pela última clínica deste autor, momento em que desloca a dialética do desejo do centro da teoria para a questão do gozo. A pesquisa revelou que a adoção não opera somente no registro simbólico, como a maioria dos trabalhos encontrados se restringem, mas ocorre nos três registros psíquicos: real, simbólico e imaginário. Ao final retomamos a adoção na psicanálise dentro do contexto pós-moderno, apontando as influências sofridas pelo discurso capitalista, que produz ilusões narcísicas de completude diariamente e esclarecemos a diferença entre Lei do bem dizer e lei do dizer o bem / The proposal of this paper is to contribute to the custody and adoption legal institute, seeking some theoretical elements of psychoanalysis to elucidate how this process occurs subjectively. For that, we approache Lacan´s concept of Lust - a central topic in psychoanalysis - and the context brought by the changes in the symbolic references which emerged in modernity. The starting point of this investigation is the concept of law in the history, in order to raise a debate on the law nowadays within the Brazilian legal system, discussing some issues of law in relation to its role in society. Subsequently, the focus places on the institution of guardianship and adoption in the legal system, considering the first institute as a means for achieving adoption. To work on these themes - custody and adoption - by the psychoanalytic perspective, we use primarily theoretical teachings of Lacan, especially the changes brought about by the last clinic of Lacan, at which shifts the dialectic of desire from the heart of his theory to the question of Lust. The survey revealed that the adoption does not work only in the symbolic dimension, like most works found claims, but occurs in all three records: real, symbolic and imaginary. At the end we return to the adoption in psychoanalysis within the postmodern context, pointing out the influences experienced by capitalist discourse that produces narcissistic illusions of wholeness. For this purpose we clarify the difference between the Law of well say and the Law of say good