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Nuances do traum?tico e desdobramentos ps?quicos no exerc?cio do cuidado em cat?strofesKegler, Paula 08 June 2017 (has links)
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Previous issue date: 2017-06-08 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The growing responsibility of Brazilian soldiers regarding care of people struck by catastrophes reinforces the need to extend attention to these professionals. This study aimed to investigate, from the ramifications which exist in this modality of work, elements related to trauma and their deployment on subjects. This thesis is organized in three Sections: a theoretical and two empirical ones. The first Section, Narratives of excess: the potential of words in Psychoanalysis, discusses the function of words in the necessary drive connection of psychic work. On reviewing the formation of Psychic apparatus and conditions of representability, we have approached the possibilities of metabolism of exceeding psychic intensities. Before the devastating death drive domain, there is the obstacle of (im)possible narratives. Words, with their articulation and elaboration potentials, are perceived as a possible way to restrain and to historicize lived contents. The subjects? active position makes it possible to break with Thanatos predominance of repetition. The narrative experiences transform, therefore, into vital resistance before what is harmful regarding drive unrepresentativeness. The second Section, From protocol to the unexpected: subject of affection: exercising care during catastrophes, investigates the narratives of ten health care soldiers in order to unveil the meanings and the effects of their working experiences. We have explored elements related to health care professionals? particularities and psychic conditions of processing what has been experienced in a job marked by devastation. From the interviews, analyzed with Interpretative Analysis (Erikson, 1997), we have built three assertions: Demands of affection before de (un)predictable in catastrophes; The inscription of Others into the Self: the foreigner paradox in care practice; Institutional obstacles facing ?a posteriori?: disavowal and legitimation. The interviews allowed us to access unpredictable tensioning following interventions guided by care. The identified obstacles on others? and self?s effective care practice have alluded to institutional barriers which impede and/or make it difficult for the affective processing which usually follows professional action. On the third Section, The 'a posteriori' in times of research in Psychoanalysis: narrative and hospitality, we have worked with contents built along the development of a narrative research (Creswell, 2014) before offering protection to the subjects? narratives about themselves. In the interviews, it was shown that soldiers experience meanings in both tragedy and research contexts. Knowledge production was ?a posteriori?: in participants? narratives about what has been already experienced, and in hospitality conditions to these narratives. This ?a posteriori? convergence of narrative and hospitality opened access to particular changes of working in catastrophes, and unveiled new phenomenon facets produced in and by research. Psychoanalysis has given theoretical support to the investigative modalities which guided the three Sections of this Thesis. It was possible, in this epistemological mark, to give priority to elements of subjectivity itself when a real devastation setting can, dangerously, make the attention to working professionals succumb. / A crescente responsabilidade dos militares brasileiros no cuidado ?s popula??es atingidas por cat?strofes consolida a necessidade de estender o olhar a esses profissionais. Este estudo objetivou investigar, a partir das complexidades presentes nessa modalidade de trabalho, elementos relativos ao traum?tico e seus desdobramentos no sujeito ps?quico. Esta Tese est? organizada em tr?s Se??es, sendo uma te?rica e duas emp?ricas. A primeira Se??o, intitulada Narrativas do excesso: a potencialidade da palavra em Psican?lise, problematizou a fun??o da palavra no necess?rio trabalho ps?quico de liga??o pulsional. Na revis?o sobre o processo de constitui??o do aparelho ps?quico e as condi??es de representabilidade, foram abordadas as possibilidades de metaboliza??o de excessivas intensidades ps?quicas. Frente ao dom?nio devastador da puls?o de morte, tem-se o impasse de (im)poss?veis narrativas. A palavra, tanto em seu potencial enunciador como elaborativo, se mostra como uma via poss?vel de conten??o e historiza??o do vivido. A posi??o ativa do sujeito enunciador possibilita (re)compor enlaces e produzir caminhos associativos que rompem com o predom?nio tan?tico da repeti??o. As experi?ncias narrativas se transformam, portanto, em resist?ncia vital frente ao danoso da irrepresentabilidade pulsional. A segunda Se??o, nomeada Do protocolo ao imprevisto: o sujeito de afeta??o no exerc?cio do cuidado em cat?strofes, investigou narrativas de dez militares da ?rea da sa?de, a fim de desvelar os sentidos e o efeito de suas experi?ncias laborais. Foram explorados elementos relacionados a singularidade do profissional do cuidado e ?s condi??es ps?quicas de tramita??o do vivido no trabalho marcado pela devasta??o. A partir das entrevistas, analisadas por meio da An?lise lnterpretativa (Erikson, 1997), foram constru?das tr?s Asser??es: Demandas ? afeta??o no trabalho frente ao (im)previsto em cat?strofes; A inscri??o do Outro no Eu: o paradoxo do estrangeiro no exerc?cio do cuidado; Os impasses institucionais frente ao a posteriori: desmentido e legitima??o. As entrevistas oportunizaram acessar imprevis?veis tensionamentos decorrentes de interven??es orientadas pelo cuidado. Os impasses identificados na efetiva pr?tica de cuidado ao outro e a si pr?prio aludem a barreiras institucionais que impedem e/ou dificultam os tr?mites afetivos decorrentes da a??o profissional. Na terceira Se??o, denominada O a posteriori nos tempos da pesquisa em Psican?lise: narrativa e hospitalidade, foram trabalhados os conte?dos que se constru?ram no desenvolvimento de uma pesquisa narrativa (Creswell, 2014) frente a oferta de acolhimento a narrativa do sujeito sobre si. Nas entrevistas apareceram os significados da experi?ncia dos militares no contexto da trag?dia, e, tamb?m, no contexto da pesquisa. A produ??o de conhecimento deu-se no a posteriori de dois tempos: na narrativa do participante sobre o j? vivido e nas condi??es de hospitalidade a essa narrativa. O encontro a posteriori entre narrativa e hospitalidade permitiu o acesso a singulares vicissitudes do trabalho em cat?strofes e desvelou novas facetas do fen?meno produzidas na e pela pesquisa. A Psican?lise deu sustenta??o te?rica ?s modalidades investigativas que orientaram as tr?s Se??es desta Tese. Foi poss?vel, nesse marco epistemol?gico, dar primazia aos elementos pr?prios a subjetividade quando um cen?rio de devasta??o real pode, perigosamente, fazer sucumbir o olhar ao sujeito trabalhador.
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