Denna uppsats uppmärksammar hur föräldrar till tonårsbarn med substansbruk upplever sin situation och det anhörigstöd de fått. Syftet är att skapa en förståelse för föräldrars egen situation kopplat till sitt tonårsbarns substansbruk, med särskilt fokus på att undersöka upplevelsen av behandlingsprocessen och egna behandlingsinsatser för föräldrarna på Mariamottagningarna i Skåne samt att få en ökad förståelse för vilka önskemål om förändring och förväntningar som föräldrarna har gällande anhörigstöd. Uppsatsen baseras på nio semi-strukturerade intervjuer med föräldrar till tonårsbarn under 18 år med substansbruk. Föräldrarnas berättelser och erfarenheter analyseras genom Scheffs teoribildning kring sociala band. Resultatet visar en tung belastning och bröda inom föräldragruppen, vars tonårsbarn hade komplexa problembilder. Föräldrarna hamnade lätt i problem- och emotionsfokuserade beteenden. Likaså beskrevs ett inre föräldraproblemfokus som skapade skam och försämrad kommunikation mellan förälder och tonåring och i värsta fall kris i familjen. I vissa fall resulterade detta i att föräldern satte sitt eget liv på paus med ökad risk för stressrelaterad ohälsa. Olika sårbarhets- och skyddsfaktorer hos föräldrarna genererar olika behov vilket talar för ett kartläggande av dessa för att sedan anpassa stöd och insatser till föräldrarna. Föräldrarnas hade blandade känslor kring det professionella anhörigstödet. Ett positivt upplevt anhörigstöd relaterades till en behandlarens eller socialsekreterarens bemötande, kompetens, helhetsperspektiv och samverkan med andra professionella i kontakt med tonåringen. Önskemål från föräldrarna handlade om ökad delaktighet i tonåringens behandling. / This thesis explores how parents of adolescents with substance abuse experience their situation and the support they have received from professionals. The purpose is to create an understanding of the parents' own situation linked to their adolescent’s substance abuse, with a particular focus on examining the experience of the treatment process and interventions for the parents at the Maria treatment centers in Skåne, In addition, the thesis aims to gain an increased understanding of parents´ own expectations, and wishes for change, regarding the provided support. The essay is based on nine semi-structured interviews with parents with adolescents under the age of 18 with substance abuse. The parents' narratives and experiences are analyzed through Scheff’s theory regarding social bonds. The result shows a heavy burden and load within the parental group, whose adolescents have a high level of comorbidity. The parents easily ended up in problem- and emotion-focused behaviors. Likewise, an internal parental problem-focus was described, which created shame and impaired communication between parent and adolescent, and in the worst case a crisis in the family. For some parents this resulted in the parent putting their own life on hold with an increased risk of stress-related illness. Different vulnerability and protective factors within the parental group generate different needs, which speaks for these being mapped in order to adapt support and interventions to the parents. The parents had mixed feelings about the professional support. Positively perceived support was related to a therapist’s or social worker’s reception, competence, overall perspective, and cooperation with other professionals in contact with the adolescent. Wishes from the parents included increased participation in the adolescent’s treatment.

La dépression et l’antidépresseur, phénomènes plus vastes, plus complexes que l’ordre biomédical ne l’entend, répondent à des logiques qui dépassent les seules considérations organiques, corporelles. Certaines recherches montrent d’ailleurs que ces deux entités sont autonomes l'une de l'autre, signifiant que les antidépresseurs sont prescrits pour des raisons indépendantes de la prévalence de problèmes de santé mentale. C’est dans cette optique que, dans ce mémoire, nous examinons les raisons pour lesquelles les individus ont recours aux antidépresseurs suite à une rupture conjugale. C’est à l’aide des récits de huit femmes ayant pris des antidépresseurs suite à une rupture conjugale qu’on a donc investigué les rouages du recours à ces médicaments. À la lumière des résultats, on observe effectivement que la prise d’antidépresseurs semble répondre à une logique qui soit extra–médicale. D’abord par le constat que seules trois d’entres ces huit femmes ont justifié leur prise d’antidépresseurs par la réception d’un diagnostic formel de dépression. Ensuite, par la découverte qu’elle se déploie essentiellement selon une double symbolique au centre duquel prime le lien social. En effet, on a recours aux antidépresseurs suite à une rupture conjugale parce qu’ils sont à la fois l’incarnation d’un lien de confiance avec un être semblable à soi, empathique, le médecin, et le symbole d’un retour à la vie dite ‘normale’ où les manières d’être et d’interagir sont conformes à celles du groupe auquel on s’identifie. On croit que l’importance accordée à la confiance au médecin et à la normalisation quant au recours à l’antidépresseur témoignent du resserrement des liens d’identification propre à l’individualisme contemporain lesquels, en opposition aux grands récits de jadis, sont désormais axés sur une intimité de valeurs et d’objectifs entre semblables. / Depression and antidepressants are far more complex phenomenons than the biomedical order pretends. Some research show that these two entities are independant from one another, meaning that antidepressants are prescribed for reasons independant of mental health problems. In this master’s thesis we examine why individuals have recourse to antidepressants following a relationship break-up; the relationship (marital or not) break-up being a critical situation associated with the prevalence of depression. Eight women who took antidepressants following a relationship break-up were interviewed for this study. The findings show that the recourse to antidepressants appears to respond to a logic that is non-medical. First, by the fact that only three of the eight women interviewed justified their recourse to antidepressants by receiving a diagnosis of depression. Second, by the discovery that these women relied on antidepressants because they are the embodiment of a relationship of trust with someone familiar to themselves, the doctor, and the symbol of a return to a ‘normal’ life.

This research aims to enrich the understanding of the constitution of a sense of belonging to an aboriginal community in Montreal. It has been demonstrated that there is indeed a social cohesion in Montreal based on the collective aboriginal ethnic identity, or aboriginality. This cohesion is supported by aboriginal organizations and associations, whise approaches and engagements have a direct impact on their inclusion into the community. These institutions are considered as the source of communitarian social bond in the city. By the empowerment of a shared aboriginal identity, the representation of community interests, the integration in the urban life, the service delivery to members of the middle class and the creation of secured spaces dedicated to their cultural heritage, aboriginal associations are creating social ties to the community. On the other hand, some problems like the lack of communication between organizations, their hermetic nature, their excessive bureaucratic methods, the way women in the community monopolize the institutions, the presence of non-aboriginal people as well as the gang phenomenon are all experienced in the organizations. These problems produce harmful consequences on the member’s relations to the communitarian system and reduce their participation and attendance. Also, the social bond within the native community is weakened by various factors outside the grasp of the institutions. Some internal discriminations and stereotypes, sometimes tied to the use of administrative indicators of the Canadian Aboriginal Law, the lack of a native district in Montreal, and the different socio-economic members’ situations create divisions and affect the community spirit. This thesis focuses on the native community construction in an urban area through its institutional sphere, which differs from other studies on urban Natives. The objective is to understand the urban realities and the way the urban native communities are developing themselves. / Cette recherche vise à comprendre la création du sentiment d’appartenance à une communauté autochtone à Montréal. Elle démontre qu’une cohésion sociale communautaire à Montréal repose sur l’identité ethnique « autochtone », soit l’autochtonie. Cette dernière est soutenue par les organismes et associations autochtones, dont les approches et engagements ont un impact direct sur le sentiment d’appartenance à la communauté. Ces institutions sont considérées ici comme étant à la base du lien social dans la communauté de Montréal. En effet, à travers la valorisation d’une identité générique autochtone, la représentation des intérêts de la communauté, l’insertion dans la vie urbaine, l’offre de services à la classe moyenne, la création d’espaces sécuritaires et d’apprentissage culturel en ville, les organisations communautaires autochtones entraînent la création de liens sociaux et d’appartenances, constituant le tissu social de la communauté. En contrepartie, plusieurs problèmes comme le manque de communication entre les organismes, leur herméticité, la bureaucratisation excessive, le phénomène de clique et une présence des non-autochtones et des femmes accaparante, sont vécus dans le milieu organisationnel. Ces problématiques engendrent des conséquences néfastes sur le rapport des membres aux dispositifs communautaires, pour un amoindrissement de leur participation et de leur fréquentation des organismes. De plus, le lien social communautaire est affaibli par plusieurs facteurs extérieurs à la sphère d’activité des institutions. Les discriminations et les stéréotypes à l’interne, parfois liés à l’incorporation de critères administratifs de la Loi sur les Indiens, l’absence d’un quartier autochtone, ainsi que les différentes conditions socio-économiques des membres créent des divisions et contreviennent à l’esprit de communauté. Enfin, ce mémoire met l’accent sur la constitution d’une communauté autochtone en milieu urbain à travers son réseau d’institutions, ce qui le démarque des études sur les Amérindiens. L’objectif est de saisir les réalités vécues en ville et de comprendre de quelle façon s’effectue le développement des communautés autochtones urbaines.

Made available in DSpace on 2016-04-29T14:16:05Z (GMT). No. of bitstreams: 1 Arlete Correa de Oliveira.pdf: 882734 bytes, checksum: a4e2987f3cb46bc8c91a4b99336abcf2 (MD5) Previous issue date: 2011-10-10 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This work questions the law under the perspective of subjectivity for the children and young people housed in the Casa-Lar Bela Vista, Vitoria, Espírito Santo (a Home Unit). Its central theme is the incest prohibition law (EEP) and the familiar complexes (Lacan), whose theoretical assumptions guide this research and allow to make the presence of this law explicit in the human subjectivity and in the social bond. Within this questioning arises the importance of the interface between social assistance and explicitness of the juridical law. It is with social assistance, that certain factors of the affection, such as reliability, security and objectivity can reorder and question the legal functions. Children and young people in the Casa-Lar are liable to witness this transmission as speaking beings. They express with narratives and memories all the subjectivity that establishes the law that really permeates their lives: the law of desire; and which is placed, every day, against the laws of society / Este trabalho questiona a lei, sob a ótica da subjetividade, no universo de crianças e jovens abrigados na Casa-Lar Bela Vista, Vitória, Espírito Santo. Sua temática central é a lei da proibição do incesto (EEP) e os complexos familiares (Lacan) cujos pressupostos teóricos orientam esta pesquisa e permitem explicitar a presença dessa lei na subjetividade humana e no laço social. Dentro desse questionamento, surge a importância da interface entre a assistência social e a explicitação da lei jurídica. É com a assistência social que certos fatores do afeto como a confiabilidade, a segurança e a objetividade podem se reordenar e interpelar as funções jurídicas. Crianças e jovens da Casa-Lar são passíveis de testemunhar como seres falantes essa transmissão. Expressam com narrativas e memórias toda a subjetividade que configura a lei que realmente permeia suas vidas: a lei do desejo - que é colocada, todos os dias, em confronto com as leis do social

長久以來，我們的研究文獻忽視了原住民社會的失序問題：如酗酒、雛妓、少年逃學及兇殺等。本研究企業以問卷調查法和田野訪問觀察，對原住民社會之一－烏來泰雅族之少年偏差犯罪行為之盛行率、類型及因素，進行資料之收集整理分類。 這是Hirschi社會鍵理論（Social Control Theory）首次在本土少數民族社會之部分驗證研究，除了利用該理模式為分析架構，以問卷調查方式對烏來鄉福山、烏來與忠治三個村落少年兒童犯罪與偏差行為成因進行橫面的統計分析考驗外，並以田野訪談方式，藉助附著理論、互惠觀點與人類基本需求觀點，從社會文化歷史變遷脈絡與個案進行縱面與深度的分析探討烏來泰雅社會文化轉化的特質。 量的研究結果發現：（一）烏來泰雅少年偏行百分比雖然男性都比女性高；但與大社會相較，性別比率接近顯得很突出，介於1.2與2.7之間；女性少年吸香煙盛行率高達34.%。（二）個人重要屬性如年齡、父母社經地位與所屬村落均需透過社控機構而影響少年偏行為。家庭成員：和雙親、單親或其他家人同住少年的偏差行為平均數值差異不大，只有再生家庭的平均數值較高。（三）對社控機構認同父母與附著學校對偏行產生直接影響。偏行與父母監督及社區附著的相關性很低，與社會鍵理論的假設較為不同。（四）偏行與社會控制機構之關係不受族群認同影響，但偏行與偏行友伴高度相關。父母認同、父母監督、附著學校及附著社區等社控變項與族群認同及附著偏差同輩團體等中介變項之間未達到顯著相關。 質的研究結果發現：（一）歷史社會變遷過程：日據時代與光復後外來政治干預，部落被迫遷徏，人口流動大，族群趨向異質化，鬆動社控力量，家庭社經地位日趨低落，福山部落物質生活普遍為匱乏狀態，兒童少年為幫忙家計打工賺錢或滿足生理需求，而影響在逃學與偷竊等與生計相關之偏行發展。（二）家庭變異與社化方式變遷因素，促使親屬關係發生變質，影響孩子偏行發展。（三）變遷後的部落組織變遷鮮能提供滿足成員基本需求的互惠功能，凝聚力薄弱，社控鍊條鬆弛，並且反應在孩子偏差行為的類型的與頻率上。（四）在文化脈絡下個案之探討，發現兒童“逃家”所反應的意義有：控制自我、化解身心挫折與壓力的機制，返回自己所認同的家的一種手段，以及反應社會支持網絡薄弱。 根據上述研究結果提出建議如下：（一）政府在改革硏制少數民族社會之學校教育與社會教育時，能突破教育行政體系的封閉性，活用教育與其他社會資源，並兼顧原住民社會的普同性與差異性，從聚部落之社會控制力量出發，以部落來重建部落與成員的互惠機制。（二）後續研究可繼續實施本土之誇文化研究，建構出質量兼具的研究模式，俾使地區少年偏差行為之調查研究成為分析社區文化的工具之一，並藉以找出重建該社區社會控制力量的機制，以達到理論與實踐兼善目的。

In this study, we have considered the impact the organization`s implementation of its vision of the psychosocial work enviroment has been for the relations between the employees. We have primarily relied on a hermeneutic approach to understand our empirical data, and when we have interpreted and made a socialpsycological analysis on our collected empirical data. We have used Smith´s Institutional Ethnography, Sheff`s Social bonds and Asplund`s theory of Social responsivity. To collect the empirical data we have combined quantitative and qualtitative methods and a textanalysis at a visiondocument in the aim of capture both the depht and the breadth of our chosen fields of study. The results we have found shows that the psycosocial work environment within the organization can be seen as interplay between individual and enviroment and between individuals as well and that this interaction is influenced by the organizational culture that is created by the organization`s political vision / I denna C-uppsats har vi undersökt vilken betydelse ledningens implementering av sin vision kring den psykosociala arbetsmiljön för de psykosociala relationerna har för relationerna mellan de anställda. Vi har främst utgått ifrån en hermeneutisk vetenskaplig ansats för att förstå vårt empiriska material. Då vi tolkat och gjort en socialpsykologisk analys kring vårt insamlade material har vi använt oss av Smith`s Institutionella etnografi, Sheff`s Sociala band och Asplund`s teori om social responsivitet. För att samla in det empiriska materialet har vi använt både kvantitativ och kvalitativ metod samt en textanalys av ett visionsdokument i syfte att dessa metoder kan fånga både djup och bredd av vårt valda studiefält. Resultatet vi kommit fram till visar på att den psykosociala arbetsmiljön inom organisationen kan ses som ett samspel mellan individ och miljö samt mellan individerna i sig och att detta samspel är påverkat av de organisationskultur som till viss del formas av organisationens personalpolitiska vision.

La dépression et l’antidépresseur, phénomènes plus vastes, plus complexes que l’ordre biomédical ne l’entend, répondent à des logiques qui dépassent les seules considérations organiques, corporelles. Certaines recherches montrent d’ailleurs que ces deux entités sont autonomes l'une de l'autre, signifiant que les antidépresseurs sont prescrits pour des raisons indépendantes de la prévalence de problèmes de santé mentale. C’est dans cette optique que, dans ce mémoire, nous examinons les raisons pour lesquelles les individus ont recours aux antidépresseurs suite à une rupture conjugale. C’est à l’aide des récits de huit femmes ayant pris des antidépresseurs suite à une rupture conjugale qu’on a donc investigué les rouages du recours à ces médicaments. À la lumière des résultats, on observe effectivement que la prise d’antidépresseurs semble répondre à une logique qui soit extra–médicale. D’abord par le constat que seules trois d’entres ces huit femmes ont justifié leur prise d’antidépresseurs par la réception d’un diagnostic formel de dépression. Ensuite, par la découverte qu’elle se déploie essentiellement selon une double symbolique au centre duquel prime le lien social. En effet, on a recours aux antidépresseurs suite à une rupture conjugale parce qu’ils sont à la fois l’incarnation d’un lien de confiance avec un être semblable à soi, empathique, le médecin, et le symbole d’un retour à la vie dite ‘normale’ où les manières d’être et d’interagir sont conformes à celles du groupe auquel on s’identifie. On croit que l’importance accordée à la confiance au médecin et à la normalisation quant au recours à l’antidépresseur témoignent du resserrement des liens d’identification propre à l’individualisme contemporain lesquels, en opposition aux grands récits de jadis, sont désormais axés sur une intimité de valeurs et d’objectifs entre semblables. / Depression and antidepressants are far more complex phenomenons than the biomedical order pretends. Some research show that these two entities are independant from one another, meaning that antidepressants are prescribed for reasons independant of mental health problems. In this master’s thesis we examine why individuals have recourse to antidepressants following a relationship break-up; the relationship (marital or not) break-up being a critical situation associated with the prevalence of depression. Eight women who took antidepressants following a relationship break-up were interviewed for this study. The findings show that the recourse to antidepressants appears to respond to a logic that is non-medical. First, by the fact that only three of the eight women interviewed justified their recourse to antidepressants by receiving a diagnosis of depression. Second, by the discovery that these women relied on antidepressants because they are the embodiment of a relationship of trust with someone familiar to themselves, the doctor, and the symbol of a return to a ‘normal’ life.

Syftet med studien är att få en ökad förståelse för några bakomliggande orsaker till varför människor begår kriminella handlingar. Studiens övergripande frågeställningar är följande; På vilket sätt påverkar umgängeskretsen en individs förutsättningar för att utveckla en kriminell livsstil? Hur kan dessa bakomliggande orsaker till kriminalitet förklaras och förstås? Frågeställningarna besvaras genom semistrukturerade intervjuer med fem individer med tidigare kriminell bakgrund. Med hjälp av en tematisk analysmetod struktureras intervjumaterialet upp i tre teman vilka har formulerats med utgångspunkt i det datamaterial som har samlats in. Analysen görs med hjälp av tidigare forskning och teorier om differentiella associationer och förstärkningar, symbolisk interaktionism, stämpling och sociala band. Studien visar att de intervjuade hamnade i kriminalitet till följd av att deras uppväxt, skolsituation och umgänge interagerade negativt med varandra. Gemensamt för samtliga intervjuade informanter är att de hade bristfällig kontakt med båda föräldrarna under uppväxten. Den uteblivna tryggheten från föräldrarna var något de istället sökte i sin umgängeskrets. Informanternas skolgång kantades av dåliga skolprestationer där de ofta umgicks med personer som misskötte sig. / The purpose of this study is to gain a greater understanding of some underlying causes of why people commit criminal acts. The general questions of the study are; in what way does the social circle of friends affect the individual’s prerequisites for developing a criminal lifestyle? How can these underlying causes of crime be explained and understood? The questions are answered by semi-structured interviews with five individuals with previous criminal background. With the use of a thematic analysis method the interview material was structured into three themes that have been formulated based on the datasets that have been collected. The analysis is done with the use of previous research and theories of differential association and reinforcements, symbolic interactionism, labeling and social bond. The study shows that the interview participants end up in crime as a result of their growth, school situation and their circle of friends interacted in a negative way. Common to all those interviewed informants is that they had insufficient contact with both parents during childhood. The lack of assurance from the parents was something they instead searched for in their social circle of friends. The informants schooling was consisted of poor school performances, and they often socialized with friends who also misbehaved.

Cette recherche a pour objet le lien conceptuel entre participation politique et lien social dans la théorie politique de Rousseau. Elle présente une réinterprétation de la volonté générale, considérée comme un concept descriptif avant d’être normatif, affectif avant d’être rationnel,attribuée aux membres du collectif avant de l’être à celui-ci. L’activité de la volonté générale mesure l’attachement des citoyens aux lois, dans la mesure où ils y voient le moyen de promouvoir leur propre intérêt, compte tenu du fait de la socialisation. La volonté générale des citoyens ne saurait toutefois se maintenir sans que ces derniers soient régulièrement amenés à contrôler les termes de leur association et à vérifier leur effectivité dans le cadre d’institutions spécifiques. L’exigence exorbitante de souveraineté populaire, identifiée à l’exercice direct du pouvoir législatif, est manifestement attenante à l’idéal de socialité juridique que Rousseau place au coeur de sa théorie politique. Cet idéal trouve une incarnation contrefactuelle dans les pratiques et demandes de la bourgeoisie de Genève, en particulier durant le premier tiers du XVIIIe siècle, auxquelles le Contrat Social donne un fondement théorique ex post facto. Plutôt que d’abstraire le Contrat Social de son contexte, croyant ainsi en étendre la portée, c’est de l’intérieur de celui-ci que s’éclaire son universalité. Nous montrons, en dialogue critique avec les philosophies de Rawls et de Habermas, qu’il soutient l’exigence d’une démocratie délibérative radicale. / This research focuses on the link between political participation and social bonds in Rousseau's political theory. We present a new interpretation of the concept of general will as relevant to individuals rather than the collective, focusing on its descriptive and emotionalrather than normative and rational dimensions. General will measures citizens' attachment to laws in so far as they see them as a means of promoting their own best interests as social beings.However, the general will of citizens could not be maintained if they did not regularly reassess the terms of their association and verify their effectiveness within specific institutions. The exorbitant demand for popular sovereignty, which is the direct exercise of legislative power, is rooted in the ideal of legal sociality at the heart of Rousseau’s political theory. This ideal finds counterfactual embodiment in the practices and demands of the Geneva bourgeoisie, to which the Social Contract gives a theoretical foundation ex post facto, especially during the first third of the eighteenth century. Rather than abstracting the Social Contract from its context in the hope of extending its scope, we argue that, paradoxically, its universality lies in this particular context. Through a dialogue with the theories of Rawls and Habermas, we show that the Social Contract supports the demand for a radical deliberative democracy.

Este trabalho de pesquisa tem como objetivo colocar em análise a relação entre sujeito e laço social nas situações de sofrimento psíquico relacionadas à exposição do sujeito a violências sociais. Propomos pensar sobre a função e o lugar da escuta do sofrimento psíquico na política pública de assistência social, considerando o modo de organização desta política pública através do Sistema Único de Assistência Social (SUAS), buscando articular a dimensão subjetiva e singular dos sujeitos com a dimensão política e social. Estas interrogações se produziram em um espaço de acompanhamento, em um Centro de Referência Especializado de Assistência Social (CREAS), de famílias moradoras da Vila Chocolatão, em Porto Alegre, que foram reassentadas em outro ponto da cidade. Seus moradores mais antigos viviam há 24 anos neste local e, em sua maioria, trabalham essencialmente na catação e separação de lixo, sendo que muitos possuem, em suas trajetórias, histórias de vida na rua, além de ser uma comunidade em constante movimento na forma de habitar. A Vila Chocolatão e o coletivo de moradores que acompanhamos se apresentaram como um ponto de partida de uma construção que se deu aos poucos, incluindo as imprecisões, os estranhamentos e as interrogações para a composição de narrativas que nos serviram de guia no trabalho de escuta. Como um ponto de origem, a Vila Chocolatão – através de seus traços – foi dando lugar aos sujeitos de nossa pesquisa. Este estudo parte do pressuposto construído por Freud no texto “O Mal-Estar na Cultura” (1930 [2010]), de que vivemos sob diversas formas do mal-estar que nos trazem à tona a dimensão faltosa e de infelicidade de viver na coletividade, principalmente em decorrência das relações sociais. Frente ao reconhecimento da impossibilidade da supressão do mal-estar buscamos, nesse trabalho, situar, através da ética psicanalítica, um posicionamento que não esteja pautado pela sua eliminação, mas pela compreensão da heterogeneidade radical do inconsciente, a qual não é possível dominar e sim singularizar. Nesta direção, nos interessa interrogar as modalidades do laço que presentificam a exclusão social de maneira articulada aos significantes construídos em um dado momento da cultura. E, a partir desse exame, desenhar uma intervenção clínica na política pública de assistência social que leve em consideração o sujeito em sua singularidade, considerando as questões que emergem da clínica a respeito do trauma, do luto e das expressões da dor. Nesse sentido, apostamos na potência da narratividade em singularizar e dar voz ao testemunho dessa experiência Neste trabalho, intentamos indicar o quanto a “exclusão” contrasta com a prática da transferência, que implica a suposição do sujeito em presença e propusemos discutir que perspectivas se lançam na clínica ao operarmos com o significante “exclusão” na referência ao singular do sujeito e não com seu correlato “inclusão”. Tal deslocamento de perspectiva poderia afetar a intervenção que se pauta por um ideal de universalidade de cidadania, movendo-a em direção à abertura de uma escuta do sujeito que preserve a indissociabilidade entre clínica e política. / This research aims to put in question the relationship between subject and social ties in situations of psychological distress related to exposure of the subject to social violence. We propose to think about the role and place of hearing of psychological distress in the public policy of social assistance, considering the mode of organization of public policy through the Social Assistance System (SAS), seeking to articulate the subjective and unique to the size of the subject political and social. These questions were produced in a space monitoring in a Reference Center for Specialized Social Assistance (RCSSA) of families living in the Village Chocolatão, in Porto Alegre, who were resettled in another part of town. His older residents living in this place 24 years ago and, mostly, working mainly in grooming and separation of garbage, and many have in their history, stories of street life, besides being a community in constant motion in the form of dwell. The Village Chocolatão and the collective residents follow is presented as a starting point of a building that took place gradually, including the inaccuracies, the surprise and the questions for the composition of narratives that have served us as guide for the work of listening. As a point of origin, the Village Chocolatão – through their traces – was giving way to the subjects of our research. This study assumes constructed by Freud in the text “The Malaise in the Culture” (1930 [2010]), that we live under various forms of malaise that we bring up the scale fault and misfortune to live in the community mainly as a result of social relations. Faced with the recognition of the impossibility of removing the uneasiness we seek in this work place, through the psychoanalytic ethics, a position that is not guided by its elimination, but by understanding the radical heterogeneity of the unconscious, which is not possible to master, but singled. In this direction, we are interested in interrogating the terms of the bond that make this social exclusion in coordination with significant built in a given time of culture. And from this review, design a clinical intervention in the public policy of social assistance that takes into account the subject in its uniqueness, considering the issues that emerge from the clinic on trauma, mourning and the expression of pain. Accordingly, we rely on the power of narrative in single out and give voice to the testimony of this experience this work, intend to indicate how much the “exclusion” contrasts with the practice of transfer, which involves the assumption of the subject in the presence and proposed to cast discuss what prospects the clinic to operate with significant "exclusion" in reference to the singular subject and not with its correlate “inclusion”. This shift in perspective could affect the intervention that is guided by an ideal of universal citizenship, moving it toward the opening of a guy who listens to preserve the inseparability between practice and policy.