THERAPEUTIC ACCOMPANIMENT IN MANICOLONIAL LITTORALS: A CLINIC OF EXTIMACY
Therapeutic Accompaniment; Psychoanalysis; Crisis; Coloniality; Territory.
This research investigates, through Therapeutic Accompaniment (TA), the relationship between the
intimate, intimacy, and territory in the care of people experiencing severe mental distress, with a
focus on crisis care, at a Psychosocial Care Center (CAPS) in the city of Natal, Rio Grande do Norte,
Brazil. Grounded in psychoanalysis and interrogated through a decolonial perspective, the research
explores the possibilities of TA in crisis care as a clinical and ethical-methodological device that
reveals and reinscribes the fabric connecting the public and the private, the subject and the
territory. In this “open-air” clinical-research practice, the writing of essays seeks to record TA
experiences, narrating encounters with three individuals accompanied through the process, in
scenes that speak of the body, intimacy, silencing, invasion, crisis, relationships, the street, and
care, as well as the precariousness of the CAPS, which was closed for part of the study.
Theoretically, the research articulates Freud’s notion of the uncanny (unheimlich) with Lacan’s
notions of extimacy, litoral, and lalangue, which have made it possible to conceptualize TA as a
clinical-research practice that reinscribes the drive circuit within transference and within scenes of
care in psychosocial care, in opposition to the normativities of “manicoloniality.” Along this path, the
dialogue with Lélia Gonzalez and Emiliano de Camargo David makes it possible to understand the
territory in which this clinical-research practice takes place as constituted through the historical
interweaving of structural racism, colonial legacy, and psychiatric hygienization. This interweaving
becomes evident in shared language, in Natal’s urban geography, and in the ways of naming,
producing, and responding to crises within the field of mental health. The work carried out thus far
with TA demonstrates the potential to produce other possible margins for crisis care, by inhabiting
littorals of intimacy that have called for the question of gender to be addressed in the research.