LISTENING TO THE DELUSION: DIALOGUES BETWEEN PSYCHOANALYSIS AND MENTAL HEALTH
Delirium; psychiatricinstitution; psychoanalysis; listening; deinstitutionalization.
This is a study about the effects of listening to psychotic delusion for the construction of deinstitutionalization processes. Delusional speech provokes antagonistic reactions, both of strangeness in the face of the enigmatic dimension of language in psychoses, and of fascination in wanting to know how delusion is constituted for each subject and what can operate the one who listens to it. In the activity of listening to psychotic subjects, who are historically silenced as a treatment technique, I ask about what can happen when delusion is heard and what are the effects that are produced in the ways of caring. The question that underlies this research is: how can listening to psychotic subjects, in their so-called delusional speeches, dare to build processes of deinstitutionalization? In this perspective, we analyze the effects of listening to delusion as a singular truth of a subject. The research was based on the orientation of the psychoanalytic method. The field of research was the General Hospital Dr. João Machado, component of the Psychosocial Care Network of RN, which is historically known as a psychiatric institution, with attention to the mental health crisis and the possibility of hospitalization. I used the clinical-methodological device called listeningflânerie articulated with diaries of experiences in the problematic field and the clinical case construction tool. The focus of work with delusion was not to confront it, seeking a certain adaptation of the subject to the shared discourse, but to take into account its reconstructive force in psychotic stabilization, as well as the ability to form social bonds and weave paths that point out of the cloister. . In the work of deinstitutionalization, in its itinerancies through the territories, it was about delirious, daring to walk along the paths indicated by what was outside the furrows, outside the straight paths of the asylum reason. Therefore, the delirium was listened to delirious about a place in the world together with the subjects.