A importância do diagnóstico no processo terapêutico: Um estudo de caso na formação em clínica escola.

Abstract

The present work sought to understand the importance of the diagnosis in the treatment direction in the clinical care processes in a clinic-school of psychology in the state of Tocantins. The realization of this thesis arose from the questions about the direction of the treatment. Discussion object of this study will be the Barbara case that will be analyzed from a psychoanalytic perspective and whose objective is to present the reconstruction of a clinical case with the purpose of discussing the psychological complaint with the consultations performed in order to reflect and rethink the importance of the diagnosis During the course of psychotherapeutic care. From this reconstitution, some reflections on "psychological complaint", the psychic suffering, the diagnosis and the direction of the treatment are woven. To preserve the anonymity of the case and proceed to its ethical respect the patient will be referred to by the pseudonym "Barbara". Psychological appointments were performed by a psychology trainee from the ninth period who received weekly supervisions. The sessions lasted 50 minutes, once a week at the clinic school of the Colinas Integrated Higher Education College. The research is qualitative with an emphasis on the psychoanalytic approach with the aim of contributing to the training of professionals working with psychotherapeutic processes. When dealing with the field of speech psychotherapy, it is not possible to dissociate therapy from psychopathological aspects, since it may imply a loss in the process. For example, a patient who has a dynamic mode of psychotic subjectivation, treatment can not be conducted with the same clinical orientation of a neurotic. The diagnostic hypothesis is important in this orientation and can not be treated with something static but rather dynamic. The perspective of the diagnosis in psychoanalytic psychology does not adopt a generalist position, but a study of each case to understand the dynamics and the operation of each subject to be able to treat their suffering. Thus, the intention was to seek a clinical methodology that could understand the subject and with that to guide the subject so that he could learn from his own suffering.