Desafios colocados para a clínica psicanalítica (e seu futuro) no contexto da pandemia de COVID-19. Reflexões a partir de uma experiência clínica

Abstract

O objetivo deste trabalho é apresentar a implementação de um serviço de atendimento psicanalítico com suporte virtual no contexto nascente da pandemia de COVID-19 e as questões que dessa experiência surgiram, em especial o papel dos corpos e das tecnologias de comunicação na iniciação, manutenção e do final da análise.

Online Experiences of Psychoanalytic Psychotherapists During the Pandemic

“…With a more specific reference to psychoanalysis and psychotherapies of a psychoanalytic orientation, the imposed acceleration of technological experience suddenly thrust analysts and therapists into an urgent debate about the therapeutic setting, while also confronting them with the vulnerabilities of their clinical conventions in this context (Capoulade & Pereira, 2020).…”

“…The internet was becoming increasingly accessible, and most users considered it a legitimate social interaction (Rodrigues & Tavares, 2017;Xavier & Martins, 2022). However, mental health professionals still approached these new possibilities with caution (Capoulade & Pereira, 2020;Coppus, 2020;Rodrigues & Tavares, 2017;Surreaux, 2022), especially given that a smaller portion of the interviewees had any previous experience with online therapy.…”

“…(Surreaux, 2022, p. 67) On the other hand, it is interesting to reflect on what Participant 08 asserted: the online modality should not be used to "facilitate" the lives of the analyst or the patient; it should be a useful and effective method for therapeutic work, not merely a facilitating way to be considered valid. Other participants (P01, P03, P07, P08, and P12) also emphasized that remote sessions should be evaluated, necessitating a better understanding of their therapeutic possibilities and limits based on each patient's circumstances -as attested by various authors (Belo, 2020;Capoulade et al, 2020;Figueiredo, 2020;Rodrigues & Tavares, 2017;Siqueira & Russo, 2018).…”

“…While accounts of telephone use are longstanding, the topic of online sessions, since the early 21st century, has become a subject of significant discussions among psychotherapists and psychoanalysts. In various countries, the use of Information and Communication Technologies (ICT) in psychotherapies and analyses was already spreading, albeit with precautions -there were enthusiasts as well as those who viewed this possibility with skepticism (Bittencourt et al, 2020;Capoulade & Pereira, 2020;Rodrigues & Tavares, 2017). It generally served as a supporting tool for traditional practices, used, for instance, with patients who couldn't physically attend sessions and by a previously established transference experience (Coppus, 2020;Siqueira & Russo, 2018).…”

Ruídos entre nós escuta em tempos de atendimento remoto

“…Nesse mesmo sentido, cabe ressaltar que, apesar de estarmos vivenciando uma situação traumática e perturbadora para todos, conflitos, gozos e fantasias singulares há muito tempo soterrados podem ser mobilizados pela crise atual (Capoulade & Pereira, 2020). A escuta em psicanálise leva em consideração a singularidade de cada sujeito e tem um caráter único no que se refere à necessidade de cada um dos pacientes.…”