RESUMO
Este trabalho é mobilizado pela experiência institucional em um serviço de saúde publica que acolhe pacientes cuja problemática da somatização forma essencialmente seu quadro clínico. No sofrimento que circula no distúrbio psicossomático a incerteza do alojamento da psique no soma é a questão central. Todavia, esta clínica apresenta especificidades que desafiam as constantes de um enquadre psicanalítico tradicional. A técnica da Fotoexpressão como objeto mediador, utilizada em grupos, é observada como uma estratégia bastante apropriada no manejo destes pacientes. A situação clínica que este recurso suscita busca restabelecer a área de jogo e mediante uma zona intermediária, tenta abrir caminhos para processos elementares da experiência. Por meio de um recorte clínico buscamos problematizar a dimensão corporal e o elemento da violência diante do recurso da Fotoexpressão, analisando seus efeitos e possibilidades de deslocamentos.
This work is mobilized by an institutional experience in a public health service that welcomes patients whose somatization problem essentially forms their clinical picture. In the suffering that circulates in the psychosomatic disturbance the uncertainty of the psyche's accommodation in the soma is the central issue. However, this clinic has specificities that defy the constants of a traditional psychoanalytic framework. The technique of Photoexpression as a mediator object, used in groups, is observed as a very appropriate strategy in the management of these patients. The clinical situation that this resource raises seeks to reestablish the playing area and through an intermediate zone, tries to open the way for elementary processes of experience. Through a clinical outline we seek to problematize the body dimension and the element of violence in the face of the Photoexpression resource, analyzing its effects and possibilities of displacement.
Este trabajo es movilizado por la experiencia institucional en un servicio de salud pública que acoge pacientes cuya problemática de la somatización forma esencialmente su cuadro clínico. En el sufrimiento que circula en el disturbio psicosomático la incertidumbre del alojamiento de la psique en suma es la cuestión central. Todavía, esta clínica presenta especificidades que desafian las constantes de un encuadre psicoanalítico tradicional. La técnica de la Fotoexpresión como objeto mediador, utilizada en grupos, es observada como una estrategia bastante apropiada en el manejo de estos pacientes. La situación clínica que este recurso suscita busca restablecer la área del juego y mediante una zona intermediaria, intenta abrir caminos para procesos elementares de experiencia. Por medio de un recorte clínico buscamos problematizar la dimensión corporal y el elemento de la violencia ante al recurso de la Fotoexpresión analizando sus efectos y posibilidades de desplazamientos.
Assuntos
Humanos , Jogos e Brinquedos , Transtornos Psicofisiológicos , Transtornos Somatoformes , Violência , AlojamentoRESUMO
Objectives: The objective is to describe the informative value and the added value of a qualitative multiphase methodology in order to investigate the conceptions of children aged 6-11 on the determinants of health and cancer. Method: This article provides an analysis of the "Determ'Ados" research protocol, a qualitative study in human and social sciences, carried out with children aged 6-11 years. This protocol, organized in three phases, addresses in the first global health with the tool "e.Photoexpression©," in the second questions and knowledge around the topic of cancer with the tool "QC" and in the third cancer again with the "Photonarration" tool. The methodology of this innovative, open and exploratory research protocol aims to collect data relating to the experiences, declared practices and knowledge specific to each child who express themselves through photography and storytelling. Results: The analysis of the Déterm'Ados methodology reveals a density and richness of results among all the children interviewed, even among the youngest: 1,498 productions (4 productions per child) were made by 381 children resulting in a wealth of data available thanks to the multiphase protocol. This massive qualitative survey brings complementarity as the collection phases progress and guarantees continuity in the discourse of each child which allows them to deepen their conceptions and to know how they create or not meaning between the determinants of health and cancer. Perspectives: The density and quality of the proposals collected from the children reinforce the validity and rigor of the Determ'Ados methodology. Multiphase is the innovative aspect of the tools used. The e.Photoexpression© and the Photonarration are complementary and inseparable to bring out concepts on health and cancer. These research results, transferable into interventions and current practices, present prevention officers to act more effectively, closer to the conceptions and needs of children.
