Temporal windows of unconscious processing cannot easily be disrupted.

Conscious perception is preceded by long periods of unconscious processing. These periods are crucial for analyzing temporal information and for solving the many ill-posed problems of vision. An important question is what starts and ends these windows and how they may be interrupted. Most experimental paradigms do not offer the methodology required for such investigation. Here, we used the sequential metacontrast paradigm, in which two streams of lines, expanding from the center to the periphery, are presented, and participants are asked to attend to one of the motion streams. If several lines in the attended motion stream are offset, the offsets are known to integrate mandatorily and unconsciously, even if separated by up to 450 ms. Using this paradigm, we here found that external visual objects, such as an annulus, presented during the motion stream, do not disrupt mandatory temporal integration. Thus, if a window is started once, it appears to remain open even in the presence of disruptions that are known to interrupt visual processes normally. Further, we found that interrupting the motion stream with a gap disrupts temporal integration but does not terminate the overall unconscious processing window. Thus, while temporal integration is key to unconscious processing, not all stimuli in the same processing window are integrated together. These results strengthen the case for unconscious processing taking place in windows of sensemaking, during which temporal integration occurs in a flexible and perceptually meaningful manner.

How (not) to demonstrate unconscious priming: Overcoming issues with post-hoc data selection, low power, and frequentist statistics.

One widely used scientific approach to studying consciousness involves contrasting conscious operations with unconscious ones. However, challenges in establishing the absence of conscious awareness have led to debates about the extent and existence of unconscious processes. We collected experimental data on unconscious semantic priming, manipulating prime presentation duration to highlight the critical role of the analysis approach in attributing priming effects to unconscious processing. We demonstrate that common practices like post-hoc data selection, low statistical power, and frequentist statistical testing can erroneously support claims of unconscious priming. Conversely, adopting best practices like direct performance-awareness contrasts, Bayesian tests, and increased statistical power can prevent such erroneous conclusions. Many past experiments, including our own, fail to meet these standards, casting doubt on previous claims about unconscious processing. Implementing these robust practices will enhance our understanding of unconscious processing and shed light on the functions and neural mechanisms of consciousness.

Progressing, not regressing: A possible solution to the problem of regression to the mean in unconscious processing studies.

How convincing is current evidence for unconscious processing? Recently, a major criticism suggested that some, if not much, of this evidence might be explained by a mere statistical phenomenon: regression to the mean (RttM). Excluding participants based on an awareness assessment is a common practice in studies of unconscious processing, and this post hoc data selection might lead to false effects that are driven by RttM for aware participants wrongfully classified as unaware. Here, we examined this criticism using both simulations and data from 12 studies probing unconscious processing (35 effects overall). In line with the original criticism, we confirmed that the reliability of awareness measures in the field is concerningly low. Yet, using simulations, we showed that reliability measures might be unsuitable for estimating error in awareness measures. Furthermore, we examined other solutions for assessing whether an effect is genuine or reflects RttM; all suffered from substantial limitations, such as a lack of specificity to unconscious processing, lack of power, or unjustified assumptions. Accordingly, we suggest a new nonparametric solution, which enjoys high specificity and relatively high power. Together, this work emphasizes the need to account for measurement error in awareness measures and evaluate its consequences for unconscious processing effects. It further suggests a way to meet the important challenge posed by RttM, in an attempt to establish a reliable and robust corpus of knowledge in studying unconscious processing.

America's Lacan AprÈs Coup.

Lacan's effect in America was dramatic but limited following his 1975 visit. His polemic with ego psychology in Écrits radically changed the way literary critics, notably feminist critics, thought about psychoanalysis, while in those same years-the 1970s and 1980s-American psychoanalysts, taken up with their own reactions to ego psychology, paid him little attention. Yet après coup, looking back at that period, Lacan can be counted among those who contributed importantly to a major shift in our conception of psychoanalytic process: our contemporary sense of acts of reading-including clinical listening-as acts in themselves, rather than as steps toward the interpretive determination of hidden meaning. In acts of reading inspired by Lacan, feminist critics helped free Freud's theory of disavowal from its origins in the male anxieties of the castration complex. Speaking as the disavowed "others" of psychoanalysis, Lacan's feminist readers also went beyond him in moving psychoanalysis toward acknowledgment of questions of social and historical reality, including its own. Regarding this evolution, it can be speculated that hidden behind the bitterness of the split in the 1950s and 1960s between Lacan and the once European, now American ego psychologists can be found an unconscious agreement. On both sides of the Atlantic, psychoanalysis had had its reasons, if different reasons, to disavow for years the ways it was implicated in the unspeakable trauma of recent European history.

The significance of the ego in "The Ego and the Id" and its unfulfilled promise.

It is not well known that The Ego and the Id, where Freud presented his second model of the mind, and introduced a new role for the Ego, was ignored by many of the major theorists that followed. I will attempt to demonstrate the importance of this new view of the ego for clinical psychoanalysis, and what has been lost by its being ignored.

Contribución al estudio de la mente del terapeuta (Deseos y Pensamientos) relacionado con la Contratransferencia en el contexto de la Supervisión / Contributions to the studies of the therapist's mind (whishesand thoughts) related to the countertransference in the contextofsupervision

El presente trabajo se centra en un estudio preliminar en aras de aplicar el Algoritmo David Liberman (ADL) como instrumento en el campo de la supervisión en un texto, tomado como informe de un supervisante, que pretende tratar el problema relacionado con el cambio psíquico desde las intervenciones del analista y desde una dificultad que surge con el uso que hace el paciente de la intervención para atacar al análisis. Comienza con un estudio de un enactment contratransferencial relatado por el analista, y luego analiza la construcción teórica presentada por él, identificando que su elaboración conceptual aún era inducida por el influjo del discurso del paciente. El énfasis de la investigación propuesta es aplicar la taxonomía de las intervenciones junto a la perspectiva de los errores del pensamiento aportadas por Maldavsky (2017). Se propone articular la práctica clínica y la elaboración conceptual, tal como ocurre en la supervisión AU

The present work presents the possibility of applying the David Liberman Algorithm (ADL) as an instrument in the field of supervision, from a text taken as a report by a supervisor, which aims to address the problem related to psychic change from the analyst's interventions and of a difficulty that arises from the patient's use of the intervention to attackthe analysis. It begins with a study of a countertransferential enactmentreported by the analyst, and later analyzes the theoretical construction presented by him, identifying that his conceptual elaboration was still induced by the influx of the patient's speech. The emphasis of the investigation lies in developing a foundation regarding the link between clinical practice and conceptual elaboration, guided by the categories related to the taxonomy of interventions and origin, function and errors of thought presented by Maldavsky, as occurs in a supervisión AU

'A Home to the Lie': The Contemporary (Per)version of Truth.

This paper explores the contemporary trend towards relativization and perversion of truth increasingly prominent in American culture, which, in Bion's terminology (1970), has become an ever more hospitable "home to the lie." The anti-COVID vaccine movement emerging in the United States in 2021, and its related network of conspiracy theories, is presented as an example. To make sense of these phenomena the author presents clinical vignettes illustrating (1) Bion's (1970) notions of catastrophic change, the lie/thinker relation, and the messianic idea; (2) Freud's (1921) thinking on group leaders; and (3) Matte-Blanco's (1975) bi-logical theory of mind. According to Bion, the lie is mobilized to avoid the psychological upheaval associated with catastrophic change. The author suggests that developments in American life experienced as threatening catastrophic change provide a hospitable environment for the lie, making the recognition of truth more elusive. In line with Matte-Blanco's bi-logical theory, the author suggests that creation of opportunities for dialogue giving weight to both conscious and unconscious ways of thinking is necessary for re-establishing a culture of truth.

Does response inhibition occur unconsciously? A systematic review and Bayesian meta-analysis.

Consciousness is traditionally considered necessary for response inhibition. Recently, researchers have attempted to explore unconscious response inhibition using the masked go/no-go task. However, their findings were controversial and might have been confounded by the methodology employed. Therefore, we used a three-level Bayesian meta-analysis to provide the first systematic overview of the field of unconscious response inhibition. Finally, 34 studies in 16 articles with a total sample size of 521 were included. In summary, we found only inconclusive evidence of a reaction time slowing effect after excluding studies with conscious no-go experience (mean difference = 8.47 ms, BF10 = 2.71). In addition, the overall effect size of the difference in sensitivity to masked stimuli between the masked go/no-go task and the objective awareness task was small and uncertain (mean difference = 0.09, BF10 = 2.39). Taken together, these findings indicate a lack of solid evidence for the occurrence of unconscious response inhibition. Our findings do not oppose the possibility of unconscious response inhibition, but rather emphasize the need for more rigorous research methodologies in this field.

Raw Object Identification.

This paper attempts to deal with a specific kind of pathological identification-"raw object identification"-which tends to appear as concrete physiological phenomena, trying to escape meaning and integration. These somatic manifestations stem from early traumatic experiences with a meaningful object and entrap-as revealed through analysis-specific significant qualities of that object. A massive splitting ensues between body and mind, self and object, relation and identification. Certain properties of the object are then experienced as a foreign body in the subject and are defensively identified with. Thus, raw object identification is often manifested in stubborn bodily symptoms.

Fetal Fantasy and the Perfect Child: How Certain Challenges of Adolescence may Inform Aspects of the Abortion Debate.

This article explores psychic aspects of abortion, from the fixity of beliefs over its legalization, to conscious and unconscious fantasies related to the fetus, children, parenting, fertility, and so on. Generally speaking, the field has shown less direct interest in abortion per se than might be surmised, particularly given the centrality of sexuality and procreation in psychoanalysis. The recent legal changes may initiate more psychoanalytic interest in the topic. The current writing studies a possible strand of fantasy in which conscious and unconscious wishes for an unending, idealized, and blameless child-object are displaced onto a fetus or fetal imago. Speculations and suggestions are drawn from casework with an individual which points to a possible channeling or avoidance of unprocessed grief when the seeming perfection of childhood ends abruptly, almost without transition, with the imposition of adolescent personality development.

Raw reveries, polaroid reveries: Some hypotheses about possible functions and technical uses of reveries in the session.

The author tries to show how the epiphany of a reverie during a session can become a source of unexpected intuitions about the essence and possible figurability of the emotional experience which is flowing in the here-and-now of the analytic life. Reverie becomes an important analytic source above all when an analyst is in contact with primordial states of the mind, characterized by turbulences of unrepresentable feelings and sensations. In this paper the author outlines a hypothetical kit of functions, technical uses and analytic effects of a reverie in an analytic process, working through the idea of analysis as the transformation in dreaming of the nightmares and terrors which beset and trouble the patient's mind. In particular the author describes: (a) the use of reverie as a criterion of analysability in first consultation meetings; (b) the specificity of two different types of reverie, which the author names reveries polaroid and raw reveries; and (c) the possible disclosure of a reverie in case of a specific kind of reverie that the author calls polaroid reverie. Sketches of analytic life become living portraits of the hypothesis proposed by the author about these different possible uses of a reverie in analytic work, as a probe and resource for beginning and developing a course of analysis that engages with archaic and presymbolic areas of psychic functioning.

Questioning the Unrepresented: The Essential and the Accidental in Psychoanalysis, Part 2.

The author questions the conceptual basis of the unrepresented, a set of terms including: the unstructured unconscious, figurability, and reverie. Because this terminology proposes a profoundly different metapsychology than Freud developed, the author contextualizes the fate of Freud's metapsychology in America and how it was confused with the authority of the classical analyst. Then excerpts of texts by Howard B. Levine, one of the main proponents of the unrepresented, are analyzed to show that the decisive element in Levine's claim of creating meaning for patients is figurability. The author does a close reading and elaboration of French analyst Laurence Kahn's very thoughtful critique of figurability. Kahn's scholarship is brought to bear on Freud's metapsychology, showing how what is at stake are presentations not figures. Figuration and reverie are founded on the projection of referential and narrative coherence onto what is presented by the patient. But the unconscious does exactly the opposite, it presents to consciousness its noncoherent derivatives (presentations). Kahn illuminates Freud's mode of thinking using the critique of figurability as a springboard to show us what is essential in conceptualizing unconscious functioning.

Unrepresented States and the Bodily Encoded Unconscious.

Unrepresented states are considered important obstacles to the psychoanalytic process. They describe elements that are beyond the reach of the symbolic network with which psychoanalysis is used to working. The emergence of unrepresented states has often been described as the failure of the caregiver to symbolize the child's emotions and thereby enable the child to connect his or her bodily states to the psychic representation. Psychoanalysis, however, has been reluctant to name the locus of these inscriptions beyond the symbolic network as the body-self. The author proposes to do so and discusses two concepts for describing the dynamics of the bodily unconscious and the therapeutic method for calibrating our technique to unrepresented states. The concept of the encapsulated body engram is used to describe the dynamic structure of the bodily unconscious. Processes of disorganization, petrification, perceptual defense, and secondary self-stimulation form the dynamics of the bodily unconscious. The method of somatic narration systematically examines body sensations of the analysand, reverses the defense processes of the engram, and leads to a reorganization of the body self, which can now find connection to symbolic structures again. This requires a more active analytic stance that responds to the defensive processes with which the subject fends off the threat of annihilation he or she was exposed to in the traumatic engram. A clinical vignette illustrates the mode of operation.

The Play of Mourning.

Playing is a form of responsiveness that involves a shift from more formal interpretation about defense, unconscious fantasy, or transference to one that employs humor or irony regarding the content of fantasy or poses a more direct confrontation between internal fantasy and external reality. Playing is differentiated from more formal interpretation by the analytic couple's intensity of affective expression, the idiomatic language used to express affect or ideas, or the analyst's more personally revealing reaction to the patient's recruitment of him as an internal object. Two clinical vignettes show how play emphasizes experiences of loss and waste that have been enacted in the patient's life and often in transference-countertransference engagement. Through newly discovered forms of play, these processes are occurring now in real time between patient and analyst and less through frozen memorialization of what never was.

Making Appropriate New Choices Through Unconscious Thought Based on New Goals.

This research examines whether appropriate choices can be made based on a new goal through unconscious thought. The experimental materials are four mobile phones, one suitable for older adults and the other for younger people. The results of Experiment 1 show that when the goal was changed from judging whether a mobile phone is suitable for older adults to judging whether it is suitable for younger people, the scores of the participants in the unconscious thought group-that mobile phones are objectively suitable for older adults-were significantly higher than those for the group which thought that mobile phones are objectively suitable for young people. In Experiment 2, the immediate decision-making group was added, which ruled out the possibility that the participants had already made a choice during the information presentation process. The results of this study show that unconscious thought can make appropriate new choices based on new goals.

A relação entre arte e vida em vigotski: uma análise conceitual / The relationship between art and life in vygotsky: a conceptual analysis / La relación entre arte y vida en vigotski: un análisis conceptual

Este trabalho teve como objetivo analisar a relação entre arte e vida segundo Vigotski. Para isso, foi realizada uma análise conceitual dos capítulos 1, 7, 9, 10 e 11 da Psicologia da Arte, do capítulo 13 da Psicologia Pedagógica e do texto O significado histórico da crise da Psicologia: Uma investigação metodológica. A pesquisa conceitual consiste na análise semântica dos principais conceitos de uma teoria com o intuito de elucidar seus sentidos ocultos ou confusos e desvendar possíveis contradições e ambiguidades no quadro teórico. Podemos observar que a arte é um fenômeno dialético tanto em sua criação como em seus efeitos. A influência da vida, isto é, da realidade sócio-histórica, na criação artística é indireta, pois ela é sempre mediada pelo psiquismo particular do artista. Já o efeito da arte sobre a vida possibilita que o ser humano se conscientize de sua realidade social e se engaje para mudá-la. A arte é, portanto, transformadora, pois reorganiza o psiquismo e possibilita uma mudança nas condições materiais dos seres humanos.(AU)

This study aims to analyze the relationship between art and life according to Vygotsky. Therefore, a conceptual analysis of chapters 1, 7, 9, 10, and 11 of Psychology of Art, chapter 13 of Educational Psychology and the text The Historical meaning of the Crisis of Psychology: A Methodological Investigation was carried out. Conceptual research consists of the semantic analysis of the main concepts of a theory to elucidate its hidden or confused meanings and to reveal possible contradictions and ambiguities in the theoretical framework. Results show that art is a dialectical phenomenon both in its creation and its effects. The influence of life, that is, of socio-historical reality, on artistic creation is indirect since it is always mediated by the artist's particular psyche. The effect of art on life, on the other hand, allows human beings to become aware of their social reality and engage to change it. Art is, therefore, transformative, as it reorganizes the psyche and enables a change in the material conditions of human beings.(AU)

Este proyecto tuve como objetivo analizar la relación entre el arte y la vida, según Vigotski. Para esto, fue realizado un análisis de los capítulos 1, 7, 9, 10 y 11 de Psicología del arte, del capítulo 13 de Psicología Pedagógica y del texto Él significado histórico de la crisis de la Psicología: una investigación metodológica. La pesquisa conceptual consiste en la analice semántica de los conceptos de una teoría, para aclarar sus significados ocultos o confusos y desvendar contradicciones y ambigüedades em el cuadro teórico. Pudimos observar que, el arte es un fenómeno dialéctico en su creación tanto como en sus efectos. La influencia de la vida, esto es, de la realidad socio-histórica, en la creación artística es indirecta, pues es mediada por el psiquismo particular de lo artista. Así, el efecto del arte sobre la vida habilita que lo ser humano adquiera conciencia de su realidad social y que se comprometa a cambiarla. El arte, consiguientemente, transformadora, pues reorganiza lo psiquismo y habilita un cambio en las condiciones materiales de los seres humanos.(AU)

Atuação da psicologia em unidade neonatal no contexto da pandemia da covid-19 / The work of psychology in a neonatal unit in the covid-19 pandemic / Actuación de la psicología en una unidad neonatal en el contexto de la pandemia de la covid-19

A pandemia de covid-19 provocou intensas mudanças no contexto do cuidado neonatal, exigindo dos profissionais de saúde a reformulação de práticas e o desenvolvimento de novas estratégias para a manutenção da atenção integral e humanizada ao recém-nascido. O objetivo deste artigo é relatar a atuação da Psicologia nas Unidades Neonatais de um hospital público de Fortaleza (CE), Brasil, durante o período de distanciamento físico da pandemia de covid-19. Trata-se de estudo descritivo, do tipo relato de experiência, que ocorreu no período de março a agosto de 2020. No contexto pandêmico, o serviço de Psicologia desenvolveu novas condutas assistenciais para atender às demandas emergentes do momento, como: atendimento remoto; registro e envio on-line de imagens do recém-nascido a seus familiares; visitas virtuais; e reprodução de mensagens de áudio da família para o neonato. Apesar dos desafios encontrados, as ações contribuíram para a manutenção do cuidado centrado no recém-nascido e sua família, o que demonstra a potencialidade do fazer psicológico.(AU)

The COVID-19 pandemic brought intense changes to neonatal care and required health professionals to reformulate practices and develop new strategies to ensure comprehensive and humanized care for newborn. This study aims to report the experience of the Psychology Service in the Neonatal Units of a public hospital in Fortaleza, in the state of Ceará, Brazil, during the social distancing period of the COVID-19 pandemic. This descriptive experience report study was conducted from March to August 2020. During the pandemic, the Psychology Service developed new care practices to meet the emerging demands of that moment, such as remote care, recordings and online submission of newborns' pictures and video images for their family, virtual tours, and reproduction of family audio messages for the newborns. Despite the challenges, the actions contributed to the maintenance of a care that is centered on the newborns and their families, which shows the potential of psychological practices.(AU)

La pandemia de la COVID-19 ha traído cambios intensos en el contexto de la atención neonatal, que requieren de los profesionales de la salud una reformulación de sus prácticas y el desarrollo de nuevas estrategias para asegurar una atención integral y humanizada al recién nacido. El objetivo de este artículo es reportar la experiencia del Servicio de Psicología en las Unidades Neonatales de un hospital público de Fortaleza, en Ceará, Brasil, durante el periodo de distanciamiento físico en la pandemia de la COVID-19. Se trata de un estudio descriptivo, un reporte de experiencia, que se llevó a cabo de marzo a agosto de 2020. En el contexto pandémico, el servicio de Psicología desarrolló nuevas conductas asistenciales para atender a las demandas emergentes del momento, tales como: atención remota; grabación y envío em línea de imágenes del recién nacido; visitas virtuales; y reproducción de mensajes de audio de la familia para el recién nacido. A pesar de los desafíos encontrados, las acciones contribuyeron al mantenimiento de la atención centrada en el recién nacido y su familia, lo que demuestra el potencial de la práctica psicológica.(AU)

Formação de professores e educação inclusiva: a démarche clínica centrada na transferência / Formación del profesorado y educación inclusiva: el abordaje clínica centrada en la transferencia / Teacher training and inclusive education: the transfer-centered clinical démarche / Formation d'enseignants et éducation inclusive: la démarche clinique centrée sur le transfert

Este artigo se propõe a discutir a pertinência e a dinâmica do funcionamento do dispositivo de démarche clínica na formação de professores. Partindo da constatação dos limites da abordagem hegemônica na formação docente - aqui denominada abordagem cientificizante com método dedutivo -, levanta-se como hipótese que um trabalho de escuta de professores em grupos de discussão de casos - abordagem clínica com método indutivo -, nos quais se parte dos impasses que surgem no trabalho docente, permite levantar elementos que promovem um modo particular de implicação do professor na teorização de seu trabalho. Para tanto, discutiremos a posição da démarche clínica no interior do campo da formação docente, bem como analisaremos, através de fragmentos de trabalho nos grupos de escuta de professores, o funcionamento e a eficácia destes grupos na formação docente

Este artículo se propone discutir la pertinencia y la dinámica del funcionamiento del dispositivo clínico en la formación docente. A partir de la observación de los límites del enfoque hegemónico en la formación docente - aquí denominado enfoque científico con método deductivo -, destacamos la hipótesis que un trabajo de escucha de los maestros en grupos de discusión de casos - enfoque clínico con método inductivo -, en los cuales se parte de los impasses que se presentan en la labor docente, nos permite plantear elementos que promuevan una forma particular de implicación de los maestros en la teorización de su trabajo. Para ello, discutiremos la posición del abordaje clínica en el campo de la formación docente, así como analizaremos, a través de fragmentos de trabajos en grupos de escucha docente, el funcionamiento y la eficacia de estos grupos en la formación docente

This article discusses the relevance and functioning dynamics of the clinical démarchein teacher training. Based on the limits of the hegemonic approach in teacher training - here called the scientific approach with deductive method -, it is hypothesized that listening to teachers engaged in case discussion groups - clinic approach with inductive method.-, in which discussion starts from the challenges that stem from teaching, allows highlighting elements that promote a particular way of teacher involvement in the theorization of their work. To do so, we will discuss the place of the clinical démarche within teacher education and analyze, through fragments of work in teacher listening groups, the functioning and effectiveness of such groups in teacher training

Cet article traite de la pertinence et de la dynamique de fonctionnement de la démarche clinique dans la formation des enseignants. Partant du constat des limites de l'approche hégémonique dans la formation des enseignants - ici appelée approche scientifique avec méthode déductive -, on fait l'hypothèse que l'écoute des enseignants en groupes de discussion de cas - approche clinique avec méthode inductive -, dans lesquels la discussion part des défis qui découlent de l'enseignement, permet de mettre en en évidence des éléments qui favorisent une manière particulière d'implication des enseignants dans la théorisation de leur travail. Pour ce faire, nous discuterons de laplace de la démarche clinique au sein de la formation des enseignants et analyserons, à travers des fragments de travail dans des groupes d'écoute d'enseignants, le fonctionnement et l'efficacité de tels groupes dans la formation des enseignants

Abordagem de narrativas como método de pesquisa em saúde pública: aproximações conceituais e contribuições da psicanálise / Narrative research in public health: conceptual approximations and contributions from psychoanalysis / Enfoque en narrativas como método de investigación en salud pública: aproximaciones conceptuales y aportaciones del psicoanálisis

Este artigo refere-se à parte de uma pesquisa de doutorado, realizada em hospital de alta complexidade do Sistema Único de Saúde, cujos participantes são os profissionais de saúde. O objetivo deste artigo é analisar o potencial da abordagem das narrativas como método de pesquisa e intervenção nos serviços de saúde, traçando aproximações com a teoria psicanalítica. Sua relevância no campo da Saúde Pública está calcada no reconhecimento do papel do sujeito como agente de mudanças. O texto divide-se em duas partes: na primeira, explora as especificidades do trabalho na área da saúde, o paradigma da saúde pública no que concerne à gestão e possíveis contribuições da clínica ampliada para esse modelo. Na segunda parte, analisa o uso das narrativas como método de pesquisa nesse campo e as aproximações conceituais entre a narrativa em Walter Benjamin e a psicanálise em Freud. Busca na literatura referências sobre experiências análogas que fundamentem a proposta ora realizada e conclui pela importância de, no momento atual, apostar na força germinativa das narrativas como fonte criativa de novas formas de cuidar.(AU)

This article derives from a PhD research conducted with health professionals at a high-complexity public hospital from the Brazilian Unified Health System (SUS). It analyzes the potential of the narrative as a research and intervention method in health services, outlining approximations with psychoanalysis. In the field of Public Health, the narrative approach acknowledges the individual as an agent of change. The text is divided into two parts. The first presents an overview of the peculiarities involved in healthcare, the Public Health paradigm regarding service management and possible contributions from the expanded clinic to this model. The second analyzes the use of narratives as a research method in this field and the conceptual approximations between Benjamin's narrative and Freud's psychoanalysis. It searches the literature for references on similar experiences to support the present proposal and concludes by highlighting the importance of betting on the creative power of narratives as a source for new ways to care.(AU)

Este artículo es parte de una investigación doctoral, realizada con los profesionales de la salud de un hospital de alta complejidad del Sistema Único de Salud de Brasil. Su propósito es analizar el potencial del enfoque en narrativas como método de investigación e intervención en los servicios de salud, esbozando aproximaciones entre las narrativas y la teoría del psicoanálisis. Su relevancia en el campo de la salud pública se basa en el reconocimiento del rol del sujeto como agente de cambio. El texto se divide en dos partes: La primera investiga las especificidades del trabajo en el área de la salud, el paradigma de la salud pública en la gestión de los servicios y las posibles contribuciones de la clínica ampliada a este modelo. En la segunda parte, analiza el uso de narrativas como método de investigación en este campo y las aproximaciones conceptuales entre la narrativa de Walter Benjamin y el psicoanálisis de Freud. Este estudio busca en la literatura referencias sobre experiencias similares que apoyen la propuesta ahora realizada y concluye con la importancia de, en el momento actual, apostar por el poder de las narrativas como fuente creadora de nuevas formas de cuidar.(AU)

O florir da violeta: um estudo de caso em avaliação terapêutica / The flowering of violet: a case study in therapeutic assessment / La flor de la violeta: un estudio de caso en evaluación terapéutica

A Avaliação Terapêutica (AT) é um processo avaliativo e interventivo proposto para ser semiestruturado e colaborativo com o objetivo de promover mudanças positivas no cliente, que é convidado a ter uma participação ativa durante o processo. Na AT, os resultados dos testes psicológicos padronizados ganham destaque como facilitadores do processo de autoconhecimento do cliente. Desse modo, usualmente, integram-se os achados de testes psicológicos de autorrelato com os métodos projetivos para gerar informações que possam ampliar a visão que o cliente tem de si. Neste artigo, buscou-se compreender o potencial de uso dos testes psicológicos e da relação colaborativa a partir de um caso atendido na perspectiva da AT. A participante, Violeta (nome fictício), foi atendida em 10 sessões com duração entre 60 e 115 minutos. Foram utilizados os testes psicológicos Escala de Bem-Estar Psicológico (Ebep), Escala de Vulnerabilidade e Estresse no Trabalho (Event), Bateria Fatorial de Personalidade (BFP), Método de Rorschach e Inventários de Habilidades Sociais 2 (IHS-2). Observou-se que, durante o processo, Violeta ampliou sua autopercepção, o que possibilitou mudanças no modo de agir em seus relacionamentos amorosos e na reflexão sobre como sua postura era vista por si e por seus colegas de trabalho. Acredita-se que a AT cumpriu com o objetivo de estabelecer uma experiência terapêutica que possibilitasse mudanças positivas para a cliente. Este estudo de caso contribuiu para ampliar a compreensão sobre a importância e o uso dos testes psicológicos neste modelo de avaliação psicológica.(AU)

The Therapeutic Assessment (TA) is an evaluative and interventional process proposed to be semi-structured and collaborative with the objective of promoting positive changes in the client, who is invited to have an active participation during the process. At the TA, the results of standardized psychological tests are highlighted as facilitators of the client's self-knowledge process. In this way, the findings of psychological self-report tests are usually integrated with projective methods to generate information that can broaden the client's view of themselves. In this article, understanding the potential use of psychological tests and of the collaborative relationship from a case treated from the TA perspective was sought. The participant, Violet (fictitious name), was assisted in 10 sessions lasting between 60 and 115 minutes. The psychological tests Psychological Well-Being Scale (EBEP), Vulnerability and Stress at Work Scale (EVENT), Personality Factorial Battery (BFP), Rorschach Method and Social Skills Inventories 2 (IHS-2) were used. It was observed that, during the process, Violet increased her self-perception, which allowed changes in her way of acting in her love life and in her reflection on how her posture was seen by herself and herco-workers. It is believed that TA fulfilled the objective of establishing a therapeutic experience that would enable positive changes for the client. This case study contributed to broaden the understanding about the importance and use of psychological testing in this psychological assessment model.(AU)

La Evaluación Terapéutica (ET) es un proceso de evaluación e intervención que se propone ser semiestructurado y colaborativo, con el objetivo de lograr cambios positivos en el cliente, quien es invitado a tener participación activa durante el proceso. En la ET se destacan los resultados de las pruebas psicológicas estandarizadas como facilitadoras del proceso de autoconocimiento del cliente. Los hallazgos de las pruebas psicológicas de autoinforme suelen integrarse con métodos proyectivos para generar información que pueda ampliar la visión que el cliente tiene de sí mismo. En este artículo se buscó comprender el uso potencial de las pruebas psicológicas y de la relación colaborativa a partir de un estudio de caso tratado desde la perspectiva de la ET. Atendieron a la participante Violeta (nombre ficticio), en 10 sesiones que duraron entre 60 y 115 minutos. Se utilizaron las pruebas psicológicas Escala de Bienestar Psicológico (EBEP), Escala de Vulnerabilidad y Estrés en el Trabajo (EVENT), Batería de Factorial de la Personalidad (BFP), Método de Rorschach e Inventario de Habilidades Sociales 2 (IHS-dos). Se observó que, durante el proceso, Violeta amplió su autopercepción, lo que permitió cambios en la forma de actuar en sus relaciones amorosas y en el reflejo de como ella y sus compañeros de trabajo veían su postura. Así, se cree que ET ha cumplido el objetivo de establecer una experiencia terapéutica que permitió cambios positivos a la cliente. Este estudio contribuyó a ampliar la comprensión sobre la importancia y el uso de las pruebas psicológicas en este modelo de evaluación psicológica.(AU)