Corpo de empréstimo: a clínica psicanalítica com pacientes em UTI COVID-19

Abstract

This research arises from the researcher's clinical experience with patients in a COVID-19 reference Intensive Care Unit (ICU), during the period from March 2020 to September 2021, in a large hospital in the city of Salvador - BA. Based on this experience, the following question was formalized as a research problem: what is the role of the body of the psychologist, practitioner of psychoanalysis, in the clinical management of the critical patient by COVID-19? The general aim of the project is to discuss the analytical function of the body of the psychoanalysis practitioner in the clinical management of the COVID-19 critical patient. As specific objectives, we propose: I) To characterize the transformations of the psychologist's work in the hospital in a COVID-19 ICU, in articulation with psychoanalytic theory; II) To describe the entry of virtual devices as a tool for communication and clinical intervention with patients hospitalized due to COVID-19 and III) To articulate the notions of the body, the analyst's position and the analyst's desire in relation to clinical cases. This work is anchored in Freudian and Lacanian psychoanalytic theory as the guiding axis in the conceptual, methodological and investigative design of this research, and adopts the perspective of bodies in order to articulate psychoanalytic readings and the advent of the pandemic. This is a qualitative, retrospective and documentary study, which uses the trait du cas as its methodological strategy. This method of research in psychoanalysis favors preserving the identity of the patients, as its interest lies in the elements that concern the practice of the psychoanalyst-researcher. Therefore, the choice of cases is linked to their enigmatic value and to the transmission of the psychoanalytic clinic, as they have called on the psychoanalytic practitioner to produce an inventiveness in her function: to lend body and voice. The results allowed us to isolate the body lending as the trait of the cases and, in this sense, the theoretical-clinical formulations of this study understand the body lending as a tactical operator found by the practitioner of psychoanalysis to make the analyst's desire operate in the face of limiting clinical situations. Through the theoretical and clinical deepening of this research, we hope to contribute to the ethical and political commitment of psychology and psychoanalysis in the face of the advent of the pandemic and its calls to reinvent the clinic.