Ludicidade em grupos na atenção psicológica e educativa em saúde pública sob o enfoque da narrativa autobiográfica

Abstract

The daily practice in health services with children and adolescents, in almost 30 years of public service, stimulated the intention to give a more analytical look to the trajectory of work in this area of Hospital Psychology. The ludicity in group, understood as a way to favor the active participation of the subject in his subjectivation of the illness and self-care, was configured as the common denominator of the professional incursions that were effected through the consolidation of a place of experience to be shared. The current work in the area of Health Education with the child and adolescent population with type 1 Diabetes Mellitus has raised concerns about treatment adherence strategies, especially in adolescence, when pubertal and psychoaffective aspects of the phase threaten a lifestyle that is more committed to the necessary care. From these concerns, this research aimed to express an autobiographical narrative of the professional work that was carried out with groups for children and adolescents assisted at the Hospital Universitário Walter Cantídio - UFC, as a contribution to the multiprofessional training and the democratization of educational technologies in health, under the referential of psychoanalysis. From the methodological point of view, this is a demand for a focus on autobiographical narrative and a theoretical-reflexive investigation, performed through the systematization of professional experience. The narrative experience, enabled by this research, allowed a very special glimpse of how it has been formed and of how this same formation is strengthened with formative capacity for other actors. Other results also relate to the interlocution of the practice with theoretical studies of great expression in brazilian reality, making possible an assertive defense of Health Education for diabetic adolescents, not merely instructive, but also committed to the production of subjectivities and senses - able to integrate knowledge with affection, attitudes of care with the appreciation of the quality of life. In this sense, this essay also presents a thematic game prepared for adolescents (IMPASSE) as an important mediator of the self-care awareness in the disease, in the expectation that it may be useful to other experiences.