Compreensões acerca da prática psicoterápica realizada por psicólogos da Estratégia de Saúde Da Família (ESF)

Abstract

The psychotherapeutic practice is one of the main tools of professional psychology, dating back specifically to the field of clinical psychology also called classical clinical whose main approaches in Brazil psychoanalysis, the Humanist Approaches and Behavior Analysis. This field is a reference type of individual care, dyadic which is based on the verbal therapies that are mostly associated with demands understanding, relief from pain and suffering of subjects. In the context of the psychologist in the field of Primary Health Care (PHC) of the Unified Health System (UHS) records the participation of these professionals with the Centers for Family Heath Support (CFHS) and Multidisciplinary Residency Programs Family (MRPF) health that play a role in increasing actions of health care in primary care, working across disciplines. That the objective was to understand the present research, from the perspective of twelve (12) psychologists located in the cities of Fortaleza /CE and Sobral / CE, how does the practice of psychotherapy performed by these professionals. This research is embedded in the qualitative methodological model of inspiration in the approaches of hermeneutics and phenomenology. Discursive materials, the set of interviews with professionals, after organization and interpretation allowed us to categorize the following topics: A) Psychotherapy in the context of the PHC; B) Formats and psychotherapeutic and C) Contributions models of psychotherapy for psi working in the Primary Health Care (PHC). The results pointed to a plurality of perspectives and views on the concepts that psychotherapy ranging from critical and inadequacy of these models when moved to the field of practice in the FHS, or when used such models undergo a process of adaptation is the technique or same model, due to the recognition of professional who work in that context and also encounter perspectives that point to the contribution of such contributions, to the extent that psychotherapy is focused on the therapist-client relationship, here called professional-user besides listening, these dimensions required for work of this person in the FHS. Understanding that the work of this professional is marked by the complexity of contexts of action points required to further debate the issue of incursion of psychotherapies. Another consideration evidenced in this research concerns the processes that take place in the educational context, in the context of psychological school / psychotherapeutic and its relationship with the spaces of the psychologist in contemporary field.