A clínica psicanalítica winnicottiana diante da medicalização da infância: possíveis conflitos e impasses

Abstract

The term medicalization refers to processes that artificially transform non-medical issues into medical problems. It is a reduction of the individual and biological sphere of social, political and economic problems. The medicalization of childhood consists on the process of pathologizing the most varied behaviors of children, reducing them to neurochemical failures. From this premise, drug intervention becomes a major treatment strategy and environmental factors that can be involved in the origin of the child's suffering are relegated to the background. Psychoanalysis of winnicottian orientation understands behavioral manifestations of children as requests for help that require a thorough search of their emotional development in constant interaction with the environment that surrounds them. The objective of this research is to consider the practice of psychoanalytic with children in a medical scenario. To do so, we interviewed four psychoanalysts so that they could discuss their clinical practice with children, highlighting possible conflicts and impasses between psychoanalytic practice and the discourse of the medicalization of childhood. Information gathered were analyzed according to the psychoanalytic method and it was possible to emphasize that the environmental management represented by constant search for dialogue with the actors that surrounds the universe of the child, besides the appreciation and rescue of the relatives knowledge constitute a strategy of resistance against impasses originated by the medical logic. Because it is a qualitative research, the results cannot be generalized and, in this sense, new studies on this subject are suggested