Hiperatividade no CAPSI: a psicanálise na leitura que enoda corpo, linguagem e social da criança.

Abstract

In recent Years, Brazil has had to worry about the dizzying increase in the prescription of Ritalin, needing to regulate its uses in CAPSi’s (Centro de Atenção Psicossocial Infanto-Juvenil- Center for Psychosocial Care for Children and Youth), considering the increase and popularization of the diagnosis of attention deficit with hyperactivity. Furthermore, it was necessary to face the pandemic Covid-19, which deprived children from social interaction at school, causing an even greater increase in the use of screens and cell phones, raising concerns about childhood illness. In this context, this doctoral study resumes the treatment of hyperactivity through the transdisciplinary practice of care with two children of different ages both under psychoanalytic treatment with the author over several years in the CAPSi who were chosen for this metapsychological essay with construction of clinic cases for having put the the service team at the impasse to such a point that it raised questions about the continuity of the treatment and about the abandon by the family. The objective is to direct the treatment for hyperactivity in a CAPSi transdisciplinaire team, with the reading of psychoanalysis. Specifical objectives : how is a child’s hyperactivity structured not just as a diagnosis, but as a semantic field? What do these children’s moments of greatest impasse reveal? What interventions and resources are proved to be facilitating in the long term for the change of hyperactive condition? We used the case construction case methodology, based on the clinical fact and inspired by the case trace device to identify, together with psychoanalysts invited to participate in the Cartel for this thesis, the main interventions carried out and their effects on the chosen hyperactives children over time. The writing of the thesis is an investigative metapsychological essay on the Fredlacanian theory and its successors to find the treatment resources indicated by the transference that we support with other professionals on the team and by the conversation device in Cartel. The concepts of excitation, drive, attention, motricity, transference, acting-out and passage to the act were taken up, articulated with the topological resources of Lacan, especially the intertwining of symbolic, real and imaginary, as elaborated by Angela Vorcaro, so that the effects ot the interventions with conditions of specifying the line of proposals of direction of the transdisciplinaire treatment were subjectly located. The results indicate that the team must support the bodily aspects of what is put into operation initially by the fonctions of attention and motricity, according to Jean Bergès, when placing oneself in a trasitivist game avec other primordials who deal with the treatment of the subject or the subject to come. It’s also in the significant and literal aspects that stand out from each accompanied subject that the aforementioned functions can be (re)put into operation.This led to a discussion in the thesis about the use of the resource of writing with the child and its subsequent reading with the analyst, in a view about alphabetical reading and what can properly be considered a psychoanalytical reading in clinical intervention. The psychoanalytical reading must take into account the social dimension of the interventions with the CAPSi public, which is demonstrated especially with regard to the child who starts to receive assistance benefits. Despite many difficulties in sustaining treatment, these children who had their stay in the CAPSi questioned nevertheless showed that they knew how to use the subjectives resources gained later. When interviewed in the final stage of field research, one of them, already an adult, and the other, still an adolescent, proved that CAPSi is a place of subjective sustaining, from theirs insistents research for job and social ties, with interventions and singular denominations.