O traumático na psicanálise e psiquiatria: Implicações ético-políticas

Abstract

This paper aims to articulate the psychoanalytic and psychiatric discourse on trauma, extracting the ethical and political implications of this link, and promote a rescue of subjectivity by psychiatry. The justification is ethical and pragmatic. The methodology consists of the non-systematic review of the literature, by selecting texts that focus on the traumatic in psychoanalysis – from the Freudian categories “traumatic neurosis”, “repetition compulsion”, “death drive” and “passage to the act,” as well as texts of post-Freudian authors and literature about the testimonies of historical catastrophes, which are located on the order of the traumatic unrepresentative – as well as the selection of texts in the field of psychiatry, which deal with “early stressors” and “post-traumatic stress”, emphasizing the relationship between early stressors and the subsequent development of psychopathology. It also emphasizes the individual susceptibility to certain traumatic events, as well as the neurobiological bases of PTSD. Important ethical and policy implications from the joint proposal, that impact within the clinic are extracted, leading to a more effective practice, and socio-political context, with the formulation of public policies on mental health, aimed at preventing trauma generator events as well as the supply of qualified services to patients undergoing traumatic experiences.