Reginaldo Came Home: Psychoanalysis' Contributions to the Anti-Asylum Struggle

Abstract

This work results from clinical care provided to a patient admitted to a public hospital for patients with cardiac disorders located in Rio de Janeiro City. The patient in question had a serious heart condition requiring hospitalization after an episode of acute myocardial infarction (AMI). In addition to this condition, Reginaldo was diagnosed with schizophrenia without follow-up from the mental health network. We will address the patient's attempts to insert himself into this network despite the tireless resistance offered, both by his closest family member (mother) and by professionals at the hospital, who insisted that admission to a long-term care facility would be the only viable option. The methodology will include bibliographical studies, contributing to the elaboration of clinical questions raised by the case presented. One of the authors was involved in the institution where the patient was hospitalized, working directly on the case. On the other hand, the other authors collaborated by supervising the care and theoretical deepening of the clinical discussions developed in the article. Our objective is to demonstrate how psychoanalytic interventions could contribute to the conduct of your treatment. An attempt was made to enable the activation of the mental health network, aiming to support his desire to return home and not to a mental institution, which would mean a setback concerning the advances achieved since the last Brazilian Psychiatric Reform.