Fonoaudiologia e saúde mental: efeitos da clínica de linguagem e atenção psicossocial na construção do corpo de um clínico

Abstract

This paper arises from my experience as a speech therapist at the Sé Psychosocial Care Center for Children and Adolescents. CAPSi Sé had the peculiarity of being in the center of São Paulo, where there is a high concentration of homeless children and adolescents, so the service’s greatest demand was from this population. In this sense, the speech therapist is not only called upon in cases where there is impairment in language, voice, oral motricity, hearing, etc., in other words, their work goes beyond the specialties of speech therapy. There are procedures carried out at CAPS that are not within the scope of the speech therapist's training. So, when I came across the "conviviality”, I had questions, this is a crisis care device, set up as an open space for users and professionals to meet, with no closed activities or protocols to follow. Faced with such a novelty, I wondered how I could not lose my clinical position in “conviviality", where we spent hours face-to-face with the user, working with diluted specialties. In view of this, I ask: what is the clinician's body in the CAPS? What is the body of the speech therapist in the CAPS? What is the place of the speech therapist's specificity? The method used was a qualitative study in two stages: (1) bibliographical research (2) constructing clinical narratives. Data was collected from medical records, meeting minutes and personal notes. I discuss the case of three street adolescents and users of psychoactive substances, going through the devices used: day and night reception at CAPS, harm reduction actions, street approach (CAPS on the street), therapeutic community and reception unit. These cases highlighted the central issue of this work: the specific nature of the speech therapist's work and the construction of a clinician's body. In conclusion, the clinician's body in the CAPS is theoretical, political and clinical. The effect of a theorization that marks the clinician's body and constitutes listening to the subject