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It takes into consideration the different contexts and multiple repercussions associated with each specific experience of sexual abuse in adolescence. It is based on the premise that the psycho-dynamic approach offers the possibility to access the subjective implications of sexual abuse in adolescence. This paper used to illustrate the case study of Liz, a 14-years old girl interviewed after being sexually abused. The purpose of this paper is to discuss the contribution of the use of the Therapeutic Consultation to understand the impact of the sexual abuse of adolescents, especially the unique vicissitudes of being after the traumatic experience. Donald Winnicott developed this psychodynamic approach as a way to make the fullest use of the undefended material of the history-taking of the first interview or interviews. It requires an appropriate analytic setting, a holding environment, where the analyst can make use of the experience of mutuality. The objective of the Therapeutic Consultation is to identify the psychic conflict and to intervene to provide mental health. In conclusion, the psychoanalytic technique of Therapeutic Consultation is a useful mean of intervention for professionals who have to deal with cases of sexually abused adolescents in institutions. [ABSTRACT FROM AUTHOR]

Contemporary society is a reflection of a series of transformations in the social, political, cultural and economic sphere that alter the forms of establishing social ties. The know-how in Mental Health has also undergone important and significant transformations in Brazil. It has evolved, definitively, from a model centered on the hospital reference to a model of diversified attention, community territorial base, found in the Centros de Atenção Psicossocial (Centers for Psychosocial Attention/CAPS) one of its main references. The purpose of this paper is to demonstrate how the assembly of this service suffers the effects of the described changes in the name of post modernity. The malaise, described by Freud, finds in contemporary perspective new forms of expression. This implies in new forms of modulating the psychic suffering. In this context, the body becomes the privileged stage to support these different forms of presentation of malaise, is sometimes captured by the language game of a neurobiological clinic that excludes the dimension of the subject, thus silencing its suffering. [ABSTRACT FROM AUTHOR]

This paper discusses a CAPS intervention through a Workshop of Contemporary Dance. We discuss how the Psychiatric Reform proposed the transformation of modes of caring and new productions of health and citizenship. In CAPS, the Dance Workshop started four years ago. Little by little, a sense of groupality was being built in which the desire to dance is shared among its members. The group name was created: Contagion. Thus, we discuss the Workshop as an empowering resource for the autonomy and expression of the subjects in distress. We manufacture, therefore, a method that is produced in the Interstitial between technique and art, human and danced artifact. The process occurs in the encounter between the singularity and its collectivity. The Philosophy of the Difference, proposed by Deleuze and Guattari, stands as a theoretical tool for basing our practices, as well as the device concept proposed by Regina Benevides. In this way, the proposal is to think about the group and to analyze the effects of the dance experience. The workshop is presented as a practical device for reinventing mental health, while pointing out a clinic that opens to the production of difference. We understand that being in the group is not passive, because it opens up the subject and its body to new ways of acting. We can then track their changes and also share variations in group movement, which becomes more active and bold. There are perceived differences, ranging from the achievements in the very act of dancing, to the ties in the group that become closer and more welcoming. Besides, we see members producing new health movements. Therefore, the art acts through the clinic and invites the mental health worker and the patient-dancer to come out of their routine apathy and to release the body to unusual rhythms of desire. [ABSTRACT FROM AUTHOR]

In this paper we propose a refection on contemporary practices in mental health in Brazil. The discussion is based on a study organized as part of a curricular internship in psychology devel-oped at a Psychosocial Attention Center (CAPS). The Center is responsible for the assistance of adult patients with severe mental suffering. This article begins with a short panorama of CAPS since its instauration. We, then, present our experience in of these centers in order to describe the vicissitudes of psychology clinic and the discussions elicited by them. This experience, in turn, has allowed a critical perspective in relation to work in mental health, especially as regards to unreflect aspects that become habitual by repetition. This critical perspective highlights nodal points to consider in the discussion of Brazilian Psychiatric Reform and the insertion of the psy-chologist, such as: the not yet overcome dichotomy between clinic and politics that promote dis-connected interventions; psychologists' lack of theoretical and technical resources when facing severe and persistent suffering - which reproduces a clinical model that must be overcome; the bureaucracy that prevents or hinders new solutions, as well as an unsuspected employment of the asylum paradigm in services that were created to substitute the hospital-centered assistance model. [ABSTRACT FROM AUTHOR]