Investigação do fenômeno psicossomático em profissionais de saúde da atenção básica

Abstract

Introduction: Since the health reform in Brazil, public policy has adopted an expanded concept of health, where the Unified Health System is presented as an integrated network of actions and services. In this network, primary a multi and interdisciplinary health team. However, evem though they play a relevant role, health workers have been shown to be susceptible to psychic suffering, leading to absenteeism, accidents at work and anxiety and depression. Objetive: To investigate the psychosomatic phenomenon in health professionals working um primary care based on the Family Health Strategies, using the psychoanalytical framework to understand this phenomenon. Material and Method: The instruments used were the Revised Somatic Symptom Scale (ESS-R), individual interviews and a semi-strutured questionnaire. The methodology of quantitative and qualitative research, featuring a descriptive, narrative and cross-sectional study. Results: In the quantitative research, the scores obtained values between 11 and 221 points, which the subscales with the highest sores were, in this order: musculoskeletal, gastrointestinal, female reproductive and cardiovascular. The qualitative research showed the integral and relational character of the subject, whose symptoms are expressions of his own life. Conclusion: Psychossomatics is an area of study that proposes to encompass the subject in its biopsychosocial integrality, and in this field, psychoanalysis, based on authors such as Groddeck Ferenczi and Winnicott, contributes to understanding the subject as a whole, seeking to overcome the dichotomy of mind and body. Thus, psychoanalytic psychosomatics has much to contribute to understanding the subject and his processes of becoming ill, understanding them as expression of living.