Por uma clínica de(s)território no contexto do SUS : itinerâncias de uma narrativa cartográfica

Abstract

This paper aims to examine possible ways for a clinical practice in/of territory -not only "psi", but disposal bodies - in the context of Sistema Único de Saúde (SUS), the brazilian unified health system. Cartography was used as a method of researchintervention. It is a procedural dimension of the study method of subjectivity and its production process, in which the researcher work is not oriented by predefined goals, these are outlined during the survey. I worked from 2007 to 2015 in different units of SUS - family health units, psychosocial care centers, general and maternity hospitals - which served as a field of research. During this period, scenes related to clinical practice in SUS were recorded in formation notebooks and later in fieldwork diaries. The scenes were revisited and transformed into experience-question narratives that, receiving the unexpected, exposed a problem and forced to think. With the experience-questions, we discuss the contributions of Platonic and Cartesian thought to a way of inhabiting our bodies and the world that is marked by the dichotomous relationship between man and reality. We point out the problems of the relationship between subjectivity production, capitalism and the construction of the individual, emphasizing the connection of these elements to condition setting for the emergence of psychology. We also explain different ground of power compositions: disciplinary power, biopolitics and biopotency. We approach health as production process, raising powers of life (Canguilhem) and plastic capacity of the bodies to affirm their will to power (Nietzsche). Understanding health in these terms, we discuss the ties and possibilities of the relationship between state, SUS and capitalism for creating health producing practices in the SUS context. Given the above, we bet on a clinical forged in the motion of disposal bodies in a process of opening ourselves to the intensive differences pulsating in us. It is the balance between forms and forces that imply creating new contours on the bodies, through them, inventing health-producing relationships by expanding life. We leverage this process through an interdisciplinary clinical practice in the / of territory. A clinic made in a living area, used, experienced, procedural, time-space of an expression. Territory also political, conflictual and negotiations. Clinical practice in territory and clinical practice of territory are inseparable. We mean that the form of update at clinical practice in the SUS is done through the ability to inhabit its paradoxes. Test its borders to the limit, and trough this (un)build territories and operate passages.