Análise clínica da atividade em atendimento psicológico individual

Abstract

Working activity greatly affects the mental health of people around the world. Paradoxically, there are important gaps and inconsistencies in theories and practices in the field of mental health and work, especially criticisms of psychological and individualistic approaches in interventions in the individual frame. Starting from a psychology of clinical and historical-developmental work, we aimed to define a theoretical-methodological possibility of clinical analysis of the activity, which contributes as a theoretical-technical support in the production of individual psychological care devices to the worker, articulating health development and development of the work itself. Considering the clinical methodology in activity analysis, we performed: a) analysis of a clinical experience, based on Activity Clinic, of individual psychological care with work demands; b) production and analysis of dialogues between psychologists about their practices in health and work; c) integration of results; d) preparation of the methodological proposal. The results indicated several contexts, determinants and configurations that circumscribe individual practices in psychology with work demands; pointed out as the main challenge of practices, overcoming isolation, blaming and victimizing workers with problems or sick endos by work; confirmed the theoretical-technical gaps in psychology; pointed out the approaches closer to theorizations about work as an activity and the practice of its analysis, such as those that most contributed to the health of the people attended. We conclude with the presentation of principles, processes, conceptual schemes and operational guiding, involved in the psychological (and social) function of work, configuring them in a clinical-developmental proposal that relates the development of the activity itself to the development of health, as well as ways of acting by, with and for the social (collective) via activity.