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Social arrangements, subjectivity and sympton: the hierarchized selection of patients in a public mental health ambulatory

The research presented in this paper had as aim the study of implicit Iogic underlying the pattems of patients seIection by psychoIogy and psychiatry services in a public ambuIatory. The patients that flow to these two services were cIassificated in three groups, take into consideration the statements produced about theirs own suffering: the psychoIogical subjects, the nervous and the mads. The patients of the first group are, generally, Ied to the psychoIogy service, where they can speak about theirs suffering in a psychoterapy setting, while the others are Ied to the psychiatry service. where they are subjected to pharmacoIogical treatment. The research conc1uded that one can find a hierarchized care in that pattem of seIection. whose Iogic is based on disqualification of the difference. normalization of the madness, assurance of the productivity and actualization of the minimum.

PsychoIogicaI subjects; nervous subjects; madness; psychiatry; mental illness; public health


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