This article presents a team training experience of Primary Care and managers of the secretary of health of the city of Amparo, Sao Paulo, where cases are discussed in supervised groups, altered by the method of Espirais D'Ascese [Spirals of Asceticism]. This method seeks to support health care professionals in the amplification of the clinic and in the management of groups and collectives, based on the theoretical references of the Paideia method and of the psychology of groups to work on interactions and conflicts. We selected six cases and analyzed aspects of the process of attachment and maturation of this group, which enabled the transformation of destructive feelings into constructive feelings. The presentation and discussion of the cases provided demonstrations of the group's unconscious. It is a way for the group to talk about itself through the clinical case (or managerial), which functions as a metaphor of the group's feelings. Recognizing and accommodating the difficulties strengthens the group because of the realization that everyone has weaknesses and as a result of their sharing, there is dissolution of anxieties, fears, and other feelings that hinder the construction of solutions. An integrated, prepared, and mature group will provide better health care to the population, with less illness and absenteeism and greater professional achievement.
primary care; family health; management; groups; professional training