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DOI: 10.12957/polemica.2015.19359  O artigo apresenta a proposta de atendimento a pacientes que sofrem com dor cronica a partir do referencial psicanalitico. Para tal, contextualiza a abordagem da dor pelo saber biomedico em suas tentativas de construcao de tratamentos para seu alivio. Recorta a problematica especifica da dor cronica, em especial aquela cuja causalidade orgânica nao se apreende, como na fibromialgia. Dados epidemiologicos repertoriam uma quantidade expressiva de pacientes que sofrem de dor cronica e expressiva e tambem causa consideravel de pedidos de licenca e afastamento do trabalho. Conjuntura que propicia que a dor seja considerada uma questao de saude publica, culminando em uma serie de publicacoes do Ministerio da Saude, que especificam a importância da oferta de servicos voltados para o tratamento dessa clientela. No limite dos tratamentos ofertados pela biomedicina, surge uma modalidade especifica de atendimento denominada clinica da dor, cujo carater multiprofissional e fundamental. Esse cenario e base da proposta de implantacao de um Servico de Investigacao e Acompanhamento de Pacientes com Dor Cronica, que utiliza o referencial psicanalitico e cujas contribuicoes e especificidades sao abordadas no presente texto. Palavras-chave : Psicanalise. Servico ambulatorial. Dor cronica. Clinica da dor. Saude publica. CHRONIC PAIN: A PUBLIC HEALTH ISSUE, A QUESTION FOR PSYCHOANALYSIS Abstract: The article presents a patient care proposal for those whose pain is chronic according to a psychoanalytical theory. To do so, it is contextualized a biomedical approach of such pain in order to point out some attempts to build relief treatments. It seeks to focus on chronic pain, especially when it comes to fibromyalgia. Epidemiological data shows a considerable number of patients who suffer from chronic pain and it  also shows that it has increased considerably the number of license applications and absence from work. This scenario indicates that pain should be seen a public health issue. The Brazilian Ministerio da Saude has stated that providing patient care for such demand is crucial. Considering the limits of biomedical treatment, a specific approach of patient care service named clinic of pain has emerged, which assistance is interdisciplinary. This setting allows proposing the implementation of a Service of Investigation and Monitoring Patients with Chronic Pain, which theory is psychoanalytical. This text seeks to show its contributions and features. Keywords : Psychoanalysis. Outpatient clinic. Chronic pain. Pain clinic. Public health.

DOR CRÔNICA: UM PROBLEMA DE SAÚDE PÚBLICA, UMA QUESTÃO PARA A PSICANÁLISE