Contribuições da psicanálise para um novo enfoque na relação fisioterapeuta – paciente

The guarantee of the right and the health preservation represent a critical issue at the current socio-economic circumstances. In the meantime, understand the relationship among professionals and patients is really important for the effective care of people who search for health services. This challenge requires the necessary changes of the physiotherapist‘s school and professional background with the intent of narrowing him to the real patients‘ needs. Hence, the hegemonic view of the mechanical biomedical paradigm, which prevails in those courses, needs a review to promote a formation that values the subjective dimension of the human being. The purpose of this research is based on the necessity of a perspective that allows the real approach between the practice and the theory in order to allow the complete and humanist physiotherapist‘s formation. The main objective explains the Psychoanalysis in terms of the psychosomatic parallelism implied in the patient-physiotherapist relationship and their contribution for a more proper formation of the Physiotherapist and his target audience. As an outcome, we present as specific objectives: 1) Investigate and identify which are the lacks of the physiotherapist‘s professional background that hamper the effective execution of health basic care; 2) From the statement of the physiotherapists and patients on, debate the Physiotherapy social role in Heath Basic Care and; 3) Investigate and identify which is the perception about the patientphysiotherapist relationship from the interviewed point of view physiotherapists and patients. The psychoanalysis reference with the epistemology of the qualitative methodology, with investigatory characteristics, gave us the fully support to the observed phenomena, delimiting the nature of the theoretical discussions of the examined facts from the documentary analysis and private interviews with seven physiotherapists and seven patients. As final conclusions: the psyche expresses the essence of each person, the lifestyle and social determinants that directly influence health, as well as, an important feedback in order to treat diseases in a general way. The recognition of patient‘s singularity and subjectivity is essential for the success and the resolution of the therapeutic process. The disease-health conditions require an understanding of our own capabilities and limitations to negotiate with the psychosomatics implied in those processes. The research indicates the necessity of reviewing the physiotherapist‘s academic formation in order to apply the practice of the worked content and not only the mechanical theorization of concepts deprived of sense and meaning in the real contact with the patient.