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This text discusses the role Psychoanalysis plays at health institutions. Psychoanalysis and Medicine are based on radically different concepts concerning the body, symptoms and cure, thus their discourse and clinical practices are necessarily distinct. Due to this, however, both understand interlocution is possible and necessary. Facing hospitalization, for most subjects, constitutes a confrontation with the real of the fragility inherent to the human condition, so the eruption of anguish may generate a demand for the analyst’s intervention. It is the psychoanalyst’s job to “touch the subject in the patient”, in order to lead him to get involved in his symptom and treatment the best possible way. But also he has the task to convey to staff the unique dynamics of each case and the particular demand that it can set within the health service daily. From a clinical case relate the authors highlight the importance of building the clinical case as a mean of transmitting knowledge and effectiveness of psychoanalysis and contribution to the work of the multidisciplinary team.

A Construção do Caso Clínico como via de Transmissão da Psicanálise nas Instituições de Saúde