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The objective of this article is to talk about the psychic aspects of the suffering of the subjects who arrive at the Hospital, reporting or presenting some type of physical injury in the body. This perspective goes through the definition of Urgency Clinic in the field of Attention to Hospital Health. To this end, we invite Hospital psychologists and staff, who are in hospital establishments and have an interest in listening to the suffering subjects, in order to create a technical-theoretical and ethical-political horizon guided by Freud and Lacan psychoanalysis. In the Hospital, concepts of disease, treatment and diagnosis are considered by the medical and nursing team from, primarily, the biological point of view. In the Medical Discourse, the subject becomes objectivated and passive to his condition of "patient". Referenced by the notions of subject and subjectivity, we bet and apprehend, through our experience in a Unit of Care, that it is possible, in this context, a direction of treatment not excluding the subject of the unconscious. That is, the subjects, when talking about their stories, distresses and fears them the most, when they perceive their health affected by an accident, can reposition themselves in the face of "illness". [ABSTRACT FROM AUTHOR]

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The mode of production of material goods is correlated to the mode of production of health and indicates the possible forms of subjectivation in a society, thus, the mode of production is related to the ways in which the social and psychic impasses materialize. Conflicts of the class struggle produce contradictions, so it is crucial to note that the symptoms that trigger the crises come to enounce an objection to the social context in which they emerged. Based on institutional analysis, we find that mental health institutions in the context of the capitalist mode of production have served to manage these crises in order to dissuade them. It is observed that despite the advances of Brazilian psychiatric reform, psychosocial establishments still serve social adaptation, producing alienated subjectivities and reproducing historical forms of domination-subordination, such as psychiatric hospitalization and medicalization of life and suffering. [ABSTRACT FROM AUTHOR]

With the objective of understanding what was the situation of entities that take care of children and adolescents today, as well as the institutional fabric that composes those establishments, we sought to formulate a set of paradigmatic possibilities that would allow us to understand how is configured the dialectic field of diverse pulsations, in which the entities are situated. We detected the figures that we associated to the homologue paradigms of Charity, Human Promotion, Philanthropy, Welfare Care, Social Care as State Policy and, finally, another set of happenings that we propose to be called as the Citizen Subject paradigm, that we associated to the ethical perspective of Popular Education. Those paradigmatic possibilities go from the ones just diverse and contradictory, including those similar and concurrent, until the dialectically contradictory ones. Its specter oscillates between tutelage and citizenship. The didactic characterization of those paradigms may provide a compass, needed in a highly complex social field, allowing the understating of the variety of ethical effects that they promote in the social field. [ABSTRACT FROM AUTHOR]