Avatares de la cronicidad: políticas, instituciones, dispositivos y terapeutas / Ups and downs of chronicity: policies, institutions, mechanisms and therapists

RESUMEN

Se abordan diferentes vectores que hacen a la problemática de la cronicidad. El individual, del paciente; el sociopolítico; el inherente al lugar del terapeuta, los dispositivos, las instituciones en el abordaje de los pacientes crónicos. Se realiza un recorrido temático y de autores que tiende a repensar la posición del terapeuta (psiquiatra, psicólogo, psicoanalista) ante estos pacientes. Ubicados a veces como inclasificables o refractarios, que -como se ha dicho- en la valoración de los profesionales son intrínsecamente difíciles y poco "gratificantes", nos llevan a considerar los ideales de salud, las expectativas, así como las incomodidades de los modelos de tratamientos y dispositivos institucionales.

ABSTRACT

Chronicity is approached from several angles that of the individual patient, the sociopolitical background, the therapist’s role, the institutional framework for the treatment of chronic patients. Relevant themes are discussed and authors visited that contribute to fresh thinking regarding the position of the therapist (psychiatrist, psychologist, psychoanalyst) towards these patients. More often than not, these patients are classified as unclassifiable, or refractory. As it has been said before, this implies that from the professional's viewpoint these patients are intrinsically difficult and "little rewarding". This raises the question of health ideals and expectations, as well as the institutional inconveniences of current models of treatments and institutional devices.