Terra LSV, Campos GWS. Training of health workers and production of subjectivity: a case study at the interface between Collective Health and psychoanalytic theory. Interface (Botucatu). 2026; 30: e250606 DOi: https://doi.org/10.1590/interface.250606
Abstract
The article analyzes training experiences in health through the Balint-Paideia methodology, articulating Collective Health and psychoanalytic theory, especially Tomšič’s concept of the capitalist unconscious. Based on participant observation and field diaries from specialization and extension courses in Family Health held between 2018 and 2020, the study investigated how workers deal with the tensions between the desire to transform practices and the limits imposed by the capitalist logic of care production. Results show that, although marked by alienation and by the capture of desire through the productive imperative, the groups functioned as protected spaces of speech, recognition, and affection, enabling the naming of subjective issues, repositioning in the face of suffering, and the collective invention of practices. It concludes that training, by integrating clinic, politics, and subjectivity, can open emancipatory breaches, broadening the horizon of the Brazilian Health Reform and restoring the subject to the center of care production.
Keywords
Health human resource training; Subjectivity; Alienation; Psychoanalysis; Paideia method
Access in: https://doi.org/10.1590/interface.250606
