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Another side of youth: Therapeutic accompaniment in the crossing of aging

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ORIGINAL ARTICLE

BERLIKOWSKI, Loreni Teresinha [1]

BERLIKOWSKI, Loreni Teresinha. Another side of youth: Therapeutic accompaniment in the crossing of aging. Revista Científica Multidisciplinar Núcleo do Conhecimento. Year 05, Ed. 10, Vol. 22, pp. 145-161. October 2020. ISSN: 2448-0959, Access link: https://www.nucleodoconhecimento.com.br/psychology/therapeutic-accompaniment

ABSTRACT

The objective of this work is to trace the path with materials already published in articles and books, the fields of scientific events, without a specific delimitation of temporality, allowing the reflection of the most varied aspects related to the theme of research, to understand the practice of Therapeutic Accompaniment, its changes through its history. In this specific context, knowing the experience and practice of a psychologist who works with the therapeutic monitoring device with the elderly public, aiming to advocate for the inclusion of the elderly person in the social and family context. Contributing and resignifying to new trajectories considering the individual subjectivity of each individual, potentiating new bonds that he wishes to build as a social being of rights. The objective of the TA is to be a resocialization agent to enable us to direct to new spaces that the old person wishes to be.

Keywords: Therapeutic accompaniment, aging, inclusion.

INTRODUCTION

Therapeutic accompaniment (TA), with its clinical vision goes beyond the traditional office, thinks and advocates in favor of differences, reverberating in policies that involve the subject in the social context. The general objective is to analyze the contributions and strategy of therapeutic accompaniment as a psychologist’s tool.

Brazil presents a significant growth in the population of elderly people, thinking about this individual sought to know the experience, and practice of a psychologist who acts with the device of therapeutic monitoring for the elderly public. That is, the psychologist TA who was exploring this new territory, in this case, aging in contemporaneity, striving to build support networks to overcome certain clinical impasses.

As a hypothesis, it is believed that the insertion of therapeutic accompaniment in the area of psychology has much to contribute, because working focused on health promotion, it also has prevention strategies that will enable this group to be removing from the decline of disability and limitations, to a social conviviality returning to it the word and the ability to think , of wanting to be belonging to the social context, which are denied when aging.

To answer the question proposed in the study, about therapeutic accompaniment, we sought to clarify how the psychologist uses this tool is to consolidate itself in a relevant way in the clinic by performing care with the elderly public. Respecting subjectivity, without threatening the autonomy or need of the older person, since the phenomenon of aging causes changes of physical and psychological character, with great losses, mourning, loneliness is helpless.

AGING IN CONTEMPORARY TIMES

Thinking about aging and its various dimensions, being cultural, political, economic, is a way to build history about the context that involves the individual, whether in capitalism in productivity, the old, by exhausting their production capacity, goes to a non-place, their productive difference in the capitalist market drives him to social exclusion (BARBIERI, 2013).

The Statute of the Elderly Law No. 10,741, of October 1, 2003, is a reality that considers that the elderly person is the one aged 60 years or older. The (IBGE) points to a Brazilian population that is on an aging path and, by 2060, the percentage of people over 65 years of age will increase from the current 9.2% to 25.5% for every 4 Brazilians one will be elderly. This projection published and directed by the Brazilian Institute of Geography and Statistics (IBGE) 2018.

Negreiro (2007), draws attention to the increase in the life expectancy of the individual, considering it to be a great achievement of modern society, but it should also be taken into account that living longer does not necessarily mean having quality of life.

Barbieri (2013), points out the importance of giving visibility to issues related to human aging, a way to strengthen the struggle for inclusion for the old and its full constitution as a subject belonging to the social environment.Having a humanized look at the subjectivity of the old person is the focus of the TA professional, who works to rescue the space in the social context of the individual.

Peixeiro (2005) declares, the TA offers its clinical work, but with the political look, because it is always focused on the inclusion of the individual, enabling the construction of support bridges favoring the elderly in the phase that is delicate for her, her work has this vision because it is a clinic that worked for many years with psychiatric institutions aimed at psychotic patients , his first TA were young trainees, named, qualified friends at the time, now recognized as (TA), therapeutic accompaniment professionals. Your job is to create possibilities for ties with less damage.

Mistreatment, neglect and neglect is increasingly less common in the field of mental health, the effect of years of struggle, anti-manicomiais movement in Brazil. In the context of the field of old age, inothermite ways of welcoming are still witnessed. The aging subject ends up face a poor scenario of alternatives for the future, a situation in which the construction of meanings for life is almost impossible, leaving death as the only alternative (BARBIERE, 2013).

HISTORY OF THERAPEUTIC ACCOMPANIMENT

The emergence of Therapeutic Accompaniment was in the field of mental health in Argentina, in the mid-1970s, as a response to the excessive and inhuman psychedelication that occurred from the 19th century (PEIXEIRO, 2005).

Gonçalves (2001), talks about this view of madness, in the Middle Ages, had a very tragic view about madness, starting to occupy a sinister place, where the different was not accepted by society or family members as (intellectual disability, unproductive subjects), there were marginalized people with a distance between those recognized as normal and productive subjects.

In Brazil in 1901 was founded the Hospice of Juquery by Doctor Franco da Rocha, was an example of alienism in this period was offered his work as a therapeutic, for individuals who were in nursing homes, made use of methods such as traumotherapy, strokes measured, malariotherapy – inoculation of malaria in patients so that, through fever , the subject would recover, therapeutic treatment for mental illness considered inhumane conditions in psychiatric nursing homes. It took a few decades for therapeutic efficacy to be called into question (BERGER; MORETTIN; NETO, 1991).

Madness came to be looked at by another Anglo, began to be thought of creating places of welcome, recognized as refuge, where the power of demand contained in the discourse of the mad subject could be recognized.A clinical space for treatment of the first therapeutic communities emerged, where patients circulated freely and performed various activities in a form of personal and social rehabilitation. it appeared in Rio de Janeiro, São Paulo and Porto Alegre, being the first to offer work in therapeutic institutions (PEIXEIRO, 2005).

Peixeiro (2005) declares that the purpose of the team was to create a therapeutic environment, involving patients in the family context visiting their homes, meeting their friends. Qualified friends were instrumental and worked with a clinical approach to support for patients with whom classical therapeutic approaches failed.

The practice of these professionals is recognized for having a good aptitude of action, for more than thirty years, from this work, the therapeutic accompaniment (TA) arises, with several spaces of their doing and attempt to form their practice, thus enabling the construction of an increasingly solid field for the performance of therapeutic accompaniment, referring to a character of therapeutic proposal, work for new areas of activity (PEIXEIRO, 2005).

Peixeiro (2009) brings the story of madness to make a reflection, on the witnessed in the area of aging, when we think about disability becomes an exercise of subjectivity of those who age, the process of madness provoked changes of cultural paradigms producing social and economic exclusion of the old during a period. Thinking about the elderly or elderly are recent and reflects a significant change in the social representations of old and old age. The Brazilian culture after the advances in social security policies designates the class of old people as independent, autonomous and purchasing subjects, differentiating from the image associated with old age of inertia and poverty or disease.

Peixeiro (2009), points to the importance of these transformations, where it proposes an aging free, free of losses, pain, benefiting from the changes that have been taking place has great importance and are part of a process of political transition, which has been gaining visibility in recent years in society, taking the old person from the place of charity, to a place of rights , as can be observed from the approval of the Statute of the Elderly in the National Congress in 2003.

Therapeutic accompaniment in aging serves those with difficulties to circulate in the social environment, in this case, people affected by depressive states, institutionalized or in the process of deinstitutionalization, with dementias, significant losses of bonding, caused by social isolation. Therapeutic accompaniment is not an approach, but rather a tool. TA is not a restricted mode of action or solely of the psychologist, but, of the entire area of health, which can benefit from its intervention modality. TA is not a companion of the elderly, but a clinical modality that takes place in the social context (BARBIERI, 2013).

THERAPEUTIC ACCOMPANIMENT IN THE AREA OF OLD AGE

Barbieri (2013) makes the note about the experiences of TA with the old people, often witness situations of veiled violence in the form of sincere good intentions of family members or institutions. The TA has an increase in demand, for its experience in the field of mental health, it becomes fundamental, by offering and supporting this practice, clinical function, but also political, known for building social support networks that enables the individual to age with dignity.

Therapeutic Accompaniment is a tool to build a world of its own that is shareable, recognizable by the other. That is, to be heard again, to continue finding meaning to live. There is a lack of skill for old age, both in the macro and in the micro-social sphere (GOLDFARB, 2004).

Despite being built in the field of mental health aimed at psychotic patients, therapeutic accompaniment has been used as a privileged care in the area of aging, has much to offer in the field of old age, which still has some shortcomings (BARBIERI, 2008).

Barbieri (2008), questions about the eyes of professionals and institutions about the aging process that is still notorious, is so lacking due to the lack of changes and qualifications of professionals focused on aging, that it adds adequate skills for technical management with the older person, offering an inclusion service for this contemporary individual, that is, 1 in 4 Brazilians will be elderly by 2060.

PREJUDICE IN OLD AGE

Bottom of the formSociety lives a myth of the young body at any price, and the old is pressed by the images of a consumersociety, ends up becoming familiar, without realizing the values created by capitalist society, where the myth of the young body predominates, the old is led to the impossible, wanting to be young too, that is , it is perceived not serving as a parameter for anything, where it is excluded as a subject without a place of belonging (CHNAIDERMAN, 1996).

Chnaiderman, (1996), speaks of the time that mistreats the already tired body with psychological, physiological marks, with physical fragility, when it comes across its body image, does not recognize its own body, going through a process of self-deprecation. Rejection that causes a great psychic pain, to look at this body is not to recognize anymore because it has undergone so many changes, so many scars, that it will not be plastic surgery or miracles of creams that will bring relief, perhaps if it had frozen a part of life would bring peace to that pain. It’s not really the body, but the psyche that needs to be taken care of.

Chnaiderman (1996) makes a reflection on the performance of the health professional, who, because he does not have an inclusive look, ends up without realizing it, he submits the older person to an embarrassment, a veiled violation, for ignoring the materialized existence of the subject in an aged body. In the offices, the professional often happens to ask questions to family members, companion, ignoring the knowledge of the old person about themselves.

By leaving the traditional place of clinical care, the TA offers new possibilities in the political and social field for the old person. It can be very therapeutic for the elderly to go to the theater, cinema, park and other walks, giving another meaning to the life of this elderly person, taking him out of social isolation and often familiar, building or recovering habits that had already been lost in time. TA is a clinical device its characteristic is in being a mobile setting, that is, there is no fixed place for care to occur (REBELLO, 2006).

The purpose of therapeutic accompaniment is to renew the territory already worked by him, resignifying the field of aging to ensure a space for listening and construction of projects aimed at the elderly. Despite the existence of the status of the elderly, the elderly still suffer helpless, being repressed and stifled their rights, of social human being (GOLDFARB; LOPES, 2013).

The TA for having its doing focused on inclusion, has been conquering its space, because it is a clinic with a political vision, its objective is to unveil to give visibility to a work of mediations, dealing with suffering with the humanized look, makes it quite clear that there is no division between clinical and political. Law No. 10216/2001, is a support for the expanded clinic for guaranteeing citizenship as political effects, enabling contact with people previously prevented from moving around the city freely (ARAÚJO, 2006).

Novaes (1995), talks about the aging process is living and his subjective experience as an individual in the social context, bringing a set of reflections about lived existence, is his cultural influences on the figure of the old person.

ALL LOSSES ARE GENERATING SUFFERING

I fight not only after the death or loss of a loved one, but also when one loses something, that is, aging causes many losses for the subject itself. Since its development as a human being, old age is seen the last stage, then death comes being the process of finitude (BAPTISTA, 2013).

When considering that people age, increases the incidence of chronic diseases, most of the chronically ill will be represented by the elderly population, the growth of this class and, consequently, of the chronic degenerative diseases that has become essential to care for the elderly patient, even if it is not wanted to cure it, since the most prevalent diseases are not curable , because as the disease progresses, curative treatment does not offer reasonable control (MACIEL, 2008).

It should be noted according to (WHO, 2008, p.9), that the elderly person undergoes a disadvantageous health treatment, which is serious, that is, the elderly need environments that help and support with care, aimed at physical and social changes resulting from aging.The philosophy of palliative care meets the need and reality of the old, because it considers the individual as a whole, aims at the relief of pain and suffering, physical, spiritual or psychological, in addition to encouraging autonomy and pusing their dignity (BAPTISTA, 2013).

Therapeutic accompaniment is moving towards updating this demand, focusing its expansion to the field of aging, investing in this individual, whether at the request of the old person or his/her family members, wishes for the old person, injecting spirit to desire when he presents difficulty in building a life project before the time he has left or the limitations he has , leading an existence without vivacity (BAPTISTA, 2013).

Considering the social role that each individual plays, in each phase of his existence, it is extremely important for the maintenance of his or her self-esteem. However, retirement, a delicate phase for leisure and rest, which should serve as a reward for years of work, may be paradoxically a reinforcing phase of the contradiction of disability. That is, the retiree is stripped of his role as a productive worker and crushed by the market, his remuneration, in general, does not even allow him to maintain his previous standard of living.The loss of their productive social identity is removed with retirement, which is a very significant mourning for the old person (NEGREIRO, 1999).

Nobly, it is observed that the subjective aspect of aging is to experience a series of losses. The old person experiences in the aging process undesirable ruptures, of loss related, the loss of work with the arrival of retirement, death of the spouse or friends, family members, losses that can lead to repression of their sexuality and their ability to design and perform (NOVAES, 1995),

The consequence of so many losses leads the old person to depression. This process of changes related to the aging phase and psychosocial traumatic events can be considered the main responsible for triggering depressive episodes in old age. In more severe cases, such as suicide, it is essential to participate in the family for the course of treatment (NEGREIRO, 2007).

For the same author, old age and as an acquired learning, in which the subject, exposed to successive mourning and loss, feels powerless through situations, that is, this conditioning causes feelings of emptiness and abandonment to become associated with experiences of failure, reinforcing in the old person the idea that nothing can reverse this process of mourning.

According to the author Rebello (2006), aging is considered a biopsychosocial process, in which biological, social and psychological factors interact with each other. In this context, it is understood that aging is no longer synonymous with a single old age, category, fixed, determined, to gradually acquire a heterogeneous sense of the possibility of existence of multiple old age.

For the author Rebello (2006), it is still very common to find professionals from various areas who deal with the aging process as a unique category mainly in the medical field that often treats the act of aging solely from the biological point of view, without taking into account that the decline of the physical body is inevitable during the aging process , the old person, over time, obviously suffers some irreversible losses from the biological point of view, but if we imprison this biologizing look (vision or biological aspects), we will lose sight of other old age, but these are not necessarily linked to decline and losses.

Goldfarb (1998), points out with a phrase “The elderly need much more than the minimum necessary”. So what does an individual really need in old age? In the face of the aspects, it seems to me that only basic health, hygiene and food care is insufficient.

TA is a tool that allows psychology professionals to leave their traditional clinical context for an inclusive clinic, so that it is not fragmented, professionals from other areas such as Occupational Therapy, Nurses, Physiotherapy, Physical Education, Social Assistant, Medicine, Speech Therapy, also make the TA their tool, thinking of a clinic of ties and ethics (ARAÚJO, 2006).

For Generoso (2002) the TA has an articulator vision, its objective to promote a new understanding of mental health care, thinking about less damage, its setting and inclusive humanized welcoming this is guidance for its doing as a professional. It will always be focused on the other in a social way, meeting the standard standards, the psychologist has the ethics of the Federal Council of Psychology (CFP) as a compass, being a support for the TA not ceasing to be ethical his work in expanded clinic

We sought an approach that gave a theoretical basis to be worked with the clinic of therapeutic accompaniment, and Gestalt therapy plays a social role within health movements, it is placed to establish intra/interinstitutional connections through some intra and extramural strategies, with support for social insertion, home visit, therapeutic groups outside the traditional space (SILVA, 2007).

GESTALT-THERAPY AS AN EXPANDED CLINIC

Gestalt abdicates the controlled knowledge between walls, to work in primary health by launching itself into an open space of action, without demarcated borders. To deal with the individual in the context where conflicts happen along with their socio-family reality, enabling the professional in the daily routine faces the problems, which involves the demands and actions for which he experiences and that there is no manual that directs to deal with existing adversities (PALOMBINI, 2004).

Therapeutic accompaniment first emerged in the field of mental health, and Gestalt has its holistic focus focused on health movements. The two clinics have only one goal; the human being and his social context, together, are a psychosocial clinic working relationships and advocating for the rights of the subject, expanding networks. Thus, the knowledge of each of the clinics is directly related to the singular experience, but, which are unified in one goal, the human being (PALOMBINI, 2004).

METHODOLOGICAL PROCEDURES

Gil (2008) declares the main purpose of exploratory research, being to expand ideas on subjects to be investigated, to outline the theme to be researched in view of the formulation of hypotheses to be researched for the construct of work, making it possible to discover new approaches of the later ones.

The nature of bibliographic and qualitative approaches make it possible to survey materials already published, its main advantage as research is to allow the researcher to cover a range of phenomena much wider than to stay only with the participant’s interview for the research. In this article the key words used in the search for scientific articles were: therapeutic accompaniment, aging (GIL, 2017)

The content approach is a set of technique, based on documentary analysis with vision in the target audience, being possible to perform interview scripts for data collections together with the interviewee in order to obtain understanding about therapeutic accompaniment as a device of a psychologist with the elderly public (BARDIN, 1994).

BETWEEN THEORY AND PRACTICE

TA is a clinical effort aimed at promoting social reintegration enhances for the benefit of the old person, seeking to establish bonds of trust, to favor the elaboration of conflicts in the entirety experienced by the individual, participating in his affective environment, revealing the obstacles to healing, often psychic, discovering creative potentialities, finally building possible projects of happiness with the subject who goes through the crossing of aging in a way accompanied by the ps (GOLDFARB 2013).

Barbieri (2008), will say that despite being built in the field of mental health aimed at psychotic patients, TA has contributed in the area of aging, by promoting autonomy by improving the subjective organization of the elderly, working to expand the appropriation of public and private space thinking about mental health. Being corroborated by the clinical experience of the research subject:

TA is a tool that helps in various contexts, working with different problems, manifests itself in order to address the differences, leaving the traditional clinic, to a place where the demand happens either on the street or at home. Working with the TA clinic enables us to articulate with different knowledge mainly within health, with nursing professionals, physicians, social workers, occupational therapists and educators, and other professionals working in the (SUS – Health Unic System) system and school spaces.

Barbieri (2008) confirms the doing of TA and its actions with other knowledge, because it is a clinic that differs from the models of care that intend the subject’s framing, in certain patterns of therapeutic care, that is, the therapeutic companion creates possibilities wherever the subject is. In this context, the research subject reaffirms:

The TA is a clinic beyond the traditional office, requires the psychologist a way with possibilities of dialogue and put without disqualifying other knowledge, having a broad interdisciplinary view, to be able to be in spaces, public policies, health advice where it reverberates in the health of the population, are to do beyond the traditional office, to be in different spaces where the elderly patient is. The TA professional will always be open to dialogue always aiming at the autonomy of the subject.

Barbieri (2008) points out the importance of doing TA in the health field, because he understands that this meeting of knowledge from other areas can provide a space for listening and construction of projects for the future, still so lacking in the area of aging.  Being witnessed by the experience of the research subject who:

The psychologist AT as a professional, seeks to ensure a place that the elderly want to celebrate life, allow themselves to make new projects if it is their will, or even to live some processes of symbolic or real affective loss (mourning). The TA has the duty to guarantee citizenship to the elderly subject, advocating for difference, for this subject to be in the world and be respected as such, in the family and social environment, always aiming at the inclusion of the elderly and their rights.

For Peixeiro (2005), the TA has been consolidating itself in the trajectory of its thirty years, conquering several spaces of formation of its practice, enabling the construction of an increasingly solid field for the performance of therapeutic accompaniment, referring to a character of therapeutic proposal. Thinking about this possibility, the research subject evidences that:

There is no given place, to happen his doing, it will happen where it has to happen, within the therapeutic project that can be remodeled at any time, AT is the street clinic, happens in the cinema, square, café, beach, shopping mall where you have subject and demand. Indoors if it is what the demand requires at the moment, either because of a disease that makes the patient impossible.

Barbieri (2013), raises the importance of giving support and recognition to the old person, respecting their frailties, their time as a being, with a humanized look. Working the bonds of new networks of relationships in a healthy way, without marginalizing, but rather welcome them by inserting them in the social and family context as a worthy being belonging to this environment.  Considering relevant the notes the research subject, is confirming that:

Therapeutic accompaniment should be available for listening, that is, the elderly subject needs to speak more, the TA needs to know what it is possible to work with this body that is often limited, physical frailties that in this passage of age are more intense due to organic symptoms, lack of support, family conflicts, chronic pain , situation of injustice.

Barbieri (2013) talks about the need to have a practice such as ATI (Therapeutic Accompaniment of the Elderly), in mid-2005, a research group, Culture and Aging was formalized with CNPq, in which a study of therapeutic monitoring for the elderly was made, because it understood the importance of this knowledge, making it clear that there was no specific modality of therapeutic accompaniment for aging , but a look at the aging process.

There are several theoretical approaches that lead to the practice of TA, one of the most widespread is based on psychoanalysis. Therapeutic accompaniment also articulates with other approaches, because its objective is to be inserted in the social context to ensure more dignity and less suffering for the elderly, that is, in this perspective, and in this perspective it proposes the reflection on therapeutic care in aging, the rescue of a discourse and a practice of bonds in a truly loving way that responds with delicacy to this stage of the elderly subject’s life (BARBIERI, BAPTISTA 2013). The research subject points out that all approaches can work with the TA device, and the first corroborates it with its learning:

The training was in the psychoanalytic approach, to complement the specialization, we sought bibliographies on the subject independent of the approach, thus adding more knowledge in the clinical context by having the experience of TA, being in spaces where things happen in a more potentized way, in the homes of people on the street, dealing with various vulnerabilities giving much more power and courage , preparing the therapist for the demands that arise in the office. Thus, the TA clinic is important because it is an expanded clinic, it is inserting all who are rejected in life, that is, the case of the old person who lives aging with suffering.

To articulate with the approach of therapeutic accompaniment, Gestalt-Therapy was sought because they share the same knowledge, develop in open spaces, a particular characteristic of the TA clinic, that is, without demarcated borders, allowing an encounter where both are affected, and in this crossing that social interaction happens (PALOMBINI, 2004). The research subject corroborates his clinical experience based on the Gestalt-therapy approach because he is:

An inclusion clinic that shares the same view of the TA clinic, that is, the way of working, extending social boundaries to include differences, giving way to the other for a meeting of differences. In old age occurs the loss of personality, the fear of dying, at that moment the elderly person needs someone to enlarge and shape relationships, feelings, behaviors depending on the flow. The TA will contribute to the construction of a new identity empowering, rescuing the social place of this elderly person, organizing in a desired way for their rights. Because not always the illness and illness, understand, that there is rather a person who suffers with symptoms. However, having a holistic focus focused on health movements, thus, the two clinics go together with the same objective, the human being and his social context, thus unifying in a clinic with expanded vision working the relations advocating for the rights of the subject.

When reflecting on the interventions of the TA, it is observed that its course comes from strategies related to transference, its form is a bond of trust that coordinates the long-term procedures, being a tactic related to the moment of the intervention. The tactics of interventions will depend on each case, there is no standard activity. Moreover, it is thought of the problem of each subject. The objective of the TA is to provoke in the other the renewal of a life project, through a bond without dependence, which involves support, support and continence allowing the old person to elaborate their grievances to direct their interests to new goals, always in accordance with their desire (GOTTER, 2006).

FINAL CONSIDERATIONS

By making a previous reflection, one perceives the posture of making the TA approach, its clinical relationship goes beyond the subjectivity of the individual from his differentiated listening working as a mediator, building paths beyond the office in a coherent way is ethical. A path that requires the TA, to have the ability and availability to be in the territory where the issues of aging happen, involving the bodily and psychological changes of the individual.

Thinking about making a difference as a psychologist in the social context, I added in my curriculum the knowledge of Therapeutic Accompaniment, it was a learning that came to aggregate professional doing in a broad way without failing to be ethical. Enabling the building of paths of autonomy to social reintegration together with the individual.

It is noteworthy that the hypothesis was confirmed, emphasizing that theory and practice are consolidated, being made a parallel with the clinic of therapeutic accompaniment. Broadly verified the participation of the practice of therapeutic accompaniment as an expanded clinic, its activity is very new, and it is very new to slow pace for this group that grows every day in society. Much is said about the old people in scientific research, but little is achieved in the social environment. It is necessary to think that there is still negligence on the part of health professionals and their own family members.

As a demand from the reports, it is observed that this group presents an experience, which makes the subject impossible in all ways, physical and psychological, because he feels forsaparting causing crises of subjectivity. therapeutic accompaniment enables inclusion by articulating the differences with an expanded reading of the problem to cross in a fluid and humanized way.

Through these placements, it is necessary to look at the limitations of the present study, because despite being a bibliographic approach consulted to understand the practice of therapeutic accompaniment, it is perceived that much is said about the elderly, but has few scientific studies on this population, with the action of therapeutic accompaniment as a tool of the psychologist. In the process of construction of the work it was possible to find few articles on specific therapeutic accompaniment with the old people. More research needs to take place in order to prepare professionals to care for the older people.

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[1] Bachelor of Psychology; Post in Neuropsychology.

Submitted: September, 2020.

Approved: October, 2020.

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