Quem dá conselhos a umhomem doente adquire umasensação de superioridade sobreele, não importando se eles sãoacolhidos ou rejeitados. Por issohá doentes suscetíveis eorgulhosos que odeiam osconselheiros mais que a doença.(Nietzche, 2001, p.198)
Os Doutores da Alegria são uma organização artística do terceiro setor, quedesde os anos 1990 leva o trabalho de atores profissionais para dentro dehospitais. Utilizando a figura do palhaço que acredita ser médico e realiza“exames” e “consultas”, o artista passa a fazer parte do dia-a-dia dasenfermarias, visitando duas vezes por semana todas as unidades em que hácrianças e adolescentes internados e interagindo, também, com seusacompanhantes e profissionais do hospital.
Em 1991, Dr. Zinho, palhaçopioneiro, possibilitou com essa iniciativa que muitas crianças vissem pelaprimeira vez um palhaço e uma intervenção teatral. O hospital, então,passou a experimentar fronteiras no mínimo não usuais a sua realidade, re-inserindo questões da vida à rotina asséptica e controlada.
Hoje, nossa inquietude é muito maior que no início de nossas atividades.Surgem perguntas diversas: será que todo esse caminhar, aliado aoreconhecimento crescente dos departamentos de humanização, fará com quecorramos o risco de ir para casa e dormir tranqüilos, acreditando ter dado contada complexidade do trabalho a que nos propusemos? Chegaremos a criar umaISO da humanização para os hospitais? Ou então algo como os “dez passos”para humanizar? Esperamos continuar nas questões essencialmente humanas,para honrar a complexidade do tema.A atualidade nos traz angústia e oportunidade. A angústia: percebermosque, mais do que nunca, estamos conectados a uma enorme rede. Tudo o queacontece no mundo nos diz respeito, atinge-nos visceralmente. Cada vez maisacordamos para nossa conectividade com outros fusos, com a sociedadeplanetária da qual fazemos parte. A chamada a essa consciência é palavra deordem em fóruns sociais, publicações e em nosso trajeto cotidiano. Hojesabemos que nossa ação individual pode influir, indicar direções, nãoprecisamos mais esperar governos ou instituições e essa lucidez leva-nos para ooutro lado da angústia: a oportunidade.Por que falar disto? Porque qualquer temática social não pode perder de vista essas questões. Elas acarretam conseqüências à opção de ser um Doutorda Alegria que vão muito além da exigência de um nariz vermelho. Faz com quepensemos na educação do futuro, no mundo em que as crianças de hoje viverão, na oportunidade de criar uma legislação planetária mais justa, menosexcludente. Esse cenário contextualiza nossos anseios para encontrarmos amedicina do futuro.O oficio do palhaço fala do esforçodo homem de se entregar à únicacondição possível de existência: a darelação humana. Ele nos re-conectacom essa potencialidade e com aessência da medicina, esse fascinanteuniverso pelo qual anda nossoimaginário sobre vida e morte, poronde circulam afetos e desejosimpressos nos corpos. Espaço em queos sentidos do olhar, ouvir e tocar fazem circular esses acontecimentos.Por que, então, a necessidade de opalhaço ocupar esse cenário? Talvezporque a medicina, em seumovimento de capitalização, esteja seafastando desse sentir, ameaçando aspessoas à medida que essa riquezacultural é privatizada e inseridanuma lógica econômica. E porque épossível que a atuação do palhaçonos ajude a constatar o absurdo quea apropriação desse imaginário podesignificar.
O aumento pela procura de terapias alternativas mostra que parte dasociedade está buscando formas de questionar a medicina oficial. Um momentode ambigüidades, em que convivem o modelo médico capitalista americanoimplantado em hospitais-hotel (ou serão hotéis-hospital?) e os hospitaispúblicos. Um tempo em que parte do mal-estar da civilização moderna estáligado ao desaparecimento de espaços que incentivem e dêem sentido às forças equestões da vida. Uma época em que a depressão aparece como o segundoproblema mundial de saúde, já com projeção para tornar-se o primeiro em dezanos. Uma conjuntura em que o utilitarismo médico fortalece esse mal-estar aodeixar de ser continente para tais questões.Neste jogo de forças, o cenário das Organizações Não-Governamentais noBrasil está dividido: muitas deixaram de buscar capital para cumprir sua funçãomobilizadora e tornaram-se uma nova possibilidade de geração de renda dentroda lógica de mercado: bem colocadas no marketing empresarial travestido deresponsabilidade social. Peter Pál Pelbart (2000) ajuda-nos a entender umpouco esse movimento. Em seu livro A vertigem por um fio A vertigem por um fio A vertigem por um fio A vertigem por um fio A vertigem por um fio ele nos mostracomo o capitalismo, mediante a incorporação de tendências, gestos, modos eopiniões, devora fronteiras e elimina exterioridades, o que Deleuze (1978)chama de “as forças do fora”. Essas forças nos ajudam a colocar o pensamento em estado de exterioridade, quando diversos pontos de vista podem se relacionar. A saúde, por meio daloucura, exemplifica essa possibilidade. A forma como o louco vê o mundo colocao homem em contato com uma exterioridade enigmática, na qual ele pode seconfrontar com outros lados de si mesmo. Com a lógica atual, tanto a loucuracomo o inconsciente se incorporam ao cotidiano banalizado. A cada dia criam-senovos rótulos médicos para comportamentos bizarros que são descritos e, sepossível, medicados. Esses comportamentos podem, então, circular no mercadocom seu poder de venda e compra de tratamentos, ganhando um espaço decirculação social e perdendo sua exterioridade. Segundo Pelbart (2000), umagrande evidência da incorporação dessa exterioridade ao humano como processoseria o irônico nome de humanização,
“através dele e de sua dialética diabólica teremos conseguido o impensável: abocanhar nosso próprio exterior”
Sabemos, então, que qualquer tentativa de questionamento atual percorreesses sinuosos e sutis caminhos. A experiência artística construída pelosDoutores da Alegria ajuda a pensar questões da medicina atual, criandoexterioridades. Essas linhas de fuga são criadas a partir do modo como o palhaçoenxerga a realidade a sua volta. Por meio de sua máscara, esse personagem temautorização da comunidade para operar sobre uma lógica de pensamento nãolinear ou racional. O erro, o ridículo, o absurdo são bem vindos como materiaisque tornam efetivo esse olhar. Novos pontos de vista são criados: o carrinho dasrefeições dos hospitais pode se transformar em um trem, devido a seu barulho;e o posto da enfermagem pode virar um balcão de pizzaria. Ou seja, o foco étotalmente concentrado no presente e na construção de uma relação lúdica.Desta forma, um médico pode assistir a um palhaço interagindo com umacriança inconsciente em uma UTI. Esse fato abre espaço para que algo novo seinterponha na lógica cotidiana que diz que ali não existe forma de contato. Opalhaço que trabalha com uma criança poucos momentos antes de ela morrerresgata a força do aqui e do agora, interrompendo a lógica do prognóstico que define, em geral, o investimento de energia das relações dentro do hospital. Acomplexidade desses fatores nos levou a criar um Centro de Estudos depesquisa e desenvolvimento na área. Mediante publicações científicas (verMasetti, 1998) e Programas de Formação (),buscamos criar estados de exterioridade, espaços de potência.Desejamos colaborar para que a medicina se religue à complexidade social daexperiência médica. Como atores desse movimento, estamos inseridos em umenfrentamento entre a lógica da medicina como fenômeno social e a lógicacapitalista. Nossa capacidade de criar espaços propícios de reflexão e estabeleceralianças com a sociedade será vital para influir nos acontecimentos futuros.
Referências
DELEUZE, G.
Espinosa e os signos.
Portugal: Editora Reis, 1978.MASETTI, M.
Soluções de palhaços
: transformações na realidade hospitalar. São Paulo: Palas Athena,1998.PELBART, P. P.
A vertigem por um fio
: políticas de subjetividade contemporânea. São Paulo: Iluminuras,2000.NIETZSCHE, F.
Humano, demasiadamente humano:
um livro para espíritos livres. São Paulo:Companhia da Letras , 2001.<http://www.doutoresdaalegria.org.br>
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