Since the health care reform, in the 70’s, and the creation of the Unified Health System, in 1988, the outpatient services have been strengthened in Brazil. Consisting of interdisciplinary teams, the presence of the psychoanalyst in these services has been increasingly more common. However, even though various scientific areas are present in the outpatient teams, the medical hegemony is unquestionable, what many times leads to difficulties in the practice of the psychoanalyst. Therefore, the viability of the psychoanalytic clinic in Brazilian outpatient services is constantly questioned and threatened as far as uncountable are the differences between the institutional demands and the analytical work. In this framework, this article has as main objective the investigation of the impasses that occur between psychoanalysis and the medical outpatient teams. This is a theoretical work whose sources were the bibliographic production concerning the subject. As conclusion, it is emphasized that, despite the conflicts and the constant challenges that it is submitted to, the psychoanalytic practice is fully viable and effective in Brazilian public outpatient clinics.
Psychoanalysis; Clinical health psychology; Medicine; Public health