A indústria cinematográfica (quase) contra a indústria farmacêutica.
Autor: Lilian Gontijo | Publicado: 2013-08-12T12:03:00-04:00





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Não sei se é mais difícil comentar um filme do
diretor Steven Soderbergh, como “Terapia de Risco”, ou se é mais difícil falar
do dilema (bio)ético da indústria farmacêutica. O filme, para dizer o mínimo, é
confuso, obscuro, irregular, porém instigante, intenso, prendendo a atenção do
telespectador até a última cena. O mesmo foi lançado esse ano com o título
original “Side Effects”, e só de longe (no nome) se assemelha ao outro filme
com o mesmo título original em inglês (“Side Effects de 2005). Esse, cujo título
no Brasil é “Efeitos colaterais”, faz uma crítica à indústria farmacêutica, mas
em um formato e estilo linear e muito claro (trata-se de uma comédia romântica
sugerindo um drama sutilmente). Já o filme “Terapia de risco” (“Side Effects”
de 2013, dirigido por Soderbergh), do estilo policial, drama e suspense, começa
no caos de uma cena muito importante, e só posteriormente começa a
destrinchá-la com reviravoltas complexas. Sua primeira cena é aquela que
revela, de antemão, o ato que é ao mesmo tempo, causa e conseqüência dos
efeitos (colaterais) da indústria farmacêutica.

Muito se tem produzido, de uns anos pra cá, nos
estúdios de Hollywood, a cerca dessa malfadada forma de exploração capitalista,
que é uma das que mais cresce no mundo, com aval de pesquisadores e
profissionais médicos, com a promessa de “controle” da doença mental. Quase dá
pra dizer que esse tipo de “filme-denúncia” coloca dois gigantes do capitalismo
em combate frente a frente. Não fosse pela classe médica que se apropriou
completamente das atribuições de receitar, indicar, ou administrar e defender o
uso de alguns medicamentos (os do tipo que os psiquiatras receitam para
sintomas psíquicos, sejam eles leves, moderados ou graves), creio que o combate
seria igualitário, uma vez que um filme do porte deste dirigido por Soderbergh
“atinge” (positivamente, ou não) milhões de pessoas ao mesmo tempo, enquanto
elas assistem-no. De forma, não menos voraz e avassaladora, porém, psiquiatras do
mundo inteiro defendem o uso de medicamentos de “tarja preta” para o tratamento
das doenças mentais. Às vezes, até exclusivamente, sem o acompanhamento de
psicoterapia ou psicanálise, como se o adoecimento mental não fosse psíquico,
mas biológico e químico apenas.

O filme dessa semana foi lançado no cinema (aqui
no Brasil) em 17 de maio de 2013, e intitula-se “Terapia de risco” ou “Side
effects” (título original). Foi dirigido pelo polêmico Steven Soderbergh, e foi
produzido nesse mesmo ano nos Estados Unidos. Em seu elenco sobressaem-se os
atores Jude Law, Catherine Zeta-Jones, Rooney Mara e Channing Tatum. Foi
anunciado como o último filme da carreira de Soderbergh, porém nada existe de
oficial na notícia.

A trama se faz em torno da personagem Emily Hawkins
(interpretada por Rooney Mara) que é casada com Martin (Channing Tatum), que
por sua vez passou quatro anos preso por cometer crimes na Bolsa de Valores. O
enfoque sobre a personagem feminina, que vivencia o sofrimento psíquico imposto
pela depressão grave, confunde o telespectador do início até quase o final do
filme. Os desenlaces da história clareiam a veracidade dos fatos, mas fazem com
que se perca o caráter de crítica ou denúncia à indústria farmacêutica. Com uma
cena importante de entrada, o filme parece sugerir um “acting out” de grandes
proporções (beirando um surto), mas também dá margem para se pensar num crime
com requintes de crueldade. A cena inicial que pressupõe um homicídio ou
suicídio nos faz pensar, até a metade do filme, que o ato acima descrito é a
válvula de escape para um sofrimento mental intenso e insuportável. Não é isso
o que ocorre exatamente, na “realidade” da obra ficcional.

Emily passa anos de sua juventude e da vida de
recém-casada sozinha, pois o marido está preso. Ela, no entanto, aparenta certa
fragilidade emocional que supostamente leva ao adoecimento (a depressão grave).
Assim, ela é considerada a vítima das situações provocadas pelo marido, e
parece se sentir assim, o que não justifica o injustificável, é claro. Há muitos
elementos além da doença mental e do uso de psicofármacos, sendo que, em certo
momento do filme a trama nos leva a perceber as brechas deixadas ao tirar-se o
foco da indústria farmacêutica, ao mesmo tempo em que parece realçar a má fé de
Emily ao fazer uso da mesma para obter ganhos secundários em seu favor próprio
e de “outros”.

Não defendendo a poderosa indústria de
psicofármacos, muito pelo contrário, é preciso apontar para as suas falhas que
geram uma radical facilitação do depósito da culpa (de muitos comportamentos e
até adoecimentos, incapacidades) nos medicamentos. Creio, no entanto, que
quando Soderbergh traz essa questão à tona, ele faz submergir o problema mais
importante que é o mau uso dos psicofármacos pelos pacientes (a cultura da
automedicação), a epidemia da receita de “tarja-preta”, bem como o uso
irregular e descontrolado desses medicamentos, além do diagnóstico exacerbado
de doenças mentais pautadas pela CID-10 capítulo F (das Doenças Mentais).

Nessa lógica, não tem como não falar dos
personagens médicos (psiquiatras) dessa história. Emily está sendo tratada pelo
Dr. Jonathan Banks (Jude Law), após o que parecia ser uma tentativa de
suicídio. Esse médico faz tentativas de tratar sua depressão com alguns
antidepressivos sem sucesso, até que passa a receitar a mesma medicação
administrada pela psiquiatra (Drª. Victoria Siebert, personagem de Catherine
Zeta-Jones) que tratava Emily anteriormente. O remédio (Ablixa) teria surtido
bons resultados para os sintomas de depressão da paciente, porém o tratamento
com a Drª. Victoria Siebert havia sido interrompido por causa da mudança de
cidade. Apesar da eficácia contra a depressão, o remédio apresentava um efeito
colateral muito importante, o sonambulismo. A má fé da personagem e seu ato
criminoso seria tema para outro filme, pois a crítica contra a indústria
farmacêutica fica à mercê das brechas que dariam margem para a sua “defesa”. A
evidência das falhas graves dessa indústria seria muito melhor aproveitada em
se retirando da trama essa questão, mesmo que fosse preciso vitimizar a
paciente.

As críticas que li sobre o filme evidenciam as
falhas do diretor em apontar para elementos demais num mesmo roteiro. Isso
atrapalha a crítica que é sugerida como tema do filme, e, ao invés de clarear a
compreensão sobre os riscos das terapias medicamentosas, confunde, pois o filme
toma outro sentido: o da má fé da paciente (e da psiquiatra) em estudar a bula,
identificar efeitos colaterais perigosos e simular as consequências da tomada
do remédio enquanto visa(m) obter algum outro benefício. Apesar dessa falha,
considerei o filme bom, mesmo não tendo sido claro o bastante para sustentar a
crítica à indústria farmacêutica. O filme cai no risco de ser compreendido,
pelo público (mais) leigo, como uma crítica que (quase) demoniza a paciente e a
psiquiatra, enquanto parece (quase) desculpabilizar a indústria dos
psicofármacos.

Trailer: http://www.youtube.com/watch?v=9FHf5Iwj8m4



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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
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 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
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 mso-pagination:widow-orphan;
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 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
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 mso-hansi-theme-font:minor-latin;}

<![endif]--><!--[if gte mso 9]>
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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
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 mso-pagination:widow-orphan;
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 mso-fareast-font-family:"Times New Roman";
 mso-fareast-theme-font:minor-fareast;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;}

<![endif]-->