O processo de construção de campo psicossocial na política pública de saúde mental: uma análise micropolítica da produção do cuidado

• Ano de defesa: 2012
• Autor(a) principal: Duarte, Marco José de Oliveira
• Orientador(a): Almeida, Maria Helena Tenório de
• Banca de defesa: Almeida, Carla Cristina Lima de , Rosa, Lucia Cristina dos Santos , Dias, Míriam Thaís Guterres , Souza, Rosimary Gonçalves de
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Serviço Social
• Departamento: Centro de Ciências Sociais::Faculdade de Serviço Social
• País: BR
• Palavras-chave em Português: Politica de saúde mental; Produção do cuidado; Atenção psicossocial; Saúde mental; Políticas públicas Brasil
• Palavras-chave em Inglês: Mental health policy; Production of care; Psychosocial care
• Área do conhecimento CNPq: CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL::FUNDAMENTOS DO SERVICO SOCIAL
• Link de acesso: http://www.bdtd.uerj.br/handle/1/15879

This thesis analyzes the production process of care in mental health services in the city of Rio de Janeiro, taking as a locus of two psychiatric institutions research university that maintains its structure asylum, with apparent modernization and municipal public of the provisions of psychosocial care Psychosocial Care Centers, which operate in the construction of a new reference type whose therapeutic focus of their practice puts the "user-centered" care at the scene and privileges "questions of existence" that recognizes when the same subject in its uniqueness , subjectivity and difference in "living life." Therefore, research aimed at the production of updated knowledge about the discourses and practices that convey and represent institutional agents on the production of care in the institutions in question. In order methodological explore the data of speech and practice of caring, understanding that the process of health work is a set of institutional practices articulated with other practices. Thus, the study sought to characterize the production process of the work of mental health care in the context of services. The aim is to understand the components that operate this work by identifying and establishing trends in socio-institutional setting. Thus, it is not an assessment of the quality of mental health services, but rather, a qualitative analysis of practices in the production of this everyday watch. The institutional actors speak the perspective of a particular place in relations socio-institutional study. It was observed that there are multiple meanings present in care management developed in the field of mental health post-reform, particularly in the field of psychosocial care when taking both university spaces as the municipal network CAPS. Are still many challenges in everyday public mental health services in the construction of the new models and technical assistance. This can be seen when taking the collective that does, technicians, patients and families, which has reference to that ethos of care production, is subjective, is aimed primarily toward aesthetic and ethical-political by all those in implementation of an open equipment and territorial-based community. Hence the need for constant evaluations, careful monitoring so that these practices do not reproduce in the new model, the old order asylum, fragmented care by the technical and scientific knowledge, the disciplining of bodies, censorship of words.