Discursive practices on the daily and the construction of meanings about mental health care
Autor: | Prado, Juliana de Souza Izidio do |
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Přispěvatelé: | Oliveira, Adriana Rosmaninho Caldeira de |
Jazyk: | portugalština |
Rok vydání: | 2018 |
Předmět: | |
Zdroj: | Biblioteca Digital de Teses e Dissertações da UFAM Universidade Federal do Amazonas (UFAM) instacron:UFAM |
Popis: | Submitted by Juliana Prado (julianapsiq@gmail.com) on 2018-11-27T19:49:43Z No. of bitstreams: 3 REVISADA 13 AGODisserta????o biblioteca.pdf: 1399559 bytes, checksum: cee39d0466eb2aebe586dbbbc7551c75 (MD5) Folha de encaminhamento.pdf: 671301 bytes, checksum: cf4a5421310420a9ec28454cba7bf3f6 (MD5) Folha com parecer final.pdf: 401557 bytes, checksum: 291b1f8fdbf9c7f2266be408af0efac3 (MD5) Approved for entry into archive by PPGPSI Psicologia (ppgpsiufam@ufam.edu.br) on 2018-11-29T18:58:41Z (GMT) No. of bitstreams: 3 REVISADA 13 AGODisserta????o biblioteca.pdf: 1399559 bytes, checksum: cee39d0466eb2aebe586dbbbc7551c75 (MD5) Folha de encaminhamento.pdf: 671301 bytes, checksum: cf4a5421310420a9ec28454cba7bf3f6 (MD5) Folha com parecer final.pdf: 401557 bytes, checksum: 291b1f8fdbf9c7f2266be408af0efac3 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2018-11-30T20:23:08Z (GMT) No. of bitstreams: 3 REVISADA 13 AGODisserta????o biblioteca.pdf: 1399559 bytes, checksum: cee39d0466eb2aebe586dbbbc7551c75 (MD5) Folha de encaminhamento.pdf: 671301 bytes, checksum: cf4a5421310420a9ec28454cba7bf3f6 (MD5) Folha com parecer final.pdf: 401557 bytes, checksum: 291b1f8fdbf9c7f2266be408af0efac3 (MD5) Made available in DSpace on 2018-11-30T20:23:08Z (GMT). No. of bitstreams: 3 REVISADA 13 AGODisserta????o biblioteca.pdf: 1399559 bytes, checksum: cee39d0466eb2aebe586dbbbc7551c75 (MD5) Folha de encaminhamento.pdf: 671301 bytes, checksum: cf4a5421310420a9ec28454cba7bf3f6 (MD5) Folha com parecer final.pdf: 401557 bytes, checksum: 291b1f8fdbf9c7f2266be408af0efac3 (MD5) Previous issue date: 2018-06-28 92981168284 The interest in this research theme stems from the subjective implication of the author, built in her historical and cultural context, and for her professional performance in the practice of mental health care, in a CAPS from Manaus city. The present research aims to analyze the constructed senses on the daily care of a substitutive service in Manaus, from changes in the public policy of mental health care, realizing the complexity and the challenges of the demands accompanied by the interdisciplinary team, of this specialized service, and searching for possibilities that prove strong in the care. The theoretical framework used addresses the paradigmatic changes in the model of mental health care. It supports the process of Brazilian psychiatric reform, with the inclusion of psychosocial factors in health care relationships, and the practice of psychosocial clinic, which is based both on interdisciplinary work and comprehensive care network for the autonomy production. Beginning from this background, we trace the historical path of change in the model of mental health care practices, in both general context and in Manaus, which reflects a delay in the implementation of the policy and RAPS; as well as the appropriation of the actions by the state; and absence of the municipal actors in their execution, characterizing a disjointed network and an insufficient number of services. Herein, the methodological basis is constituted from the constructivist perspective, language centered, in which every day discursive practices are constructors of meanings. Then, participant observation was carried out in the micro places, where these practices are constructed in the daily life. It were collected fictional narratives constructed from the lived, spoken and heard on the field of research, in order to know the meanings of the changes in the mental health care model, for the life of the subjects/users and for the practices of the professionals working on RAPS services. With narratives as units of analysis, it is reflected on the experience of suffering related to the condition of exclusion and social inequality experienced by the subjects/users and on the contradictions that are present in the daily life, considering the challenges and the potentialities for the effectiveness of the psychosocial care. O interesse pelo tema da pesquisa perpassa pela implica????o subjetiva da autora, constru??da em seu contexto hist??rico-cultural, e por sua atua????o profissional em um CAPS da cidade de Manaus, na pr??tica de cuidados em sa??de mental. Percebendo a complexidade e os desafios das demandas acompanhadas pela equipe interdisciplinar desse servi??o especializado, e buscando por possibilidades que se mostrem potentes no cuidado, essa pesquisa pretende analisar os sentidos constru??dos sobre o cuidado no cotidiano de um servi??o substitutivo na cidade de Manaus, a partir das mudan??as na pol??tica p??blica de aten????o ?? sa??de mental. O referencial te??rico utilizado aborda as mudan??as paradigm??ticas do modelo de aten????o ?? sa??de mental, que sustentam o processo de reforma psiqui??trica brasileiro, com a inclus??o de fatores psicossociais nas rela????es de cuidados ?? sa??de, e na pr??tica da cl??nica psicossocial, que se fundamenta no trabalho interdisciplinar e em rede de cuidados integrais para a produ????o da autonomia. Partindo deste pano de fundo, tra??a-se o percurso hist??rico da mudan??a no modelo das pr??ticas de cuidados em sa??de mental em um contexto geral e na cidade de Manaus, que reflete um atraso na implanta????o da pol??tica e efetiva????o da RAPS, bem como a estadualiza????o das a????es e aus??ncia dos atores municipais em sua execu????o, caracterizando uma rede desarticulada e com um n??mero insuficiente de servi??os. A base metodol??gica para o desenvolvimento do estudo se constitui a partir da perspectiva construcionista, com centralidade na linguagem, em que as pr??ticas discursivas cotidianas s??o construtoras de sentidos. Para tanto, foi realizada observa????o participante nos micro lugares em que essas pr??ticas se constroem no cotidiano, onde foram colhidas narrativas ficcionais constru??das a partir do vivido, do falado e do ouvido sobre o campo tema da pesquisa, a fim de conhecer os sentidos das mudan??as no modelo de aten????o em sa??de mental, para a vida dos sujeitos/usu??rios e para as pr??ticas dos profissionais atuantes nos servi??os da RAPS. Com as narrativas como unidades de an??lise, reflete-se sobre a experi??ncia de sofrimento relacionada ?? condi????o de exclus??o e desigualdade social vivenciada pelos sujeitos/usu??rios e sobre as contradi????es que se fazem presentes no cotidiano, considerando os desafios e as potencialidades para a efetiva????o do cuidado psicossocial. |
Databáze: | OpenAIRE |
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