Concepções de Reforma Psiquiátrica presentes no discurso de profissionais de um Centro de Atenção Psicossocial

Abstract

The psychiatric reform is a landmark in the revolutionary mental health care in Brazil.Through a process of ideological, doctrinal, technical-scientific, completely changes the look on the individual psychological distress, enabling new forms of mental health care. The psychiatric reform movement has been driven by a very significant share of professionals, users and relatives of people who usually have never been heard about you and had a considerable weight of the structure asylum. The resumption of the constitution of knowledge about the madness and the ways it gave shape intervention practices were discussed in the literature, allowing you to reflect on the ideas that guide the relationship and to health professionals with the phenomenon of madness. Therefore, to understand this process, we highlight four fields (dimensions) of the reform of psychiatry, namely: a theoretical-conceptual, technical and field assistance, the legal-political and socio-cultural field. The theoretical framework that this study is based on four fields referenced earlier, suggested by Paulo Amarante (1995). This paper analyzes the concepts of present psychiatric reform in a speech CAPS professionals, from the theoretical-conceptual dimension. This study integrates research Evaluation of CAPS in southern Brazil (CAPSUL), held in 2006 and coordinated by the School of Nursing and Obstetrics of Federal University of Pelotas. It is a case study, descriptive and analytical approach to qualitative data. I was held in CAPS, a municipality located in the southern state of Rio Grande do Sul used the database CAPSUL qualitative research, and elect the case study in São Lourenço do Sul/RS, including interviews of 11 professionals. For data analysis, a thematic analysis. It was possible to identify the following themes: Field theoretical and conceptual - restructuring concepts to change the practices. It was evident that the concept about the psychiatric reform is related to the disruption of isolation to care practice madness and transformation. The restructuring of the concepts it is important for the construction of new forms of care and the care it requires free movement of professional detachment from the stigmas and prejudices. At the end of the study concludes that no use hoping to build on various strategies to care for freedom in the design and in the attitudes of mental health professionals are still imbued with ideas that lead to prejudice and stigma of madness. Therifore, it was realized that it essential that professionals dealing with the care of freedom are clearly within the prerogative of themselves. The results of this study say much of the history of that service, a pioneer in the state, which invested in a proposal for community participation as a partner in search of a new form of care.