Restriction scenarios and forms of (r) existence in the field of mental health: an experience report

Authors

DOI:

https://doi.org/10.17267/2317-3394rpds.v10i1.3303

Keywords:

Innovation. Narrative. Mental Health. Psychoanalysis - Institutions. Resistance.

Abstract

This article aims to explore the limits and possibilities of performance of a public mental health service that has an assistant profile different from that established by Psychosocial Care Network regulations, and that was going through an intense political scenario of precariousness and scrapping of the health network at the time of the research — triggering the uprising of the Mental Health Workers Forum in the municipality, which forms an important element in the research. It is based on the construction and narrative of the scenario, on the relationships established between the actors that composed it, both in the service in question, and in its relationship with other devices, the management, and the workers' forum, so that they can express the existing and necessary psychosocial articulation, besides interpreting/telling about the service and the work done there, establishing bridges between the individual/singular, the group, and the institutional. A methodological bet was made based on psychoanalytical psychosociology. The main results are four emerging elements of analysis: group and intersubjective processes; alliance, and recognition; crisis, and suffering in institutions; creativity; and wholeness. Destructive forces have taken place with the mass replacement of workers, the choke of the network due to lack of inputs/resources in general, and by the difficulty on the part of workers to create a new place for themselves. It has been found that despite the scenario, the uniqueness of the service allowed the production of caregiving practices whose maintenance relevance in the network should have a better evaluation.

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Author Biographies

  • Joyce Brito Araújo
    Psicóloga, mestre em Saúde Pública pela Escola Nacional de Saúde Pública (ENSP/FIOCRUZ), especialista em Saúde Mental e Justiça pela Universidade Federal do Pará (UFPA) e especialista em Clínica Psicanalítica pelo IPUB/ UFRJ. Possui experiência na área de Ensino e de Saúde Mental. Na Saúde Mental atuou como psicóloga em ambulatório público de saúde mental, foi técnica de referência em Núcleo de Desinstitucionalização, Acompanhante Terapêutico num setor de internação masculina em Hospital Psiquiátrico e atuou como psicóloga clínica em ambulatório social e clínica particular. Na área da educação realizou atividade de supervisão clínica na pós graduação do Centro Universitário IBMR, ocupou a função de professora e assessora acadêmica nos preparatórios para residências multiprofissionais em saúde mental no Estudo Dirigido Psi e foi professora substituta na Universidade Federal do Recôncavo da Bahia, atuando como preceptora no internato de saúde mental do curso de medicina e como docente na grade curricular obrigatória do curso.
  • Marilene de Castilho Sá
    Pesquisadora Titular e docente permanente do Programa de Pós-Graduação em Saúde Pública, da Escola Nacional de Saúde Pública Sergio Arouca/Fundação Oswaldo Cruz. Rio de Janeiro, Rio de Janeiro, Brasil.

Published

01/27/2021

Issue

Section

Experience Reports

How to Cite

Araújo, J. B., & Sá, M. de C. (2021). Restriction scenarios and forms of (r) existence in the field of mental health: an experience report. Revista Psicologia, Diversidade E Saúde, 10(1), 141-157. https://doi.org/10.17267/2317-3394rpds.v10i1.3303

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