Paulin Luiz Fernando, Turato Egberto
Universidade São Francisco.
Hist Cienc Saude Manguinhos. 2004 May-Aug;11(2):241-58. doi: 10.1590/s0104-59702004000200002.
The article provides a historical reconstruction of the period leading up to what has become known as Brazil's Movement for Psychiatric Reform, which runs from the 1967 creation of the national social welfare system (INPS) to 1978, when the Mental Health Workers Movement gained prominence. Focusing on technical criteria influenced by the U.S. prevention model, our discussion examines the contradictions in Brazil's official mental health policy and also looks at the practice of financing and strengthening private psychiatric institutions, to the detriment of community action. Although most official documents from the 1970s contain proposals clearly aimed at community actions, what we observe is the crystallization of a model under which the government purchases psychiatric beds in private hospitals.
本文对巴西精神科改革运动之前的时期进行了历史重构，该运动始于1967年国家社会福利体系（INPS）的创立，一直持续到1978年，这一年精神卫生工作者运动开始崭露头角。我们的讨论聚焦于受美国预防模式影响的技术标准，审视了巴西官方精神卫生政策中的矛盾之处，还考察了资助和强化私立精神病院的做法，而这损害了社区行动。尽管20世纪70年代的大多数官方文件都包含明确针对社区行动的提议，但我们观察到的却是一种模式的固化，即政府在私立医院购买精神病床位。
