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[精神科改革与替代性心理健康实践:对一家心理社会护理中心经历的制度性解读]

[Psychiatric reform and substitutive mental health practices: an institutional reading of an experience at a psychosocial care center].

作者信息

Koda Mirna Yamazato, Fernandes Maria Inês Assumpção

机构信息

Universidade São Francisco, Rua Alexandre Rodrigues Barbosa 45, Itatiba, São Paulo, SP 13251-040, Brazil.

出版信息

Cad Saude Publica. 2007 Jun;23(6):1455-61. doi: 10.1590/s0102-311x2007000600020.

DOI:10.1590/s0102-311x2007000600020
PMID:17546336
Abstract

This article discusses the development of mental health care services based on the Anti-Asylum Movement. Drawing on contributions from psychoanalysis and social psychology, the study analyzes the conflicts and dilemmas arising in a Psychosocial Care Center (NAPS) in Santos, São Paulo, Brazil. This study is part of Master's degree research at the Social and Occupational Psychology Department, Institute of Psychology, University of São Paulo. Semi-structured interviews were used with workers at the NAPS. According to the interviews, the transformation of the mental health care model mobilizes psychological issues among the workers. Various conflicts and anxieties were observed in relation to changes in the institutional support provided by the NAPS over time. The article analyzes difficulties in dealing with differences in the team or feelings of abandonment resulting from changes in the local administration in the interface between subjects and the institution.

摘要

本文探讨了基于反收容运动的精神卫生保健服务的发展。该研究借鉴了精神分析和社会心理学的贡献,分析了巴西圣保罗桑托斯的一个社会心理护理中心(NAPS)中出现的冲突和困境。这项研究是圣保罗大学心理研究所社会与职业心理学系硕士学位研究的一部分。研究对NAPS的工作人员进行了半结构化访谈。根据访谈结果,精神卫生保健模式的转变引发了工作人员中的心理问题。随着时间的推移,人们观察到与NAPS提供的机构支持变化相关的各种冲突和焦虑。本文分析了在主体与机构的界面上,处理团队差异或因地方行政变化而产生的被遗弃感方面的困难。

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