Pereira Maria Alice Ornellas, Barbieri Liliane, de Paula Virginia Praciano, Franco Melissa dos Santos Paschoalato
Departamento de Enfermagem da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brasil.
Rev Esc Enferm USP. 2007 Dec;41(4):567-72. doi: 10.1590/s0080-62342007000400005.
This study identified social representations of mental illness by community agents in a Family Health Program unit. The authors chose the qualitative approach and used the case study methodology. Data were collected by means of semi-structured interviews, with the use of Projective and Thematic Analysis techniques. The results show social representations based on the traditional psychiatric paradigm, which considers the mentally ill as a passive person, without the necessary conditions to become the protagonist of his/her own history. This prejudice is typical of the traditional view. Therefore, the authors suggest that a substantial effort should be made to provide a better professional formation to community agents in the Family Health Program. Such an effort would propitiate improvements on practices and the construction of new knowledge in the context of community mental health assistance.
本研究确定了家庭健康项目单位中社区工作者对精神疾病的社会认知。作者选择了定性研究方法,并采用了案例研究法。通过半结构化访谈收集数据,并运用投射分析和主题分析技术。结果显示,社会认知基于传统的精神病学范式,该范式认为精神疾病患者是被动的个体,没有成为自己人生主角的必要条件。这种偏见是传统观念的典型特征。因此,作者建议应做出巨大努力,为家庭健康项目中的社区工作者提供更好的专业培训。这样的努力将有助于改善实践,并在社区心理健康援助背景下构建新知识。