Marulanda Flor Ángela Tobón, Arroyave Cristian David Londoño
Universidad de Antioquia. Calle 67 #53 108, of.1-413. 1226 Medellin Antioquia Colombia.
Cien Saude Colet. 2019 Jan;24(1):275-284. doi: 10.1590/1413-81232018241.27922016.
Caring for mental health and mental disorders, from primary health attention, is a prime right. The objective of this study was to examine the testimonies of health attention services users regarding the assistance attitudes and practices. This was a hermeneutic qualitative study of several cases. Findings: It can be inferred that there exists a relative crisis in the feeble application of a public policy and in the capacity to encourage meaningful learnings in function of higher or lower potentials, linked to the construction of subjectivities. Conclusions: it is necessary to make a profound reflection on the mutation of meaning and the senses of the service and care of mental health and mental disorders, especially for the re-signification of the patient's human and psychoaffective domains in behalf of the actors involved in providing services from a comprehensive and systematic perspective. This should be encompassed with the pharmaceutical service in the intersectorial team, searching for an alternative cognitive training of the brain, as an endogenous substances generator, to strengthen the balance between the mind-emotions and the organic, in favor of the individual and social well-being, while maintaining the use of psychopharmacological drugs only when strictly necessary.
从初级卫生保健层面关注心理健康和精神障碍是一项基本权利。本研究的目的是考察卫生保健服务使用者关于服务态度和做法的描述。这是一项多案例诠释性定性研究。研究结果：可以推断，在公共政策的薄弱实施以及根据不同潜力鼓励有意义学习的能力方面存在相对危机，这与主体性的构建相关。结论：有必要对心理健康和精神障碍服务与护理的意义及观念的转变进行深刻反思，特别是要从全面系统的角度，为参与服务的各方重新界定患者的人性和心理情感领域。这应在跨部门团队的药学服务中加以考量，寻求对大脑进行替代性认知训练，因为大脑是内源性物质的产生者，以加强心理 - 情感与机体之间的平衡，促进个人和社会福祉，同时仅在严格必要时维持精神药物的使用。
