The present work has for object the activities of a group of user`s at the Center of Psycho-social attencion (CAPS) Herbert de Souza, located in the municipal district of Niterói, state of Rio de Janeiro. This while new form of psychiatric attendance approaches the appealing subjects in the extent in the psychiatric way in course. The methodology quality privileged, being used instruments of collection of traditional data: the participant analysis they were articulate the actor`s representations with the specifc contex where they update their practices. The ended conclusion that the psychiatric reform is a long and complex process that it demands pledge from all in the construction of the citizenship of the bearers of psychic suffering. Some difficulties are still present: the small number of available CAPS, the representations about the madness - for some agents, he/she wants for the users - that still espress the negative character that the western culture to those that are had as crazy.