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Título:BETWEEN THE SPEECH AND THE PRACTICES A REFLECTION ABOUT INTERVENTION IN THE CARE PRACTICES IN MENTAL HEALTH CLINICInstituição:UNIVERSIDADE CATÓLICA DE PERNAMBUCO - UNICAP Autor(es):MAURA LIMA BEZERRA E SILVA
The purpose of psychiatric reform is to introduce a radical
change in asylum practices. This means the reform adopted
another form of thinking madness, psychic suffering and
assistance/care; in other words, it means build new
paradigms and new references to guide the interventions in
mental health. The compromise with reform´s logic implies
in a constant exercise of a systematic revision of care
practices, so there are not the risk of repeating the old
habits more than deconstructing them. The main intention of
this research was to watch if the practices of mental
health care are related with the logic and paradigms
proposed by the reform. This observation was developed in
accordance with a methodology clinicfenomenologic and
implemented with the means of participant observation,
being the data build based on our experience inside a
municipal health care service, specifically the Blue Space
Psychosocial Attention Center, which has the conception of
reform as a background. The fenemenologic basement made
emerge from the data, put together in an Observation Diary,
four categories that showed in what measure the actions of
care in the service came close to the reform´s ethic, in
what measure they got far, the operational mode of the
service/team concerning to the exercise of care and the
mode of relationship of the researcher with the service.
The conclusion was that practices of care developed in
service both signalized to approximations with the reform´s
ethic, as with separation, reflecting an
oscillating practice, nevertheless a tendency to depart
have been more strong. It was noticed that between the
desire of taking care of the team and the actions pointing
to the depart of reform´s ethics there was a space filled
by affective states of loss of heart and tiredness which
showed about the experience of psychic suffering of the
team. A more careful observation pointed a recent service´s
municipalization as a factor of changing felt as a
traumatic mark. This way, that departure was understood
both as a form of the team protect itself to fulfill the
empty felt as incautiousness, as of the team signalize its
pain and ask intervention and care for its own, so they can
develop correctly their work of team-care.