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

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 s...

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Bibliographic Details
Published in:Cadernos de saúde pública 2007-06, Vol.23 (6), p.1455-1461
Main Authors: Koda, Mirna Yamazato, Fernandes, Maria Inês Assumpção
Format: Article
Language:Portuguese
Subjects:
Attitude of Health Personnel
Brazil
Health Care Reform
Humans
Mental Disorders - therapy
Mental Health Services - organization & administration
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Summary: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.
ISSN:0102-311X
DOI:10.1590/S0102-311X2007000600020