Fragmentos de experiências no campo da Saúde Mental e Atenção Psicossocial

Neste artigo, reflito sobre a minha experiência como psicóloga e docente-supervisora de estágio do curso de Psicologia de uma Universidade pública. Através de fragmentos de registros mnêmicos das produções registradas em relatórios, comunicações e artigos científicos, dissertação de mestrado, teses de doutorado e de livre docente, entre outros, procurei analisar a efetivação das políticas públicas e os desdobramentos na construção de um novo modelo de saúde mental, denominado de Atenção Psicossocial. Observei que atualmente as Políticas Públicas para Saúde Mental, construídas a partir do Movimento da Reforma Psiquiátrica, vêm propiciando mudanças significativas para o cuidado dos usuários. No entanto, o estado atual da assistência em saúde mental, no país, é marcado por muitos problemas e desafios. Entre eles se destaca a necessidade dos novos serviços oferecerem uma atenção integral ao usuário, norteada na interdisciplinariedade, interprofissionalidade e intersetorialidade.

Oficina na atenção psicossocial: experimentações com a palavra

The Word Workshop was created in 2004, as an activity of the training period in Psychosocial Care in the Collective Health, a discipline that is part of the curriculum of the Psychology course offered by the State of São Paulo’s University “Júlio de Mesquita Filho”/UNESP, campus of Assis. Initially, it is possible to affirm that the Word Workshop contributes to stimulate the flow of the words through the discussion of tales, short stories, poetry, jokes and news. The Word Workshop is considered an effort towards the guarantee of a space where the users of the mental health care service can share varied experiences and it is also thought as an attempt that can, potentially, bring up the conditions through which some existential meanings may possibly be forked. Such a space-instrument allows the mental health care users to speak about life and their interests rather than to keep focused in symptoms and complains. These ones, by their turn, are expressed through metaphors, unprecedented speech experiences and new sensitivity regimes. The critical analysis of the singular experience of the Word Workshop, that understands the words as agents of social transformation, was conceived with the support of Enrique Pichon-Rivière’s and Paulo Freire’s theories. From this first theoretical reading, it is possible to make an incursion through the scenery of the Psychosocial Care Workshops, paying special attention to their potential and to the risks related to crystallized practices.

A roda em movimento e os movimentos da roda: refletindo sobre experiências

This article aims to narrate and analyze possibilities on aspects of the work developed by the group that composes the Mental Health and Public Health Improvement, using the Wheel Method, created by Gastão W. Campos, in different and diverse articulations and work organization spaces in psychosocial care field, such as Mental Health Forum, work groups related to Regional Collegiate Management (CGRs), with municipal teams to organize mental health network and with newcomer residents to a therapeutic residence It is from these different experiences that it is intended to reflect, discuss and promote a dialogue on the possibilities of the Wheel Method.

Pesquisa qualitativa em saúde mental: alguns apontamentos

This article proposes a reflection on the research´s process of mentalhealth highlighting the qualitative research as a fundamental resource for theproduction of knowledge about health / mental illness. From the theoreticalreference of historical and dialectical materialism it is supposed that the socialsciences´ object of study - the man as a historical being - is constantlychanging. Likewise it demands methodologies that can build analysis based inthe concrete reality of the subjects in their relations to produce life. From thisperspective, to reflect on mental illness and the ways of facing it can contributeto the formation of new concepts about care´s models nowadays: the asylummodel and the psychosocial.

Como se forja o menor: tramas da atenção psicossocial e da proteção social

This essay aims to contribute to discuss public policies of social protection and practice guidelines for psychosocial care. Targeting children and underage adolescents whose documents, even though permeated with egalitarian discourses and promoted actions aimed at the construction of autonomy, continue endorsing welfare guardianship and addressed to the people classified as at-risk through biopolitical, disciplinary and security technologies based on a minority logic. The essay problematizes the ways in which psychology has found legitimacy in practices that eventually looms confinement practices which aspire to move away from, as was evidenced by documents and practices.

Territórios e sentidos: espaço, cultura, subjetividade e cuidado na atenção psicossocial

In the light of the collective health and of the mental health, the concept of territory is present in multiple dimensions and meanings. It appears in documents that express principles and guidelines of the health policies and in the planning of local actions, and it is a central element to organize the care network in psychosocial attentiveness. This present essay aims to discuss the concept of territory and its uses in the practices of psychosocial care, developing a dialogue with the geographer Milton Santos and the philosophers Gilles Deleuze and Félix Guattari who, from different fields and perspectives, work with this concept. This dialogue made it possible to think the territory in its complexity, as space, process and composition, in order to optimize the relationship between service, culture, production of care and production of subjectivity.

Que voz na voz não ouvida?: Uma escuta psicanalítica a catadores de recicláveis

Pós-graduação em Psicologia - FCLAS

Entre potências e resistências: o Centro de Atenção Psicossocial Infantojuvenil e a construção da lógica da atenção psicossocial

Pós-graduação em Psicologia - FCLAS

A música associada às necessidades terapêuticas de pacientes com deficiência

The use of music and/or its elements (instruments, sound, rhythm, melody and harmony) in environments with people attended by public health centers, aims at promoting communication, facilitating the expression and the relationship in the first contact, hence favoring organization of standards and other relevant therapeutic objectives to assist physical, mental, social and cognitive needs of people, thus promoting the process of environmental adaptation, behavioral conditioning and social inclusion. The purpose of this project is to use music and its sound elements, as well as recreational activities, developed in stages called: socialization session, art workshop and complementary activities, with patients assisted at CAOE (Disabled People Dental Care Center) and their relatives. The objective is to provide them psychological wellbeing, inclusion to physical space, relaxation, stimulation of rhythmic and sonorous perceptions, memorization, emotions externalization, help and encouragement for the development of motor coordination during their daily activities of daily. Recreational activities, handling and contacting with musical instruments, broadcasting and producing sounds, stimulate cognitive capacity, interactivity and entertainment activities can greatly contribute to improve the behavioral reaction and adaptation of these patients, during their dental treatment.

Contribuições da psicanálise de Freud e Lacan a uma Psicotherapia outra: a clínica do sujeito na saúde coletiva

Pós-graduação em Psicologia - FCLAS

Contribuições da psicanálise de Freud e Lacan e do materialismo histórico para a terapia ocupacional: uma clínica do desejo e do carecimento na saúde coletiva

Pós-graduação em Psicologia - FCLAS

Adolescentes em conflito com a lei e sua noção de regras no jogo de futebol

Adolescents with a course of life based on the lack of ethical and moral values are more vulnerable to the practice of infractions, and in this case the statute of the child and adolescent assumes their insertion on socio educative measures. The objective of this research is to identify the moral development phase in adolescents who are in confl ict with the law. Thirty male adolescents between fi fteen and eighteen years old, who are inserted on the socio educative care Center, were studied. Data were collected through futsal game observation, without the presence of a referee and structured interview, according to the general lines of the Clinical Method of PIAGET (1994). The arrangement of the collected data confi rmed our hypothesis – these adolescents are still with the characteristics of a heteronomical moral, confi rmed by the differences between conscience and the practice of rules in a game situation. Although they know the rules, these are only respected in order to get some benefi ts, like not charging foul, deceive the opponent or simply win the match. It is presumed that the rules would only be respected in the presence of an authority (referee), because he would impose punishments and privations. However, it is believed that the results of this study may become a parameter to educators in order to create favorable situations which can be preventive and interventive to the socio moral development, minimizing suffering and seizing opportunities to the formation of citizens with higher ethical and moral standards, who are able to choose the way to the solidarity, cooperation and justice.

Leitura e interpretação do gênero artigo de opinião: uma experiência reflexiva em ambiente socioeducativo : Fundação C.A.S.A

Pós-graduação em Letras - FCLAR

Qualidade das medidas antropométricas produzidas em unidades de atenção básica à saúde da região de Botucatu-SP, Brasil

The aim of this study was to evaluate the quality of weight measurements produced in Primary Health Care Centers in Botucatu and surroundings. 14 Health Care Centers were included, all of them located in four towns in the area of Botucatu (4,555; 5,656; 18,761 and 128,397 inhabitants). General conditions and scale calibration conditions found in those Health Care Centers were evaluated. In order to evaluate the weight accuracy obtained by the local team, 10 adult users of each Center were addressed by the rater during the service routine in order to get a new weight evaluation, immediately after the measurement made by the team. The statistic method applied for checking the weight measurement held in the Heath Care Center and the scales accuracy was the measurement error technique (MET). The results have showed that out of 19 scales, 6 of them overestimated the weight by 50 grams, 1 of them underestimated the weight by 200 grams and the others were accurate. Evaluated as a group, the result of the scale MET was 44.3g. Regarding the conformity of the measures obtained by the MET of the adults weighing in the Health Care Centers compared to the ones obtained by the researcher, the expected result was obtained in only one Center (< 100g). The results have showed data compromise, rather due to lack of health team training than due to the conditions of the equipment used for the measurement.

Drogas, sujeito e proibicionismo: uma discussão sobre os modelos de atenção aos usuários de drogas

Pós-graduação em Psicologia - FCLAS