A reforma psiquiátrica e a política de saúde mental do Rio Grande do Norte: papéis e funções de profissionais e gestores

This study arose from an interest in knowing the reality of mental health care in Rio Grande do Norte (RN) on the advances and challenges in the intersectoral agreements paths and consolidation of the Psychosocial Care Network (RAPS) from the state. Considering problematic and concerns were defined as objectives: Identify the knowledge of managers of Rio Grande do Norte on the National Mental Health Policy (PNSM) in the RN State; Describe the activities developed by health professionals in the individual service offered in the CAPS from RN; Understanding the relationship of managers’ knowledge on national mental health policy in professionals’ practice working in the the CAPS from the countryside. It is a descriptive study with a quantitative and qualitative approach, carried out in 30 CAPS from RN’s countryside, where 183 professionals answered a structured questionnaire with closed questions about the activities they do in individual care; and 19 mental health coordinators of municipalities and the state coordinator of RAPS were interviewed about their knowledge on the Mental Health Policy. Data were collected after approval by the Research Ethics Committee of the Federal University of Rio Grande do Norte, with the number 508.430 CAAE: 25851913.7.0000.5537 from August through October of 2014 in 26 municipalities with CAPS from the state. Quantitative data were tabulated and analyzed using a descriptive statistics aided by the software Statistical Package for the Social Scienses (SPSS) version 20.0. The qualitative data were prepared in a corpus and analyzed through software Analyse Lexicale par Contexte d’um Ensemble de Segments de Texte (ALCESTE) that allow to perform textual statistical analysis and categorization from their comments, submitted to Bardin content analysis. Five categories were generated approaching the managers’ knowledge, namely: Back to society: leadership and users’ role and autonomy; The gap between policy and practice; Barriers that affect the service; Structuring the Psychosocial Care Network; Multidisciplinary team: attribuitios and activities. The CAPS professionals’ ages ranged from 20 to 58 years, prevailing females, with 76.5% of the total, the majority were social workers (16.8%), psychologists (15.3%), nurses (14.8%) and nursing technicians (14.8%). The results showed precariousness in care associated with physical workload regard to high workload and low wages of the CAPS professionals' and, also, it was possible to observe a large involvement of professionals in care delivery, despite the difficulties encountered in services. It was found little knowledge in managers regarding the National Mental Health Policy having as causes of this reality the poor education and training of these professionals. The responses of professionals working in care reveals strong consistency with what is expected of a psychosocial care service. Points up as a thesis of this study that the psychiatric reform and mental health policy in Rio Grande do Norte is following a structural expansion process, but with precariousness of services from a still unprepared management to act in a psychosocial context.

Processo de construção do conhecimento a partir do diálogo ensino-serviço na ótica dos profissionais de saúde

INTRODUCTION: In Brazil, the health training policies have been going through deep changes, which are the fruits of the sanitary reform and of the breakage with the biomedical model, still hegemonic. Nevertheless, the paradigm of comprehensiveness is being introduced in health and, in order to consolidate this concept, the training has been gaining new methodological approaches. One can mention the teaching-service interaction (education-health system/citizenship health), whose proposal enables the expansion of the perception of the health-disease process, as well as the warranty of compromises of training in relation to SUS. OBJECTIVE: Understand, from health professionals, the relevance of teaching-service-community interaction, vocational training of students of the Faculty of Health Sciences / UFRN. METHODOLOGICAL PROCEDURES: This study is grounded on qualitative approach. The technique used to obtain research data was the focus group. Two focus groups (FG) were accomplished in two family basic health units of the municipality of Santa Cruz – RN, where there is participation of professionals of the Family Health Strategy. The discussions were performed from a previously elaborated script. The analysis of results was held from the categorical thematic content technique. RESULTS: The study had the participation of 18 health professionals, and 13 (72%) were females. For these professionals, the teaching-service interaction enables the student to understand the model of comprehensive health care, since the contact with the community enhances its perception about the health-disease process, but also enables recognizing the importance of teamwork to comprehensive health care. FINAL CONSIDERATIONS: The results highlight the importance of a policy of reorientation within the context of training so that students have an early contact with the service and therefore develop technical skills within the context in which they are inserted.

Ética da alimentação: porque devemos, segundo Kant, escolher uma alimentação adequada e saudável

This thesis proposes the adoption of a practical and philosophic approach to the discussion about what should be a healthy food, in view of the actual problems concerning this subject (from famine to obesity), which affect food and nutritional security and constitute target of many official policies. In order to handle this task, this work resorts to ethic, pedagogical and anthropological concepts inherent to Immanuel Kant’s philosophy, as valuable contributions to the practice of the professional nutritionist committed to the support and accomplishment of the human right to adequate nutrition (DHAA). Under this assumption, it intends to surpass the prevailing idea inside the social programs and policies favoring the utilitarian argument. It considers rather that a healthy food is also a duty of virtue, according to the Kantian duties to one-self. The liberation of transgenic seeds in Brazil comes up as an example of the violation of the right to food security and affects it negatively, resulting from the conflict between politics and moral faced by the Brazilian government. This paper concludes that DHAA realization requires not only a committed state, but also committed citizens and suggests that Kant’s philosophy should offer important contributions to supporting the practice of the professional nutritionist, awarding him the necessary information about this matter.

Ética da alimentação: porque devemos, segundo Kant, escolher uma alimentação adequada e saudável

This thesis proposes the adoption of a practical and philosophic approach to the discussion about what should be a healthy food, in view of the actual problems concerning this subject (from famine to obesity), which affect food and nutritional security and constitute target of many official policies. In order to handle this task, this work resorts to ethic, pedagogical and anthropological concepts inherent to Immanuel Kant’s philosophy, as valuable contributions to the practice of the professional nutritionist committed to the support and accomplishment of the human right to adequate nutrition (DHAA). Under this assumption, it intends to surpass the prevailing idea inside the social programs and policies favoring the utilitarian argument. It considers rather that a healthy food is also a duty of virtue, according to the Kantian duties to one-self. The liberation of transgenic seeds in Brazil comes up as an example of the violation of the right to food security and affects it negatively, resulting from the conflict between politics and moral faced by the Brazilian government. This paper concludes that DHAA realization requires not only a committed state, but also committed citizens and suggests that Kant’s philosophy should offer important contributions to supporting the practice of the professional nutritionist, awarding him the necessary information about this matter.

Dependencia, género y ética del care

¿Qué es la dependencia? ¿Cómo integrar completamente a las personas dependientes en la comunidad social y política? ¿En qué medida somos dependientes de la atención que nos prestan los demás? La respuesta a estas preguntas no es nada evidente en una sociedad en la cual la autonomía individual y la igualdad entre personas constituyen las normas morales y políticas dominantes. Han sido objeto de numerosas refl exiones, principalmente en los países anglosajones. Situadas en el punto de partida de las éticas del care, han permitido visibilizar unos ámbitos de la experiencia moral y social considerados como marginales por las teorías tradicionales. Han conducido a unas notables reformulaciones de las teorías contemporáneas de la justicia, sobre la base de una antropología política que intenta dar cuenta de la constitución relacional de los actores sociales e intenta responder a su vulnerabilidad.

Los rostros de la igualdad en la cultura política contemporánea

Javier Muguerza se plantea en esta conferencia realizar un progresivo acercamiento a la cuestión de la igualdad desde la ética pública. Arranca de las diferentes fábulas o tipos ideales sugeridos por Steven Lukes, que la contemplan desde el ángulo de los derechos humanos, lo que le permite, en segundo lugar, replantearla en debate con la antropología como filosofía primera de Ernst Tugendhat. Luego, puesto que el enfoque deriva hacia la cuestión suscitada por Amartya Sen: ¿Igualdad de qué?, Muguerza relaciona la igualdad con la génesis y justificación de tres generaciones de derechos humanos, así como a éstos con los disidentes entendidos como los auténticos protagonistas de las luchas por su conquista, y, en primer lugar, la del derecho a ser sujetos de derechos, ya que los que disienten pueden «disentir en nombre de otros», propiciando así el tránsito desde la autonomía moral a la universalizabilidad jurídica de los derechos. Desde el punto de vista de la primacía de la autonomía moral, propia de un «libertario» (no un «libertariano») como el profesor Muguerza, la conferencia concluye defendiendo la superioridad del igualitarismo.

El filosofar iuspoli(é)tico equitativista. (Una tentativa de Filosofía Política de la moral y el derecho)

Este ensayo teoriza la relaciones fuertes que toda praxis política tiene de forma consciente o inconsciente con alguna concepción concreta de la moral y del derecho. Trata así de explicitar esos vínculos en el marco de una filosofía crítica de la política, bajo la denominación de ‘poli(é)tica’ e ‘iuspoli(é)tica’ general. Para ello analiza la presencia de la actitud moral y la norma jurídica en la acción política. Estas relaciones se considera que pueden ser representadas de una forma «romboidal» más que «triangular», en virtud de la duplicidad de rasgos constituyentes / instituyentes y constituidos / instituidos de toda política respecto a las diversas concepciones de la moral y el derecho. En relación a ‘lo peor fáctico’ y ‘lo mejor posible’, construidos desde la interpretación de lo real como modelos de validez y viabilidad ejemplar negativa y positiva, finalmente se reformula la categoría de ‘autonomía’ en sus versiones iuspoli(é)ticas autodeterminista, pluriversalista y finalista y sus vertientes individual y societal. Emerge de esta manera una propuesta de filosofía iuspoli(é)tica equitativista particular que pivota sobre las categorías de legitimidad, dignidad, autonomía y equidad.

A “doxa-logia” popperiana e suas implicações para a (bio)ética em (bio)tecnociência

Versão inicial desta reflexão foi apresentada por ocasião do II Colóquio Internacional “Biotecnologias e Regulações” do Núcleo de Estudos do Pensamento Contemporâneo do Instituto de Estudos Avançados Transdisciplinares da Universidade Federal de Minas Gerais, realizado em abril de 2011.

Mercado, Ciencia y Ética de la Responsabilidad en la Globalización: la utilidad de limitar el cálculo de utilidad

Desde hace casi un siglo, el pensamiento burgués deja de responder a los contenidos de cualquier crítica a la sociedad burguesa, para pasar cada vez más a respuestas metodológicas. Esto inicialmente se aprecia con los primeros artículos de Max Weber a comienzos del siglo, y alcanza su cúspide durante la guerra fría sobre todo con la importancia que se asigna a la metodología de Popper. La crítica marxista hablaba de la ciencia burguesa, manteniendo la posición de que el pensamiento burgués es un pensamiento científico. La sociedad burguesa contesta con una totalización de la metodología, y sostiene que la crítica marxista y, por tanto, todo pensamiento marxista, no es ciencia. Donde el pensamiento marxista mantenía cierto puente de diálogo y de respeto mutuo en la discusión, el pensamiento burgués interrumpió el diálogo, declarando que las posiciones de sus críticos - y no solamente de sus críticos marxistas - no eran siquiera científicos.

Igual consideração e respeito, independência ética e liberdade de expressão em Dworkin : uma reconciliação entre igualdade e liberdade e a possibilidade do discurso do ódio em um ordenamento coerente de princípios

Dissertação (mestrado)—Universidade de Brasília, Faculdade de Direito, Pós-Graduação Stricto Sensu em Direito, 2016.

Kierkegaard e Kant : algumas aproximações entre a ética do amor e a ética do dever

O objetivo deste artigo é analisar, com intuito aproximativo, duas posições éticas. Para atingir tal objetivo, o texto vai analisar, nas suas considerações introdutórias, o contexto e os objetivos das Obras do Amor de Kierkegaard, visto que ali se encontra claramente expressa a proposta ética do autor dinamarquês. Na sua primeira parte, o foco do artigo consistirá na avaliação da racionalidade da ética do dever, especialmente por meio de uma investigação da boa vontade em relação à liberdade, tal como elaborada na terceira seção da Fundamentação da Metafísica dos Costumes. Na segunda parte, o artigo analisará o discurso kierkegaardiano Tu deves amar, que é parte integrante das Obras do Amor. Por fim, à guisa de conclusão, serão realizadas aproximações e apontadas as diferenças significativas entre os dois pensadores. Aqui serão utilizadas, de forma mais intensiva, também as reflexões de comentadores de ambos os autores. Todavia, o foco principal da pesquisa se dará em torno das reflexões kierkegaardianas, que serão avaliadas de modo mais exaustivo. A reflexão acerca da filosofia moral kantiana não seguirá do mesmo modo, mas, antes, buscará compreendê-lo no diálogo com a filosofia kierkegaardiana. _________________________________________________________________________________ ABSTRACT

Ativismo institucional e os desafios do estado : uma análise da política nacional de participação social

Dissertação (mestrado)—Universidade de Brasília, Instituto de Ciência Política, Programa de Pós-Graduação em Ciência Política, 2016.

Autonomía del paciente. Una propuesta contextual y multidimensional de la autonomía en ética asistencial

360 p.

¿Es la democracia deliberativa una moralización de la política?

En el presente artículo intentaremos realizar un análisis crítico de las interpretaciones que ven a la democracia deliberativa como una moralización de la política. No sólo intentaremos contestar a esta lectura, sino que además nos ocuparemos de mostrar la manera en la que la perspectiva deliberativa capta la moralidad en política, la cual no consiste en proponer una concepción ética densa para el espacio político.

¿Es la democracia deliberativa una moralización de la política?

En el presente artículo intentaremos realizar un análisis crítico de las interpretaciones que ven a la democracia deliberativa como una moralización de la política. No sólo intentaremos contestar a esta lectura, sino que además nos ocuparemos de mostrar la manera en la que la perspectiva deliberativa capta la moralidad en política, la cual no consiste en proponer una concepción ética densa para el espacio político.