Atenção Psicossocial e Psicologia: um mapeamento da produção científica

By the end of the 1970´s, begins the Psychiatric Reform Movement, whose development was the beginning of the construction of a new model, here termed Psychosocial Attention, to substitute the traditional psychiatric model. As such, aspires to be a process of paradigm shift and, therefore, requires transformations in the fields: theoretical-conceptual, technical-assistance, legal-political e sociocultural. This qualitative study composes a research which sought to ascertain the scientific production on the topic conducted by psychology, from the implementation of the Brazilian National Health System and the creation of new services to mental health care. In this sense, it proposed to investigate how the papers published in journals of psychology found in the database LILACS, since 1990, contribute to the process of building a new model that actually replace the so-called traditional psychiatric model.

A intersetorialidade nas publicações acerca do Centro de Atenção Psicossocial Infantojuvenil

Current children and youth mental health policy proposes that actions assumed in this field should be added to many others, so that, in a process of permanent intersectional dialogue integral care is assured, according to the Psychosocial paradigm. This paper reflects upon the intersectional place in the last decade scientific papers published in Brazilian journals, and their Mental Health conceptions. We analyzed fourteen indexed papers which dealt with Brazilian Children and Youth Psychosocial Care Centers (CAPSi). Most of these publications focused on individual clinical watch suggesting that Mental Health is understood as a universal and ontological category dependent on the subject’s intrapsychic mechanisms. Some of these studies make reference to the intersectional matter, although it is not clearly discussed. In sum, we understood that the actions assumed by CAPSi cannot neglect others, and discussions should be seriously considered in the scientific field.

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.

O surgimento das práticas de assistência à saúde mental da criança inspiradas na psicanálise no início do século XX através da obra de Durval Bellegard Marcondes

Psychoanalysis was introduced in Brazil since 1920 contributing to the appearance of new practices of health care for the child. Therefore, the present article aims to discuss the link between psychoanalysis and practices focused on children's mental health that emerged from the 1930s through the work of Durval Marcondes, a pioneer in the dissemination and use of psychoanalysis in Brazil. A historical research was held from a survey on Durval Marcondes’s work and the team led by him confined in the epigraph theme. It was found from that work that the link between mental hygiene, new school and psychoanalysis developed a pioneering service of care to children with school problems based on the diagnostic evaluation and guidance of parents and teachers. It is concluded that this work introduced the differentiation between children with cognitive and emotional problems and provided the foundations of psychoeducational and psycodiagnostic interventions.

A arqueogenealogia como ferramenta de pesquisa no campo da atenção psicossocial

The aim of this paper is present the archeogenealogy perspective, inspired on Michel Foucault’s theoretical-philosophical proposal, as a research tool for social psychology, more speciically for the ield of Psychosocial Attention. For that, we carry out a theoretical-conceptual problematization about the main concepts that sustain this research perspective, namely: history, power, knowledge and truth. We also present some possible articulations with the Psychosocial Attention proposals. Thus, we aimed, to strengthen the epistemological research with an important tool for the problematization of absolute truths, the hegemonic discourses, the stigma and bias that compose the social imaginary on the mental health ield and of psychological suffering.

O trabalho como dispositivo de atenção em saúde mental: trajetória histórica e reflexões sobre sua atual utilização

The partnership between Mental Health (MH) and work is present throughout the history of psychiatry. Capitalist society has used and uses the fitness or unfitness for work not only as one of the elements to the definition of "normality", but also as a treatment strategy. In this perspective, one can find a position healing and, more recently, a different proposal put forward by the psychiatric reform that considers also make / produce, the construction of meaning in the work as crucial for subjectivity. This sense is present in therapeutic workshops that seek to value the uniqueness, not to override the differences. The objective of this paper is to reflect on the relationship between Attention in SM / Work. Initially presents three theses, from which this relationship is built historically: 1 - Work as a means of avoiding idleness returning productively to society; 2 - Work as a healing practice, from the prescription, and 3 - Work as a strategy for care and social inclusion. Below, we discuss some questions about therapeutic workshops and income generation in the mental health care as a device for attention and social inclusion.

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.

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.

Estabelecimento do contraste entre as fricativas por crianças com transtorno fonológico: manipulação de pistas acústicas

The present study focuses on the presence of covert contrasts in the speech of children with a phonological disorder. The hypothesis is that children with phonological disorders manipulate secondary acoustic cues in an attempt to distinguish the phonological contrasts. We used five audio recordings of the speech of five children with speech disorders, between four and five years of age, who showed the so-called “phonic substitution” involving the sound group of the fricatives. The data were edited and analyzed using the software PRAAT. A phonetic transcription of the first repetition of each child was performed by three evaluators, reaching a 66% agreement level. After the transcription, we carried out a contrastive phonological analysis of the production of the five children and, finally, an acoustic analysis of all the “substitutions”, based on six parameters. We discovered the existence of covert contrasts in the productions auditorily regarded as homophones by the evaluators, representing a total of 54% of total substitutions identified through an impressionistic approach by the evaluators. Children with phonological disorders are seen to rely on secondary acoustic cues in an attempt to distinguish fricative phonemes. The data obtained in this study allow us to reflect on the importance of considering the phonetic detail within the phonological models.

Comparação de gastos com serviços de atenção básica à saúde de homens e mulheres em Bauru, São Paulo, 2010

OBJECTIVE: to compare expenditure on primary health care services for men and women in Bauru-SP, Brazil. METHODS: cross-sectional study with a sample composed of randomly selected health service users' aged ≥50 years. Healthcare expenditure over the last 12 months was analyzed and stratified into: medical consultations, exams, medication and overall expenditure. RESULTS: 707 women and 256 men were assessed. Women had higher overall expenditures than men (median: R$128.1 versus R$108.6; p-value=0.027). Comparing females and males, being female was associated with higher medical consultation expenditure (27.6% versus 18.4%, respectively p-value=0.005) and exams (27.1% versus 19.5%, respectively p-value=0.022). After statistical adjustments (smoking, socioeconomic status, physical activity and overweight), being female was still associated with higher exam-related expenditure (Odds Ratio= 1.47; 95% confidence interval: 1.01-2.14). CONCLUSION: women have higher expenditure related to exams than men. Female obesity was associated with medical consultation higher expenditure.

Transtorno mental comum e lazer entre estudantes da área da saúde do campus de Botucatu-UNESP: um estudo transversal

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Acúmulo de massa seca na soja em resposta a aplicação foliar com silício sob condições de déficit hídrico

The foliar fertilization with silicon has promoted several actions beneficial to plants, among them is greater drought tolerance, however, for the soybean, there is little information on these benefits in this condition. Thus, the aim of this study was to evaluate the effect of silicon on leaf, the dry matter accumulation of soybean in their reproductive stages, where the crop water stress suffered during the same. The experiment was carried out at the Plant Science Unit Aquidauana University - State University of Mato Grosso do Sul. The statistical design was a randomized block split plot with four replications. The plots were represented by cultivar 5DR615, the subplots consisted of the application (with or without) silicon, whose source was used KSi. Was measured the height and identified the development stage of all plants, separating them into stem + branches, leaves + petioles, pods capsules and seed. Foliar applications of silicon increased dry matter accumulation during the reproductive stage of soybean, where the highest values occurred in the R6 stage. Under conditions of water deficit, foliar application of silicon on soybean provided normal plant development, generating greater dry mass of stem + branches, leaves + petioles, pods capsules and seeds throughout their reproductive phase, with the highest values obtained at R6 stage (35 days after R2).

Educação em saúde para atenção à gestante: paralelo de experiências entre Brasil e Portugal

Care practices have raised some questions concerning the attention given to women, specifically when it comes to issues of extreme importance in Public Health's approach of pre-natal care. The present study intends to discuss the scope and challenges of the integral care in maternal health, taking into consideration the experiences of one of the authors in the health scenarios from both Brazil and Portugal. A comparative analysis was conducted on the format of the pre-natal classes offered to groups of pregnant women, a frequent practice of Primary Care in both countries. The method of participant observation of two groups of pregnant women, one in each country was used. The organization of each group is presented and evaluated regarding its methodological and practical settings. The analysis of the experiences indicates that both groups can be considered as informative or educative, since the chosen methodology and structure was formed by lectures with predefined themes; there was reduced reflection and empowerment possibilities, due to the fragmented presentation form, and this could also mean diminished reflection on the changes of the feminine role. It is thus concluded that the need for offering care for women in different periods of their lives should include a continuous fight for an amplified and integral approach, with emphasis in the care network and in health promotion.

Articulações territoriais: uma cartografia da atenção à população em situação de rua

Pós-graduação em Psicologia - FCLAS