El objetivo de este artículo es describir el proceso de implementación y el funcionamiento de un grupo de oyentes de voz, pacientes diagnosticados de esquizofrenia, en un servicio de salud mental en Brasil. Es un relato de experiencia. Este grupo fue creado en 2015 y tiene lugar en un Centro de Atención Psicosocial (CAPS) en la ciudad de Ribeirão Preto - São Paulo, Brasil. Es un grupo abierto, con periodicidad semanal, de una hora de duración, siendo un espacio donde las personas pueden hablar libremente de sus vivencias con las voces. Participan en los encuentros personas que escuchan voces, sus familiares, profesionales y estudiantes del área de salud. En los encuentros grupales se comparten los significados atribuidos a la experiencia, se utilizan estrategias para afrontar situaciones más desafiantes, experiencias de sufrimiento y superación. El grupo también se constituye como una herramienta para construir vínculos y redes de apoyo, además de ser un espacio de encuentro de historias de vida. Así, el grupo ha ofrecido la posibilidad de nuevos diálogos, nuevos significados y posiciones respecto a la audición de voces, siendo considerado como un espacio de respeto y reciprocidad para los oyentes de voces. Siguiendo los supuestos del Movimiento de Oyentes de Voz, se presenta como una innovación para la atención en los servicios de salud mental.
A experiência de ouvir vozes é comum na população em geral e muito encontrada em usuários de serviços de saúde mental. Tradicionalmente, o tratamento psiquiátrico concentra seus esforços na eliminação destas, dando pouca atenção para a experiência em si. Mesmo com o uso de medicamentos, muitas pessoas continuam a ouvir vozes e não encontram espaço para conversar e refletir sobre esta vivência. O objetivo deste artigo é descrever a experiência de trabalho com um Grupo de Ouvidores de Vozes e analisar como ouvidores vivenciam o fenômeno das vozes e a experiência com o grupo. Foi realizado relato de experiência de proposição e participação de um Grupo de Ouvidores de Vozes e conduzida análise temática de 10 relatos de memória de encontros grupais. O grupo descrito é aberto, acontece semanalmente e tem uma hora de duração. Conta com a participação de ouvidores e profissionais. Os ouvidores mais antigos no grupo responsabilizam-se pela realização do contrato grupal. Nos encontros são compartilhados os relacionamentos com as vozes, desde o relato de suas características, até as estratégias que vão sendo desenvolvidas para melhorar o relacionamento com elas. O grupo também foi apontado pelos ouvidores com um espaço de construção de redes de apoio, para além dos momentos dos encontros grupais. Para os profissionais, tem colaborado para se aproximarem das experiências dos usuários do serviço, auxiliando-os a serem agentes que colaboram na trajetória de superação dos ouvidores.DOI http://dx.doi.org/10.21452/2594-43632018v27n61a01
Edilma e Marlene, que me ensinaram tanto sobre ouvir vozes; À minha família, à minha mãe que tem dedicado sua vida a seus filhos, aos meus irmãos e às minhas tias, Vera Sicaroni e Maria Soares Sicaroni; Em especial, à minha tia, Cidinha Sicaroni, pelo apoio e por ser inspiração para a minha vida pessoal e acadêmica; À minha orientadora, Profa. Dra. Clarissa Mendonça Corradi-Webster, pelo acolhimento no seu grupo de estudos, pela paciência, ensinamentos, carinho e dedicação em todos os momentos; Ao Ricardo Capanelli, por todo amor, carinho, paciência e cuidado mesmo durante os dias mais difíceis; Aos meus amigos,
According to the World Health Organization schizophrenia is a disabling disorder of chronic course characterized by the presence of hallucinations and delusions. Some studies suggest that the use of marijuana in people diagnosed with schizophrenia may exacerbate the positive symptoms of the disease while it acts positively on the negative symptoms. Qualitative studies have emerged in the area with the goal of understanding the meanings that people diagnosed with schizophrenia attribute to the use of the substance. These studies bring those people have a positive vision regarding the usage, that this would provide them a state of relaxation and relief of the tension, as well as reporting an increase of creativity and the use of marijuana as a way to achieve a spiritual state higher, assuming a character of "medication". In this sense, the objective of this study was to understand the meanings that people with schizophrenia attributed to marijuana use. For this reason, a qualitative study was carried out, with a methodological clinical-qualitative. The participants were selected in a public service of mental health who specializes in alcohol and drug use in the interior of São Paulo. As an instrument of data collection, we used a script of semi-structured interview. Inclusion criteria were: being in service, or be from the selected service; have a diagnosis of schizophrenia according to ICD-10; make use of marijuana or having used the year before the interview; have more than 18 years and not make use of other illicit drugs such as cocaine or crack. a total of 10 interviews were conducted. The participants were all male and had an average age of 28. Four categories were raised from the analysis of the interviews: a) Perceptions about the illness, where participants reported prejudice and stigma surrounding the diagnosis and some symptoms of schizophrenia to incapacitate the daily activities; b) Marijuana use, this started, mostly in their teens and always in the company of friends; c) Schizophrenia and cannabis, where speeches related to increased creativity, ability to organize thought, spirituality experiences and improves the quality of sleep were present and d) Treatment, where the search for treatment always started from a family member. It is important to know the vision of these people about marijuana use to understand what supports the maintenance of this, in addition to providing new elements in building a critical look at this phenomenon.
Purpose The purpose of this paper is to describe six recovery-oriented peer support experiences and strategies implemented in different regions of Brazil in the past 12 years, and explore challenges to their development and potential for empowerment and citizenship. Design/methodology/approach In this paper, a group of stakeholders in mental health services involving people with lived experience of severe mental illness describe their experiences with services of peer support. These were all conducted in Brazil and in partnership with the International Recovery and Citizenship Collective (IRCC) and The Yale Program for Recovery and Community Health. The authors met monthly to exchange experiences, studies and practices, and six experiences were selected, described, analyzed and compared. A discussion of these experiences, their challenges, impact and potential followed. Findings The explored experiences emphasize that peer support, lived experience leadership and advocacy are feasible in the Brazilian mental health system and can help advance the Brazilian Psychiatric Reform. Research limitations/implications This paper is limited to the experience of researchers already engaged in peer support work in six cities in Brazil. Although they represent several different regions in Brazil, there are areas it has not reached. Further research should address and provide a broader view of peer support and recovery strategies spreading in the country. Social implications These experiences demonstrate the feasibility and acceptability of the recovering citizenship approach to reduce stigma, promote empowerment, autonomy, activism and advocacy, and increase a sense of belonging for those in recovery and marginalized by society. The Brazilian psychiatric reform can benefit from including peer supporters as mental health treatment providers. Originality/value This paper provides a novel view of the state of the art of peer support initiatives in Brazil and can inspire individuals, government and communities as they see and understand the breadth, depth and meanings of these peer support experiences.
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