Ressonâncias Político-Clínicas Do Ideal De Inclusão Nos Centros De Atenção Psicossocial

Abstract

Thales Fonseca 3 4 , Orcid: http://orcid.org/0000-Fuad Kyrillos Neto 3 , Orcid: http://orcid.org/0000-RESUMO. Buscamos, neste ensaio, analisar as ressonâncias políticas e clínicas da presença de um ideal de inclusão do louco no tratamento oferecido pelos Centros de Atenção Psicossocial (CAPS). Para tanto, num primeiro momento, fizemos um breve percurso pelo movimento da reforma psiquiátrica brasileira levando em consideração a sua principal influência, qual seja: a psiquiatria democrática italiana. Assim, partimos do pensamento paradigmático de Franco Basaglia, visando, com isso, esclarecer como se constitui o que denominamos de ideal de inclusão no CAPS. Posteriormente, pelo esforço teórico que perpassou a psicanálise e a política, analisamos, detidamente, as consequências político-clínicas de se tomar a inclusão social como horizonte final de um tratamento destinado, predominantemente, à psicose. Aqui, os conceitos de ideologia, ideal do eu e mal-estar foram de suma importância. Por fim, procuramos indicar algumas questões importantes para uma clínica possível no CAPS, que seja atinente à política e que alie a atenção dada ao sujeito e a busca por transformação social. Palavras-chave: Psicanálise; saúde mental; psicose.ABSTRACT. In this essay, we sought to analyze the political and clinical resonances of the presence of an ideal of inclusion of the insane in the treatment offered by Psychosocial Care Centers (Centros de Atenção Psicossocial -CAPS). To do so, in the first moment, we made a brief analysis of the Brazilian Psychiatric Reform movement taking into consideration its main influence, namely: the Italian Democratic Psychiatry. Thus, we started from the paradigmatic thinking of Franco Basaglia, in order to clarify how such an ideal is constituted. Subsequently, through a theoretical effort that went through psychoanalysis and politics, we have analyzed in detail the political and clinical consequences of taking social inclusion as the final horizon of a treatment predominantly for psychosis. Here, the concepts of ideology, ego ideal and discontent were of paramount importance. Finally, we tried to indicate some important issues for a possible clinic at CAPS, which is related to politics and that combines the attention given to the subject and the search for social transformation.

The history of Psychiatric Nursing education at the Universidade Federal de Alagoas (1976-1981)

“…From this perspective, a subject such as the history of Psychiatric Nursing teaching at the Universidade Federal de Alagoas (UFAL), from 1976 to 1981, is fundamental for the preservation of the memory of mental health care, which, in the feature of this study, was characterized by loss of patients' identity, mistreatment and negligence in asylums services of moral treatment, surveillance and social reclusion (1)(2)(3)(4)(5)(6) .…”

“…The 1970s were marked by social movements driven by health workers, user associations, professional councils, and universities, in favor of reform in Brazilian psychiatric care, in defense of a political and social process in the theoretical-conceptual, technical-assistance, legal-political, and sociocultural dimensions. Thirty years later, this movement resulted in Law 10.216/2001, referring to mental health care rights and directions by establishing significant political and social milestones in the national conjuncture (2)(3)(4)(12)(13)(14) .…”