Contribuição dos recursos culturais para a terapia comunitária integrativa na visão do terapeuta

Abstract

This study aims to investigate the contribution of cultural resources to Community-Based Integrative Care (CBIC), to consolidate it as a model of community-based mental health and a political strategy for local health, and to identify the cultural strategies most used in CBIC sessions. This is a qualitative study, conducted in the city of João Pessoa, state of Paraíba, Brazil, with ten therapists. We used semi-structured interviews and afield diary, from September, 2008, to March, 2009, then proceeded to the interpretive analysis of the data. It was evident that the inclusion of cultural resources contributes to the consolidation of CBIC, for it reclaims and strengthen values, and it underscores the personal and social identity of individuals, encouraging effective participation. The main cultural resources used were music, dynamics and prayers. The conclusion was that cultural resources are an important resource for the work of the therapist, for it strengthens bonds and helps people to give a new meaning to their suffering.

A implantação da Terapia Comunitária Integrativa em um município do Rio de Janeiro

“…A implementação dos recursos culturais na TCI tem como objetivo uma maior participação da comunidade, integração entre os participantes, um melhor desenvolvimento das sessões bem como o fortalecimento de vínculo e resgate cultural. A música, por exemplo, com sua letra e som, tem a capacidade de acolhimento e permite compartilhar, nesta outra forma de linguagem, emoções, percepções e sensações que as vezes só com as palavras não damos conta (BARRETO, 2008;FIX;LEITE;GALVANI, 2007;OLIVEIRA;FERREIRA FILHA, 2011).…”

Challenges for implementing a global mental health agenda in Brazil: The “silencing” of culture

“…Cultural and ludic resources contribute to TC success, attracting people to take part in the roda and disinhibiting participants to express their suffering. Those resources strengthen community and social bonds and help participants reframe and resignify their suffering (D. Oliveira & Ferreira Filha, 2011).…”

“…As one of TC's fundamental tools to embrace pain, music also stimulates resilience and resignification capacities and help provide a feeling of belonging and inclusion in the community. Traditional sayings are also mobilized, thus rescuing the community's cultural roots and enhancing the community's identity (D. Oliveira & Ferreira Filha, 2011, p. 528).…”

“…Cultural and ludic resources contribute to TC success, attracting people to take part in the roda and disinhibiting participants to express their suffering. Those resources strengthen community and social bonds and help participants reframe and resignify their suffering (D. Oliveira & Ferreira Filha, 2011). Cultural and ludic resources, such as songs, praying, sayings, popular games, and jokes, may help soften life stories strongly marked by feelings of suffering and exclusion.…”

<b>Familiar cuidador da pessoa com estoma/ Family caregiver of a person ostomy<b>

“…No decorrer, foi possível revelar fragmentos da sua complexidade cotidiana e, embora não seja foco deste estudo, vislumbrá-la como tecnologia de cuidado aos familiares de pessoas com condição crônica. Os recursos culturais deste cuidado como músicas fortalecem valores, saberes, competências individuais (20) , favorecendo a reflexão de si a partir do contexto social:…”