Fonoaudiologia e saúde mental: escuta clínica na perspectiva de profissionais e familiares de usuários de um Centro de Atenção Psicossocial Infanto-juvenil

• Autor(a) principal: Barbosa, Caroline Lopes
• Data de Publicação: 2019
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/22498
• topic: Serviços de saúde mental; Saúde pública; Humanização dos serviços de saúde; Crianças com transtorno do espectro autista; Mental health services; Public health; Humanization of health services; Children with autism spectrum disorders; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA

The purpose of this thesis was to identify the effects and perception of clinical listening from the multiprofessional team and parents of children with Autism Spectrum Disorder at a Child and Adolescent Psychosocial Care Center (Centro de Atenção Psicossocial Infanto-juvenil - CAPSij), specifically regarding the role of speech therapy in the achievement of the care process. It is a descriptive research carried out through a participatory and dialogical approach, and organized in two complementary studies. Discussion group techniques (study 1) and focus group (study 2) were used for data collection. The content analysis proposed by Bardin (2004) based the explanatory organization of the data. As results of the thesis, contributions of speech therapy in intra- and interinstitutional layers of CAPSij health care were observed, especially in the clinical-therapeutic work of the health team, users and family members. The team regards clinical listening as a central device for mental health care. The skills and knowledge of the speech therapy about the organic aspects of child development seem to enhance the relation between the core (speech therapy) and the field (mental health), favoring reflection on the biopsychic dynamics of health care. Parents are affected by the clinical listening offered to them, assuming, for example, that the exchange and interaction between children are care producers, expand social and communicative repertoires, and promote other healthy experiences. In the therapeutic experience with the speech therapy, the parents identify specificities and articulations with other disciplines in the work of the CAPSij team; they report changes in the quality of communication and relationship with their children, and refer to becoming linguistically more open and interesting interlocutors for their children and able to understand the dynamics of communication, including the relationship with the health team. It is concluded that the clinical listening is a condition of possibility for the care provided by the CAPSij team. In the conversation between the parents, the effects of the clinical listening offered by the team - and, in it, by the speech therapy - are clear, both in the understanding of the children and the treatments, as well as in the incorporation of the clinical interpretations of the team as tools for elaborating their relationships with the children and the social context in which they live