Crise e saúde mental na adolescência: a história sob a ótica de quem vive

Detalhes bibliográficos
Autor(a) principal: Rossi, Lívia Martins
Data de Publicação: 2018
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFSCAR
Texto Completo: https://repositorio.ufscar.br/handle/ufscar/9987
Resumo: Several studies indicate that adolescents are more vulnerable to the development of mental health problems. However, there is also a lack of researches that focuses on the experience of psychic suffering and attention to the adolescent mental health, including the experience of the mental health crisis. The present study aimed to identify a perception and trajectory of adolescents who experienced a mental health crisis and their responsible family members. The Oral History method was used to collect the narratives of five adolescents between the ages of 16 and 17, users of a Psychosocial Care Center (CAPSij) located in a medium-sized city in the interior of the State of São Paulo. Open-ended statements were applied and the responsible family members were also questionated. The interviews were audio-recorded, fully transcribed, textualized and the material was analyzed through the thematic and content method. Based on the results, it was observed that the participants approach the experience of the crisis in an individualized way, linking it especially to depressive symptoms, ideation and suicide attempt. The reports of suffering refer to the relationships between peers and the family context, whose adversities are considered as possible triggers of crisis processes. Regarding the treatment, was recognized resistance to adhesion, use of medication and the activities offered by the care service, and CAPSij is seen as a reference, sometimes as an absence of supporting. It is also perceived the experience of the crisis as a possibility of transformation of the relationships between adolescents and their families, and the trajectory of access to the service, which goes through the emergency room and the CAPS III before the assistance at CAPSij. The present study, when focusing on the history of adolescents about their experience of the crisis, signals the power that can emerge from processes which the listening and participation of adolescents is guaranteed in the context of care. Therefore it subsidizes important reflections for the professionals who deal with this population in strategic services of mental health care and beyond in order to effect the active participation in the care process, valued in the Brazilian mental health policy, and to favor dynamics of engagement and social participation, based on actions to promote mental health.
id SCAR_6909549df42f15f7913a578b658ab786
oai_identifier_str oai:repositorio.ufscar.br:ufscar/9987
network_acronym_str SCAR
network_name_str Repositório Institucional da UFSCAR
repository_id_str 4322
spelling Rossi, Lívia MartinsCid, Maria Fernanda Barbozahttp://lattes.cnpq.br/8595043315867424http://lattes.cnpq.br/1805071941058829bfa19304-2b6e-4ff9-91a7-be5e663778a32018-05-14T14:28:22Z2018-05-14T14:28:22Z2018-02-27ROSSI, Lívia Martins. Crise e saúde mental na adolescência: a história sob a ótica de quem vive. 2018. Dissertação (Mestrado em Terapia Ocupacional) – Universidade Federal de São Carlos, São Carlos, 2018. Disponível em: https://repositorio.ufscar.br/handle/ufscar/9987.https://repositorio.ufscar.br/handle/ufscar/9987Several studies indicate that adolescents are more vulnerable to the development of mental health problems. However, there is also a lack of researches that focuses on the experience of psychic suffering and attention to the adolescent mental health, including the experience of the mental health crisis. The present study aimed to identify a perception and trajectory of adolescents who experienced a mental health crisis and their responsible family members. The Oral History method was used to collect the narratives of five adolescents between the ages of 16 and 17, users of a Psychosocial Care Center (CAPSij) located in a medium-sized city in the interior of the State of São Paulo. Open-ended statements were applied and the responsible family members were also questionated. The interviews were audio-recorded, fully transcribed, textualized and the material was analyzed through the thematic and content method. Based on the results, it was observed that the participants approach the experience of the crisis in an individualized way, linking it especially to depressive symptoms, ideation and suicide attempt. The reports of suffering refer to the relationships between peers and the family context, whose adversities are considered as possible triggers of crisis processes. Regarding the treatment, was recognized resistance to adhesion, use of medication and the activities offered by the care service, and CAPSij is seen as a reference, sometimes as an absence of supporting. It is also perceived the experience of the crisis as a possibility of transformation of the relationships between adolescents and their families, and the trajectory of access to the service, which goes through the emergency room and the CAPS III before the assistance at CAPSij. The present study, when focusing on the history of adolescents about their experience of the crisis, signals the power that can emerge from processes which the listening and participation of adolescents is guaranteed in the context of care. Therefore it subsidizes important reflections for the professionals who deal with this population in strategic services of mental health care and beyond in order to effect the active participation in the care process, valued in the Brazilian mental health policy, and to favor dynamics of engagement and social participation, based on actions to promote mental health.Estudos apontam que adolescentes têm apresentado uma maior vulnerabilidade para o desenvolvimento de problemas relacionados à saúde mental. No entanto, observa-se uma escassez de pesquisas que focalizam a experiência do sofrimento psíquico nessa população, bem como a atenção à saúde mental direcionada aos adolescentes, incluindo a vivência da crise em saúde mental. Assim, o presente estudo teve por objetivo identificar a percepção e a trajetória de adolescentes que vivenciaram a crise em saúde mental e de seus responsáveis, sobre esta vivência. Foi utilizado o método História Oral para a coleta das narrativas de cinco adolescentes com idades entre 16 e 17 anos, usuários de um Centro de Atenção Psicossocial (CAPSij) localizado em uma cidade de médio porte do interior do Estado de São Paulo, e seus responsáveis. Foram aplicados roteiros de entrevista abertos, de modo que estas foram gravadas, transcritas na íntegra, textualizadas e trabalhadas por meio de análise de conteúdo temática. A partir dos resultados, foi possível observar que os participantes abordam a vivência da crise de forma individualizada, atrelando-a especialmente a sintomas depressivos, ideação e tentativa de suicídio. Os relatos de sofrimento dizem respeito às relações entre os pares e ao contexto familiar, cujas adversidades são tidas enquanto possíveis desencadeadoras dos processos de crise. Com relação ao tratamento são apontadas resistências referentes à adesão, à aceitação da medicação, às atividades oferecidas pelo serviço e à participação em grupo, e o CAPSij é visto ora como referência, ora como ausência de apoio. Observa-se, ainda, a vivência da crise como possibilidade de transformação das relações entre os adolescentes e seus familiares, e a trajetória de acesso ao serviço, que passa pelo pronto-socorro e pelo CAPS III antes da chegada ao CAPSij. Os resultados sinalizam a potência e a relevância dos espaços de escuta e de participação dos adolescentes para o direcionamento e produção de ações efetivas para a prática do cuidado integral e singular, além de subsidiar reflexões importantes para os profissionais que lidam com essa população nos serviços estratégicos de cuidado em saúde mental e para além deles, no sentido de efetivar a participação ativa dos atores no próprio processo de cuidado, valorizada na política de saúde mental brasileira, e de favorecer dinâmicas de engajamento e participação social, a partir de ações de promoção de saúde mental.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Terapia Ocupacional - PPGTOUFSCarAdolescênciaCriseSaúde mentalAdolescenceCrisisMental healthCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALCrise e saúde mental na adolescência: a história sob a ótica de quem viveinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisOnline6006004d8132c2-5097-4179-adbb-b8439b83a774info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARLICENSElicense.txtlicense.txttext/plain; charset=utf-81957https://repositorio.ufscar.br/bitstream/ufscar/9987/5/license.txtae0398b6f8b235e40ad82cba6c50031dMD55ORIGINALROSSI_Lívia_2018.pdfROSSI_Lívia_2018.pdfapplication/pdf962275https://repositorio.ufscar.br/bitstream/ufscar/9987/6/ROSSI_L%c3%advia_2018.pdf8cb05517d98a61db5209c43e085fe259MD56TEXTROSSI_Lívia_2018.pdf.txtROSSI_Lívia_2018.pdf.txtExtracted texttext/plain354490https://repositorio.ufscar.br/bitstream/ufscar/9987/7/ROSSI_L%c3%advia_2018.pdf.txtf24f961b0be1f2391a005e72317f5d8aMD57THUMBNAILROSSI_Lívia_2018.pdf.jpgROSSI_Lívia_2018.pdf.jpgIM Thumbnailimage/jpeg4566https://repositorio.ufscar.br/bitstream/ufscar/9987/8/ROSSI_L%c3%advia_2018.pdf.jpgf13746ca568089f377d06f0b1907ce2cMD58ufscar/99872023-09-18 18:31:14.675oai:repositorio.ufscar.br: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Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:31:14Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false
dc.title.por.fl_str_mv Crise e saúde mental na adolescência: a história sob a ótica de quem vive
title Crise e saúde mental na adolescência: a história sob a ótica de quem vive
spellingShingle Crise e saúde mental na adolescência: a história sob a ótica de quem vive
Rossi, Lívia Martins
Adolescência
Crise
Saúde mental
Adolescence
Crisis
Mental health
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
title_short Crise e saúde mental na adolescência: a história sob a ótica de quem vive
title_full Crise e saúde mental na adolescência: a história sob a ótica de quem vive
title_fullStr Crise e saúde mental na adolescência: a história sob a ótica de quem vive
title_full_unstemmed Crise e saúde mental na adolescência: a história sob a ótica de quem vive
title_sort Crise e saúde mental na adolescência: a história sob a ótica de quem vive
author Rossi, Lívia Martins
author_facet Rossi, Lívia Martins
author_role author
dc.contributor.authorlattes.por.fl_str_mv http://lattes.cnpq.br/1805071941058829
dc.contributor.author.fl_str_mv Rossi, Lívia Martins
dc.contributor.advisor1.fl_str_mv Cid, Maria Fernanda Barboza
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/8595043315867424
dc.contributor.authorID.fl_str_mv bfa19304-2b6e-4ff9-91a7-be5e663778a3
contributor_str_mv Cid, Maria Fernanda Barboza
dc.subject.por.fl_str_mv Adolescência
Crise
Saúde mental
topic Adolescência
Crise
Saúde mental
Adolescence
Crisis
Mental health
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
dc.subject.eng.fl_str_mv Adolescence
Crisis
Mental health
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
description Several studies indicate that adolescents are more vulnerable to the development of mental health problems. However, there is also a lack of researches that focuses on the experience of psychic suffering and attention to the adolescent mental health, including the experience of the mental health crisis. The present study aimed to identify a perception and trajectory of adolescents who experienced a mental health crisis and their responsible family members. The Oral History method was used to collect the narratives of five adolescents between the ages of 16 and 17, users of a Psychosocial Care Center (CAPSij) located in a medium-sized city in the interior of the State of São Paulo. Open-ended statements were applied and the responsible family members were also questionated. The interviews were audio-recorded, fully transcribed, textualized and the material was analyzed through the thematic and content method. Based on the results, it was observed that the participants approach the experience of the crisis in an individualized way, linking it especially to depressive symptoms, ideation and suicide attempt. The reports of suffering refer to the relationships between peers and the family context, whose adversities are considered as possible triggers of crisis processes. Regarding the treatment, was recognized resistance to adhesion, use of medication and the activities offered by the care service, and CAPSij is seen as a reference, sometimes as an absence of supporting. It is also perceived the experience of the crisis as a possibility of transformation of the relationships between adolescents and their families, and the trajectory of access to the service, which goes through the emergency room and the CAPS III before the assistance at CAPSij. The present study, when focusing on the history of adolescents about their experience of the crisis, signals the power that can emerge from processes which the listening and participation of adolescents is guaranteed in the context of care. Therefore it subsidizes important reflections for the professionals who deal with this population in strategic services of mental health care and beyond in order to effect the active participation in the care process, valued in the Brazilian mental health policy, and to favor dynamics of engagement and social participation, based on actions to promote mental health.
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-05-14T14:28:22Z
dc.date.available.fl_str_mv 2018-05-14T14:28:22Z
dc.date.issued.fl_str_mv 2018-02-27
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv ROSSI, Lívia Martins. Crise e saúde mental na adolescência: a história sob a ótica de quem vive. 2018. Dissertação (Mestrado em Terapia Ocupacional) – Universidade Federal de São Carlos, São Carlos, 2018. Disponível em: https://repositorio.ufscar.br/handle/ufscar/9987.
dc.identifier.uri.fl_str_mv https://repositorio.ufscar.br/handle/ufscar/9987
identifier_str_mv ROSSI, Lívia Martins. Crise e saúde mental na adolescência: a história sob a ótica de quem vive. 2018. Dissertação (Mestrado em Terapia Ocupacional) – Universidade Federal de São Carlos, São Carlos, 2018. Disponível em: https://repositorio.ufscar.br/handle/ufscar/9987.
url https://repositorio.ufscar.br/handle/ufscar/9987
dc.language.iso.fl_str_mv por
language por
dc.relation.confidence.fl_str_mv 600
600
dc.relation.authority.fl_str_mv 4d8132c2-5097-4179-adbb-b8439b83a774
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade Federal de São Carlos
Câmpus São Carlos
dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Terapia Ocupacional - PPGTO
dc.publisher.initials.fl_str_mv UFSCar
publisher.none.fl_str_mv Universidade Federal de São Carlos
Câmpus São Carlos
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFSCAR
instname:Universidade Federal de São Carlos (UFSCAR)
instacron:UFSCAR
instname_str Universidade Federal de São Carlos (UFSCAR)
instacron_str UFSCAR
institution UFSCAR
reponame_str Repositório Institucional da UFSCAR
collection Repositório Institucional da UFSCAR
bitstream.url.fl_str_mv https://repositorio.ufscar.br/bitstream/ufscar/9987/5/license.txt
https://repositorio.ufscar.br/bitstream/ufscar/9987/6/ROSSI_L%c3%advia_2018.pdf
https://repositorio.ufscar.br/bitstream/ufscar/9987/7/ROSSI_L%c3%advia_2018.pdf.txt
https://repositorio.ufscar.br/bitstream/ufscar/9987/8/ROSSI_L%c3%advia_2018.pdf.jpg
bitstream.checksum.fl_str_mv ae0398b6f8b235e40ad82cba6c50031d
8cb05517d98a61db5209c43e085fe259
f24f961b0be1f2391a005e72317f5d8a
f13746ca568089f377d06f0b1907ce2c
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)
repository.mail.fl_str_mv
_version_ 1802136339987038208