A (des)integralidade pela (in)diferença: um estudo sobre práticas assistenciais ao louco na emergência de um hospital quase geral

• Autor(a) principal: Araújo, Fátima Cristina Alves de
• Data de Publicação: 2007
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4287
• topic: Psychiatry; Integrality; Mental health care; General Hospital; Psiquiatria; Integralidade; Cuidados em saúde mental; Hospital geral; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

The politics of Brazilian mental health points the general hospital as an integrant of services net that substitutes to the lunatic asylum. There is expectancy that the care given of the substitutes services take into consideration, among others premises the shelter, bond and integrality. This study takes place through into Hospital Estadual Pedro II emergency, in the Rio de Janeiro city; it was looked to analyze the practical aid to the insane person in a general hospital and the completeness effect. For this, searched: to point out the hospital unit and its relation with the net of health services, detaching the social aspects, politicians and cultural that is insert; to understand the directions, meanings and voices of the involved citizens in the practical assistances the patient with psychiatric upset that looks the emergency on integrality, shelter and bond to identify to the existence of nexuses between these practical and the lines of direction of the movement of psychiatric reform, beyond map the devices of power and its effect in the practical assistances. Was opted the Case Study resource. The data had been gotten through comment, documentary of the region. The only open door to the psychiatric emergencies. The physical space of emergency in little favors an attention receiver, resolute and humanized, either to insane person or any another patient. The practical assistances still predominantly are ruled for shelter way. Shelter, bond and integrality are part of the speech, but not yet they are materialized in the practical assistances The stigma attributed to the insanity was perceived as obstruction the practical receivers. The bond to the insanity was perceived as obstruction the practical receivers. The bond notion was harness to responsibility. However the practical one of some professionals of the emergency and the proper service of mental health did not disclose this responsibility in the health coproduction. The relations of power in the field had followed the hegemonic biomedical model, with centrality on the doctor. They had been considered obstruction integrality materialize. Alike to make possible the concretion of the hospital as part of the net of substitute services was judged necessary to invest in new institution arrangements the place the user as center in the ways of production of health acts; to insert the care dimension in the formation and qualification of the health professionals reform so that the reformist idea leaves of only circulating the psychiatric ghettos and guarantees one another place for the insane person in the society.