Os sujeitos da história: um estudo compartilhado com familiares referente às estratégias para lidar com o cuidado do sofrimento psíquico

• Autor(a) principal: Covelo, Bárbara Souza Rodriguez [UNIFESP]
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5018432; https://repositorio.unifesp.br/handle/11600/50306
• topic: Family; Mental Health; Caregivers; Strategies; Psychiatric Reform; Família; Saúde Mental; Cuidadores; Estratégias; Reforma Psiquiátrica

In psychosocial rehabilitation is highlighted the role of the family as important to the caring of mental ilness. Therefore, the mental health policy aims to integrate the family in the singular therapeutic project of mental health service users. In addition to coordination with mental health services as an important support area, the family can also be organized in other ways to deal with living with mental ilness everyday life. As a result, this study aimed to understand the strategies of family members to deal with the care of mental distress. The research is characterized as qualitative hermeneutic-narrative. The delimitation of the study is described through experience in visits to users and family associations. Fieldwork and focus groups was conducted with family from two Psychosocial Care Centers (Caps) in Santos-Sp. Discussions of meetings were organized in narratives. The narrative, field journals, focus group reports and transcripts were submitted to hermeneutic analysis. The deinstitutionalization is a new way of thinking the relation between mental ilness and society. Family members perceive the medico-centered paradigm does not help totally in care. Then they use their affection and sensivity as internal resources that promote both well-being, approaching the psychosocial model. In this way, strategies of coping as caring technologies created by family members are constructed based on ther lay actions in health. The use of territorial resources as strategy happens mainly in crisis situations. Despite the constant contact with health professionals and participation in family groups and therapetic activities, it is noticed that the involvement of the family with the service is reduced. Regarding social participation, the majority of family caregivers showed little knowledge about this resource tha could contribute to care. It can be concluded that positive relational situations are very powerful in the mobilization of the different forms of daily dealings. It is also noted that family caregivers is immersed in weaknesses which could be cared in mental health services.