Sofrimento e cuidado a partir de uma Unidade Básica de Saúde, com Estratégia Saúde da Família, no Município de São de Paulo

• Autor(a) principal: Souza, Rosangela Gomes da Mota de [UNIFESP]
• Data de Publicação: 2014
• Tipo de documento: Tese
• 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=1619742; https://repositorio.unifesp.br/handle/11600/46307
• topic: basic attention; mental health; suffering; care; psychiatric reform; atenção básica; saúde mental; sofrimento; cuidado; reforma psiquiátrica

Summary: The problem of this research, concerns the disagreements between the concepts of suffering and care implicit in the construction of situations-problems defined by the Family Health Teams of Basic Health Unit in São Paulo city, and the perception of suffering and care from the point of view of the patient involved in mental health care. The methodological approach used in this study was qualitative, through case study in the design of the social sciences; the methodological procedures performed were participant observation and structuring of a field journal, and conducting of semi-structured interviews. The survey was conducted in two stages: in the first each team of Family Health selected a case which they considered to be a mental health issue, resulting in six cases analyzed. The second case study was executed on two cases presented on the first stage. From the first step it was analyzed, as of the perspective of professionals, what is a case of mental health in the Family Health Strategy, and it was identified the predominance of designations in psychiatric field. In the second step, by analyzing the patient's perspective, it was identified that the notions of suffering and care were constituted beyond the categories of the field of biomedicine disease. Fourteen years after the onset of the mental health program in the PSF, particularly in that UBS, by the hegemony of the notion of suffering and care focused on biomedical knowledge was a surprise, rather than knowledge of the disease by the patient.