The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality

Detalhes bibliográficos
Autor(a) principal: Fiorati, Regina Célia
Data de Publicação: 2011
Outros Autores: Saeki, Toyoko
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Terapia Ocupacional da Universidade de São Paulo
Texto Completo: https://www.revistas.usp.br/rto/article/view/14123
Resumo: This study was developed in Ribeirão Preto, SP, Brazil in two outpatient mental health services: a Regional Outpatient Mental Health service and a Psychosocial Care Center II and aimed to investigate the organization of the outpatient care services, the therapeutic projects of these services, and the inclusion of psychosocial rehabilitation in therapeutic projects. It was based on qualitative methodology and used semi-structured interviews and focus groups. Data analysis was based on the hermeneutic dialectic framework of Jürgen Habermas, according to a reconstructive interpretative technique. The results indicated that the organization of these services is focused on the clinical-psychiatric practice, emphasizes the diagnosis and pathology, treatment is medication-centered, and psychosocial rehabilitation is a secondary element addressed in projects and actions available to the services' users. This article discusses part of this larger study in relation to the inclusion of psychosocial rehabilitation in the studied services, addressing the subject in the light of the conflict between two types of rationality: instrumental and practical.
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spelling The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality A inserção da reabilitação psicossocial nos serviços extra-hospitalares de saúde mental: o conflito entre racionalidade instrumental e racionalidade prática Terapia ocupacionalReabilitaçãoCentros de reabilitaçãoServiços de saúde mentalPsiquiatriaOccupational therapyRehabilitationRehabilitation centersMental health servicesPsychiatry This study was developed in Ribeirão Preto, SP, Brazil in two outpatient mental health services: a Regional Outpatient Mental Health service and a Psychosocial Care Center II and aimed to investigate the organization of the outpatient care services, the therapeutic projects of these services, and the inclusion of psychosocial rehabilitation in therapeutic projects. It was based on qualitative methodology and used semi-structured interviews and focus groups. Data analysis was based on the hermeneutic dialectic framework of Jürgen Habermas, according to a reconstructive interpretative technique. The results indicated that the organization of these services is focused on the clinical-psychiatric practice, emphasizes the diagnosis and pathology, treatment is medication-centered, and psychosocial rehabilitation is a secondary element addressed in projects and actions available to the services' users. This article discusses part of this larger study in relation to the inclusion of psychosocial rehabilitation in the studied services, addressing the subject in the light of the conflict between two types of rationality: instrumental and practical. A partir de uma pesquisa desenvolvida no município de Ribeirão Preto, SP, realizada em dois serviços extra-hospitalares de saúde mental, um Ambulatório Regional de Saúde Mental e um Centro de Atenção Psicossocial II, objetivou-se estudar a organização dos serviços extra-hospitalares, os projetos terapêuticos desses serviços e a inserção da reabilitação psicossocial nos projetos terapêuticos. A pesquisa foi realizada com base em metodologia qualitativa, como técnicas de coleta de dados utilizou-se entrevistas semidiretivas e grupos focais, e a análise dos dados foi realizada com base em referencial hermenêutico dialético de Jürgen Habermas, seguindo uma técnica interpretativa reconstrutiva. Os resultados foram a identificação de que o trabalho nesses serviços se organiza com centralidade no trabalho clínico-psiquiátrico, enfatiza o diagnóstico e a patologia, o tratamento centrado no medicamento e a reabilitação psicossocial é secundarizada nos projetos e ações disponibilizadas aos usuários. O artigo traz discussão sobre parte desse estudo no que diz respeito à inserção da reabilitação psicossocial nos serviços estudados, enfocando o assunto sob o prisma do conflito entre dois tipos de racionalidade, a instrumental e a prática. Universidade de São Paulo. Faculdade de Medicina2011-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rto/article/view/1412310.11606/issn.2238-6149.v22i1p76-84Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 22 Núm. 1 (2011); 76-84Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 22 No. 1 (2011); 76-84Revista de Terapia Ocupacional da Universidade de São Paulo; v. 22 n. 1 (2011); 76-842238-61491415-9104reponame:Revista de Terapia Ocupacional da Universidade de São Pauloinstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rto/article/view/14123/15941Fiorati, Regina CéliaSaeki, Toyokoinfo:eu-repo/semantics/openAccess2014-10-17T12:24:40Zoai:revistas.usp.br:article/14123Revistahttp://www.revistas.usp.br/rtoPUBhttps://www.revistas.usp.br/rto/oai||revto@usp.br2238-61491415-9104opendoar:2014-10-17T12:24:40Revista de Terapia Ocupacional da Universidade de São Paulo - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality
A inserção da reabilitação psicossocial nos serviços extra-hospitalares de saúde mental: o conflito entre racionalidade instrumental e racionalidade prática
title The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality
spellingShingle The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality
Fiorati, Regina Célia
Terapia ocupacional
Reabilitação
Centros de reabilitação
Serviços de saúde mental
Psiquiatria
Occupational therapy
Rehabilitation
Rehabilitation centers
Mental health services
Psychiatry
title_short The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality
title_full The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality
title_fullStr The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality
title_full_unstemmed The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality
title_sort The inclusion of psychosocial rehabilitation in outpatient mental health services: the conflict between instrumental rationality and practical rationality
author Fiorati, Regina Célia
author_facet Fiorati, Regina Célia
Saeki, Toyoko
author_role author
author2 Saeki, Toyoko
author2_role author
dc.contributor.author.fl_str_mv Fiorati, Regina Célia
Saeki, Toyoko
dc.subject.por.fl_str_mv Terapia ocupacional
Reabilitação
Centros de reabilitação
Serviços de saúde mental
Psiquiatria
Occupational therapy
Rehabilitation
Rehabilitation centers
Mental health services
Psychiatry
topic Terapia ocupacional
Reabilitação
Centros de reabilitação
Serviços de saúde mental
Psiquiatria
Occupational therapy
Rehabilitation
Rehabilitation centers
Mental health services
Psychiatry
description This study was developed in Ribeirão Preto, SP, Brazil in two outpatient mental health services: a Regional Outpatient Mental Health service and a Psychosocial Care Center II and aimed to investigate the organization of the outpatient care services, the therapeutic projects of these services, and the inclusion of psychosocial rehabilitation in therapeutic projects. It was based on qualitative methodology and used semi-structured interviews and focus groups. Data analysis was based on the hermeneutic dialectic framework of Jürgen Habermas, according to a reconstructive interpretative technique. The results indicated that the organization of these services is focused on the clinical-psychiatric practice, emphasizes the diagnosis and pathology, treatment is medication-centered, and psychosocial rehabilitation is a secondary element addressed in projects and actions available to the services' users. This article discusses part of this larger study in relation to the inclusion of psychosocial rehabilitation in the studied services, addressing the subject in the light of the conflict between two types of rationality: instrumental and practical.
publishDate 2011
dc.date.none.fl_str_mv 2011-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rto/article/view/14123
10.11606/issn.2238-6149.v22i1p76-84
url https://www.revistas.usp.br/rto/article/view/14123
identifier_str_mv 10.11606/issn.2238-6149.v22i1p76-84
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rto/article/view/14123/15941
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
dc.source.none.fl_str_mv Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 22 Núm. 1 (2011); 76-84
Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 22 No. 1 (2011); 76-84
Revista de Terapia Ocupacional da Universidade de São Paulo; v. 22 n. 1 (2011); 76-84
2238-6149
1415-9104
reponame:Revista de Terapia Ocupacional da Universidade de São Paulo
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Terapia Ocupacional da Universidade de São Paulo
collection Revista de Terapia Ocupacional da Universidade de São Paulo
repository.name.fl_str_mv Revista de Terapia Ocupacional da Universidade de São Paulo - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||revto@usp.br
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