Discursive construction of social representations expressed by seekers of psychosocial healthcare services in Brazil

Abstract

Background:

The current paper discusses the results of a study realized with 66 seekers of 12 psychosocial healthcare services (CAPS) in Brazil, by investigating their social representations.

Aims:

Throughout a quali-quantitative approach, unstructured interviews have been conducted and focused on two themes: one related to mental suffering and another to the CAPS itself.

Method:

The data were processed adopting the Iramuteq software for text-mining-analysis.

Results:

Out of the findings emerged four lexical classes due to the discursive representation of: (1) CAPS (39.7%); (2) social life (29.7%); (3) family (13.6%) and (4) medication and care (17%), where the utterance NÃO (NO) occupies a central position. Accordingly, the NO is associated with ‘not there’ and ‘not here’, contrasting the care provided outside the CAPS, represented as inhumane or inadequate, to that provided inside the CAPS, linked to feelings of ‘not being discriminated, mistreated and unrecognized’. The underlying social representations expressed in the interviews show an opposition between what was experienced outside and what was experienced inside the CAPS.

Conclusion:

The care received in CAPS units is the expression of a new psychosocial paradigm in a process of implementation, focused on participation and interdisciplinarity, as opposed to the biomedical paradigm focused on the disease.

Keywords

Social representations psychosocial healthcare services deinstitutionalization mental health

Get full access to this article

View all access options for this article.

References

Amarante

(2015). Teoria e crítica em saúde mental – Textos selecionados. Zagodoni.

Andrade

M. C. R.

Bonadiman

C. S. C.

(2014). Percepção de mudanças pelos usuários em função do tratamento recebido em serviços de saúde mental. In: Bandeira

Lima

L. A.

Barroso

(Eds.), Avaliação de serviços de saúde mental (pp. 87–116). Petrópolis: Vozes.

Apostolidis

(2017). Representations sociales et santé: Perspectives theorico-pratiques. In Missias-Moreira

Salles

Z. N.

Freitas

V. L. C.

Valença

T. D. C.

(Eds.), Representações sociais, educação e saúde: Um enfoque multidisciplinar (Vol. 1, pp. 155–170). CRV.

Arbex

(2013). Holocausto brasileiro (1st ed.). Geração Editorial.

Barbosa

V. F. B.

Caponi

S. N.

Verdi

M. I. M.

(2018). Risco como perigo persistente e cuidado em saúde mental: Sanções normalizadoras à circulação no território. Saúde e Sociedade, 27(1), 175–184. https://doi.org/10.1590/s0104-12902018170233

Basaglia

(1985). A instituição negada. Edições Graal.

Basaglia

(2005). Escritos selecionados em saúde mental e reforma psiquiátrica. Garamond.

Bourdieu

(1994). Raisons pratiques. Seuil.

Canguilhem

(1978). O normal e o patológico. Forense-Universitária.

10.

Castaldelli-Maia

J. M.

Ventriglio

(2016) The impact of Basaglia on Brazilian psychiatry. International Journal of Social Psychiatry, 62(5), 411–414. https://doi.org/10.1177/0020764016642491

11.

Foucault

(1995). História da loucura na idade clássica. Perspectiva.

12.

Hirdes

(2009). A reforma psiquiátrica no Brasil: Uma (re)visão. Ciência & Saúde Coletiva, 14(1), 297–305. https://doi.org/10.1590/s1413-81232009000100036.

13.

Hochdorn

Faleiros

V. P.

Camargo

B. V.

Bousfield

A. B. S.

Walchelke

J. F. R.

Quintão

I. P.

Azzolina

Gregori

(2018). Obese children are thin in parents’ eyes: A psychologically, socially or culturally driven bias? Journal of Health Psychology, 23(1), 114–126. https://doi.org/10.1177/1359105316676328

14.

Jodelet

(2006). Presença da cultura no campo da saúde. In Almeida

A. M. O.

Santos

M. F. S.

Diniz

G. R. S.

Trindade

Z. A.

(Eds.), Violência, Exclusão social e Desenvolvimento humano: Estudos de Representações sociais (pp. 75–110). Editora Universidade de Brasília.

15.

Jodelet

(2015). O encontro dos saberes. In Jesuíno

J. C.

Mendes

F. R. P.

Lopes

M. J.

(Eds.), As representações sociais nas sociedades em mudança (pp. 59–79). Vozes.

16.

László

(2015). Psicologia social narrativa e a análise de conteúdo de categorias narrativas (Narrcat). In Jesuíno

J. C.

Mendes

F. R. P.

Lopes

M. J.

(Eds.), As representações sociais nas sociedades em mudança (pp. 235–252). Vozes.

17.

Mello

L. C.

(2014). Nise da Silveira: Caminhos de uma psiquiatra rebelde. Automática Editora.

18.

Moscovici

(2012). Raison et cultures. EHS.

19.

Moscovici

(2013). Le scandale de la pensée sociale. Editions de l‘École des Hautes Études en Sciences sociales.

20.

Murekian

N. G.

Faleiros

V. P.

Jouet

(2018). Social representations knowledge and practices of deinstitutionalizing insanity. Argentina, Brazil and France. Papers on Social Representations, 27(1), 4–21.

21.

Passos

I. C. F.

(2009). Loucura e sociedade – Discursos, práticas e significações sociais. Argvmentvm.

22.

Ratinaud

Marchand

(2012 June 13–15). Application de la méthode alceste à de “gros” corpus et stabilité des “mondes lexicaux”: Analyse du “cablegate” avec Iramuteq. Actes des 11eme Journées internationales d’analyse statistique des données textuelles (pp. 835–844). Conference paper presented at the 11eme Journées internationales d’analyse statistique des données textuelles, JADT, Liège, Belgium. http://lexicometrica.univ-paris3.fr/jadt/jadt2012/Communications/Ratinaud,%20Pierre%20et%20al.%20-%20Application%20de%20la%20methode%20Alceste.pdf

23.

Ricci

E. C.

Pereira

M. B.

Erazo

L. J.

Onocko-Campo

R. T

Leal

E. M

(2020). Quatitative systematic review of mental health services from the users’ perspective. SMAD Revista Electronica Salud Mental, Alcohol y Drogas, 16(2), 1–12. https://doi.org/10.11606/issn.1806-6976.smad.2020.159559

24.

Rotelli

(2008). Che cos’è la salute mentale. In Rotelli

(Ed.), Per la normalità (pp. 94–96). Microtesti Collana.

25.

Rotelli

Leonardis

Mauri

(2001). Desinstitucionalização. Hucitec.

26.

Rotterdam

(1508). Elogio de la locura. http://www2.uefs.br/filosofia-bv/pdfs/rotterdam_01.pdf

27.

Silveira

(1981). Imagens do inconsciente. Alhambra.

28.

Valsiner

(2015). Hierarquia de signos- representação social no seu contexto dinâmico. In Jesuíno

J. C.

Mendes

F. R. P.

Lopes

M. J.

(Eds.) As representações sociais nas sociedades em mudança (pp. 29–58). Vozes.

29.

Vasconcelos

E. M.

(2016). Reforma psiquiátrica, Tempos sombrios e resistência: Diálogos com o marxismo e o serviço social. Papel social.

30.

White

(2002). Reescribir la vida. Gedisa.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

1.29 MB