Caminhos possíveis : da desconstrução da doença mental à produção de cidadania nas práticas em saúde mental

Abstract

The Brazilian psychiatric reform, in line with the current mental health policies, points to the production of care rooted in the user territory as a strategy to increase the autonomy of the users and substitute hospitalizations in psychiatric hospitals. At the crossroads between this public policy perspective and some experiences in assisting at a CAPS, we seek to elucidate experienced challenges among users, health professionals and other actors, facing the challenge of producing mental health in a city in the northeastern. Citizenship, mental health and madness are interwoven with the control in an open pit promoted dynamics where there are no psychiatric hospital walls that demarcate where freedom is curtailed. Through the narrative of some scenes from the shocks of the mental health care field of the city surveyed, the rescue of brazilian public policy and history produced by Michel Foucault about the madness and the birth of Psychiatry, we point out possible resistances on the experience with people known as crazy.