O cotidiano de usuários de CAPS: empoderamento ou captura?

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Abstract

A reforma psiquiátrica tem investido na criação de serviços e qualificação técnica. Consideramos que a atenção técnica/especializada tem limitações para atender diversas demandas dos usuários e muitas formas de cuidado podem ser produzidas entre os mesmos. Este artigo discute a ajuda mútua e o empoderamento entre usuários de CAPS na perspectiva de ressaltar essa dimensão instituinte da reforma. Fazendo uso da entrevista e da observação participante percebemos que o modo de funcionamento e a gestão dos CAPS, bem como a concepção terapêutico-clínica da equipe, tendem a barrar as possibilidades de ajuda mútua entre os usuários, dificultando o empoderamento dos mesmos.

Translated abstract

The psychiatrist reform has invested in service creation and the qualification of the technicians. We believe that attention specialist has limitations to meet various demands of users and many forms of care can be produced among the users. This article discusses the mutual aid and empowerment among users of CAPS investing in this dimension of instituting reform. Making use of mapping and participant observations, we see that the mode of operation and management of CAPS, and the design of therapeutic and clinical technical team, they tend to spread the opportunities for mutual support among users, making the empowerment of those.

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Compendio de Análise Institucional e outras Correntes: Teoria e Prática

G Baremblitt, G BAREMBLITT, GF Baremblitt … (1996)

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Who talks? The social psychology of illness support groups.

K Davison, J Pennebaker, S S Dickerson (2000)

More Americans try to change their health behaviors through self-help than through all other forms of professionally designed programs. Mutual support groups, involving little or no cost to participants, have a powerful effect on mental and physical health, yet little is known about patterns of support group participation in health care. What kinds of illness experiences prompt patients to seek each other's company? In an effort to observe social comparison processes with real-world relevance, support group participation was measured for 20 disease categories in 4 metropolitan areas (New York, Chicago, Los Angeles, and Dallas) and on 2 on-line forums. Support seeking was highest for diseases viewed as stigmatizing (e.g., AIDS, alcoholism, breast and prostate cancer) and was lowest for less embarrassing but equally devastating disorders, such as heart disease. The authors discuss implications for social comparison theory and its applications in health care.