Submitted by Aline Batista (alinehb.ufpel@gmail.com) on 2018-03-29T13:31:51Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertacao_Clarissa_de_Souza_Cardoso.pdf: 2026483 bytes, checksum: 03d592783490c3ef8db48829bcdd1387 (MD5) / Made available in DSpace on 2018-04-03T18:38:41Z (GMT). No. of bitstreams: 2 Dissertacao_Clarissa_de_Souza_Cardoso.pdf: 2026483 bytes, checksum: 03d592783490c3ef8db48829bcdd1387 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2017-01-20 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / A presente dissertação visa aprofundar o conhecimento das trajetórias terapêuticas e das redes sociais e afetivas de crianças que frequentam um Centro de Atenção Psicossocial Infantojuvenil (CAPSi). As trajetórias terapêuticas se constituem a partir de uma organização de convivência estabelecidas por meio de relações articuladas pelas pessoas que compõem a rede. Com esta pesquisa qualitativa, objetivou-se analisar as trajetórias terapêuticas das crianças que frequentam o Centro de Atenção Psicossocial Infantojuvenil (CAPSi). O estudo desenvolveu-se em um serviço de atenção psicossocial no município de São Lourenço do Sul, que é referência para cinco municípios no atendimento em saúde mental para crianças. Foram participantes desta pesquisa cinco crianças e seus familiares; utilizou-se para coleta de dados a análise dos prontuários, as informações anotadas em diário de campo, entrevistas narrativas, e o mapa dos cinco campos como estratégia metodológica para a entrevista narrativa com as crianças. O parecer de aprovação deste estudo possui nº 1.485.272 pelo Comitê de Ética da Faculdade de Enfermagem. Na análise foram apresentadas as trajetórias terapêuticas, as histórias de vida, e as redes sociais e afetivas de cada criança. A (re)construção das trajetórias terapêuticas e o conhecimento das redes sociais e afetivas das crianças que frequentam um serviço de atenção à saúde mental é fundamental para orientar as práticas de cuidado, fundamentado nas necessidades e demandas existentes por meio da narrativa deste público. As fragilidades encontradas nas trajetórias terapêuticas e nas redes sociais e afetivas relacionam-se com o encaminhamento precoce via escola, a longa permanência no serviço, a patologização-medicalização, e a ausência da figura paterna. Como potencialidades, foram encontrados os vínculos construídos ao longo das trajetórias terapêuticas demonstrados nos mapas e a família como principal fonte de apoio. Conclui-se que a participação efetiva das crianças na construção de um cuidado que atenda às suas singularidades, necessariamente, precisa ser articulada pela rede social e afetiva que as mesmas apresentam, constituindo-se como desafio para os diferentes atores e cenários da vida. / The following dissertation aims to profound the knowledge on therapeutic pathways and social and affective networks of children that attend to the Center for Psychosocial Child and Adolescent Care (CAPSi). The therapeutic pathways constitute from a living organization, established through relationships articulated by people that compose the network. With this qualitative research, the main goal was to analyze the therapeutic pathways of children that attend to the Center for Psychosocial Child and Adolescent Care. The study developed at a service for psychosocial care in the city of São Lourenço do Sul, which is reference to five cities in the mental care assistance to children. Five children and their families participated in this research. For data collection, chart analysis, recorded information in the field diary, narrative interviews, and the five-field map were used as methodological strategy to interviewing the children. The Ethics Committee from the Nursing School approved the study under the number 1.485.272. In the analysis, the therapeutic pathways, life history, and social and affective networks from each child were presented. The (re)building of therapeutic pathways and the knowledge on social and affective networks of the children that attend to a mental health care service is fundamental to guide the practices of care, fundament the necessities and existent demands through their own narrative. As fragilities in the therapeutic pathways, and in the social and affective networks, the early referral from the school, the extended permanence in the service, the pathologization -medicalization, and father’s absence were found. As potentialities, the bonding built during the therapeutic pathways demonstrated in the maps and the family as main source of support were highlighted. It is possible to conclude that the effective participation of children in the construction of a care that attend to their singularities, necessarily, needs to be articulated to the social and affective networks of them, which constitute as a challenge to the different actors and life scenarios.

Social work is a profession where documentation about people’s behavior and life circumstances is common. In the beginning of the essay we ask ourselves, if these descriptions about people can be problematic? To explore this, we studied social documentation, from the past. We used a historical source because history can help usunderstand the social work that is being conducted today. The aim of our study was to findout how early welfare work defined and described deviant behavior in child care issues, and how the child care agency handled these issues. Out method was a document analysis off the children’s care protocols in Kalmar, from 1929 to 1937. We present our results along with two illustrative case descriptions. Our theoretical approaches are Howard S Becker and Erwing Goffman´s theories of deviation. Their conclusion is that deviation is created by society, not by individuals or their actions. Since cases of children’s neglect and cases with deviant children were common and well documented we focused our empirical presentation on what was included in these terms. Children’s neglect cases focused on parent’s inability to provide the child with proper food, clothes, housing and similar factors. We also found that they made a distinction between mothers and fathers responsibility in these cases. Regarding the deviant children they also made a distinction between the sexes, identifying different behaviors deviant for girls andboys. Though some factors, such as being a illegitimate child and being unreliable is a definition used on both sexes. Since, according to our theories, deviation is created by our society our conclusion is that both children’s neglect and problem children can be seen as a result of societies expectations, and we present examples of how that can be understood in our analyze. In our final discussion we discuss how the definition of deviant behavior is relevant today. We discuss our findings in relation to BBIC, a Swedish child protection investigation guide. Our conclusion is that we still create deviations through documentation.