Thesis (Ph.D.)--University of California, Berkeley, 2006. / (UMI)AAI3254008. Source: Dissertation Abstracts International, Volume: 68-02, Section: A, page: 0741. Advisers: Neil Fligstein; Trond Petersen.

Thesis (Ph.D.)--Indiana University, Dept. of Religious Studies, 2006. / "Title from dissertation home page (viewed June 26, 2007)." Source: Dissertation Abstracts International, Volume: 67-06, Section: A, page: 2291. Adviser: Stephen J. Stein.

Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2014-07-14T20:24:24Z No. of bitstreams: 1 Tese Heleni Ávila. 2013.pdf: 860675 bytes, checksum: e6fb5d7a2b313b56c55a09313e48afa7 (MD5) / Approved for entry into archive by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2014-07-14T20:38:29Z (GMT) No. of bitstreams: 1 Tese Heleni Ávila. 2013.pdf: 860675 bytes, checksum: e6fb5d7a2b313b56c55a09313e48afa7 (MD5) / Made available in DSpace on 2014-07-14T20:38:29Z (GMT). No. of bitstreams: 1 Tese Heleni Ávila. 2013.pdf: 860675 bytes, checksum: e6fb5d7a2b313b56c55a09313e48afa7 (MD5) / A presente tese trata do processo de implementação do SUS – Sistema Único de Saúde, no período de 1986 a 2006, tendo como ponto de partida um estudo de caso sócio histórico no Estado da Bahia. A implementação do SUS foi investigada por meio de análises dos processos decisórios, das arenas políticas e das ações dos sujeitos envolvidos, considerando os componentes Gestão e Organização, Modelos de Atenção, Infraestrutura e Financiamento. Procedeu-se a uma reconstituição histórica e política da formação do Estado da Bahia com o escopo de revelar a realidade na qual o SUS foi implementado, nesta unidade da federação. Os resultados encontrados apontam que, não obstante todos os problemas iniciais, em especial no período do Governo ACM – Antonio Carlos Magalhães, a implementação do SUS na Bahia apresenta evidências consideradas positivas. Após centralização e priorização da iniciativa privada no primeiro momento, os períodos seguintes foram de organização e da implementação de fato, mas o Estado manteve a sua função de prestador de serviços, demorando em assumir a sua função de gestor e de coordenador do processo. A história da formação do Estado da Bahia conformou uma realidade social pautada no reforço ao Estado patrimonialista valendo-se de troca de favores políticos, o que pode ser considerado como obstáculo para a implementação de políticas públicas de caráter democrático e republicano. Tanto o processo decisório, marcado por disputas políticas e pela presença de um mesmo grupo político no poder ao longo de 16 (dezesseis) anos, quanto às estruturas da principal instituição implementadora – SESAB – apresentaram precariedades e impuseram dificuldades no processo de implementação e de funcionamento do SUS na Bahia. Entretanto, mesmo com deficiências na organização da rede de serviços e no acesso aos mesmos, concluiu-se que houve avanços na garantia do direito à saúde para a população da Bahia. / The subject of this thesis is the implementation of the Sistema Único de Saúde – SUS (the Brazilian Unified Health System), between 1986 and 2006, from a sociohistorical case study in Bahia, a Brazilian Estate. The implementation of SUS was investigated from the analysis of decisory processes, political negotiations, and from the actions of individuals involved, considering such components as Management and Organization, Attention Models, Infrastructure and Financing. With the aim to reveal the reality in which the SUS was implemented in Bahia, the History and Politics of the formation of this Federative Estate was retold. The results points that, nevertheless all initial problems, especially during the administration of Governor Antonio Carlos Magalhães, the implementation of SUS in Bahia presented evidences considered as positives. After a first moment of centralization and focus on the private enterprise, the following periods were from organization and actual implementation, yet the maintenance of the Estate function as a service provider, taking too long to assume its function as manager and coordinator of the process. The history of Bahia’s Estate formation conformed a social reality ruled by the reinforcement to the patrimonial State making use of exchanging political favors, what can be considered an obstacle to the implementation of democratic and republican public policies. Both the decision-making process, marked by political disputes and by the presence of the same group in power by 16 years, and the structures of the main implementing institution – SESAB – presented precariousness and imposed difficulties to the process of implementation and operation of SUS in Bahia. Though, even with deficiencies in the organization of the services network and the access to them, it was concluded that have been advances in securing the right to healthcare to the population of Bahia.

<p>This dissertation explores the social history of genetic counseling in the United States between 1930 and 2000. I situate genetic counselors at the interstices of medicine, science, and an increasingly “geneticized” society. My study emphasizes two central themes. First, genetic counselors have played a crucial role in bridging the “old eugenics” and the “new genetics” as mediators of genetic reproductive technologies. Genetic counselors negotiated the rights and responsibilities of genetic citizens in their patient encounters. Discourses of privilege and duty were also extrapolated outward to public debates about the new genetics, demonstrating the highly-politicized contexts in which counselors practice and women make reproductive choices. Second, I interrogate the professionalization process of genetic counseling from a field led by male physician-geneticists in the 1940s and 50s, to a profession dominated by women with Masters degrees by the 1980s and 90s. This transformation is best understood through the framework of a “system of professions,” and counselors’ professional position between “sympathy and science.” These frameworks similarly structured the client-counselor relationship, which also centered on concepts of risk, the promotion of patient autonomy, and the ethics of non-directiveness and client-centeredness. These principles distanced counselors from their field’s eugenic origins and the traditional doctor-patient relationship. I emphasize the voices of genetic counselors based on 25 oral history interviews, and hierarchies of gender, race, and educational status at work in the profession’s history. A study of genetic counseling is an important contribution to the histories of health and medicine, medical sociology, bioethics, disability studies, and gender and women’s studies.</p> / Doctor of Philosophy (PhD)

Historicamente, a psiquiatria faz uso do trabalho e da atividade como estratégia central. O Brasil apresenta vários registros históricos, jurídicos, institucionais, teóricos e técnicos da utilização do trabalho de acordo com o paradigma asilar. Os objetivos deste estudo foram contextualizar Serviços de Saúde Mental que utilizam as oficinas como meio de Reabilitação Psicossocial; caracterizar a população atendida, e; identificar as funções, objetivos e propostas das referidas oficinas, através da representação dos profissionais e dos usuários. Para tanto, realizou-se uma pesquisa de natureza qualitativa em Serviços de Saúde Mental dos municípios de Divinópolis e Belo Horizonte, no estado de Minas Gerais. Os recursos metodológicos da investigação foram: observação participante, entrevista semi-estruturada e análise documental. Tabularam-se os dados de acordo com o método do Discurso do Sujeito Coletivo. O referencial teórico foi o do paradigma das práticas em Saúde Mental, compreendendo o modelo asilar e o modelo psicossocial. Os resultados foram reunidos em quatro parâmetros de análise: concepções do "objeto" e dos "meios" de trabalho, formas da organização institucional, formas de relacionamento com a clientela, concepções dos efeitos típicos em termos terapêutico e ético. Os dados deste estudo evidenciam que as oficinas em Saúde Mental avançam em direção à Reabilitação Psicossocial, como dispositivo que materializa o paradigma psicossocial, porém constatou-se que há práticas de retrocesso e/ou repetição da lógica asilar e que as oficinas dos Serviços de Saúde Mental encontram-se em processo de transição paradigmática das práticas da Reforma Psiquiátrica. / Psychiatry has been making use of working activities and crafts production as its central strategies along its history. Brazil has many historical, juridical, institutional, theoretical and technical records of the use of working activities according to the internment paradigms. The aim of this study is to present the context of the mental health services which make use of workshops as a means of psychosocial rehabilitation, to characterize the people who are assisted and to identify the functions, the goals and the proposals of the so called workshops by means of the representations made by professionals and users. In order to achieve such objectives a qualitative research was done on the mental health services of the municipalities of Divinópolis and Belo Horizonte in the state of Minas Gerais. The participative observation, the semi-structured interview and de document analysis were the methodological resources used in the study. The data was processed according to the method of the Discourse of the Colective Subject. The theoretical reference used was the paradigm of the practices in mental health, which comprises the internment model and the psychosocial model. The researcher gathered the results under four parameters of analysis: conceptions of "object" and "means" of work, forms of the institutional organization, ways of relating to the clients and conceptions of the typical effects in therapeutic and ethic terms. The data of this study put in evidence that the workshops in mental health move forward towards the psychosocial rehabilitation, as a practice that gives concreteness to the psychosocial paradigm. Nevertheless we noticed that there are backwarding practices and/or practices of repetittion of the internment logic, and the workshops of the mental health services are under a process of paradigmatical transition of the practices of the Psychiatric Reform.

Made available in DSpace on 2016-04-27T19:31:05Z (GMT). No. of bitstreams: 1 Gabriel Kenzo Rodrigues.pdf: 6222688 bytes, checksum: 38738b55505645e9c073b456f3a5b4e4 (MD5) Previous issue date: 2015-04-06 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This paper seeks to analyze the transition from a cure consumption model which embraced not only a scientific model viewed as obsolete, but also all kinds of popular cures to a new model recognized as scientific by official knowledge, which was closely linked not only to the latest discoveries in the pharmaceutical field, but to the new forms of production stemming from the Second Industrial Revolution, which in turn walked hand in hand with the international monopoly capitalism of the first half of the twentieth century. The approach adopted to understand the specificity of this period sought to link the development of this cure model to elements not limited to official documentation. Accordingly, this paper intends to analyze the trajectory of how this model of cure, which today is hegemonic, extended into different social instances and transcended its mere chemical or biological efficacy. The large amount of pharmaceutical advertising present in the daily media, came up as documentation capable of clarifying how this transition took place. It allowed us to gain insight into an aspect that is little explored in the history of science, namely: how a scientific model with hegemonic intentions operates to take root in the everyday life of society while using prosaic elements to establish communication with its audience. Using what already existed and, at the same time, instituting the new, the ads clearly show the subtleties of society of that time regarding the sick body, which did not show through on official documentation, such as medical treatises, medical reports, diagnoses, etc. The sick body in this case appears in its social dimension, showing what is lost in social terms as such: a worker who is unable to produce, the syphilitic who will only get married after his convalescence, a woman who fails to find a husband due to esthetic issues caused by poor health, etc. All these elements are skillfully used by the advertising agencies which, while seeking to maximize the profits of their commissioning laboratories, end up also creating a space where different worldview representations and cure models contend / O trabalho busca analisar o momento de transição de um modelo de consumo de cura que abrigava não apenas uma corrente científica considerada ultrapassada, como também todos os tipos de curas populares para um novo modelo reconhecido como científico pelos saberes oficiais, que estava intimamente atrelado não apenas às últimas descobertas no campo farmacêutico, como às novas modalidades de produção decorrentes da Segunda Revolução Industrial, que caminharam contíguas ao capitalismo monopolista internacional da primeira metade do século XX. Para compreender a especificidade deste momento, foi adotada uma postura que buscou relacionar o desenvolvimento deste modelo de cura com elementos que não se encontrassem apenas no âmbito circunscrito da documentação institucional. Assim, o trabalho pretende analisar o percurso de como o espaço da cura, que nos dias atuais é hegemônica, se alargou em diferentes instâncias sociais, para além da comprovação da sua eficácia químico-biológica. Os anúncios farmacêuticos, presentes em grande quantidade nos periódicos, surgiram então como uma documentação capaz de esclarecer como ocorreu esta transição. A partir deles, tornou-se possível adentrar em uma esfera pouco explorada na história da ciência, a saber, como o modelo científico que se pretende hegemônico opera para se firmar no cotidiano da sociedade, utilizando elementos prosaicos para estabelecer uma comunicação com os seus receptores. Utilizando o já existente e, ao mesmo tempo, instituindo o novo, os anúncios mostram claramente as sutilezas da sociedade da época referentes ao corpo doente que não apareceriam nos documentos oficiais, sejam estes tratados médicos, laudos, diagnósticos, etc. O corpo doente aparece então na sua dimensão social, evidenciando o que este perde em termos propriamente sociais: o trabalhador impossibilitado de produzir, o sifilítico que não poderá se casar até convalescer, a mulher que não conseguirá um marido por conta das questões estéticas advindas da falta de saúde etc. Todos estes são elementos habilmente utilizados pelas agências publicitárias, que ao buscar aumentar o lucro dos laboratórios contratantes acabam criando igualmente um espaço de disputa de representações de visões e modelos de cura

Submitted by Marlene Aparecida de Souza Cardozo (mcardozo@pucsp.br) on 2017-01-24T17:27:45Z No. of bitstreams: 1 Selma Cosso Neves.pdf: 1151062 bytes, checksum: 885f0abf0b546e544a2857fec066b158 (MD5) / Made available in DSpace on 2017-01-24T17:27:45Z (GMT). No. of bitstreams: 1 Selma Cosso Neves.pdf: 1151062 bytes, checksum: 885f0abf0b546e544a2857fec066b158 (MD5) Previous issue date: 2016-12-13 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The aim of the present study is to investigate the context and some of the main sources resulting in Daniel David Palmer’s (1845-1913) formulation of chiropractic. Born in Canada, Palmer moved to the United States after the end of the Civil War, a period characterized by severe poverty. The precarious conditions extended also to medicine favoring the development of non-conventional practices, such as Thomson and magnetic therapy, in addition to homeopathic medicine, which had a strong presence in this period. Palmer met Paul Caster (1827-1881), a practitioner of magnetic therapy who treated patients without drugs, but through manipulation only. Interested in Caster’s successful methods Palmer became his disciple and worked for nine years with him. Palmer further founded a small journal, The Magnetic Cure, which served to divulgate his ideas on magnetic therapy. At the same time, strong hints indicate that Palmer devoted himself to a more thorough study of anatomy and physiology, including other sources, as e.g. osteopathy. Palmer finally presented his own healing method in 1895, which he called chiropractic. Also chiropractic dismissed pharmacological treatment, being that diseases were attributed to spine misalignment resulting in compression of nerves and blockade of the vital nervous flow. Many of the reasons that led Palmer to formulate chiropractic are poorly understood and are signaled out and analyzed in the present study / O presente estudo tem como objetivo verificar o contexto e algumas das principais fontes que levaram Daniel David Palmer (1845-1913) a desenvolver a quiropraxia. Nascido em território canadense, Palmer mudou-se para os Estados Unidos após o termino da guerra civil, período em que o país sofreu um forte empobrecimento. Essa precariedade também atingiu a medicina, facilitando o estabelecimento de práticas não convencionais, como as terapias tonsoniana e magnética, além da medicina homeopática, que tinha grande presença. Durante esse período, Palmer conheceu um terapeuta magnético chamado Paul Caster (1827-1881), que tratava dos enfermos, sem usar medicamento, apenas com manipulação. Interessado nos métodos bem-sucedidos de Caster, Palmer tornou-se seu discípulo e com ele trabalhou por nove anos. Ainda nessa época, Palmer fundou o pequeno jornal The Magnetic Cure, no qual passou a divulgar suas ideias e práticas em terapia magnética. Mas, tudo indica que, enquanto isso, Palmer teria começado a estudar anatomia e fisiologia mais profundamente, assimilando novas fontes, como as provenientes da osteopatia. Finalmente, em 1895, Palmer apresentou seu próprio método de cura, a que deu nome de quiropraxia. Esse novo método mantinha a cura das enfermidades sem o uso de medicamentos, e passava a creditar a causa das mesmas ao desalinhamento vertebral que pinçaria os nervos e impediria a passagem do fluxo nervoso vital. Todavia, muitos dos pontos que levaram Palmer ao desenvolvimento da quiropraxia continuam pouco ou mal esclarecidos, gerando questões que serão apontadas e, na medida do possível, elucidada ao longo de nosso estudo

This dissertation examines the organisational background to the modern British health education movement, largely by reference to the origins and forty years' history of the Central Council for Health Education (1927-1968), the first body attempting to impart leadership and national coherence to a diffuse and eclectic field of educational practice and health promotion which has found secure administrative foundations difficult to establish. The study begins with a review of nineteenth and early twentieth century influences contributing to the character and status of the movement in its pioneering years. The predominantly propagandist roots and voluntary sector affinities with which it emerged from half and century's precursory endeavours profoundly affected health education's opportunities to advance with other aspects of health care and education in the inter-war years. By then, health education had become a diffuse and unco-ordinated field of minor, local authority initiatives and separatist campaigning by specialist, national health charities, remaining largely outside the remit of health and education professions and neglected officially. How the challenge of countering developmental difficulties fell to a minor professional body rather than an officially promoted one, is a question critical to any interpretation of later developments, and the subject of further enquiry. Subsequent investigation focuses on the evolution of the central agency which resulted, the Central Council for Health Education, particularly its thirty years' quest for official recognition and stature, and the strategies and services devised in this cause. It is a story of persistent and widespread enterprise, significant in many of its ideas but constrained in their effective development by enduring failure to attract Government support and to progress beyond the limited subscription income and essentially propagandist aspirations of local public health services. Adjudged ineffective by the 'Cohen Enquiry' of 1960-64, Government intervation proved forty years late in seeking to redress the problems of inadequate central provision, when in 1968 an officially funded Health Education Council replaced its neglected predecessor. The investigation reveals the classical dilemma of a multi-disciplinary field failing to transcend the divisive character of its own interests, in search for developmental coherence, and failing, consequently, to command effective professional and political support.

Submitted by Marlene Santos (marlene.bc.ufg@gmail.com) on 2014-10-29T19:48:36Z No. of bitstreams: 2 Tese - Leicy Francisca da SIlva- 2013.pdf: 3644858 bytes, checksum: 3c60e5e4afa9cb68c9701c6fb8d2e236 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2014-10-30T10:01:54Z (GMT) No. of bitstreams: 2 Tese - Leicy Francisca da SIlva- 2013.pdf: 3644858 bytes, checksum: 3c60e5e4afa9cb68c9701c6fb8d2e236 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2014-10-30T10:01:54Z (GMT). No. of bitstreams: 2 Tese - Leicy Francisca da SIlva- 2013.pdf: 3644858 bytes, checksum: 3c60e5e4afa9cb68c9701c6fb8d2e236 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2013-08-23 / Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG / Le principal objectif de cette thèse est d’analyser le processus de construction de la lèpre dans l’Etat de Goiás, au Brésil. Pour ce faire, on a cherché, par l’analyse des discours médicaux et politiques produits pendant la période comprise entre 1830 et 1962, à observer les transformations de la façon de penser et d’exprimer le problème, et les éléments relatifs au pouvoir et au savoir qui construisent la maladie comme problème médico-politique. Les principaux documents utilisés dans cette analyse se composent de rapports médicaux, de revues médicales de Goiás, de rapports gouvernementaux des Provinces/Etats, et de journaux locaux. L’hypothèse défendue est que la manière de concevoir la maladie analysée s’est transformée à Goiás dans les années 1920. La morphée, qui était vue, au XIXe siècle, comme possiblement curable et dont les malades coexistaient avec les sains dans les espaces urbains, a donné place à la lèpre, maladie contagieuse qui se propage sur les espaces pauvres et “sans civilisation” de l’Etat, et qui exigeait que des actions soient entreprises pour la contenir. Cette transformation a lieu dans un contexte de croissance de l’intérêt porté à l’espace de l’intérieur du Brésil et à un moment de dispute discursive au sujet du transfert de la capitale fédérale de Rio de Janeiro à Goiás. Les discours construits autour de cette question présentaient un espace et une population caractérisés par la maladie et par l’absence du pouvoir public. Ainsi, les gouvernements, sans moyens d’assumer la politique sanitaire d’assistance médicale aux malades dans les années 1920 et 1930, laissent ce rôle aux institutions philanthropiques ; alors qu’à la fin des années 1930 et pendant les années 1940, l’Etat se l’approprie et centralise la politique de prophylaxie qu’il rapproche fortement du projet de construction de la nouvelle capitale de l’Etat de Goiás. Pour les médecins, la lutte pour l’hégémonie sur le problème sert de mot d’ordre pour le renforcement de la classe et pour sa projection sur la scène politique, dans le cadre de la défense du progrès régional. / This thesis aims at analyzing the process of construction of Leprosy in the Goiás. It seeks to observe the changes referring to the ways of thinking and of expressing the problem, as well as the factors related to power and knowledge, which constructs a disease as a medical-political problem, through the analyzes of the medical and political discourses produced over the period between 1830-1962. The main documents used for the analysis were the reports of general practicioners, medical magazines from Goiás, reports from the local and state government and local newspapers as well. The hypothesis is that in Goiás, in the 1920’s, there was a change in the way the disease was conceived. The morphea, which in the nineteenth century, was seen as a possibly curable disease and whose patients lived in urban areas together with the healthy individuous, gave place to leprosy, a contagious disease, that spread over the poor and uncivilization areas, which demanded state measures in order to control it. This change becomes contextualized in the increased interest in the countryside of Brazil and in the discursive dispute with respect to moving the Federal capital to Goiás. The discourse constructed around of this issue represents a space and a population characterized by the disease and the absence of the State power. Thus, the government, without conditions to undertake the sanitary policy for patients ‘medical care, in the 1920’s and in the 1930’s, allowed the phylantropic institutions to take care of it, though it was later taken over by the State at the end of the 1930’s and the 1940’s, which centralized the prophylaxis policy and strongly relates to the construction project of the new State capital. For the doctors, the struggle for hegemony over the issue serves as a motto for the strengthening of the class and their projections in the field of politics, in the defence of regional progress. / Esta tese tem como objetivo principal analisar o processo de construção da lepra em Goiás. Para tanto, busca, por meio das análises dos discursos médicos e políticos produzidos no período entre 1830 a 1962, observar as transformações referentes ao modo de pensar e expressar o problema e os elementos relativos ao poder e ao saber que constroem a doença como problema médico-político. Os principais documentos utilizados nessa análise são os relatórios de médicos-viajantes, revistas médicas goianas, relatórios dos governos provinciais/estaduais e jornais locais. A hipótese defendida é que ocorre em Goiás, na década de 1920, uma transformação na forma de conceber a doença. A morfeia, que no século XIX era vista como possivelmente curável e cujos doentes conviviam nos espaços urbanos com os sadios, dá lugar à lepra, uma doença contagiosa, que se expandia pelos espaços pobres e “sem civilização”, e que exigia ações do Estado para sua contenção. Esta transformação se faz contextualizada no aumento do interesse pelo espaço do interior do Brasil e na disputa discursiva com respeito à mudança da capital federal para Goiás. Os discursos construídos em torno desta questão apresentam um espaço e uma população caracterizados pela doença e pela ausência do poder público. Assim, os governos, sem condições para assumir a política sanitária de assistência médica aos doentes, nas décadas de 1920 e 1930, deixam esse papel para as instituições filantrópicas, sendo que no final da década de 1930 e na década de 1940 ele é apropriado pelo Estado, que centraliza a política de profilaxia e a relaciona fortemente com o projeto de construção da nova capital estadual. Para os médicos, a luta pela hegemonia sobre o problema serve como mote para o fortalecimento da classe e para sua projeção no campo da política, na defesa do progresso regional.

Historicamente, a psiquiatria faz uso do trabalho e da atividade como estratégia central. O Brasil apresenta vários registros históricos, jurídicos, institucionais, teóricos e técnicos da utilização do trabalho de acordo com o paradigma asilar. Os objetivos deste estudo foram contextualizar Serviços de Saúde Mental que utilizam as oficinas como meio de Reabilitação Psicossocial; caracterizar a população atendida, e; identificar as funções, objetivos e propostas das referidas oficinas, através da representação dos profissionais e dos usuários. Para tanto, realizou-se uma pesquisa de natureza qualitativa em Serviços de Saúde Mental dos municípios de Divinópolis e Belo Horizonte, no estado de Minas Gerais. Os recursos metodológicos da investigação foram: observação participante, entrevista semi-estruturada e análise documental. Tabularam-se os dados de acordo com o método do Discurso do Sujeito Coletivo. O referencial teórico foi o do paradigma das práticas em Saúde Mental, compreendendo o modelo asilar e o modelo psicossocial. Os resultados foram reunidos em quatro parâmetros de análise: concepções do "objeto" e dos "meios" de trabalho, formas da organização institucional, formas de relacionamento com a clientela, concepções dos efeitos típicos em termos terapêutico e ético. Os dados deste estudo evidenciam que as oficinas em Saúde Mental avançam em direção à Reabilitação Psicossocial, como dispositivo que materializa o paradigma psicossocial, porém constatou-se que há práticas de retrocesso e/ou repetição da lógica asilar e que as oficinas dos Serviços de Saúde Mental encontram-se em processo de transição paradigmática das práticas da Reforma Psiquiátrica. / Psychiatry has been making use of working activities and crafts production as its central strategies along its history. Brazil has many historical, juridical, institutional, theoretical and technical records of the use of working activities according to the internment paradigms. The aim of this study is to present the context of the mental health services which make use of workshops as a means of psychosocial rehabilitation, to characterize the people who are assisted and to identify the functions, the goals and the proposals of the so called workshops by means of the representations made by professionals and users. In order to achieve such objectives a qualitative research was done on the mental health services of the municipalities of Divinópolis and Belo Horizonte in the state of Minas Gerais. The participative observation, the semi-structured interview and de document analysis were the methodological resources used in the study. The data was processed according to the method of the Discourse of the Colective Subject. The theoretical reference used was the paradigm of the practices in mental health, which comprises the internment model and the psychosocial model. The researcher gathered the results under four parameters of analysis: conceptions of "object" and "means" of work, forms of the institutional organization, ways of relating to the clients and conceptions of the typical effects in therapeutic and ethic terms. The data of this study put in evidence that the workshops in mental health move forward towards the psychosocial rehabilitation, as a practice that gives concreteness to the psychosocial paradigm. Nevertheless we noticed that there are backwarding practices and/or practices of repetittion of the internment logic, and the workshops of the mental health services are under a process of paradigmatical transition of the practices of the Psychiatric Reform.