Made available in DSpace on 2014-12-17T15:38:35Z (GMT). No. of bitstreams: 1 MarianaTCL_TESE.pdf: 1321975 bytes, checksum: 85938868e178ce96af9ba0466022512b (MD5) Previous issue date: 2011-12-12 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This thesis aims to discuss on articulations that have been produced on the socio-cultural field in the Psychiatric Reform process and its pertinence to the streghtening of Psychosocial Care Strategy (EAPS) in Fortaleza/CE. Such interest has been justified by the need to promote not only the production of these networks, but also interfaces to enable strategies of support and sociability from the perspective of deinstitutionalization of madness. We were inspired by the cartography perspective of Deleuze e Guattari, and determined as objectives: 1) to discuss the complexity of Psychiatric Reform process and analyze the EAPS as a model for the current Mental Health policy in the country; 2) to map socio-cultural strategies connected to the CAPS network in the city, investigating experiences that already exist or may be constituted as everyday social support networks; 3) from that mapping to start, define and discuss some aspects that converge to the accomplishment for this new mental health paradigm, drawing a cartography of the issues and movements in progress. The mapping was carried out in 2009 and consisted of semi-structured interviews with the coordinators of the 14 existent CAPS and with some people connected to the Coordination of Mental Health. Besides, during the whole development of the study, we have taken part in public events that brought us clues on the connection between mental health and culture. From the survey produced, we defined three vectors for discussion (Art, Labour and Partnership with Social Movements) which have been highlighted as effective possibilities of intervention in the socio-cultural field of Psychiatric Reform in Fortaleza and reveal important paths on the fulfillment process of a new pattern of care. For each of these axes, we chose a field of empirical research (Projeto Arte e Sa?de, COOPCAPS e MSMCBJ) in which we could better understand their strengths and difficulties, starting from open interviews with some of their actors and the production of a diary of sensations in 2010. We have seen that they are articulated with the proposal of EAPS, being part of the concerns to the National Mental Health Policy and also the municipal administration. However, we have noticed to be necessary to promote those dimensions further, focusing on its complexity at the macro and micro policies, with the purpose of leading the Psychiatric Reform process / Essa tese tem como foco discutir acerca das articula??es produzidas no campo sociocultural do processo de Reforma Psiqui?trica e sua pertin?ncia para a consolida??o da Estrat?gia de Aten??o Psicossocial (EAPS) em Fortaleza/CE. Tal interesse justificou-se pela necessidade de promover n?o apenas a produ??o de tais redes, mas tamb?m interfaces que possibilitem estrat?gias de suporte e sociabilidade sob a ?tica da desinstitucionaliza??o da loucura. Inspirados na perspectiva cartogr?fica de Deleuze e Guattari, determinamos como objetivos: 1) debater a complexidade do processo de Reforma Psiqui?trica e analisar a EAPS como modelo para pol?tica atual de sa?de mental do pa?s; 2) mapear as estrat?gias socioculturais ligadas ? rede de CAPS na cidade, examinando as experi?ncias que j? se constituem ou podem vir a se constituir como redes de suporte social cotidianas; 3) a partir deste mapeamento, definir e discutir eixos que convirjam para a concretiza??o deste novo paradigma em sa?de mental, esbo?ando uma cartografia das quest?es e movimentos em curso. O mapeamento, realizado em 2009, constituiu-se por entrevistas semiestruturadas com os coordenadores dos 14 CAPS existentes e com algumas pessoas relacionadas ao Colegiado de Sa?de Mental. Al?m disso, durante todo o desenvolvimento do estudo, participamos de eventos p?blicos, que nos dessem pistas das conex?es entre sa?de mental e cultura. A partir do levantamento produzido, definimos tr?s vetores de discuss?o (Arte, Trabalho e Parceria com Movimentos Sociais) que se sobressa?ram como possibilidades efetivas de interven??o no campo sociocultural da Reforma em Fortaleza e indicaram caminhos relevantes no processo de efetiva??o de um novo modelo de aten??o. Para cada um desses eixos, buscamos nos aproximar de um campo emp?rico de investiga??o (Projeto Arte e Sa?de, COOPCAPS e MSMCBJ) no qual pud?ssemos conhecer melhor suas potencialidades e dificuldades a partir de entrevistas abertas com alguns de seus atores e a produ??o de um di?rio de sensa??es no ano de 2010. Vimos que eles est?o articulados com a proposta da EAPS, fazendo parte das preocupa??es da Pol?tica Nacional de Sa?de Mental e tamb?m da gest?o municipal. Contudo, percebemos ser necess?rio fomentar ainda mais tais dimens?es, atentando para sua complexidade tanto no plano macro quanto micropol?tico, no intuito de continuar pondo em movimento o processo de Reforma Psiqui?trica