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Previous issue date: 2010-10-07 / The existence of chronic inhabitants in the psychiatric hospitals imposes a challenge to
the Psychiatric Reform, that proposes things such as the gradual and progressive way to
extinct mental institutions, once the permanence of the hospital in the system is only
necessary because there is not a net of well structured substitute services capable of
receiving that demand. This work considered relevant to deepen the knowledge about
those people who passes their lives jailed by the walls of psychiatric hospitals and
compose significant part of the world population. It also aimed to investigate the
problem relative to the condition of being an inhabitant of a psychiatric hospital the
Dr. Jo?o Machado Hospital (HJM), in the city of Natal/RN. The paper used different
points of view (patients , families and professionals ) to define the profile of the
inhabitants, to identify the possibility of insertion in substituting social equipment, to
know the expectations of the inhabitants and their relatives regarding to the exit of the
life shelter, to investigate the demands related to the net of cares social support for
making feasible the discharge and to identify the difficulties that are involved in the exit
of the chronic inhabitant of the hospital. There were defined three methodological
phases: delineation of the identification, socio-economic and clinical profile of the
inhabitants of the HJM; semi-structured interviews with professionals; and open
interviews with inhabitants and family. It concluded that the psychiatric
institutionalization contributes to the generation of chronic inhabitants in the psychiatric
hospitals. Among the professionals, it was detached the defense of desospitalization,
but an existence of devices of the asylum model. The relatives showed a resistance to
participate in the care and the inhabitants exposed their desire to leave the hospital, as
well like the wish of permanence. It was considered important: the construction of an
extra-hospital net that enables to desinstitutionalization; the qualification of the
technical; orientation to the family, stimulating its participation in the process of caring;
give freedom to the individuals in mental suffering, enabling them to be ahead of their
lives and express their desires and opinions; the implementation of an extended clinic
that is capable of building new possibilities; and a subjectivity guided by the social
enclosure / A exist?ncia de moradores cr?nicos nos hospitais psiqui?tricos imp?e um desafio ? desinstitucionaliza??o proposta pela Reforma Psiqui?trica, na medida em que o hospital se coloca como ?nica alternativa assistencial, enquanto n?o h? uma rede de servi?os
substitutivos suficiente para acolher essa demanda. Considerou-se relevante aprofundar o conhecimento acerca desses sujeitos que passam suas vidas isoladas pelos muros de
hospitais psiqui?tricos e comp?em parcela significativa da popula??o mundial. Objetivou-se investigar a problem?tica relativa ? condi??o de ser morador de um hospital psiqui?trico Hospital Dr. Jo?o Machado (HJM), na cidade de Natal/RN por
parte dos t?cnicos, dos familiares e dos moradores, com vistas a: definir o perfil destes; identificar a possibilidade de inser??o em equipamentos sociais substitutivos; conhecer
as expectativas dos moradores e familiares em rela??o ? desinstitucionaliza??o; investigar as demandas de cuidados e suporte social para viabiliz?-la e identificar as dificuldades envolvidas nesse processo. Realizaram-se tr?s etapas metodol?gicas: delineamento do perfil identificat?rio, s?cio-econ?mico e cl?nico dos moradores do HJM; entrevistas semi-estruturadas com t?cnicos do HJM e entrevistas abertas com moradores e familiares. Constatou-se que a institucionaliza??o psiqui?trica contribui para a gera??o de moradores cr?nicos nos hospitais psiqui?tricos. Entre os t?cnicos,
destacou-se a defesa pela desospitaliza??o, mas tamb?m a exist?ncia de discursos institucionalizantes. Os familiares expuseram uma recusa ? participa??o no cuidado e os
moradores evidenciaram a vontade de sair do hospital, bem como o desejo de perman?ncia. Verificou-se a import?ncia: da constru??o de uma rede extra-hospitalar que possibilite a desinstitucionaliza??o; da capacita??o da equipe t?cnica em rela??o ao exerc?cio de pr?ticas desinstitucionalizantes; da orienta??o ? fam?lia, estimulando a participa??o desta no cuidado; de possibilitar a apropria??o de suas vidas pelos sujeitos
em sofrimento mental e a express?o de seus desejos e opini?es e da efetiva??o de uma cl?nica ampliada instauradora de uma subjetividade pautada na inclus?o social
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/17459 |
| Date | 07 October 2010 |
| Creators | Bezerra, C?ntia Guedes |
| Contributors | CPF:24383481353, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4763508E6, Perrusi, Artur Fragoso de Albuquerque, CPF:37101641415, http://lattes.cnpq.br/0486688276534915, Dias, Marcelo Kimati, CPF:15002709893, http://lattes.cnpq.br/1309888154789218, Medeiros, Cynthia Pereira de, CPF:37636820404, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4779809E6&dataRevisao=null, Dimenstein, Magda Diniz Bezerra |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Psicologia, UFRN, BR, Psicologia, Sociedade e Qualidade de Vida |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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