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Previous issue date: 2013-02-05 / This phenomenological research aimed to apprehend the experience of persons who have been attended in a Psychosocial Care Center on Alcohol and Drugs - CAPS - located in a medium size town in S?o Paulo state in the context of the practice of welcoming made effective by a psychologist. This practice has been regarded as one of the facilitator contrivance for the consolidation of the National Health Humanization Program, implemented by the Ministry of Health since 2004. Although, the act of welcoming is recommended as interdisciplinary and inserted into the routine of all professionals and services related to Brazilian Public Health, the purpose was to analyze it from the perspective of a humanistic oriented psychologist. This is a qualitative phenomenological research based on the encounters of the researcher and the participants on the context of a duty care routine service. Thirty-six adults of both sexes were interviewed including those who attended the service for the first time and those who returned to treatment after a period of neglect during the period of September 2011 and August 2012. From these thirty-six people, fifteen were selected to participate in the research. As a strategy for the analysis of the encounters with the participants, there were constructed written narratives that enabled the researcher to approach with elements of the experience of these people from his own impressions on meeting them in a dialogic relationship. The results showed significant elements that emerged from these clinical encounters: 1) self-image: the participants refer to themselves as people who can undertake changes in the way of living towards the physical and psychological health; feel hopeful about the possibility of recovery from treatment adherence; 2) relationship with the body: the experience revealed a split between the physical body and its symbolization leading them to neglect the information transmitted to them by service technicians as to be carriers of serious physical ailments and other health problems; 3 ) selfperception: they preserve the condition of narrating their own life story, relating facts and relevant events that impelled them to be in the present condition; 4) affective relationships: the beginning of the use of chemicals is associated with emotionally relevant people, but it is also, the decision to seek help to get rid of addiction, 5) suffering because of the manner they are living as a trigger for seeking professional help, 6) relationship with drugs consumption: independent of the substance(s) sed, most of the time, consumption was reported by participants as something that they had already stopped when they took the initiative to seek help from CAPS.Participants felt welcomed during the encounters due to the empathic attitude and acceptance of the psychologist. The practice of welcoming performed
in this study regarded the well-known institutional practice of psychology on duty care as proposed by Brazilian psychologists as an intervention made effective by the means of some specific attitudes held by the psychologists in order to receive clients psychological emergency demand. Thus, it was possible to realize the importance of a dialogic relationship
to engage an experiential process that provides the client with a rescue of his/her subjectivity. / A pesquisa objetivou apreender fenomenologicamente a experi?ncia de pessoas atendidas em um Centro de Aten??o Psicossocial em ?lcool e Drogas, situado em um munic?pio do
interior do estado de S?o Paulo, a partir da pr?tica de acolhimento efetivada por um psic?logo. Esta pr?tica tem sido considerada como um dos dispositivos facilitadores para a consolida??o do Programa Nacional de Humaniza??o em Sa?de, implementado a partir de 2004 pelo Minist?rio da Sa?de. Embora o ato do acolhimento seja preconizado como interdisciplinar e inserido na rotina de todos os profissionais e servi?os de sa?de p?blica brasileiros, procurou-se analis?-lo sob a perspectiva da pr?tica de um psic?logo de orienta??o humanista. Trata-se de uma pesquisa qualitativa de inspira??o fenomenol?gica e o contexto escolhido para os encontros do pesquisador com os participantes foi o atendimento rotineiro de plant?o. Foram entrevistadas trinta e seis pessoas adultas de ambos os sexos que compareceram ao servi?o pela primeira vez ou retornaram ao tratamento ap?s um per?odo de abandono, entre os meses de setembro de 2011 e agosto de 2012. Destas, foram selecionadas quinze para participarem da pesquisa. Como estrat?gia para a an?lise dos encontros com os participantes foram constru?das narrativas que possibilitaram ao pesquisador uma aproxima??o com elementos da experi?ncia dessas pessoas a partir de suas pr?prias impress?es ao estar com elas numa rela??o dial?gica. Os resultados evidenciaram elementos significativos que emergiram dos atendimentos: 1) autoimagem: os participantes referem-se a si mesmos como pessoas capazes de empreender mudan?as na forma de viver em dire??o ? sa?de f?sica e psicol?gica; sentemse esperan?osos em rela??o ? possibilidade de recupera??o a partir da ades?o ao tratamento; 2) rela??o com o corpo: revelou-se a experi?ncia de uma cis?o entre o corpo f?sico e sua simboliza??o, levando-os a negligenciarem as informa??es que lhes eram transmitidas pelos t?cnicos do servi?o quanto a serem portadores de mol?stias f?sicas graves e outros agravos ? sa?de; 3) percep??o de si: preservam a condi??o de narrarem
sua pr?pria hist?ria de vida, relacionando fatos e eventos relevantes que os impeliram a estar na condi??o atual; 4) rela??es afetivas: o in?cio do uso de subst?ncias qu?micas est?
associado a pessoas afetivamente relevantes; da mesma forma em rela??o ? decis?o de procurar por ajuda para livrar-se da depend?ncia; 5) sofrimento face a maneira como se
est? vivendo como elemento desencadeador da busca por ajuda profissional; 6) rela??o com o consumo de drogas: independente da(s) subst?ncia(s) usada(s), o consumo era
referido pelos participantes na maioria das vezes como algo que j? haviam deixado, assim que tomaram a iniciativa de procurar pelo CAPS. Os participantes sentiram-se acolhidos
durante os atendimentos em fun??o da postura emp?tica e aceitadora do psic?logo. Os atendimentos realizados assemelham-se ao plant?o psicol?gico como pr?tica de interven??o cl?nica em institui??es quanto ?s atitudes do plantonista e a sua forma de acolher a demanda do cliente. Foi poss?vel constatar a import?ncia de uma rela??o dial?gica para o desencadear de um processo experiencial que disponibiliza ao cliente um resgate de sua subjetividade.
Identifer | oai:union.ndltd.org:IBICT/oai:tede.bibliotecadigital.puc-campinas.edu.br:tede/449 |
Date | 05 February 2013 |
Creators | Zini, Renato Luis |
Contributors | Cury, Vera Engler, Vaisberg, Tania Maria Jose Aiello, Fulgencio, Leopoldo, Morato, Henriette Tognetti Penha, Campos, Rosana Teresa Onocko |
Publisher | Pontif?cia Universidade Cat?lica de Campinas, Programa de P?s-Gradua??o em Psicologia, PUC-Campinas, BR, CCV ? Centro de Ci?ncias da Vida |
Source Sets | IBICT Brazilian ETDs |
Language | Portuguese |
Detected Language | English |
Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
Format | application/pdf |
Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_CAMPINAS, instname:Pontifícia Universidade Católica de Campinas, instacron:PUC_CAMP |
Rights | info:eu-repo/semantics/openAccess |
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