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Previous issue date: 2018-01-09 / The Psychosocial Care Centers (CAPS) are devices of the mental health policy
responsible for assisting users in intense psychic suffering and offer individualized and
unique clinical care to population through several actions. However, despite of
important advances in the formulation of public policies on mental health and the
installation of the substitute network, with devices such as CAPS, the total disruption to
the caregiving logic must be fulfilled. The compliance of the precepts of psychiatric
reform especially regarding autonomy and deinstitutionalization of users may not be
assured. This study aims to analyze the conceptions and meanings of autonomy in daily
care of a Psychosocial Care Center (CAPS), based on the experiences of professionals,
family members and users. It was a qualitative, cross-sectional and exploratory study
carried out in a CAPS in the southern region of Rio Grande do Sul. We interviewed 6
CAPS professionals, 6 service users and 3 family members, based on a semi-structured
script. The analysis was based on the analysis of thematic content from three thematic
axes: 1) Sense of Autonomy from the experiences of users, family and professionals; 2)
Practices of building autonomy in the daily work of CAPS; and 3) Fragilities and
potentialities in the process of building autonomy. The main results refer to the diverse
understandings related to the concept of autonomy, related to the management of life,
independence and self-sufficiency, and as a process in movement, built from
relationships, spaces and institutions. The overt understandings have a deep relationship
with the life histories of the subjects and allow to demonstrate the autonomy as a power
for the expansion and diversification of the relations, from the perspective of care in
freedom, instigating the action of the professionals and adding this horizon to the care
offered to the users of CAPS. / Os Centros de Aten??o Psicossocial (CAPS) s?o dispositivos da pol?tica de sa?de
mental respons?veis pela assist?ncia aos usu?rios em intenso sofrimento ps?quico e
ofertam a popula??o um cuidado cl?nico individualizado e singular, atrav?s de diversas
a??es. Por?m, apesar dos importantes avan?os em rela??o ? formula??o de pol?ticas
p?blicas em sa?de mental e a instala??o da rede substitutiva, o rompimento total com a
l?gica de cuidado tutelar precisa ser concretizado. Do mesmo modo, o atendimento dos
preceitos da Reforma Psiqui?trica, principalmente ao que refere ? autonomia e
desinstitucionaliza??o dos usu?rios, pode n?o estar sendo assegurado. Este estudo tem
como objetivo analisar as concep??es e sentidos de autonomia no cotidiano de aten??o
de um Centro de Aten??o psicossocial (CAPS), a partir das viv?ncias de profissionais,
familiares e usu?rios. Trata-se de um estudo qualitativo, transversal e de car?ter
explorat?rio realizado em um CAPS da regi?o sul do Rio Grande do Sul. Foram
realizadas entrevistas com 6 profissionais do CAPS, 6 usu?rios do servi?o e 3
familiares, a partir de um roteiro semiestruturado. A an?lise se deu mediante a an?lise
de conte?do tem?tica a partir tr?s eixos tem?ticos: 1) Sentidos da Autonomia a partir
das viv?ncias de usu?rios, familiares e profissionais; 2) Pr?ticas de constru??o de
autonomia no cotidiano do CAPS; e 3) Fragilidades e potencialidades no processo de
constru??o de autonomia e das entradas e sa?das do CAPS. Os principais resultados
dizem respeito ?s diversas compreens?es vinculadas ao conceito de autonomia,
relacionadas ao gerenciamento da vida, independ?ncia e autossufici?ncia, e enquanto
processo em movimento, constru?do a partir das rela??es, espa?os e institui??es. As
compreens?es manifestas t?m rela??o profunda com as hist?rias de vida dos sujeitos e
permitem evidenciar a autonomia enquanto pot?ncia para a expans?o e diversifica??o
das rela??es, sob a perspectiva do cuidado em liberdade, instigando a a??o dos
profissionais e acrescentando esse horizonte ao cuidado oferecido aos usu?rios do
CAPS.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/7921 |
| Date | 09 January 2018 |
| Creators | Kammer, Katharina Pereira |
| Contributors | Rocha, K?tia Bones |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Psicologia, PUCRS, Brasil, Escola de Ci?ncias da Sa?de |
| 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:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 2588426296948062698, 500, 500, 3411867255817377423 |
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