O cuidado na saúde mental praticado por mulheres no âmbito doméstico em um território em vulnerabilidade social no Brejo Santo-CE
Data
2024-06-27
Autores
Cabral, Michelle Nunes Ferreira 
Orientadores
Silva, Carlos Roberto de Castro e
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Esta dissertação tem como objetivo compreender os sentidos e significados do cuidado praticado por mulheres prestado a pessoas em sofrimento mental em atendimento especializado no território em vulnerabilidade social em Brejo Santo-CE. A compreensão social, familiar e intersubjetiva das pessoas e do seu processo de sofrimento mental viabiliza a humanização do cuidado e a diminuição das ocorrências na saúde. Com essa discussão, partimos do referencial teórico da Psicologia Sóciohistórica para a complexidade da condição humana e da saúde, que abrange aspectos psicossociais, históricos e culturais. Com essa discussão, partimos do referencial teórico da Psicologia sócio-histórica, que compreende a condição humana. Trata-se de uma pesquisa de campo, na qual foram coletadas informações de caráter sociodemográficos e narrativas de sete mulheres adultas em situação de vulnerabilidade social que residem no município de Brejo Santo, localizado no interior cearense. Elas são responsáveis pelo cuidado doméstico disponibilizado às pessoas em sofrimento mental, assistidas no Centro de Atenção Psicossocial (CAPS) do referido município. O caminho metodológico teve como norte o aporte teórico e metodológico da pesquisa qualitativa e a análise dos dados foi fundamentada na Hermenêutica de Profundidade, segundo Thompson (1995). O estudo apresenta uma descrição social e histórica fundamentada em dados nas literaturas acadêmicas, jornais, órgãos oficiais do governo e relatos das colaboradoras da pesquisa. Diante do contexto do território estudado e com a aproximação dos sujeitos, iniciou-se o processo de categorização (Rey, 2011), pela própria pesquisadora. A primeira zona de sentido descreve a substituição dos serviços hospitalocêntricos de saúde pelos serviços de reinserção do sujeito em sofrimento mental que foi ao CAPS e pelas percepções das mulheres em vulnerabilidade social diante das determinações das relações sociais presentes no processo do adoecimento e cuidado. Este é um momento pautado principalmente nos referenciais teóricos de Passos (2018). A segunda categoria aprofunda sobre o uso da ética do cuidado, pautada em Maria de Lourdes Pintasilgo (2011), que é intrínseca às ações dos sujeitos no processo do adoecimento/cuidado. Finalizamos esta análise promovendo uma síntese de todas as etapas, ficando evidente que as vulnerabilidades condicionam maior desigualdade social entre homens e mulheres, principalmente no que tange ao cuidado doméstico. As narrativas registradas na pesquisa expuseram os desafios pela busca do cuidado e também as potencialidades do Sistema Único de Saúde (SUS) para o atendimento das pessoas em sofrimento mental, especificamente nos serviços do CAPS. Assim foi possível evidenciar como a desumanidade em saúde pode se revelar para as classes mais vulneráveis da sociedade. Além disso, elas evidenciaram também as possibilidades do cuidado para a transformação e valorização da vida humana.
This dissertation aims to understand the meanings and meanings of the care provided by women to people in mental distress in specialized care in the socially vulnerable territory of Brejo Santo-CE. The social, family and intersubjective understanding of people and their process of mental suffering makes it possible to humanize care and reduce health incidents. With this discussion, we start from the theoretical framework of Socio-historical Psychology due to the complexity of the human condition and health, which covers psychosocial, historical and cultural aspects. With this discussion, we start from the theoretical framework of Socio-historical Psychology, which understands the human condition. This is a field research, where sociodemographic information and narratives were collected from seven adult women in situations of social vulnerability who reside in the municipality of Brejo Santo, located in the interior of Ceará, they are responsible for domestic care for people in distress. mental health care at the Psychosocial Care Center (CAPS) of that municipality. The methodological path was guided by the theoretical and methodological contribution of qualitative research and data analysis was based on Depth Hermeneutics, according to (Thompson, 1995). The study presents a social and historical description based on data in academic literature, newspapers, official government bodies and reports from research collaborators. Given the context of the studied territory and with the subjects' approach, the categorization process began (Rey, 2011), by the researcher herself. The first zone of meaning describes the replacement of hospital-centered health services with the reintegration service for individuals in mental distress, which was the CAPS, and the perceptions of women in social vulnerability in the face of the determinations of social relations present in the process of illness and care, this is a moment based mainly on the theoretical references of Passos (2018). The second category delves deeper into the use of care ethics, based on Maria de Lourdes Pintasilgo (2011), which is intrinsic to the subjects' actions in the illness/care process. We finished this analysis by promoting a synthesis of all stages, it was evident that vulnerabilities condition greater social inequality between men and women, especially with regard to domestic care. The narratives. collected in the research exposed the challenges of seeking care and also the potential of the Unified Health System (SUS) for caring for people in mental distress, specifically in CAPS services. This made it possible to highlight how inhumanity in health can reveal itself to the most vulnerable classes in society. Furthermore, they also highlighted the possibilities of care for the transformation and appreciation of human life.
This dissertation aims to understand the meanings and meanings of the care provided by women to people in mental distress in specialized care in the socially vulnerable territory of Brejo Santo-CE. The social, family and intersubjective understanding of people and their process of mental suffering makes it possible to humanize care and reduce health incidents. With this discussion, we start from the theoretical framework of Socio-historical Psychology due to the complexity of the human condition and health, which covers psychosocial, historical and cultural aspects. With this discussion, we start from the theoretical framework of Socio-historical Psychology, which understands the human condition. This is a field research, where sociodemographic information and narratives were collected from seven adult women in situations of social vulnerability who reside in the municipality of Brejo Santo, located in the interior of Ceará, they are responsible for domestic care for people in distress. mental health care at the Psychosocial Care Center (CAPS) of that municipality. The methodological path was guided by the theoretical and methodological contribution of qualitative research and data analysis was based on Depth Hermeneutics, according to (Thompson, 1995). The study presents a social and historical description based on data in academic literature, newspapers, official government bodies and reports from research collaborators. Given the context of the studied territory and with the subjects' approach, the categorization process began (Rey, 2011), by the researcher herself. The first zone of meaning describes the replacement of hospital-centered health services with the reintegration service for individuals in mental distress, which was the CAPS, and the perceptions of women in social vulnerability in the face of the determinations of social relations present in the process of illness and care, this is a moment based mainly on the theoretical references of Passos (2018). The second category delves deeper into the use of care ethics, based on Maria de Lourdes Pintasilgo (2011), which is intrinsic to the subjects' actions in the illness/care process. We finished this analysis by promoting a synthesis of all stages, it was evident that vulnerabilities condition greater social inequality between men and women, especially with regard to domestic care. The narratives. collected in the research exposed the challenges of seeking care and also the potential of the Unified Health System (SUS) for caring for people in mental distress, specifically in CAPS services. This made it possible to highlight how inhumanity in health can reveal itself to the most vulnerable classes in society. Furthermore, they also highlighted the possibilities of care for the transformation and appreciation of human life.
Descrição
Citação
CABRAL, Michelle Nunes Ferreira. O cuidado na saúde mental praticado por mulheres no âmbito doméstico em um território em vulnerabilidade social no Brejo Santo-CE. 2024. 147 f. Dissertação (Mestrado Interdisciplinar em Ciências da Saúde) - Universidade Federal de São Paulo, Instituto de Saúde e Sociedade, Santos, 2024.