“Cuidando de uma crise”

Cuidado e controle na saúde mental comunitária

Autores

  • Christien Muusse Timbros Institute
  • Hans Kroon Amsterdam University Medical Centers
  • Cornelis Lambert Mulder Tranzo Scientific Center for Care and Welfare / Antes Parnassia Psychiatric Institute
  • Jeannette Pols University of Amsterdam

DOI:

https://doi.org/10.48006/2358-0097/V9N1.E9107

Palavras-chave:

ética empírica, saúde mental comunitária, crise psiquiátrica, coerção e constrangimento, autonomia

Resumo

No debate sobre coerção em psiquiatria, cuidado e controle são muitas vezes justapostos. Neste artigo, argumentamos que essa dicotomia não é útil para descrever as formas mais complexas de inter-relacionamento existentes entre usuários de serviços, profissionais de saúde e o cenário de cuidado específico em uma equipe de saúde mental comunitária (ESMC). Utilizando a abordagem etnográfica da ética empírica, contrastamos as formas como controle e cuidado caminham juntos em situações de crise psiquiátrica em dois ESMCs: um em Trieste (Itália) e outro em Utrecht (Países Baixos). As ESMCs holandesas e italianas são interessantes de comparar, pois diferem no que diz respeito à forma como o cuidado comunitário é organizado, a quantidade de medidas coercitivas, o número de leitos psiquiátricos e o fato de Trieste aplicar uma política de portas abertas em todos os ambientes de atendimento. Contrastar as duas equipes pode nos ensinar como, em situações de crise psiquiátrica, controle e cuidado se inter-relacionam em diferentes coreografias. Usamos o termo coreografia como metáfora para encapsular a ideia de uma situação de crise como um conjunto de ações coordenadas de diferentes atores no tempo e no espaço. Isso fornece duas coreografias para lidar com uma crise de maneiras diferentes. Argumentamos que a aplicação de uma fronteira rígida entre cuidado e controle dificulta o uso da relação entre cuidador e paciente no cuidado.

Biografia do Autor

Christien Muusse, Timbros Institute

Timbros Institute

Hans Kroon, Amsterdam University Medical Centers

Amsterdam University Medical Centers

Cornelis Lambert Mulder, Tranzo Scientific Center for Care and Welfare / Antes Parnassia Psychiatric Institute

Tranzo Scientific Center for Care and Welfare / Antes Parnassia Psychiatric Institute

Jeannette Pols, University of Amsterdam

University of Amsterdam

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Publicado

17.06.2024

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Muusse, C., Kroon, H., Mulder, C. L., & Pols, J. (2024). “Cuidando de uma crise”: Cuidado e controle na saúde mental comunitária. Novos Debates, 9(1). https://doi.org/10.48006/2358-0097/V9N1.E9107

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