“Cuidando de uma crise”

Cuidado e controle na saúde mental comunitária

Autores/as

  • 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

Palabras clave:

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

Resumen

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.

Biografía del autor/a

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

2024-06-17

Cómo citar

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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