A formação dos profissionais de saúde nas equipes multiprofissinais : sobre a invenção de modos de trabalhar em saúde mental

Abstract

The present study aims to question the possibilities of production of new ways of caring mental health, since the creation of multi-professional devices of education. The empiric field was the education spaces of Medical Residentship Program (emphases in psychiatry and in medicine for the family and the community) and of Health Integrated Residentship Program (emphases in mental health and health of the family and community) of a public health institution in Porto Alegre city. The participants of this research were mentors and residents of the mentioned programs. The construction of the investigated object came from a historiccritical perspective that approached the constitution of the modern family and the registration of the madness as mental disease. It also came from the analyses of the new guidelines of Brazilian Sanitary and Psychiatric Reform, which intends to insert the practices in mental health in the spaces of attention to the family and the community, as a possibility to construct the deinstitutionalization of the mental health care. This study was organized around three directions. First, we constructed the history of the manners to care mental health. We discussed the relationship between scientific discourses about health and the current way of life regarding Michel Foucault s contributions about the bio-power and Hannah Arendt¿s contributions about the differences between public space and social sphere. We analyzed the reforms in Brazilian public health, as well as, the implementation of the multi-professional devices of education in this institution. After, we reflected about the field of the professionals experience during residentship. At this moment, the contributions of Freud, Lacan, Todorov and Derrida were very important, as well as, for the presentation of our research method. Finally, we discussed about the ethics, which included the presentation of the residents singular courses, from the narratives about their experience. This third direction was based on the contributions of Lacan¿s thought about ethics, articulated to the other authors presented in this study. And then, we underlined the tragic dimension of the clinic, in opposition to the normative knowledge and practices, aiming to draw challenges and possibilities to invention of ways of caring mental health that holds the existence.