Carencias y desequilibrios: Los equipos comunitarios de salud mental

Crossroads and Dilemmas in the Intervention for the Process of Social Inclusion of Patients with Schizophrenia within the Framework of the Therapeutic Community- Casa De Medio Camino Querétaro

“…The symptoms of schizophrenia are a challenge to common sense and therefore to the unified belief of a reality shared by all. The threshold 10 that implies for mental health professionals the clinical-ethical work when faced with the position that the patient is suffering and experiencing changes that he/she does not know how to verbalize or point out exactly, when there is a sense of disconnection from the body, added to the fact that thoughts seem to acquire a dimension of interference, a singular form of transformation in the fundamental way of seeing the world becoming latent "the subject-object polarity vanishes and the selfconsciousness suffers a transformation in the mental processes", 11 However, the work of accompaniment, follow-up and subjectiveemotional-familial stabilization required for the construction of links with the world, as well as the particularities centered on the context and environment in which the patient finds himself, leave him outside the correlation between variables that are necessary to build in order to provide support to the patient. The real limitations in the three spheres of his life: biological, environmental and family, are dimensions that enable or obstruct the ways of working and therapeutic follow-up of the patient so that he can be socially included and not be left out of the social framework 12 .…”