From violence to bonding: constructing new meanings for attention to the crisis

Abstract

This study aimed to know the meanings present in the discursive practices of the Centers for Psychosocial Care's professionals, produced by new ways to cope and relate to the subject in severe psychological crisis. This is a qualitative research, based on the theoretical perspective of social constructionism. It was analyzed 27 interviews of professionals from the identification of interpretative repertoires and construction of Association of Ideas Maps. Data were organized into themes: Difficulties of contention in service; Senses built around this practice; Professionals placements regarding that practice; Participation of the Military Police in the care of the crisis; Sense of responsibility of the nursing staff in caring for the crisis. It was demonstrated the need for discussion and construction of crisis care practices that are more collective and contract based on solid relationships that respect the uniqueness and subjectivity of the subject.

Cuidado de enfermagem às pessoas com transtorno de personalidade borderline na perspectiva freireana

“…Therefore, they end up resorting to the help of other patients hospitalized in the psychiatric unit or request the presence of public security agents to assist in containment. A study (18) , points out that when it is necessary to activate the Military Police to contain a crisis, it must happen in a context that promotes the subject-subject relationship and not as a form of intimidation. Due to its availability and preparation, this professional acts to bring people in psychological distress to the services and to protect the health team from possible aggressions, however, he does not always know the appropriate management, in order to assist in the procedures.…”

The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment

“…In the urgency and emergency care points, important for the consolidation of the model, the type III CAPS, which have been shown to be a strategic space of reception and management in crisis situations 19 , are not even mentioned. In this same component, the primary care is considered a care point.…”

Processo de produção de cuidado à crise em Rede de Atenção Psicossocial

“…| 15 | 1-28 | 2021DOI: 10.34019/1982-1247.2021 No entanto, agitação psicomotora e rejeição familiar não seriam critérios para internação, maa sim a associação entre crise e risco de periculosidade, auto ou heteroagressão, quando avaliada a necessidade de atenção especial de forma a proteger e resguardar o sujeito por meio da internação em curta permanência, direito este que não pode ser negligenciado (Minozzo & Costa, 2013). Neste sentido, Kinoshita (2008) apud Willrich et al (2014) afirma: "não é mais possível, nem oportuno, encaminhar o paciente difícil a outras soluções institucionais" (s/p, 2008). Para os autores, os serviços necessitam de preparo para a contenção da agitação psicomotora, contenção esta que tem o sentido de proteção ao sujeito, de trazê-lo para uma relação de vínculo, evitando a internação no hospital psiquiátrico.…”