Novos olhares para outros modos de existência

Abstract

O artigo discute a potência da produção de novas visibilidades sobre pessoas com transtorno mental que reconheçam outros modos de existência. O percurso metodológico se deu a partir do encontro e suas afecções no qual os pesquisadores misturaram-se ao mundo pesquisado. Caracteriza-se como um estudo de caso, desenvolvido entre equipes de saúde, durante fevereiro a dezembro de 2015 no município de João Pessoa-PB. O caminhar cartográfico aponta o olhar inicial das equipes de saúde sobre a família, suas ofertas terapêuticas e o deslocamento dos olhares sobre os sujeitos. Este acompanhamento nos revelou que os sujeitos produzem infinitas conexões de vida, com, sem, ou mesmo apesar, dos profissionais de saúde. Produzir um cuidado que reconheça e legitime a autonomia do sujeito no seu modo de levar sua vida, implica em reconhecê-lo protagonista de sua história.

Terapia ocupacional e a expressão “produção de vida”: o que dizem as produções brasileiras?

“…Regarding the fields of the specialty of Brazilian occupational therapy, we found productions related to the following groups, according to their main subject: mental health (14 articles, 48%), social field (five articles, 17%), arts and culture (four articles, 14%), collective health (three articles, 10%), occupational therapy fundamentals (two articles, 7%) and work field (one article, 3%) (Figure 4). The articles of the mental health group address themes such as experiences in extrahospital services and their therapeutic projects in a perspective of psychosocial rehabilitation (Fiorati & Saeki, 2011); the development of autism in children and adolescents from the perspective of the family (Minatel & Matsukura, 2014); the participation of mental health patients in research and the therapeutic potential of this process, with the help of occupational therapists (Dimov & Ricci, 2016); reflections on the psychiatric hospital and the logic of abandonment (Kinker, 2012); the relationship between psychiatric reform and the world of work for mental health patients (Kinker, 1997;Luiz et al, 2018); the importance of Residential Therapeutic Services in the attention and production of mental health care Castilho, 2012); the deinstitutionalization processes of people who lived in psychiatric hospitals, understanding the Mental Health Policy (Mângia & Marques, 2004); mental health care performed in territorial services called Psychosocial Care Center (CAPS) (Ribeiro, 2014;Castro & Maxta, 2010); the different views on people with mental disorders, recognizing them as protagonists of their own lives (Ferreira et al, 2018); artistic interventions as a resource for occupational therapy together with Mental Health patients (Silva & Raccioni, 2015;Batista & Ribeiro, 2016).…”

“…Eight articles used the expression "production of life" based on expanded health actions. They are: Inscriptions of the therapist-patient relationship in the occupational therapy area , using Basaglia as a theoretical reference; Street life and cooperativism: moving through the production of values (Ghirardi et al, 2005), which does not mention reference to the expression; Territorial mental health care practices: experiences of a psychosocial care center in the city of Rio de Janeiro (Castro & Maxta, 2010), mentioning Tenório; The insertion of psychosocial rehabilitation in extra-hospital mental health services: the conflict between instrumental rationality and practical rationality (Fiorati & Saeki, 2011), mentioning Mângia and Nicácio; Psychosocial Care Centers as spaces that promote life: reports of deinstitutionalization in Alagoas (Ribeiro, 2014), with no reference; Health and live networks of comprehensive care in primary care: articulating strategic actions in the territory (Ferreira & Costa, 2017), using Mângia and Muramoto; New looks at other modes of existence (Ferreira et al, 2018), using Alverga and Dimenstein, Rotelli, Merhy, Moebus, Deleuze and Guattari as references; A body: mapping life trajectories of subjects with stroke sequelae (Gelatti & Angeli, 2019), referring to Castro, Lima, Brunello, Ceccim, Deleuze and Guattari. Connected to the health work, the production of life expands the understanding of the subject in its various relational dimensions, as a social being that is produced in networks, inserted in a map of existence that encompasses multiplicities and realities in the production of life. Thus, the role of occupational therapists in this network of existence involves a health perspective "[...] understood as a state of life production" (Ghirardi et al, 2005, p. 609).…”