As representações sociais de profissionais de saúde acerca do paciente psiquiátrico: aspectos descritivos e de zona muda / Social representations of health professionals about psychiatric patients: descriptive aspects and zone changes

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

03/03/2011

RESUMO

The presence of chronic patients in psychiatric institutions has been constituted as a human challenge, policy and programmatic assistance to this area. Thus, it has set itself the aim of this study to analyze the socio-cognitive reconstruction of the mental health professional about the chronic psychiatric patients, and contextualizes his stay with the process and institutional care. As specific objectives, describing the contents and structure of social representations of chronic psychiatric patients to professionals, to identify the existence of implicit contents in the discursive formations of health professionals concerning the institutionalized chronic patients and to analyze the perspective implemented in primary care to these individuals from the institutional context of social representations of chronic patients. This is a qualitative research with theoretical and methodological framework of Social Representation Theory in its structural approach, colonies in two hospitals located in the city of Rio de Janeiro. Data were collected through free evocations on two occasions. In the first, with 159 professionals and the second used the replacement technique with 151 professionals. The data was analyzed by the software EVOC 2003 and organized by the table of four houses. We used also the analysis of similarity. Regarding the representation of psychiatric patients, it was organized around the dimensions of institutional care (care), imagery (mad) and positive affectivity (attention), which unfold in the other quadrants, especially the first and second. The analysis revealed that the lexical similarity care, had the highest number of links. Regarding the representation of the chronic patient in legal context, scale and institutional care was strongly present (care, patience and dependent), followed by imagery (left) and of necessity (lack). However, analysis of similarity, positive affectivity (Love) proves to be central to a larger number of lexical links. In counter-normative contexts, the representation was negative (mad, and not fear). The analysis of similarity showed a structured representation through an image and a negative affectivity. It is concluded that advances in mental health for the past 30 years have not been able to make changes in representational phenomena that anchor in images produced since the dawn of humanity. We highlight the possible existence of a zone change on the chronic psychiatric patient.

ASSUNTO(S)

enfermagem psiquiátrica saúde mental representações sociais zona muda enfermagem hospitais psiquiátricos - pacientes psychiatric nursing mental health social representations zone changes

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