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Psicologia: ciência e profissão

versão impressa ISSN 1414-9893

Resumo

VIEIRA FILHO, Nilson Gomes. Psychosocial clinical approach and religious care in psychological suffering in the context of the brazilian psychiatric reform. Psicol. cienc. prof. [online]. 2005, vol.25, n.2, pp. 228-239. ISSN 1414-9893.

In the deinstitutionalization process the priority is mental health care in community healthcare clinics and the use of the network therapeutic approach. In order to respond to patients' (and/or their families') needs, this complex practice enables the building of a social support network concomitantly with the therapeutic process, including religious care, to operate as a system of social relations that offers protection for people in suffering situations. The objective of this paper is to discuss the construction of such support network and its implications for a psychosocial clinical approach. Therapeutic itineraries in different countries evidence the existence of patients who resort to public healthcare services and religious care in various cultural contexts. This situation is reproduced in one public university clinic in Brazil where it was observed that clients are apparently guided by a logic of religious syncretism that seem to render some coherence to multiple aspects of suffering as well as to their seeking for various types of mental health care. WHO policy in the last decades has tended to admit alternative care that is culturally accepted. This reinforces the idea that it is fundamental to extend research on therapeutic systems (both official and cultural systems), as proposed by Tobie Nathan. According to the network therapeutic approach, the two systems do not compete, but cooperate to assist and protect patients (and/or their families) who suffer. These interactions could be linked to psychotherapy (complex and dialogical), thus requiring preventive care concerning potential risks posed by such interactivity.

Palavras-chave : Deinstitutionalization; Psychosocial clinics; Therapeutic system; Religious care.

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