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Revista Mal Estar e Subjetividade

Print version ISSN 1518-6148On-line version ISSN 2175-3644


GUARESCHI, Neuza Maria de Fátima; REIS, Carolina dos; OLIVEN, Tamara  and  HUNING, Simone Maria. Usuários do Hospital-Dia: uma discussão sobre performatividade em saúde e doença mental. Rev. Mal-Estar Subj. [online]. 2008, vol.8, n.1, pp. 119-137. ISSN 1518-6148.

This article aims at discussing social vulnerability from an experiment carried out with users of the Day-Hospital Program. This program, proposed by Sistema Único de Saúde, is a strategy directed towards another social agency of madness, distinct from the model of the hospice culture, with health practices that may lead to social exclusion and stigma. This study has been structured from a weekly activity developed in a Day-Hospital of a public general hospital in Rio Grande do Sul, through participative observations'. The group was constituted as a speech space in which users could talk about daily practices, sharing different ways of thinking and feeling the experience of psychic distress. Aiming at debating upon how the condition of social vulnerability has been produced in carriers of psychic distress, we have considered discursive practices of mental health public policies, from the Psychiatric Reform, as well as the notion of performativity in the production of mental health/disease. The forms these subjects think of and recognize both themselves and the world become visible through certain identity marks that constitute them as mentally ill. Even being a program situated in the field of the Psychiatric Reform, the Day-Hospital is still crossed by meanings from both the hospital-centered psychiatric discourse about madness and the medicamentous therapeutic practice, which have inscribed ways of subjects living mental health/disease with strict possibilities of subjectifying themselves out of this logic.

Keywords : discursive practices; psychic distress; social vulnerability; day hospital; SUS users.

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