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Revista Mal Estar e Subjetividade

Print version ISSN 1518-6148


LEWIS, Michele dos Santos Ramos  and  PALMA, Claudia Maria de Sousa. The psychologist on mental health: about an experience of a stage in a psychosocial attention center. Rev. Mal-Estar Subj. [online]. 2011, vol.11, n.4, pp. 1379-1404. ISSN 1518-6148.

In this paper we propose a reflection on contemporary practices in mental health in Brazil. The discussion is based on a study organized as part of a curricular internship in psychology devel-oped at a Psychosocial Attention Center (CAPS). The Center is responsible for the assistance of adult patients with severe mental suffering. This article begins with a short panorama of CAPS since its instauration. We, then, present our experience in of these centers in order to describe the vicissitudes of psychology clinic and the discussions elicited by them. This experience, in turn, has allowed a critical perspective in relation to work in mental health, especially as regards to unreflect aspects that become habitual by repetition. This critical perspective highlights nodal points to consider in the discussion of Brazilian Psychiatric Reform and the insertion of the psy-chologist, such as: the not yet overcome dichotomy between clinic and politics that promote dis-connected interventions; psychologists' lack of theoretical and technical resources when facing severe and persistent suffering - which reproduces a clinical model that must be overcome; the bureaucracy that prevents or hinders new solutions, as well as an unsuspected employment of the asylum paradigm in services that were created to substitute the hospital-centered assistance model.

Keywords : Psychosocial Attention Center; psychiatric reform; mental health; psychoanalysis; extended clinic.

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