Resumen

FARINHA, Marciana Gonçalves  y  BRAGA, Tatiana Benevides Magalhães. Unified health system and psychiatric reform: challenges and perspectives. Rev. abordagem gestalt. [online]. 2018, vol.24, n.3, pp. 366-378. ISSN 1809-6867.  http://dx.doi.org/10.18065/RAG.2018v24n3.11.

This article presents the transformations in the mental health constitution process and their approximations and distancing with the collective health in Brazil, specially between the Psychiatric and sanitary reform movements. Analyzing the paradoxes, gaps, impasses, challenges and perspectives of the subject autonomy construction in a grave suffering situation, discuss how the difficulties found in the psychiatric deinstitutionalization intertwine themselves on consonance and conflict fields. In this context, it becomes fundamental the deconstruction and denaturalization of the epistemological perspective that difficult the subject's autonomy, fitting to rescue important influences of the phenomenological thought that went through the psychiatric reform process and are still making themselves to be listened in the consideration of the subjects existence totality and in the questioning of the determinism over the subjectivity. The proposals articulation of the human relations questioning and reinvention in the substitutive devices allows the critic to the manicomials conceptions miscegenation in the same mental health services.

Palabras clave : Mental health; Psychiatric reform; Single Health System; deinstitutionalization; Existential suffering.

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