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Revista Subjetividades

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WANDEKOKEN, Kallen; QUINTANILHA, Bruna  and  DALBELLO-ARAUJO, Maristela. Biopolitics in assistance to users of alcohol and other drugs. Rev. Subj. [online]. 2015, vol.15, n.3, pp. 389-397. ISSN 2359-0769.

This article analyzes the biopolitics strategies operating in the health care of people who abuse alcohol and other drugs, in view of the macro and micro-political aspects of the work process in a Psychosocial Care Center Alcohol and Drugs (CAPSad). This is the result of a qualitative survey of all professionals working in this center from January to August 2014. 80 hours of observation and collective interviews were held, with the participation of 10 professionals and 13 in-depth interviews, followed by Thematic Analysis. We note that despite the pursuit of deinstitutionalization of mental health services, there are still tutelary practices that persist in "asylum logic", from which the distance is wanted. We realize that there are ways to capture biopolitics that subtly operate in assisting those users. Among them, we highlight the "cleaning the streets", the strengthening of dependence to the institution and the supremacy of bureaucracy at the expense of care. Thus, as regards the macro-political aspect, it is necessary the embodiment of a network coordinated attention, for only thus it will be achieved, with the user to build effective strategies of autonomy - or rather, no dependence - both of psychoactive substances and alcohol as a service. Regarding the micro-political aspect, the user autonomy will be through the completion of the host dialogue practices in order his stay in the institution is no longer needed.

Keywords : biopolitics; subjectivity; psychosocial care centers; drug; dialogue.

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