REFORMA PSIQUIÁTRICA: PRÁTICAS E DESAFIOS NO COTIDIANO DE TRABALHADORES DE UM CAPS Psychiatric Reform: practices and challenges in the daily life of a Psychosocial care center workers

Abstract

Psychiatric reform is a historical process that questions and proposes new strategies for the transformation of the classic model and paradigm of psychiatry. Based on Historical-Cultural Psychology, this article aims to identify the advances and setbacks of the Psychiatric Reform, as well as the contemporary challenges with the progress and/or the reproduction of the asylum logic in the practices of the workers of a Psychosocial Care Center (CAPS). The study was carried out in a CAPS I in the interior of São Paulo, with semi-structured interviews with eight service workers. From the meaning nuclei, we understand that some workers often identify a reproduction of the asylum logic, constantly carrying out a personal and collective movement so that such logic is overcome. Another portion of workers reproduces and naturalizes this logic within the service. However, at different times, some workers had contradictory conceptions, sometimes in defense of psychosocial care practices, sometimes in line with the reproduction of the asylum logic, depending on the topic addressed.