Psychiatric reform and Brazilian dependence: between the archaic and the modern

Authors

Abstract

This study carried out analysis of the Mental Health Policy, as part of the Brazilian Psychiatric Reform (BPR), based on the
Marxist Dependence Theory (MDT). The objective is to understand the implications of BPR – related to the totality of the capitalist
accumulation process – regarding services and epidemiology. A historical-descriptive perspective was adopted to approach the data on
mental health in the city of São Paulo between 2008 and 2017, promoting a qualitative analysis through historical and dialectical
materialism. The analysis demonstrates that the BPR is incomplete and hybridizes with different perspectives on health, which was
verified by the permanence of asylum characteristics (the archaic) together with substitutive services (the modern). The study explains
the contradiction between dependence and the constitution of social policy in a large city of a developing country.

Author Biographies

Daniel Figueiredo de Almeida Alves, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP)

Médico Generalista formado na Faculdade de Ciências Médicas da Santa Casa de São Paulo.

Áquilas Mendes, Faculdade de Saúde Pública da Universidade de São Paulo (FSP-USP) e Pontifícia Universidade Católica de São Paulo (PUC-SP)

Professor no Departamento de Política, Gestão e Saúde (FSP-USP) e do Programa de Pós-graduação em Economia Politica (PUC-SP)

Leonardo Carnut, Universidade Federal de São Paulo (Unifesp)

Professor no Centro de Desenvolvimento do Ensino Superior em Saúde (Unifesp)

Oziris Simões, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP)

Professor no Deparmento de Saúde Coletiva (FCMSCSP)

References

This study carried out analysis of the Mental Health Policy, as part of the Brazilian Psychiatric Reform (BPR), based on the

Marxist Dependence Theory (MDT). The objective is to understand the implications of BPR – related to the totality of the capitalist

accumulation process – regarding services and epidemiology. A historical-descriptive perspective was adopted to approach the data on

mental health in the city of São Paulo between 2008 and 2017, promoting a qualitative analysis through historical and dialectical

materialism. The analysis demonstrates that the BPR is incomplete and hybridizes with different perspectives on health, which was

verified by the permanence of asylum characteristics (the archaic) together with substitutive services (the modern). The study explains

the contradiction between dependence and the constitution of social policy in a large city of a developing country.

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Published

2020-02-13

Issue

Vol. 23 No. 1 (2020): Serviço Social: formação, trabalho profissional e tendências teóricas contemporâneas

Section

Open-themed space

License

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