Mill inside of house

Abstract

Reflete sobre a concep????o te??rica e a trajet??ria de constru????o de um Servi??o de Aten????o Di??ria - A CASA D'ENGENHO, que atrav??s da proposta de desmonte dos modelos psiqui??tricos tradicionais, busca a constitui????o de novas pr??ticas, onde o indiv??duo possa ser participante ativo do processo terap??utico, constituindo novas formas de representa????o da loucura. Procura documentar a trajet??ria da constru????o desse servi??o, as possibilidades e impossibilidades; identificar quais os aspectos no trabalho da Casa d'Engenho que realmente se diferenciam de uma pr??tica dita tradicional. O estudo se concentrou da trajet??ria do Centro Psiqui??trico Pedro II, em um per??odo a partir de 1982 at?? o ano de 1996. Foi nessa ??poca quando se deu o in??cio das mudan??as nos discursos e pr??ticas institucionais que propiciaram o surgimento dos novos modelos de assist??ncia em sa??de mental. Nos primeiros anos da d??cada de 90, teve in??cio um processo mais radical de transforma????o do antigo modelo asilar com a constitui????o de servi??os com proposta de desmonte da cultura manicomial, como a CASA D'ENGENHO.The present work is a reflection on the theoretical conception and on the construction path of a Daily Care Center - CASA D???ENGENHO, which from the dismount of the traditional psychiatric models searches the constitution of new practices, where the person may be an active participant of the therapeutic process, appointing new ways of representing madness. This work seeks to document the construction path of this center, its possibilities and impossibilities; to identify which aspects of the Casa d???Engenho are really different from a so called traditional practice. The study was concentrated on the trajectory of the Centro Psiqui??trico Pedro II (Pedro II Psychiatric Center), on the period between 1982 and 1996. It was when changes on the speeches and institutional practices occurred, allowing the raising of new models of care in mental health. In the early 90???s a more radical process of transformation of the old asylum model took place, with the birth of new centers, as the Casa d???Engenho, that had as proposition the demolish of this asylum culture. The birth of psychiatry as a discipline model was demarcate from the work of Michel Foucault and other authors on the history of madness. The final argument on the clinic practiced on the daily care centers has the contribution of authors as Jurandir Freire Costa, Jairo Goldberg and the production of Felix Guattari and Gilles Deleuze, amplifying and articulating the argument concerning madness and the social and political environment