“Não façam nada por nós, sem nós!”: cidadania e micropolítica no CAPS II de Sobral

Abstract

The presented dissertation aims to know and contribute with an analysis of the micropolitical spaces within a CAPS type II in the municipality of Sobral-CE, about the effective recognition of citizenship captained by the Psychiatric Reform. The title presented brings the voice of a user during the discussion of proposals at the III State Mental Health Conference in 2010. I propose a reflection on citizenship and public policies using the theoretical framework of Collective Health and Social Sciences that animate the Psychiatric Reform in Brazil. I present the historical course of the Psychiatric Reform process in Brazil, public policies, ideological and social movements that influenced the field of mental health, which leads us to think about the dimensions of madness and the place occupied by the insane, pointing to the need for a transformation of knowledge and practice in mental health. Thus, when investigating the citizenship condition of CAPS users and the micropolitical spaces, we used cartography as a method employed in qualitative research to achieve this approximation with the studied phenomenon. The immersion in the field was based on the spaces instituted through the Assemblies and the Association of Mental Health Friends Meeting. The technique to collect information was subsidized by the Participant Observation, and we adopted the field diary as an instrument to register data, perceptions, anguishes, questions and information. To organize, summarize, and interpret the data, we chose the thematic categorization technique, which allows us to make replicable and valid inferences about data from a given context. As a result, it was possible to apprehend the modes of approach between the subjects, the processes for carrying out the activities, the social potential, weaknesses, political, social, and bureaucratic obstacles, and to identify what needs to be further developed for social participation to legitimize the subject as a citizen. Not disregarding the micropolitical spaces that foster social participation, but that they need to be rethought. In this sense, I would like to suggest that the forces generated in these spaces of dialogue be opportune for civil exercise and that the subjects avoid the risk of institutionalization. I also warn to discuss the systematization of the spaces as being instituted for the political participation of users, workers, and family members. Thus, the research believes in the transformative potential of the meetings to move forward in the field of Psychosocial Care.