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Therapeutic Effects of Dialogical Workshops: the Voice in the Context of Psychiatric Reform

Abstract

Between 2013 and 2014, Psychology students from Universidade Estadual da Paraíba started the cycle of 25 Dialogical Therapeutic Workshops with a group of users in Centro de Atenção Psicossocial II - Novos Tempos , in Campina Grande, Brazil. Almost two years after its finishing point, they returned to the institution with the aim of apprehending, on users participants, the therapeutic function of those interventions. Direct Documentation Technique in Exploratory Field Research was used. Data collection was performed with application of a semi-structured interview to four users and their Reference Team, and data were processed by Iramuteq , a lexical analysis software. Data were interpreted in the light of publications from Ministério da Saúde and Conselho Federal de Psicologia on the strategies to work in Public Mental Health Policies, as well as in the light of contributions of psychoanalytic theories. The tests “Descending Hierarchical Analysis” and “correspondence factor analysis” identified positioning and structuring of words in the material, whose graphs indicate the speech in the workshops with the main therapeutic function of serving as a vehicle for the expression and maintenance of subjectivity in individual and social contexts, into and out of the psychosocial care center, as well as the recognition that the users’ adherence depends not only on their psychic commitment to the treatment, but also on the ways of establishing therapeutic relations with the technical team. The access to the context of the Brazilian Psychiatric Reform shows the need for constant dialogues on Mental Health and the Anti-asylum Movement, encouraging a range of practices that bring possibilities of action and research that best meet the demands in the community.

Mental Health; Expanded Clinic; Psychoanalytic Therapy; Social Commitment; Psychosocial Intervention

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