Abstract

The first speech therapy practices described in the literature took place in the 1920s, after the idealization of the speech therapist profession, arising from the concern of medicine and education. This article aims to explain the challenges and contradictions found in the performance of the core of Speech Therapy in the field of Mental Health whose methodology starts from the bibliographic survey and the report of experience in a Mental Health Ward in General Hospital (GH). Thus, the text elucidates the construction of the core of speech therapy and proposes, from the field of mental health, the deviation from the look of a paradigm that structured and still structures the speech therapy professional category. For the speech therapist to be able to act in a new perspective, it is necessary to overcome reductionisms and understand that the needs are not reduced to those apprehended by a single clinical discipline.

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