Abstract
This study proposes to analyze the discourse of workers in a Psychosocial Care Center regarding the operation of the ideologies which express the dimension of social practices incorporated at this service. This was a qualitative research, and the corpus was originated by transcription of semi-structured interviews, applied to 17 out of the 25 workers of a substitute service in a city in southern Brazil. The theoretical-methodological analysis of the operation of ideologies by John Thompson was used. The discourse analysis of the workers' practice shows a plurality of ideological manifestations, so that they reserve the changing practices with innovative and creative features such as the maintenance of obsolete models, hindering or even preventing these changes. In conclusion, these issues should be worked continuously in everyday services, being a major challenge to the consolidation of the psychiatric reform in Brazil.
Highlights
Psychiatric reform has enabled the construction of new discourses in the mental health area, giving new meaning to old attitudes of knowledge, rooted in traditional psychiatric models
The transformations that accompany it could be felt in the context of public health because they reflect the changes in the thinking and feeling of society as a whole. These changes were built with the mental health professionals, who were pressured to seek human rights as a target and the liberty of the mad and from the madness as the beginning, the middle and the end, as, for centuries, they had been left inside isolating and aseptic walls away from the eyes of the world
Within the “unification” operation mode, the following themes emerged: “the process of mental health work: team organization to meet the demands of the subject in psychological distress.”
Summary
Psychiatric reform has enabled the construction of new discourses in the mental health area, giving new meaning to old attitudes of knowledge, rooted in traditional psychiatric models. Professionals understand that their organization permeates a way to operate focused on the multi- and interdisciplinary dimension of mental health work.
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