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Previous issue date: 1997 === Reflete sobre a concepçäo teórica e a trajetória de construçäo de um Serviço de Atençäo Diária - A CASA D'ENGENHO, que através da proposta de desmonte dos modelos psiquiátricos tradicionais, busca a constituiçäo de novas práticas, onde o indivíduo possa ser participante ativo do processo terapêutico, constituindo novas formas de representaçäo da loucura. Procura documentar a trajetória da construçäo desse serviço, as possibilidades e impossibilidades; identificar quais os aspectos no trabalho da Casa d'Engenho que realmente se diferenciam de uma prática dita tradicional. O estudo se concentrou da trajetória do Centro Psiquiátrico Pedro II, em um período a partir de 1982 até o ano de 1996. Foi nessa época quando se deu o início das mudanças nos discursos e práticas institucionais que propiciaram o surgimento dos novos modelos de assistência em saúde mental. Nos primeiros anos da década de 90, teve início um processo mais radical de transformaçäo do antigo modelo asilar com a constituiçäo de serviços 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 Psiquiátrico 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.
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