Tratamento no modelo hospitalocêntrico: percepções de familiares e portadores de transtorno mental [Treatment on hospital-centered model: perceptions of relatives and individuals affected by mental disturbance]
DOI:
https://doi.org/10.12957/reuerj.2015.4689Keywords:
assistência em saúde mental, saúde mental, família, tratamento.Abstract
RESUMO
Pesquisa com o método da história oral temática, desenvolvida no ano de 2009, em Curitiba, com oito participantespertencentes a três famílias que tinham um integrante com transtorno mental. Objetivou-se descrever a percepção de familiares ede portadores de transtorno mental sobre a assistência em saúde mental sustentada no modelo hospitalocêntrico. Os dados foramobtidos por meio de entrevista semiestruturada e analisados de acordo com a análise temática. Os sujeitos atribuíram ao modelohospitalocêntrico as sucessivas internações em instituições com características asilares, o emprego de espaços restritivos, como ascelas fortes no tratamento da pessoa com transtorno mental. Mencionaram o uso da força, da sedação, da eletroconvulsoterapia,da contenção física no leito e do enfaixamento como recursos utilizados sem critérios e de forma indiscriminada. Conclui-se queas narrativas contribuem para o entendimento das mudanças atuais na forma de assistir e tratar da pessoa com transtorno mental.
ABSTRACT
Thematic oral history-based research conducted in Curitiba, PR, Brazil, in 2009, with eight subjects in three familieswith a member affected by mental disturbance. The study aimed at describing the perception of both those affected by mentaldisturbance and of their relatives on hospital-centered assistance for mental health. Data were obtained through semi-structuredinterviews and treated on the basis of thematic analysis. Subjects charged the hospital-centered model with the successive internmentsin shelter-like institutions, and with the restrictive spaces such as strong cells used in the treatment of those affectedby mental disturbance. They reported the use of the force, sedation, electro-convulse-therapy, physical contention in bed, andbandaging as some of the resources used lacking criteria. In conclusion, narratives help understand current changes in the assistanceof those with mental disturbance.
RESUMEN
Investigación con el método de la historia oral temática, desarrollada en el año 2009 en Curitiba, con ocho partícipespertenecientes a tres familias que tenían un integrante con trastorno mental. Se persiguió describir la percepción de familiaresy de portadores de trastorno mental sobre la asistencia en salud mental basada en el modelo hospitalocéntrico. Se obtuvieronlos datos mediante entrevista semiestructurada y se analizaron según el análisis temático. Los sujetos atribuyeron al modelohospitalocéntrico los sucesivos internamientos en instituciones con características asilares, el empleo de espacios restrictivos,como las celdas cerradas en el caso de tratamiento de persona con trastorno mental. Mencionaron el empleo de la fuerza,sedación, terapia electroconvulsiva, contención física en el lecho y vendajes como recursos utilizados sin criterios y de formaindiscriminada. Se concluye que las narrativas contribuyen a entender los cambios actuales en la manera de asistir y tratar a lapersona con trastorno mental.
DOI: http://dx.doi.org/10.12957/reuerj.2015.4689
Published
How to Cite
Issue
Section
License
When publishing in Revista Enfermagem UERJ, the authors declare that the work is their exclusive authorship and therefore assume full responsibility for its content.
Authors retain copyright to their article and agree to license their work using a Creative Commons Attribution International Public License (CC BY), thereby accepting the terms and conditions of this license (https://creativecommons.org/licenses/by/4.0/legalcode.en), which allows material created by the author to be distributed, copied and displayed by third parties. The original work must be cited and present a link to the article available on the website of the journal in which it was published.
The Copyright of the articles published in Revista Enfermagem UERJ belongs to their respective author(s), with the rights of first publication assigned to Revista Enfermagem UERJ, with the work simultaneously licensed under a Creative Commons License CC BY, which allows sharing of work with recognition of authorship and initial publication in this journal.
The authors grant Revista Enfermagem UERJ the right of first publication, to identify themselves as the original publisher of the work and grant the magazine a license of non-exclusive rights to use the work in the following ways:
- Sell and/or distribute the work in printed copies and/or electronic format;
- Distribute parts and/or the work as a whole with the aim of promoting the magazine through the internet and other digital and printed media;
- Record and playback work in any format, including digital media.
In line with the journal's policies, each published article will be assigned a Creative Commons Attribution (CC BY) license.