Manicômio “vivo em ato”: atualizações do “desejo de manicômio” e do gesto manicomial na terceirização do cuidado familiar

Abstract

This research deals with the institutionalization of families during the hospitalization of Mental Health service users in a reference municipality for this type of intervention in the coast of Piauí. The hospital chosen for carrying out the study is the Santa Casa de Misericórdia de Parnaíba, despite being a general hospital, it has a psychiatric ward, which operates in an asylum-model and segregating manner and accumulates numerous contradictions over time, even after the process of Psychiatric Reform in Brazil and reorganization of the Psychosocial Care Network. This arrangement, surprisingly, remains today and is part of the hospital care network as a reference service, in terms of showing how the asylum and its rationality remain alive, and are updated in the structure and dynamics, both of the institution and of the city, including under the condition for psychiatric hospitalization to occur, both the patient and his family member (companion) need to be hospitalized and experience the mental asylum in their lives. In this sense, we have as a general objective: to reflect on the effects of the relations between the asylum logic and capitalism in the outsourcing of care in the Santa Casa de Misericórdia de Parnaíba. As specific objectives: a) describe the asylum device and its relations with the city and the Psychosocial Care Network; b) apprehend the updates of the asylum gesture and the operationalizations of the “desire for asylum” in the Santa Casa de Misericórdia de Parnaíba; and c) discuss the outsourcing of family care, as a new expression of the asylum logic in Mental Health. To achieve these goals, this research focuses on shedding visibility on the crossings of living the asylum under your skin when having to accompany a family member in psychiatric hospitalization, emphasizing the contradictions of this establishment and the capitalist unfolding around it. For this, the method of production of meaning in everyday methods life is used, where the role of researcher-worker is assumed. We hope that with this

research we can elucidate the asylum updates in the Parnaíba Psychosocial Care Network, which are operationalized in the outsourcing of Mental Health care.