0186/2018 - Discursos sobre as demandas de saúde mental de jovens cumprindo medida de internação no Rio de Janeiro. Discourses about health demands of Young offenders who are imprisoned in juvenile correctional centers in Rio de Janeiro.
Este artigo tem como objetivo analisar as concepções discursivas do que é considerado demanda de saúde mental dos adolescentes cumprindo medida de internação nas unidades socioeducativas do Rio de Janeiro. Realizaram-se nove entrevistas com os profissionais de saúde mental do sistema socioeducativo e os resultados foram discutidos com o apoio da análise de discurso crítica de Fairclough. Foram identificados quatro grupos discursivos: o primeiro apresenta intertextualidade com o discurso psiquiátrico, o segundo com a reforma psiquiátrica, o terceiro com o discurso de determinantes sociais e o quarto com discursos institucionais de “mau” comportamento dos jovens. Conclui-se que as concepções são distintas entre os profissionais, mas não há hegemonia de um discurso. Os discursos se atravessam e se conectam especialmente na problematização dos determinantes sociais. Há sobrevalorização dos profissionais de saúde e de assistência enquanto vocalizadores das demandas. Os adolescentes têm poucas chances de expor diretamente suas necessidades e estas aparecem intermediadas pelos técnicos. Identificaram-se conflitos entre as equipes que atuam no fluxo assistencial nas demandas associadas ao “mau comportamento”, pois há encaminhamentos dissociados de questões de saúde mental.
Palavras-chave:
saúde mental, adolescente institucionalizado, saúde do adolescente institucionalizado
Abstract:
This article aims to analyze the discursive conceptions of what is considered mental health demand of the young offenders who are imprisoned in juvenile correctional centers in Rio de Janeiro. Nine interviews were conducted with the mental health professionals of these centers and the results were discussed with the support of Fairclough\'s critical discourse analysis. Four discursive groups were identified: the first presents intertextuality with the psychiatric discourse, the second with the Psychiatric Reform, the third with the discourse of social determinants, and the fourth with institutional discourses about adolescents’ \"bad\" behavior. It is concluded that the conceptions are different between the professionals, but there is no hegemony of one discourse. The speeches are related and connected especially in the problematization of social determinants. There is an emphasis in health professionals and social workers as vocalizers of demands. Adolescents have little chance of directly exposing their needs and the demands appear trough the workers. Conflicts between the workers were identified concerning the \"bad behavior\" demands, because some of the them are not related to mental health issues.
Keywords:
mental health; Adolescent, Institutionalized; Health of Institutionalized Adolescents
Discourses about health demands of Young offenders who are imprisoned in juvenile correctional centers in Rio de Janeiro.
Resumo (abstract):
This article aims to analyze the discursive conceptions of what is considered mental health demand of the young offenders who are imprisoned in juvenile correctional centers in Rio de Janeiro. Nine interviews were conducted with the mental health professionals of these centers and the results were discussed with the support of Fairclough\'s critical discourse analysis. Four discursive groups were identified: the first presents intertextuality with the psychiatric discourse, the second with the Psychiatric Reform, the third with the discourse of social determinants, and the fourth with institutional discourses about adolescents’ \"bad\" behavior. It is concluded that the conceptions are different between the professionals, but there is no hegemony of one discourse. The speeches are related and connected especially in the problematization of social determinants. There is an emphasis in health professionals and social workers as vocalizers of demands. Adolescents have little chance of directly exposing their needs and the demands appear trough the workers. Conflicts between the workers were identified concerning the \"bad behavior\" demands, because some of the them are not related to mental health issues.
Palavras-chave (keywords):
mental health; Adolescent, Institutionalized; Health of Institutionalized Adolescents
Ribeiro, DS, Ribeiro, F.M.L., Deslandes, S.F.. Discursos sobre as demandas de saúde mental de jovens cumprindo medida de internação no Rio de Janeiro.. Cien Saude Colet [periódico na internet] (2018/abr). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/discursos-sobre-as-demandas-de-saude-mental-de-jovens-cumprindo-medida-de-internacao-no-rio-de-janeiro/16719?id=16719
