1.

Record Nr.

UNINA9910592983403321

Autore

Amarante Paulo

Titolo

Madness and Social Change : Autobiography of the Brazilian Psychiatric Reform / / by Paulo Amarante

Pubbl/distr/stampa

Cham : , : Springer International Publishing : , : Imprint : Springer, , 2022

ISBN

9783031133756

9783031133749

Edizione

[1st ed. 2022.]

Descrizione fisica

1 online resource (100 pages)

Disciplina

362.20944

Soggetti

Public health

Mental health

Medical policy

Psychiatry

Public Health

Mental Health

Health Policy

Salut pública

Assistència psiquiàtrica

Història

Llibres electrònics

Brasil

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

1. Introduction: Dimensions of the Psychiatric Reform as a complex social process -- 2. The "Industry of Madness" is denounced! The birth of the Brazilian Psychiatric Reform -- 3. The sociocultural dimension: Concrete experiences of production of a new social place for madness and psychological suffering -- 4. Final considerations and comments: Health and psychiatric counter-reform or dismantling the rule of law in Brazil?.

Sommario/riassunto

In this book, the history of the Brazilian Psychiatric Reform is told by one of its main protagonists. In the early 1980s, there were about 80



thousand people admitted to psychiatric hospitals in Brazil, with average lengths of hospital stay of approximately 25 years. The psychiatric reform process that took place in the country was responsible for closing more than 60 thousand beds in mental asylums, most of them characterized by conditions of violence and abandonment. The Brazilian Psychiatric Reform was inspired by the psychosocial care model introduced by psychiatrist Franco Basaglia in Italy and was marked by the broad participation of social movements, such as the anti-asylum movement and other human rights movements. This process gave rise to a model of mental health care based on open-door territorial mental health services, guided by the principle of treatment in liberty, in addition to other strategies of deinstitutionalization. More than a proposal to restructure or modernize the mental health care model, the objective of the Brazilian Psychiatric Reform was the construction of a new social place for the diverse and singular subjective experience of madness. By intending to produce new imaginaries, new social representations and new meanings for these experiences, the Brazilian Psychiatric Reform led to one of the larger experiences of deinstitutionalization in the world and to the large scale implementation of a new model of mental health care in which the old asylum-centric paradigm was replaced by a new democratic psychosocial care model. .