A Produção Mães do crack : desconstruções e deslocamentos

Abstract

This research studies the public policy logic in Brazil related to the care practices of pregnant women who are crack users that lives on the streets of Rio de Janeiro and intends to contribute with some subsidies to strengthen the debate about care practices of these women, specially, in the public health services of this city. The analyzes are supported by the conceptual proposals of Michel Foucault, Gilles Deleuze, Félix Guattari and René Lourau, in particular the study on power relations, subjective productions, subjection, cartographic analyzes, analysis of implication, place of ethics and self-care. Here, the forms of production of the drug user subject, including those of pregnant women, the demands that lead these subjects to seek specialized care, as well as the way of subjectivation of those who dedicate themselves to their care, are discussed. The problematizations have as a starting point some service situations, the records made in field diaries and the existing legislations in the field of public health. Some analyzes of the care practices of pregnant women who use drugs in Portugal (a country that decriminalized drug use in 2001), observed during a 04 (four) month period at the University of Lisbon, by the CAPES Institutional Program of Sandwich Doctor Abroad (PDSE), are also presented. At the end of the study it is possible to think that brazilian public policies instituted and directed to drug users, among these, pregnant women, even though they pretend to be innovative and progressive, are part of a subjective production constituted by rules and norms that universalizes and generalizes, often preventing the practice of the freedom of pregnant women who use crack, as well as those who care for them