Sentidos da convivência: cuidado em saúde mental no território da Zona Oeste do Rio de Janeiro

Abstract

Modern society forges a way of coexistence that distances us from those who are different from us. On the other hand, the mandate of the Brazilian Psychiatric Reform points to the construction of strategies that dismantle the social imaginary of madness and promote spaces of inclusion. Taking Richard Sennett as a reference and based on the description of four strategic dimensions of the Reform discussed by Paulo Amarante, this work points to the importance of the Coexistence and Culture Center device in the Psychosocial Care Network and its relevance for the advancement of the Brazilian Psychiatric Reform. Thus, the objective of the dissertation is to address the different meanings of the notion of coexistence in mental health and its effects on those attending a Center for Coexistence and Culture in the West Zone in the city of Rio de Janeiro. To achieve this objective, participant observation was used as a qualitative research method and semi-structured interviews were used as an instrument for collecting information. As a result, it was possible to identify the existence of fifty-seven CECCOs across the country, currently, and realize that coexistence is understood as “exchange” and “interaction” that promote “inclusion” and care. The effects of this coexistence are expressed in the construction of friendships, subjective changes and a sense of belonging.