(Sobre)viver na zona de quase-morte: o (des)fazer do cuidado em saúde mental a pessoas negras no cotidiano pandêmico da Baixada Fluminense

Abstract

The COVID-19 pandemic has provoked a sharpening of the necropolitical tones of the past-present time of the future. Times are also marked by attempts at re-existence. By looking at the management of suffering as madness and mental disorder, one comes to the manicomes, institutions forged to exclude, treat and mortify the subject named “mad” and “mentally ill”. And when besides being “crazy”, this person is black and a resident of the Fluminense Baixada? The general objective of this thesis was to investigate the management of mental health care for black people in Jacutinga, municipality of the territory of Baixada Fluminense, in the pandemic (2020-2022). The methodological bet is that of the multisituated ethnography and the methodology of the meeting that takes the perspective of ubuntu as inspiration. The analysis plans go on to the proposal I call the triangulation of care. Care for the field of psychosocial attention, as I advocate, is a care that can only be experienced through its triangulation. That is, a movement that always considers the theoretical-epistemological, political and clinical-institutional dimensions. The material brought for analysis had as criterion my encounter with these from the affections that they produced in me during the period studied. The structuring axis was memory, the dimension of rescue from my memories of experiences lived. The use of photography and drawing as a resource for recording the living and a tool for research and data analysis has also been triggered in the seam of this investigation. As for the analytical treatment of the data, the socio anthropological analysis, the intersectional analytical perspective and the Fanonian perspective were chosen. The thesis is divided into two parts, the first, looks at the management of care from a macro plan, the second, through a micro analysis plan. The division between micro and macro here is only for didactic purposes and the writing of a thesis in the traditional academic format. But I'm arguing that the macro has the micro, and vice versa. In the first part, it is argued for the way of radicalism, for the path of the Reformation to the Brazilian Psychiatric Revolution. The analysis of the (de)doing of care through the documents and the dismantling of the National Mental Health Policy and the analysis of (des)articulations between the Mental health policy and the National Integral Health Policy of the Black Population was carried out. On the second, look at the ordinary exceptions in the daily pandemic of the CAPS III of Jacutinga and discuss the (des)encounters between race, maternity and madness in the encounter with two black women, treated socially as crazy. The notions of zombie bodies and near-death zones are proposed as lenses that help us see the management and governance of the lives and bodies of crazy, black, and poor mental health users. Who's afraid of death? Who's afraid of the end of the world? Who's afraid to live in the Non-Knowing Zone? If you can manage zombie bodies, you can transmute them. If it is possible (over)to live in the near-death zone, it is also possible to dissolve it. Therefore, this thesis is a manifesto for death, a kind of funeral. But not of any funeral, a funeral without mourning, no crying, no candle.