A trajetória (descontinuada) do grupo de trabalho racismo e saúde mental: caminhos para o enfrentamento do racismo no campo da reforma psiquiátrica brasileira?

Abstract

The present work begins with the critique on the truth regime of the Brazilian racial democracy and its disguised perspective of mummification that agonizes the black culture, which uses the technology of state racism and cultural racism. Therefore, in order to illustrate the challenges of confronting racism in the Brazilian mental health scenario, the objective of the research was to analyze the (discontinued) trajectory of the Racism and Mental Health Working Group (GTRSM) created in 2014 in a partnership between the General Coordination of Mental Health, Alcohol and Other Drugs (CGMAD) and the Strategic and Participatory Management Department (DAGEP) in the Ministry of Health. The creation of this GTRSM was aligned with the demands of civil society, such as the AMMA Psyche and Negritude Institute, recognized for its work on the psychic suffering of the black population. For this proposal, the research carried out bibliographical reviews about the technology of racism, its relationship with psychiatry and Brazilian culture, focusing the incidences of this dynamic on the mental health of the black population and the racial inequalities produced from this point of view. In relation to the GTRSM study, the study included interviews with key subjects of the process and also analysis of related documents; the research traced the group's constitution by relating it to past and current political processes during its duration. According to the interviewed participants' vision and document analysis, the research verified the GTRSM objectives and actions, regarding the confrontation of institutional racism in the Psychosocial Care Network (RAPS) and the psychic suffering resulting from it in RAPS. According to the subjects' view, the research work sought to understand the way in which the psychiatric reform dealt with the racial theme indicating paths for this confrontation. Beginning with the discussions and actions analyzed in the GTRSM, the work indicated the theme s complexity and the difficulties in operating it within the state machine, despite, at that moment, there is an opening for the racism and mental health theme, under the focus of the black population health, already present in the National Health Policy of the Black Population (PNSIPN), as well as the investment of the civil society subjects and in the Ministry of Health personnel during the GTRSM. With the exception of the novelty of the GTRSM trajectory, due to the political reorientations in the CGMAD, it seems that the actions related to the confrontation of the thematic are incipient. In spite of the fact that the research has collected a very precise diagnosis regarding the mental health of the black population, in the face of a society based on racial inequalities and from this observation, the present work indicated the need for effective actions and the constitution of a policy of mental health more attentive to the specifics of the black becoming against the racist Brazilian.