Desafios da integralidade na assistência: o itinerário terapêutico de mães com sofrimento psíquico grave

This paper aims at mapping therapeutic itinerary (IT) of women/mothers with severe psychic suffering, observing the integrality in care in relation to the account for their female condition and psychic fragility. We used the life history method with semi-structured interviews, recorded in audio and...

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Bibliographic Details
Authors: Carneiro, Ueslei Solaterrar da Silva, Aquino, Gessica do Carmo de, Jucá, Vládia Jamile dos Santos
Format: article
Status:Published version
Publication Date:2014
Country:Brasil
Institution:Universidade Federal do Ceará (UFC)
Repository:Repositório Institucional da Universidade Federal do Ceará (UFC)
Language:Portuguese
OAI Identifier:oai:repositorio.ufc.br:riufc/17863
Online Access:http://www.repositorio.ufc.br/handle/riufc/17863
Access Level:Open access
Keyword:Itinerário terapêutico
Maternidade
Sofrimento psíquico grave
Description
Summary:This paper aims at mapping therapeutic itinerary (IT) of women/mothers with severe psychic suffering, observing the integrality in care in relation to the account for their female condition and psychic fragility. We used the life history method with semi-structured interviews, recorded in audio and video and later transcribed. We have performed interviews with six women and have created four theme categories: 1) Equipments and formal strategies of treatment; 2) Equipments and informal strategies of treatment; 3) Social support network and 4) Political and social engagement. Throughout analyzes it was found that the it was constructed in various and fragmented modes. In general, women supported by family, friends and professional were protagonists in constructing therapeutic itinerary. However, the integrality (that is based on an offer of care beyond individual efforts and that demands articulated actions between mental health and the maternal/child health) proved to be fragile. It was also observed lack of an articulated care and absence of a comprehensive approach related to their condition as mothers and severe psychic suffering subjects.