The complexity of precarious work in Territorial Psychosocial Care: critical reflection on the Brazilian context

Israel Coutinho Sampaio Lima, José Jackson Coelho Sampaio, Karlla Christine Araújo Souza
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Abstract

ABSTRACT This article proposes to understand, from the perspective of Complexity Theory, and through critical theoretical reflection, the precarization of work as a reality in the Brazilian public health work market, and its influence on the results of a public policy based on the theoretical/practical paradigm of Territorial Psychosocial Care. It outlines a possibility of problematizing the central theme, through the principles: systemic, hologrammatic, retroactive circle, recursive, autonomy/independence, dialogic, and the reintroduction of knowledge in all knowledge, proposed by Edgar Morin, in view of the discussions and studies carried out by the Life and Work Research Group on the precariousness of work and mental health in a concrete field. This reflection is intended to be a source of recognition for actors on the real causes of precariousness, which derive from the way in which health work is exploited, which is closely related to the application of neoliberal prescriptions in authoritarian bureaucratic states located on the periphery of dependent capitalism. The reflection allowed the understanding of the whole and the parts that constitute the problem, recognizing the real causes of precariousness, which blame mental health workers, in the face of unhealthy conditions, working hours, and insecurity about social rights and labor rights.
地区心理社会护理中不稳定工作的复杂性:对巴西背景的批判性反思
摘要本文建议从复杂性理论的角度,通过批判性的理论反思,理解巴西公共卫生工作市场中工作作为现实的不稳定性,以及它对基于地区心理社会护理理论/实践范式的公共政策结果的影响。它概述了通过Edgar Morin提出的原则将中心主题问题化的可能性:系统性、全息性、回溯性、递归性、自主性/独立性、对话性,以及在所有知识中重新引入知识,鉴于生活和工作研究小组就具体领域工作和心理健康的不稳定性进行的讨论和研究。这种反思旨在让行动者认识到不稳定的真正原因,这些原因源于卫生工作的利用方式,这与新自由主义处方在依赖资本主义边缘的威权官僚国家的应用密切相关。这种反思使我们能够理解问题的整体和组成部分,认识到不稳定的真正原因,这种不稳定归咎于心理健康工作者,面对不健康的条件、工作时间以及对社会权利和劳动权利的不安全感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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