国家心理健康政策:对特梅尔和博尔索纳罗政府挫折的反思

Berenice Lira Da Silva, Alessandra Ximenes Da Silva
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引用次数: 0

摘要

历史上,通过精神病学改革(PR)和卫生改革(HR),巴西的精神卫生保健模式发生了一系列变化,这是民间社会取得的重大成就。然而,尽管取得了这些进步,但鉴于自20世纪90年代以来一直伴随着我们的新自由主义攻势,社会政策的商品化在我们的背景下占了上风。从这个意义上说,本文旨在讨论巴西精神卫生政策(MHP)的主要趋势,重新削减特梅尔和博尔索纳罗政府所承担的频繁挫折风险。因此,对我们来说,分析现实的方法似乎是批判-辩证的。我们对研究的主要类别——反改革和精神病学改革进行了书目回顾,并对MHP的主要规律进行了文献研究,采用定性方法。因此,我们的讨论指出,MHP在巴西的现实中发展起来,明确表达了进步和保守主义,特别是这些政府的建议,在正统的新自由主义的秩序下,当精神健康方面的恢复性力量组织恢复时,反对公共关系发生了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Política Nacional de Saúde Mental: uma reflexão acerca dos retrocessos nos governos Temer e Bolsonaro
Historically, a series of changes have occurred in the patterns of mental health care in Brazil, through the Psychiatric Reform (PR) and the Health Reform (HR), representing significant achievements for civil society. However, despite the advances, the commodification of social policies has prevailed in our context, given the neoliberal offensive that has been with us since the 1990s. In this sense, this article aims to discuss the main trends of the Brazilian Mental Health Policy (MHP), making a re-cut of the frequent risks of setbacks undertaken by the Temer and Bolsonaro governments. For that, the method of analysis of reality that seemed pertinent to us was the critical-dialectical. We carried out a bibliographic review of the main categories of the study - Counter-reform and Psychiatric Reform and a documentary research of the main laws of MHP, with a qualitative approach. Our discussion points out, therefore, that the MHP has developed in the Brazilian reality, articulating advancement and conservatism, especially from the proposals of such governments, under the order of an orthodox neoliberalism, when the restoration of an organization of restorative forces in mental health against PR occurs.
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