Consumo de drogas entre pessoas em sofrimento psíquico: sentidos, significados e percursos

Content Provider	Semantic Scholar
Author	Vieira, Fernanda De Sousa
Copyright Year	2016
Abstract	VIEIRA, Fernanda de Sousa Consumo de drogas entre pessoas em sofrimento psíquico: sentidos, significados e percursos,{Tese de doutorado} Ribeirão Preto: FFCLRP-USP, 2016. Dual diagnosis, or comorbidity, is considered prevalent by literature of medical-psychiatric discourse, as much as, in mental health services and those for drug use treatment. It is considered that the health field is immerse in systems of beliefs influenced by cultural and social aspects, including what is considered psychological suffering as a synonym of psychiatric diagnosis, which is, in a broader context, connected with sufferings shared socially. Drug use is also immersed in the same historical and social shared context. This work is characterized as qualitative research, whose approach is related to authors that consider qualitative research as a sensibility exercise , focusing in first person experience. The main objective was to acknowledge senses and meanings of drug use from life history narratives of persons described as dually diagnosed. The specific objectives were to acknowledge descriptions of drug use along life course, descriptions of psychological suffering along life course and descriptions of drug use associated to psychological suffering. This exploratory study has been developed in one CAPS II and one CAPS AD, part of psychosocial attention network of an inner city of São Paulo. Eighteen adults participated, men and women, selected to permit diversification of clinical presentations of psychiatric diagnosis and drug use, in pattern od use considered problematic. Data collection has been thematic life histories interview and field notes. Analysis emerged from fieldwork, dual diagnosis' literature and social suffering's literature. Interviews were considered narratives, and ten were presented with more details, selected by practicability, diversification of clinical presentations criteria, distributed among genders and services where they came from. Results were presented concomitantly with discussion, and were described the process of construction of the field and of the theme studied, then narratives were described and discussed. Participants’ narratives, mainly men from urban labourer’s class, were circumscribed by cultural and social universe where they came from, as well as the possibility of storytelling to be heard in the health services network studied. This network was also constructed by describing their patients exclusively as “drug users” or “mentally ill”, compromised with profiles constructed in many social and institutional relationships, considering broader context and discourses. Senses and meanings of drug use for the participants were constructed along life course, together with diverse events and situations lived in diverse social and cultural relations, and social and psychological sufferings could, sometimes, be present. Drug use, understood as a device, allowed the participant to act in situations of psychological sufferings that were experienced singularly, but socially shared. It is considered important reflect upon experiences lived by people in psychological suffering that also use drugs, considering them as part as a broader context of social and institutional relations, in which social sufferings may be present. Key-words: Dual diagnosis, psychoactive substances, mental illness, communitary services, qualitative research Lista de Ilustrações FIGURA 1: CRITÉRIOS DE SELEÇÃO DAS NARRATIVAS PARA DESCRIÇÃO PORMENORIZADA ................................................................ 82 FIGURA 2: SENTIDOS E SIGNIFICADOS DO CONSUMO DE DROGAS POR PESSOAS EM SOFRIMENTO PSÍQUICO ...................................... 214
File Format	PDF HTM / HTML
DOI	10.11606/T.59.2017.tde-20092017-142456
Alternate Webpage(s)	https://www.teses.usp.br/teses/disponiveis/59/59141/tde-20092017-142456/publico/tesefernandadesousavieira.pdf
Alternate Webpage(s)	https://doi.org/10.11606/T.59.2017.tde-20092017-142456
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article