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Saúde mental na Atenção Primária: (des)encontros entre enfermeiros e pacientes com diagnóstico de esquizofrenia [Mental health in Primary Health Care: (dis)encounters between nurses and patients diagnosed with schizophrenia]

ROSA, D. C. J.; LIMA, D. M. de; PERES, R. S. Saúde mental na Atenção Primária: (des)encontros entre enfermeiros e pacientes com diagnóstico de esquizofrenia [Mental health in Primary Health Care: (dis)encounters between nurses and patients diagnosed with schizophrenia]. SMAD, Revista Eletrônica Saúde Mental Álcool e Drogas (Edição Em Português), 17(4), 83-91, 2021.

Available on: https://doi.org/10.11606/issn.1806-6976.smad.2021.176976

Objective: understand the collective imaginary about patients diagnosed with schizophrenia by nurses in Primary Health Care, focusing on their possible reverberations regarding mental health care. Method: qualitative research oriented by the psychoanalytical investigative method, developed with 15 nurses. The instrument used was The Thematic Drawing-and-Story Procedure, and the data collected were interpreted psychoanalytically to capture fields of meaning. Results: in the  collective imaginary of most participants, is central the belief that the continuity of mental health care of patients diagnosed with schizophrenia is an exclusive responsibility of “specialized” health professionals and/or services, and it seems to significantly affect the (dis)encounters established between the nurses and those patients. Conclusion: this belief is incompatible with the precepts of the Brazilian Psychiatric Reform and with the role of nurses in Primary Health Care.

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