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Moving Clinic: the city as the setting to therapeutic follow-up care

Abstract

This article focus the therapeutical follow-up care practice in its clinical-political dimension. It is intended to develop a reflexion about the power of taking the city as a matter of the clinic from the practice of therapeutic follow-up. To achieve that, we shall make an incursion through the method from wich it has been developed, in modern times, the constitution of discourses and measures adopted in order to comprehend the experience of insanity under the stigma of a mental desease. Next, we present the context of critical revisionism about the foundations of medical-psychiatric knowledge, from the second half of the twentieth century, with the questioning of the criteria used to designate, delimit and characterize the subjects raised to the category of alienated. The theoretical basis is found in authors such as Michel Foucault, Robert Castel and Franco Basaglia. Investing in public spaces makes this intervention strategy to be an important agent in the Brazilian psychiatric reform process.

Keywords:
therapeutic follow-up care; city; territorial practices; psychosocial rehabilitation; psychiatric reform

Universidade Federal Fluminense, Departamento de Psicologia Campus do Gragoatá, bl O, sala 334, 24210-201 - Niterói - RJ - Brasil, Tel.: +55 21 2629-2845 - Rio de Janeiro - RJ - Brazil
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