The facets of violence in psychiatric institutions: the opposite of care

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7466

Keywords:

psychiatric nursing; exposure to violence; mentally ill persons; mental health; continuing education

Abstract

Aim: To reflect situations experienced by people in psychological distress admitted to a psychiatric hospital, understood as institutional violence. Method: a descriptive study with a qualitative approach, structured on the form of an experience report, in which participant observation was used to produce the data. The study was carried out in a psychiatric hospital located in the city of Rio de Janeiro. Four observed situations were described and described as actions that refer to institutional violence. Such situations were analyzed from a critical reflection based on the guidelines of the Ministry of Health by the National Humanization Program (PNH) and by the guidelines of the National Mental Health Policy. Results: It was observed that the managements adopted in the cases are dissonant with the aforementioned references and the ethical and empathic care are poorly aligned. In view of this, the following questions emerged: should heteroaggressive attitudes be combated with violence by the professional? What to do when management is no longer clinical? Conclusion: The perception of the difficulty of an adequate professional management refers to empirical practices disconnected from the theoretical references that support the practice of nurses in the field of mental health and psychiatry. It is necessary to address this theme in other studies, as well as to reassess the training processes and permanent education actions of health and mental health services, with a view to building comprehensive, singular, co-responsible and above all care empathetic.

References

Aguiar, J.M., D'Oliveira, A.F.P.L. & Schraiber, L.B. (2013). Violência institucional, autoridade médica e poder nas maternidades sob a ótica dos profissionais de saúde. Cad. Saúde Pública, 29(11), 2287-96.

Brasil. Ministério da saúde (MS). (2013). Política Nacional de Humanização. 1. ed. Brasília: MS.

de Lima Cavalcante, B., & Silva de Lima, U. (2012). Relato de experiência de uma estudante de enfermagem em um consultório especializado em tratamento de feridas. Journal Of Nursing And Health, 2(1), 94-103.

Chauí, M. (1985). Participando do debate sobre mulher e violência. In: Chauí M, Cardoso R, Paoli MC, organizadores. Perspectivas Antropológicas da Mulher (pp. 25-62). Rio de Janeiro: Jorge Zahar Editores.

Dahlberg, L.L. & Krug, E.G. (2006). Violência: um problema global de saúde pública. Ciência & Saúde Coletiva, [s.l.], 11(1), 1163-78.

Goffman, E. (1987). Manicômios, prisões e conventos (p. 139). São Paulo: Perspectiva.

Hesketh, J.L. & Costa, M.T.P.M. (1980). Construção de um instrumento para medida de satisfação no trabalho. Revista de Administração de Empresa, 20 (3), 59-68.

Minayo, M., Deslandes, S., & Gomes, R. (2013). Pesquisa social. Petrópolis, RJ: Vozes.

Muniz, Marcela Pimenta, Tavares, Cláudia Mara de Melo, Abrahão, Ana Lúcia, & Souza, Ândrea Cardoso de. (2015). A assistência de enfermagem em tempos de reforma psiquiátrica. Revista Portuguesa de Enfermagem de Saúde Mental, (13), 61-65.

Pereira, A.S. et al. (2018). Metodologia da pesquisa científica. [E-book]. Santa Maria. Ed. UAB/NTE/UFSM.Disponível em: https://repositorio.ufsm.br/bistream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.

Perissinotto, Renato M. (2004). Hannah Arendt, poder e a crítica da "tradição". Lua Nova: Revista de Cultura e Política, 1(61), 115-138.

da Silva, P. F. C., Cordeiro, C. S., & da Silva, T. M. A. (2016). Violência institucional contra a mulher em situação de abortamento e a assistência de enfermagem. Revista Saúde em Foco, 1(1), 1-6.

Published

31/08/2020

How to Cite

Costa Alves Guidoux, L., Silvério Alleluia Higino da Silva, L., Martins Souza Machado, T., & Porto Reis, A. (2020). The facets of violence in psychiatric institutions: the opposite of care. Research, Society and Development, 9(9), e605997466. https://doi.org/10.33448/rsd-v9i9.7466

Issue

Section

Health Sciences