The fabric of care: mapping Mental Health in Primary Care

Gabriela Pinheiro Bezerra José Luiz Moreno NetoAbout the authors

This study sought to map the mental health care network in a Family Care Center in Salvador, Bahia, Brazil, delineating care relations to understand the convergences and controversies involving the psychosocial approach in Primary Care. Drawing on the Actor-Network Theory, the analysis encompassed the experiences of four people with a history of psychic suffering using field diaries, participant observation, semi-structured interviews and a document search. The following aspects were analyzed: worsening of suffering; relations between health team members; construction of family accountability; and clashes between agency and determination. The emerging elements converged to enable the development of possible ways of dealing with illness in one’s relationship with oneself and with the other, instead of prioritizing adaption to a the social norm of what it is to be healthy.

Mental health; Primary care; Network care; Actor-Network theory

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