[The concept of mental care of a family health team from a historical-cultural perspective].
The present study aims at analyzing the individual senses and social meanings of mental care actions carried out by professionals working in a Family Health Care Team. The study is based on Vigotsky's (1896-1934) theoretical perspective of a historical and cultural psychology. The work is part of a participant research and as such conducted in the context of a field research. It was observed that the team took into consideration the relevance of social determinants for the disease of the target population, the need for making use of diversified care strategies reaching beyond the clinical setting, the importance of taking care of their own mental health, as well as difficulties related to approaching the families of the patients. We emphasize the importance of overcoming the exclusiveness of the biomedical determination of the health-disease process as pointed out in the operational principles of the Family Health Care Strategy, expressed by responsiveness as a care tool, the establishment of relationships and continued care.
Vecchia
Marcelo Dalla
MD
Programa de Pós-Graduação em Saúde Coletiva, Faculdade de Medicina, UNESP, Botucatu, SP, 18618-970. mdvecchia@yahoo.com.br
Martins
Sueli Terezinha Ferreira
ST
D001938:Brazil; D003466:Cultural Characteristics; D005192:Family Health; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008603:Mental Health; D010348:Patient Care Team; D011320:Primary Health Care / Q000266:history; D012961:Sociology