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Gender and Care in the field of infant and juvenile mental health care

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Author(s):
Camila Junqueira Muylaert
Total Authors: 1
Document type: Doctoral Thesis
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Faculdade de Saúde Pública (FSP/CIR)
Defense date:
Examining board members:
Alberto Olavo Advincula Reis; Patricia Santos de Souza Delfini; Carmen Simone Grilo Diniz; Modesto Leite Rolim Neto; Damares Pereira Vicente
Advisor: Alberto Olavo Advincula Reis
Abstract

Introduction: We live historically in a culture in which social and work relationships have been built based on the binarism: the man and the woman. Therefore, care activities are related to women and are social and culturally belittled. That reality is embedded in infant and juvenile treatment in mental health care centers. Objective: Apprehend how gender, as a social constructed conception, permeates professional and interpersonal relationships in the scope of mental health institutions for children and adolescents (CAPSi) and in the care dispended to children/adolescents and their families. Method: Exploratory and descriptive research, characterized by quantitative and qualitative approach. The methodological approach was based on the theory of social representations and the thematic content analysis. A data triangulation was used based on the following three instruments: forms, interviews and focal groups that took place at 2 \"CAPSi\" in São Paulo state, Brazil, totalizing 50 participants. The data gathered were analyzed using concepts from the Psychiatric Reform, gender theories and psychoanalysis. Results and Discussion: The main objective of CAPSi is the social insertion of children/adolescents, however, it is confused with their adaptation to social patterns. Female workers reveal difficulties in separating personal and professional life. There are gender implications not only in the care offered to family members, but also in the relationship between families and professionals. Mothers are often responsibilized by difficulties in conducting the treatment of children and also by their illness, especially in the case of male children. The notion of gender is not appropriate by professionals that confuse it with sexual problems and associated pathologies. It was observed that the boys are seen on a more aggressive pattern, while girls are considered the helpless victim that needs to be protected. The naturalization of female madness as in their own bodies reveals that we are held in stereotypes and prejudices. Final Concerns: The binarism man and woman marks the relationship among CAPSi professionals; which associate men to physical force and women to care. The belief of woman\'s innate instinct for caring contributes to the constitution of CAPSi as a social device with a socially attributed female identity, resulting in an institution with unclear rules, lack of objectiveness and practicality; where the law function is assigned to external institutions that symbolize the masculine. Breaking the binary logic and finding new ways of dealing with children and adolescents is essential, since the professionals themselves already perceive difficulties as the service is constituted in those female patterns. It is essential for both CAPSi professionals and public policies formulators that a greater awareness of how equipment and their actions are crossed by gender differences. Denying these differences only reinforces them, the path to overcome or transform them is to fully comprehend and treat accordingly. (AU)

FAPESP's process: 13/09499-8 - Gender and Care in the field of child and juvenile mental care
Grantee:Camila Junqueira Muylaert
Support Opportunities: Scholarships in Brazil - Doctorate