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Phenomenological comprehension of a mental health promotion program: the community mental health group

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Author(s):
Ana Paula Craveiro Prado
Total Authors: 1
Document type: Doctoral Thesis
Press: Ribeirão Preto.
Institution: Universidade de São Paulo (USP). Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (PCARP/BC)
Defense date:
Examining board members:
Carmen Lucia Cardoso; Cristiano Roque Antunes Barreira; Karin Aparecida Casarini; Miguel Mahfoud
Advisor: Carmen Lucia Cardoso
Abstract

The Community Mental Health Group (CMHG), developed since 1997, is a mental health care group practice open to the community, which proposes a collective work of attention and reflexion on the participants\' quotidian lived experiences. This study aimed to comprehend the Community Mental Health Group, throughout the group sessions analysis, inspired by the Classic Phenomenology. It aimed, more specifically, to comprehend the group sessions elements that sustain the activity, the group process and the practice\'s therapeutic potential. To do so, a qualitative research approach was used, based on the methodological and epistemological perspective offered by Classic Phenomenology. Six group sessions audio recorded and fully transcribed were analysed. Each session was analysed individually, aiming to apprehend the practice realization according to its particular presentation in each one of them. Secondly, after the sessions set\'s analysis and crossing among them, it was identified two meaning units that reunite essential elements of this group practice. \"The comprehension of \'experience\' within the Community Mental Health Group\'s context\" embraces the understanding of \"experience\" that inspires and motivates the activity. The lived experiences were comprehended as mobilizations lived by the self, elicited by a lived happening, recognized through an attentive availability, stimulated by the activity. The pre-reflexive, sensitive and affective lived experiences\' dimension fostered the sessions\' development within the lived experience\'s scope, preserving its experiential potential. The group promotes the apprehension and acknowledgment of meanings within the lived experience, enlarging its meanings\' possibilities, along with the apprehension of oneself in act. The group fosters a knowledge of oneself, the other and the reality, subjectively invested. The unity \"The intersubjectivity within the Community Mental Health Group\" deepens the meaning of the intersubjectivity constituted within the group sessions. The gestures of opening up its own experiences by telling them to the group, and of getting involved with the others\' experiences were essential to the group process constitution and were mediated by empathy, as phenomenologically understood. The intersubjective ambience was constituted by the affectionate and personal co-involvement among group members and experienced by the group by means of proximity, intimacy and belonging to a community experience. These relations enlarged the lived experiences\' meaning acknowledgment and elaboration, which is the modality\'s scope. This study contributes to the practice as well as to the scientific literature on groups and on mental health care, from a phenomenological empiric investigation, that apprehended a group intervention from its own group processes\' perspectives, enabling its description and comprehension, deepened by the dialogue with the theoretical and philosophical perspective offered by Classical Phenomenology. (AU)

FAPESP's process: 19/04494-4 - Comprehensive analysis of a mental health promotion programme: the community mental health group
Grantee:Ana Paula Craveiro Prado
Support Opportunities: Scholarships in Brazil - Doctorate (Direct)