A REORIENTAÇÃO DAS PRÁTICAS AMBULATORIAIS NA SAÚDE MENTAL COLETIVA A PARTIR DOS GRUPOS DE RECEPÇÃO.

Starting from the practice in an outpatient mental health clinic, we question the ways of welcoming offered traditionally to the demands of outpatient psychic treatment in the public field. To this end, we use a paradigmatic analysis that -- based on psychoanalysis, historical materialism, and institutional analysis -- defines the insurgent psychosocial paradigm as a dialectical overcoming of psychiatric reform. We used psychoanalysis and historical materialism in the methodological bases of the epistemological reflection that we carried out. Thus, supplanting the privatizing and medicalizing screening of the dominant psychiatric paradigm, those responsible for reception groups must suspend immediate responses aiming at an analytical listening that involves the subjects in the symptoms and conflicts of which they complain. Finally, highlighting the necessary work with the resistance to these radical changes, we conclude that the implementation of reception groups has been a relevant means of restructuring institutional devices towards another treatment paradigm. [ABSTRACT FROM AUTHOR]