Vai reduzir, mas não resolve : o imaginário coletivo de agentes comunitárias de saúde sobre a assistência a usuários de álcool e outras drogas

Abstract

Community Health Agents (CHA) act as a link between health facilities and the population, and present as the major feature the insertion in the community. This feature is of great relevance for the provision of care to users of alcohol and other drugs. However, the collective imaginary of CHAs about the population in question tends to influence this process, as it basically refers to the set of beliefs and images that a group produces about a phenomenon, which may be the unconscious affective-emotional dimension of behaviors. The present study has as its general objective to understand the collective imaginary of the CHAs from a unit of the Family Health Strategy (FHS) in relation to the issue of the use/abuse of alcohol and other drugs. This is a qualitative study whose locus for the construction of the data was a psychoanalytic discussion group developed in seven meetings, which had the researcher as facilitator and as participants all seven CHAs from a FHS unit of Uberlândia-MG. The methodological approach adopted for the data analysis was the interpretation of the corpus, which consisted of transcripts of recordings from the group meetings and the reports prepared by the observer-participant. The interpretation of the corpus led to the capture of three fields of affective-emotional sense, which were named as follows: (1) The steps on the path of stones , (2) From the ill said to the unsaid and (3) Guilty or victim? The first field is organized from the belief that health care to drug addicts depends primarily on the desire on the part thereof, to stop using drugs, and such belief is not compatible with the logic of harm reduction advocated by the Ministry of Health. The second field is organized from the belief that the alcohol and other drugs subject goes from ill said to unsaid , as addressing it generates awkwardness, uncertainties and anxieties, so that it tends to be avoided by the participants. The third field, finally, is organized from the belief in the existence of a direct association between the use of alcohol and other drugs, especially illicit drugs, and crime. The results thus provide elements for understanding a number of aspects of the collective imaginary of the participants in relation to the theme of the use/abuse of alcohol and other drugs. However, further research is needed on the subject, including the deepening of the issues introduced herein, once that the literature is scarce.