FROM FRANCO BASAGLIA TO COMMUNITY-BASED MENTAL HEALTH:TOWARDS A PARADIGM SHIFT
DOI:
https://doi.org/10.26823/h6rf0v41Keywords:
deinstitutionalization, community mental health, paradigm, citizenship, recoveryAbstract
This text analyzes the paradigm shift in mental health, criticizing traditional psychiatry for reproducing Western models of exclusion based on the asylum. Such models, anchored in the mind-body duality inherited from René Descartes, prove insufficient to deal with the contradictions between normality and deviance. From an epistemological and institutional critique, the emergence of community care as an alternative is discussed, emphasizing the centrality of subjectivity, social determinants, and citizenship. It is argued that deinstitutionalization implies not only the transformation of institutions but also the reconstruction of the relationships between knowledge, power, and care. It is concluded that the ongoing paradigmatic shift points towards a participatory epistemology and practices oriented towards social inclusion and the production of life.
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