Práticas Psicológicas, Epistemicídio e Unidades Básicas de Saúde

Praticas Psicologicas, Epistemicidio e Unidades Basicas de Saude. Resumo: As praticas em saude no Brasil, incluindo as psicologicas, sempre primaram na producao de relacoes heteronimas entre profissionais e populacao, sob o respaldo do saber tecnico/cientifico como unico capaz de arbitrar/determinar o modelo ideal de saude. Imposicao de preceitos morais, atraves da desqualificacao/exterminio dos saberes/fazeres populares perante a verdade dos saberes/poderes especialistas em saude. (epistemicidio). A criacao do Sistema Unico de Saude propoe uma reversao nessa conformacao heteronima, com participacao ativa das populacoes na producao de praticas coletivas em saude. Estudos sobre a insercao do psicologo no SUS tem apontado para a reproducao da postura especialista, ressaltando a inadequacao da formacao/conteudos disciplinares para atuacao nessa realidade. Este artigo traz algumas reflexoes advindas de uma “analise genealogica das praticas psicologicas nas UBS” do municipio de Vitoria/ES. De inspiracao etnografica, a pesquisa ocorreu entre 2004/05, abarcando a atuacao de quatorze psicologos em dez Unidades de Saude. A reproducao heteronoma nao parece advir, entretanto, de uma carencia de conteudos disciplinares para adequar o profissional. Contrariamente, o despreparo surge como fruto do excesso disciplinar, que con-forma profissionais impotentes, submetidos aos valores morais de adequacao/adaptacao, decompostos em sua potencia criativa singular de agir. Palavras-chave: Praticas psicologicas heteronomas; UBS; Preceitos morais. Psychological Practices, Epistemicide and Basic Health Units Abstract: Health practices in Brazil, including psychological practices, have always produced heteronymous relationships between health professionals and the general public, backed by technical / scientific knowledge seen as the only way to consider / determine the ideal healthcare system. Moral precepts have been imposed through the disqualification / extermination of popular knowledge and know-how in the face of the health specialists’ knowledge and skills, deemed as the only viable truth (epistemicide). The creation of the Unique Health System (SUS) aims at reversing this trend toward heteronymous conformity and calls for people’s active participation in producing collective health practices. Studies on the integration of psychologists within the Unique Health System have pointed out a reproduction of the ‘specialist’s posture’, emphasizing the inadequacy of the training / course content for professionals to be able to work properly within this reality. This article is based on a “genealogical analysis of psychological practices in Basic Health Units” (UBS) in the town of Vitoria, state of Espirito Santo, Brazil. Ethnographically inspired, the research was conducted between 2004 and 2005 and centered on the work of fourteen psychologists in ten Health Units. Heteronymous reproduction, however, does not seem to stem from inadequate course content to adapt professionals. Quite the contrary, the lack of preparation results from excessive content, making professionals powerless, submitted to the moral values of adequacy / adaptation and deprived of their individual creative ability to act. Key-words : Heteronymous psychological practices; Public health; Moral precepts.