Vol. 23 No. 1 (2024)
Original Articles

The dynamic of intersected social categories in social interactions in a Brazilian psychosocial care center

Roberta Soares
Universidade de Montreal

Published 2024-08-21

Keywords

  • social categories,
  • intersectionality,
  • social interactions,
  • mental health,
  • Brazil

How to Cite

1.
Soares R. The dynamic of intersected social categories in social interactions in a Brazilian psychosocial care center. BJHBS [Internet]. 2024 Aug. 21 [cited 2024 Nov. 21];23(1). Available from: https://bjhbs.hupe.uerj.br/bjhbs/article/view/160

Abstract

The Brazilian Psychiatric Reform advocates non-asylum treatment for individuals diagnosed with severe or persistent mental disorders, mainly through the Psychosocial Care Centers. This research aims to understand how intersected social categories have a role in social interactions between social actors in the institution. This qualitative ethnographic research uses the technique of participant observation. For the theoretical framework, the theory of intersectionality was chosen in addition to the concept of intersectional stigma to reflect on intersectional discrimination. In addition to power relations between staff members and patients, it was identified the intersection of social categories, including concerning how the social actors involved tend to notice their oppressions, but not their privileges, that is, the oppressions of others. The researcher argues therefore that the intersected social categories influence the dynamic of social interactions in the institution generating an even more unjust experience for the patients in the institution in question.

Metrics

Metrics Loading ...

References

  1. Amarante P. Saúde mental e atenção psicossocial. 2nd ed. Rio de Janeiro: Fiocruz; 2010.
  2. Ministério da Saúde. Saúde mental no SUS: os Centros de Atenção Psicossocial. Brasília, DF: Governo do Brasil; 2004. 85 p. (Série F--Comunicação e educação em saúde).
  3. Whyte WF. Street corner society: the social structure of an Italian slum. 4th ed. Chicago: University of Chicago Press; 1993. 398 p.
  4. Goffman E. Asylums: essays on the social situation of mental patients and other inmates. New York: Anchor books; 1961.
  5. Crenshaw K. Mapping the margins: intersectionality, identity politics, and violence against women of color. Stanford Law Rev. 1991;43(6):1241–99.
  6. Collins PH, Bilge S. Intersectionality. Malden, MA: Polity Press; 2016. 224 p.
  7. Turan JM, Elafros MA, Logie CH, Banik S, Turan B, Crockett KB, et al. Challenges and opportunities in examining and addressing intersectional stigma and health. BMC Med. 2019 Feb 15;17(1):7.
  8. Remedios JD, Snyder SH. Intersectional Oppression: Multiple Stigmatized Identities and Perceptions of Invisibility, Discrimination, and Stereotyping. J Soc Issues. 2018;74(2):265–81.
  9. Tinner L, Holman D, Ejegi-Memeh S, Laverty AA. Use of Intersectionality Theory in Interventional Health Research in High-Income Countries: A Scoping Review. Int J Environ Res Public Health. 2023 Jul 15;20(14):6370.
  10. Silva NG, Barros S, Azevedo FC de, Batista LE, Policarpo VC. O quesito raça/cor nos estudos de caracterização de usuários de Centro de Atenção Psicossocial. Saúde E Soc. 2017 Mar;26:100–14.
  11. Ramos CN, Gonzales ZK. Interseccionalidade e saúde mental: um olhar para a raça e gênero [no Caps] pelos caminhos do pensamento descolonial. In 2017. Available from: http://www.en.wwc2017.eventos.dype.com.br/resources/anais/1499470106_ARQUIVO_trabalho.fazendogenero.pdf
  12. Diemer ASQ, Cavagnoli M. Interseccionalidade entre gênero, classe e diagnóstico: práticas de atenção à saúde mental no Caps. Rev Grifos. 2022;31(55):43–63.
  13. Cavallini F de M. CAPS, ateliês e oficinas: artes no mundo, mundos na arte. Fractal Rev Psicol. 2020 Apr;32(1):40–5.
  14. Surjus LT de L e S, Campos RO. A avaliação dos usuários sobre os Centros de Atenção Psicossocial (CAPS) de Campinas, SP. Rev Latinoam Psicopatol Fundam. 2011 Mar;14(1):122–33.
  15. Soares R, Gisi B. Ajustamentos à loucura: a dinâmica dos ajustamentos primários e secundários no cotidiano de um Centro de Atenção Psicossocial. Sociol Antropol. 2023 Nov 27;13(3):1–23.
  16. Soares R, Alvarez MC. O Centro de Atenção Psicossocial e o discurso antimanicomial. Contemp - Rev Sociol UFSCar. 2022 Nov 7;12(2):597–616.
  17. Hunting G. Intersectionality-informed Qualitative Research: A Primer. Inst Intersect Res Policy SFU [Internet]. 2014; Available from: https://www.ifsee.ulaval.ca/sites/ifsee.ulaval.ca/files/b95277db179219c5ee8080a99b0b91276941.pdf
  18. Bilge S. Le blanchiment de l’intersectionnalité. Rech Féministes. 2015;28(2):9–32.
  19. Buettgen A, Hardie S, Wicklund E. Understanding the Intersectional Forms of Discrimination Impacting Persons with Disabilities [Internet]. Ottawa: Government of Canada’s Social Development; 2018. Available from: http://www.disabilitystudies.ca/assets/ccds-int-dis--151110-final-report-en-full.pdf
  20. Taylor TN, DeHovitz J, Hirshfield S. Intersectional Stigma and Multi-Level Barriers to HIV Testing Among Foreign-Born Black Men From the Caribbean. Front Public Health [Internet]. 2020 [cited 2020 Aug 4];7. Available from: https://www.frontiersin.org/articles/10.3389/fpubh.2019.00373/full
  21. Beaud S, Weber F. Le raisonnement ethnographique. In: Paugam S, editor. L’enquête sociologique [Internet]. Paris: Presses Universitaires de France; 2012 [cited 2020 Jul 22]. p. 223–46. Available from: https://www.cairn.info/l-enquete-sociologique--9782130608738-page-223.htm
  22. Goffman E. The presentation of self in everyday life. New York: Anchor books; 1959. 255 p.
  23. Geertz C. Thick Description: Towards an Interpretive Theory of Culture. In: The Interpretation of Cultures. Basic Books; 1973.
  24. Becker HS. Sociological work: method and substance. London: Allen Lane; 1971.
  25. Krumer-Nevo M, Sidi M. Writing Against Othering. Qual Inq. 2012 Apr 1;18(4):299–309.
  26. Rodriguez JK. Intersectionality and Qualitative Research. In: The SAGE Handbook of Qualitative Business and Management Research Methods: History and Traditions. SAGE Publications; 2019. p. 429–61.
  27. Foucault M. Les Anormaux: cours au collège de France, 1974-1975. Paris: Seuil; 1999.
  28. Mignolo WD, Walsh CE. On Decoloniality: Concepts, Analytics, Praxis. Durham, NC: Duke University Press; 2018. 304 p. (On Decoloniality).