Psychiatrization of existence: from asylum to the neurochemistry of subjectivity
Keywords: Human condition. Pedagogical practice. Teacher-nurse.
This work aims to develop a critique of psychiatrization of existence focusing particularly relations between the biological rationale and strategies for expansion of psychiatric intervention in increasing population contingents and in various walks of life. Inspired by Foucault's genealogy, the research begins its historical review from pinelian alienism, this understood as the disciplinary mode appropriation inaugural of madness by medicine. Following, are analyzed the different historical formats presented by psychiatric organicism since its introduction by the morelian theory of degeneration in the XIX century until the preventive reforms of the postwar. Develops, so, in the light of initiated historical analysis, an examination of the set factors involved in the current emphasis on psychopharmacological which contemporary psychiatry will extend its biological reductionism, basing many circumstances of human existence on chemical neurotransmission. On the way of the analysis are addressed the complicity between psychiatry and pharmaceutical industry and the correlative role played by successive editions of the DSM (Diagnostic and Statistical Manual of Mental Disorders) in its extraordinary multiplication of possibilities diagnostic which psychiatry has been providing its psychopharmacology object as explanatory regulator and plurality of manifestations of contemporary subjectivity. Under this basis, are critically problematized current perspectives of psychiatry that, in seeking to realize the dream to integrate scientific medicine to packs since the XIX century, have been accepting the over determination of this field identity knowledge and its clinical practice by a promoted psychopharmacology in major companies psychopharmacs. Finally, it is suggested that psychiatry, reduced to a mere prescription intermediation the performance between patients and pharmaceutical companies, running the risk of being gradually superfluous dominant global development of a market rationality that privileges more direct relationships among instances of production and consumption.
Daniele de Andrade Ferrazza
Tese (Doutorado), 2013
Programa de Pós-Graduação, Faculdade de Ciências e Letras, UNESP - Univ Estadual Paulista
Recebido em 06/09/13. Aprovado em 14/09/13.