Discursive construction of social representations expressed by seekers of psychosocial healthcare services in Brazil

Background: The current paper discusses the results of a study realized with 66 seekers of 12 psychosocial healthcare services (CAPS) in Brazil, by investigating their social representations. Aims: Throughout a quali-quantitative approach, unstructured interviews have been conducted and focused on two themes: one related to mental suffering and another to the CAPS itself. Method: The data were processed adopting the Iramuteq software for text-mining-analysis. Results: Out of the findings emerged four lexical classes due to the discursive representation of: (1) CAPS (39.7%); (2) social life (29.7%); (3) family (13.6%) and (4) medication and care (17%), where the utterance NÃO (NO) occupies a central position. Accordingly, the NO is associated with ‘ not there ’ and ‘ not here ’, contrasting the care provided outside the CAPS, represented as inhumane or inadequate, to that provided inside the CAPS, linked to feelings of ‘not being discriminated, mistreated and unrecognized’. The underlying social representations expressed in the interviews show an opposition between what was experienced outside and what was experienced inside the CAPS. Conclusion: The care received in CAPS units is the expression of a new psychosocial paradigm in a process of implementation, focused on participation and interdisciplinarity, as opposed to the biomedical paradigm focused on the disease.