{"id":82018,"date":"2000-01-01T00:00:00","date_gmt":"2000-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/a-unidade-de-saude-mental-como-broker-cultural-alternativas-a-xestion-da-loucura-nun-municipio-rural-galego\/"},"modified":"2000-01-01T00:00:00","modified_gmt":"2000-01-01T00:00:00","slug":"a-unidade-de-saude-mental-como-broker-cultural-alternativas-a-xestion-da-loucura-nun-municipio-rural-galego","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/a-unidade-de-saude-mental-como-broker-cultural-alternativas-a-xestion-da-loucura-nun-municipio-rural-galego\/","title":{"rendered":"A unidade de saude mental como \u00abbroker\u00bb  cultural: alternativas a  xestion da loucura nun municipio rural galego."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Gonzalez Fernandez Emilio Hermeto <\/strong><\/h2>\n<p>A nivel epistemiol\u00f3gico est\u00e1 investigaci\u00f3n se inscribe en el \u00e1mbito de la antropolog\u00eda aplicada y, m\u00e1s concretamente, dentro de los modelos de investigaci\u00f3n-acci\u00f3n. Es decir, el objeto y \u00e1mbito del estudio es el propio trabajo profesional del autor en cuanto que psiquiatra coordinador de una unidad de salud mental (centro de salud mental, seg\u00fan denominaciones m\u00e1s univesalistas).  es dispositivo sanitario p\u00fablico se gestionan oficialmente los malestares y trastornos ps\u00edquicos de un municipio rural interior (santa comba, a coru\u00f1a, espa\u00f1a) de 12.000 habitantes, muy dispersos espacialmente, con altas tasas de envejecimiento, bajo nivel de estudios, econom\u00eda agraria en transformaci\u00f3n y altos \u00edndices de emigraci\u00f3n en el pasado.  metodol\u00f3gicamente se interrelacionan la observaci\u00f3n participante, la escucha comunitaria y la narratolog\u00eda dial\u00f3gica, que evidencian significativas disonancias entre las subculturas de los usuarios (expresadas a trav\u00e9s de los s\u00edntomas) y la de los t\u00e9cnicos (expresadas en la construcci\u00f3n de las historias cl\u00ednicas y de las respuestas terap\u00e9uticas).  la brecha cultural (entre m\u00e9dico-paciente) se agranda al analizar el dise\u00f1o cultural del dispositivo, los modelos m\u00e9dicos, legales y organizativos que substentan la unidad de salud mental y los tiempos y espacios asistenciales.  se concluye evidenciando la imposibilidad de que el centro de salud mental realice intermediaci\u00f3n y se proponen alternativas para reconstruirlo como broker cultural. El m\u00e9todo literario (narrativas de pacientes) escogido para la presentaci\u00f3n de esta tesis entronca con la pr\u00e1ctica can\u00f3nica de las sesiones cl\u00ednicas en las cuales no pocas veces el psiquiatra se convierte en autor, traductor y cr\u00edtico literario de la historia que narra el paciente. Este \u00faltimo es visto tambi\u00e9n como autor-lector de su propia biografia.  en este \u00faltimo sentido (en el de considerar al paciente como alguien que sabe<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>A unidade de saude mental como \u00abbroker\u00bb  cultural: alternativas a  xestion da loucura nun municipio rural galego.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 A unidade de saude mental como \u00abbroker\u00bb  cultural: alternativas a  xestion da loucura nun municipio rural galego. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Gonzalez Fernandez Emilio Hermeto <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Santiago de compostela<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/2000<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Marcial Gondar Portasany<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Rodriguez lopez <\/li>\n<li>alfonso Oriol romani (vocal)<\/li>\n<li>miquel Casas brugue (vocal)<\/li>\n<li>Juan  Jes\u00fas Gestal otero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gonzalez Fernandez Emilio Hermeto A nivel epistemiol\u00f3gico est\u00e1 investigaci\u00f3n se inscribe en el \u00e1mbito de la antropolog\u00eda [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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