Resumo

ESTELLITA­‑LINS, Carlos et al. Prevenção, adesão, promoção de saúde e reabilitação sob o acompanhamento terapêutico. Psicologia [online]. 2012, vol.26, n.2, pp.41-66. ISSN 0874-2049.

This article describes the genesis of psychotherapeutic accompaniment in Brazil through philosophical, social and historical circumstances which made it possible. Its contribution concerning crisis prevention, treatment adherence, health promotion and rehabilitation of psychiatric disorders is stressed. The sociopolitical scenario of the last four decades is considered condition of possibility to psychotherapeutic accompaniment's knowledge and praxis, understood as hybridization of some mental health intervention 'rationalities. The prolific dialogue with psychoanalysis and mental health community interventions places psychotherapeutic accompaniment amidst an ambiguous process of renewal which, paradoxically, consolidates but disperses its function. Psychotherapeutic accompaniment understood as a modality of mental health support is deeply related with ongoing Brazilian's Psychiatric Reform. The conclusion states that regular psychotherapeutic support techniques and community interventions constitute two different although complementary therapeutic strategies, which characterize psychotherapeutic accompaniment as a local practice with its flaws and virtues, deeply revealing national and local scenario.

Palavras-chave : psychotherapeutic accompaniment; Psychiatric Reformist Movement; Brazil; mental health.

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