Pensando o processo grupal: vivências de usuários e trabalhadores do SUS

Abstract

The group care proposal is anchored in the notion of group as an effective support network, which enables the strengthening of interpersonal bonds and the formation of a meaningful network of care and health promotion, in line with the SUS principles. The general objective of this Dissertation was to understand how the psychologists working in SUS and the users they serve in therapeutic groups perceive the use of this tool in this context. Two descriptive, cross-sectional and qualitative studies were carried out. Twenty users attended in primary and secondary equipment of the Psychosocial Care Network of a municipality in the state of Minas Gerais participated in the first one. Interviews were strategies used to access users' experiences. Thematic Analysis procedure was used to organize and carry out the analysis of the data obtained. The thematic axes that emerged were reflected aspects related to the participants' learning as members of a group, allowing to legitimize this practice as a health promoter, creating bonds between its members, self-care and care with their peers. On the other hand, group care was relativized at times to the detriment of individualized care and the issue of confidentiality was also punctuated. All of these aspects pointed out the relevance of listening to users served in groups to understand the scope of health care policies implemented in similar socioeconomic realities. The second study was an action research based on the clinical-qualitative approach and was developed based on the technicalmethodological-philosophical instrument of the Operating Groups. The objective was to understand how psychologists perceive the group work they offer in their work practices, based on experiences in operational learning groups. Ten psychologists participated in the study, working in an Outpatient Psychosocial Care Unit in a city in the interior of Minas Gerais. The analysis of the data took place from the emerging groups raised during the three Operative Group sessions carried out, which was based on procedures specific to this technique. The results showed that the operative group in question could be an agent of transformation, constituting itself as an auxiliary resource in the learning process of the participating professionals and the space where they belong. The group process proved to be a facilitator of the expression of the difficulties experienced in carrying out external and internal work to the Operative Group offered.