Resumo

VALVERDE EIZAGUIRRE, Miguel Ángel  e  INCHAUSPE AROSTEGUI, José Antonio. The encounter between the user and mental health services: ethical and clinical considerations. Rev. Asoc. Esp. Neuropsiq. [online]. 2017, vol.37, n.132, pp.529-552. ISSN 2340-2733.  https://dx.doi.org/10.4321/s0211-57352017000200012.

This paper deals with the clinical relationship in mental health as an encounter with the other. It is argued that the other, as a sensitive human being, lives a drama, rather than a diagnostic condition, and needs to be recognized in his individuality by a clinical environment that must provide him with security, trust, and dialogue in order to understand his experiences and conflicts. The professional is also a person that interacts with the people that come to his office. His attitude, both ethically and technically, must contribute to recognition and dialogue. For the development of a collaborative clinical practice, we consider three basic relational perspectives: Donald Davidson's principle of charity; the “world travelers” metaphor by Nancy Potter; and the idea of validating and “giving uptake” as proposed by Marsha Linehan and Nancy Potter, respectively. This collaborative clinical practice is compared to the common care model, which does not let room to talk about people's difficulties and where security, trust and collaboration are not values to be considered. It is pointed out that bioethics does not usually consider the central questions in current mental health care, profusely reflected by users’ movements, several professionals, and political and social instances. Changes in care services that promote dialogue and a collaborative clinical practice are required.

Palavras-chave : bioethics; mental health assistance; encounter with the other; principle of charity; world travelers; validate; giving uptake; collaborative clinical practice.

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