Loucura e inclusão: o Programa de Atenção Integral ao Louco Infrator (PAILI) como possibilidade de superação de estigma e reconhecimento de direitos

Abstract

Throughout this dissertation, the aim is to verify if the Programa de Atenção Integral ao Louco Infrator (Program of Full Attention to the Mad Infractor) is a valid alternative to the model that currently takes place in the judicial asylums and custody hospitals, and whether it is capable of becoming a common practice worthy of being nationalized due to its results and to the treatment offered to the patients – and if it is compatible with the principles and values scribed by the Constitution of the Federative Republic of Brazil of 1988. Hence, our starting point is a historical analysis of the treatment given to people with mental suffering in Brazil, highlighting its fundamental historical marks and normative orientations, as well as emphasizing the emerging of the medical speciality known as Psychiatry and its unfolding until these days. We discuss about theoretical references that precede the Brazilian psychiatric reform and also the reformed Psychiatry; we broach the anti-asylum fight movement, the Brazilian Law Project 3.657/1989 and the promulgation of the Bill 10.216/2001. After the historical discussion being set, we examine essential concepts in order to comprehend how the individuals with mental suffering are seen, especially those in conflict with the law; concepts such as biopower, the life unworthy of being lived, total institutions, disciplinary power, the fabrication of docile bodies, stigma, diversion and the figure of the outsider. Subsequently to this conceptualization, we make considerations about the security measures before the promulgation of the Bill 10.216/2001, about the PAILI and its regulatory milestones and also confront the 2011 Census data – which bring an overall vison on the the national reality of the security measures – with those concerning the PAILI, which demonstrate the reality of Goiânia, Brazil. Lastly, we analyze the concepts that have been studied throughout the dissertation and we present our conclusions regarding the originary hypothesis of this work.