DOI: 10.53524/lit.edt.978-65-84528-66-6/14
PALAVRAS-CHAVE: Saúde Mental. Teoria da Subjetividade. Promoção da Saúde. Cuidado Integral. Atenção Psicossocial.
KEYWORDS: Mental Health. Theory of Subjectivity. Health Promotion. Comprehensive Care. Psychosocial Care.
ABSTRACT: This chapter presents a comprehensive and integrated analysis of strategies for mental health promotion, the prevention of psychological distress, and guidelines for comprehensive care within individual, familial, educational, occupational, and community contexts. Grounded in Fernando González Rey’s Theory of Subjectivity, the biopsychosocial paradigm of Collective Health, and the guidelines of the World Health Organization (WHO, 2022), the text critically examines the hegemony of the biomedical model and the prevailing tendency toward the pathologization and medicalization of life. It discusses the conceptual foundations of health promotion—reinterpreting risk and protective factors through the lens of subjective meanings and subjective configurations—as well as the levels of prevention (universal, selective, and indicated) and the ethical boundaries surrounding screening processes and risk identification. The chapter outlines interventions across various settings (schools, workplaces, family networks, and local territories), emphasizing a shift away from purely instrumental practices toward dialogical professional action systems. It also highlights the role of Mutual Aid Groups (MAGs) and the development of the Singular Therapeutic Project (STP) within the framework of the Unified Health System (SUS) and the Psychosocial Care Network (RAPS). Finally, it analyzes program evaluation processes using indicators of process, outcome, and impact, while addressing barriers to access, equity in care for chronic and end-of-life conditions, and long-standing challenges related to funding, human resource management, and university-level education in Psychology and Health.
Alexandre Domanico da Cunha
Mariana da Silva Pereira Reis
Desenvolvido por Alexsander Arcelino