Institucional relations in rehabilitation and the challenge of historical discuss of the occupational therapy

Abstract

This article discusses the instítutional relations of tutelage existent in rehabilitation in general, and in the occupational therapy in specific, which put senous difficulties to the process of social insertion of the users, if it is considered in the perspective of health as quality of permanent life integrated to the social rights. The historical analysis of the politicals assistances and of the instítutional discuss of the occupational therapy in Brasil, in Great São Paulo, since 1964 to the beginning of the eighties, identifies in both, the presence and the necessity ofthe tutelage relations to manage, the social-economic exclusion process characteristic in the dynamic ofthe contemporaneous societies.