Hospitalized people with psychiatric crisis’ speech on treatment autonomy and credibility

Abstract

Objective: to describe people in psychiatric crisis’ perception of their credibility of speech and its relationship with treatment autonomy promotion. Method: qualitative, descriptive-exploratory approach, based on semi-structured interviews, carried out in October and November 2019, with 12 men admitted to a public psychiatric institute in Minas Gerais, Brazil, selected for convenience. The research complied with ethical principles and was approved in September 2019, by number 3.566.943. Thematic content analysis technique was used to treat the data. Results: the participants reported punitive perception in relation to hospitalization and treatment, devaluation of their statements in the construction of the Singular Therapeutic Project and ignorance about the implications of these perceptions for the work of the team that accompanied them and for the institution. Conclusion: despite the reconfigurations of the mental health care model, users’ speech is still marked by low credibility and low level of autonomy on the therapeutic process. Furthermore, in the hospital environment, the challenges for the consolidation of multidisciplinary care and for the participation of the user in its treatment have been maintained.