Diálogos sobre salud comunitaria y sus múltiples conjugaciones, Una reflexión sobre qué constituye una comunidad y hacer salud con y en ella desde la institución pública.
Una genealogía de la Atención Primaria en Madrid, a los 40 años de su implantación en el estado español.
Frosso Moureli, psiquiatra y psicoterapeuta griega, miembro de la Social Clinic of Solidarity de Tesalónica (KIA) y ex miembro de la Social Workers Clinic en la fábrica Viome, visitó Madrid en febrero de 2016 para asistir a una conferencia sobre psiquiatría familiar. Aprovechamos para pasar una semana con ella, conociendo Madrid, visitando museos, organizando un encuentro en Vaciador 34 y una entrevista, que compartimos aquí en breves vídeos temáticos que abordan:
I am always astonished when I speak with a young doctor and I ask him what he does. And he explains it. If you ask him about the context in which a certain practice is enacted, either he knows nothing, or he refuses to know. Sometimes he has a vague notion of it. But there is nothing more overdetermined than what happens in the field of health: huge institutional assets, big economic interests, powerful professional corporations. And then there are the citizens as users of the services, who are what should matter in all this. There are enormous issues on a political, organisational, administrative and cultural level revolving around this doctor doing his work. But he is unaware of all of this.
Margherita Bono. The Trieste model’s ability to construct different ways of working derives not only from being inside the complexities of everyday urban life, but rather from the force of disarticulation that invades the institutional character of the institution itself. Breaking down the separations between the different segments of the State, forcing them to talk amongst themselves, to rethink themselves, and to lose themselves in the midst of the problems. If you look closely enough, no one is normal.
Federico Rotelli. The scale at which health takes place is first and foremost an urban scale, determined by the mechanisms of exclusion and discrimination by which social spaces are configured. The practice of health therefore is born first and foremost out of respect and the construction of practices within this complex relationship. Beyond mechanisms of evaluation and measurement, institutional practices have to situate themselves in the impossibility of translation: in the overflow of urban subjectivities. That is where one might develop situated tools rather than deploy abstract protocols.
Federica Sardiello. Against the imposition of the assymetrical and professional relationships characteristic of medical practice, the micro-area aims to upend this model and to think about health principally as a space from which to contribute to the construction of democracy. This means seeking out singular processes of emancipation and empowerment. It also means constructing these processes in such a way that they collectivize and place institutional responsibilities upon a territory, in all its richness and potential. The institutional that sustains the common. The singular within a collective process.