Mental health, art, and deinstitutionalization: an aesthetic-poetic-theatrical account of the city's occupation

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DOI: 10.1590/1413-81232022271.20002021       39

                               Mental health, art, and deinstitutionalization:

                                                                                                                              article
                               an aesthetic-poetic-theatrical account of the city’s occupation

Júlia Monteiro Schenkel (https://orcid.org/0000-0001-6975-7173) 1
Glauber Weder dos Santos Silva (https://orcid.org/0000-0002-0570-1944) 2
Ana Karenina de Melo Arraes Amorin (https://orcid.org/0000-0002-1343-9341) 3
Francisco Arnoldo Nunes de Miranda (https://orcid.org/0000-0002-8648-811X) 4
Jovanka Bittencourt Leite de Carvalho (https://orcid.org/0000-0002-0785-3423) 5
Sara Eloise Argimiro Ribeiro (https://orcid.org/0000-0003-0890-3426) 4
Ana Clara Paiva de Almeida (https://orcid.org/0000-0003-3969-1868) 4
Maxwell Menezes Silva (https://orcid.org/0000-0003-2380-8742) 6

                               Abstract This study aimed to report the expe-
                               rience of an aesthetic, poetic, and theatrical pro-
                               duction of the city’s occupation from a device of
                               the Psychosocial Care Network to offer space for
                               sociability, production, and cultural intervention.
                               This is an account of an experience from the So-
                               cial and Cultural Center (CECCO) in Natal, Rio
                               Grande do Norte, Brazil, within madness and
                               mental health deinstitutionalization. The inter-
1
  Programa de Pós-
Graduação em Psicologia,       vention “The Little Prince occupies the Ribeira”
Universidade Federal do        was inspired by the work of author Saint-Ex-
Rio Grande do Norte.           upéry. The artistic and creative acts reported oc-
Campus Universitário Lagoa
Nova, Caixa Postal 1622.       curred in December 2019. We experienced in this
59078-970 Natal RN Brasil.     intervention the reach of an aesthetic clinic that,
juliamonteiroschenkel@         when opened to the street and art, expanded and
gmail.com
2
  Direção de Enfermagem,       weaved in the territory, instrumentalized by the-
Hospital Giselda Trigueiro,    ater, dance, poetry, percussion, crafts, and city’s
Secretaria de Saúde Pública    occupation. The movement led the community to
do Rio Grande do Norte.
Natal RN Brasil.               “step down from the stage” to the streets and is
3
  Departamento de              connected with the twist of the asylum model and
Psicologia, Universidade       the production of the affection clinic that we seek
Federal do Rio Grande do
Norte. Natal RN Brasil.        to sustain in the daily service.
4
  Departamento de              Key words Mental health, Art, Deinstitutional-
Enfermagem, Universidade       ization, Popular culture, Cities
Federal do Rio Grande do
Norte. Natal RN Brasil.
5
  Escola de Saúde,
Universidade Federal do Rio
Grande do Norte. Natal RN
Brasil.
6
  Centro de Convivência e
Cultura de Natal, Secretaria
Municipal de Saúde de
Natal. Natal RN Brasil.
40
Schenkel JM et al.

                     Introductory notes                                     if it is enough in the tangles of their formal net-
                                                                            works and private spaces of the clinic’s territory.
                     The experience that we are going to report oc-         However, they must expand vis-à-vis the city and
                     curred from the Social and Cultural Center of          culture5.
                     Natal (CECCO – Natal, RN, Brazil), service of               The Psychiatric Reform can be successful in
                     the municipal health network part of the Psy-          the cultural space, as the change in the mental
                     chosocial Care Network, in partnership with            health care model and the fight against prejudice,
                     the Extension Project “Tons de Vida (Life Tones)       stigma, and segregation historically dispensed to
                     Group: artistic workshops, popular theater, and        madness operates in the construction of new so-
                     mental health in the city from the Social and          cial places for the “loony”, in sustaining a social
                     Cultural Center of Natal (CECCO – Natal, RN,           paradigm of leadership and citizenship for users
                     Brazil)”, the Nursing Department of the Federal        and their family members6.
                     University of Rio Grande do Norte (UFRN), and               By ethically positioning ourselves, refusing
                     supported by the Captaincy of the Arts Cultural        the reproduction of exclusionary practices, and
                     Foundation (FUNCARTE).                                 investing in the creation of strategies for the dein-
                          Hybrid spaces between health, art, and cul-       stitutionalization of madness and the affirmation
                     ture, the Social and Cultural Centers emerged in       of difference in the city, we point to the power of
                     Brazil as devices that underpin the Psychosocial       art in the anti-asylum clinic and its contribution
                     Care Network (RAPS) to offer spaces for socia-         to diversifying the experience of the encounters
                     bility, cultural production, and intervention in       of RAPS users with and in the city7. In this sense,
                     the city. Strategically, they were thought of as       recent experiences have pointed to a detachment
                     open services and not exclusively aimed at users       of art as a strictly therapeutic device and be-
                     of the RAPS1. Such services have been essential        came a strategy for producing life projects and
                     in health care networks to promote meetings and        deinstitutionalization of madness in social life
                     articulation of care with everyday life and its cre-   in a broad sense8. According to Pelbart9, we can
                     ation processes, aligned with the Psychiatric Re-      conceive of art as an essential ingredient in the
                     form paradigm2.                                        production of health and life for these subjects,
                          If in the psychiatric reform there is an aspect   since madness in its biopolitical force requires
                     that has made little progress since 2001, the land-    the construction of “multifaceted devices that
                     mark of the enactment of the Paulo Delgado3            are political, aesthetic, and clinical in reinventing
                     Law, this would be the sociocultural dimension         coordinates for the enunciation of life”9 (p. 37).
                     of deinstitutionalization in shifting the social            In this direction, we leave aside the term us-
                     meanings attributed to madness and difference          ers, sometimes trivialized in the Unified Health
                     to social life. Demystifying this place still marked   System, and refer to CECCO attendees as “hang-
                     by stigma and prejudice linked to notions of in-       outers”, thus marking an attempt to shift their re-
                     capacity and dangerousness, which, for that very       lationship with the Center and the team workers.
                     reason, produces affective territories depotentiat-    Thus, the power of laterality is affirmed without
                     ed and generators of exclusion and psychological       neglecting the differences and singularities in
                     distress, continues to be a task for the Psychoso-     roles and responsibilities. We are all hangouters,
                     cial Care Networks (RAPS).                             creating together ways of living together and in-
                          The RAPS devices act as intermediaries be-        habiting the city.
                     tween the subjects and the social world sur-                This movement takes place in different ways:
                     rounding them, which excel in creative initiatives     through the participation or organization of fairs
                     that consider the different ways of existing and       to exhibit the crafts produced in the workshops,
                     living with severe psychological distress, con-        events where artistic presentations are held
                     necting them with the community/city. The ac-          (dance, percussion, vocal group, and theater),
                     tivities developed within the RAPS seek to devel-      and the occupation of other spaces that appreci-
                     op the personal and social dimensions based on         ate the art produced by the hangouters and in its
                     the different needs of users4.                         dissemination. This is the clinical-political action
                          We understand, therefore, that mental health      that CECCO has been developing in the city of
                     policies cannot resign themselves to the confines      Natal, strengthening the inclusion of hangouters
                     of their health services in order to face and resist   in the city, encouraging the occupation of public
                     the reproduction of the asylum logic that insists      spaces, and taking its artistic and cultural pro-
                     on the key of exclusion and prejudice, not even        duction beyond the service walls.
41

                                                                                                                 Ciência & Saúde Coletiva, 27(1):39-48, 2022
   The Social and Cultural Center of Natal/RN           in August 2019 and, more recently, the aesthet-
   and its intersectoriality                            ic-poetic-theatrical circuit “O Pequeno Príncipe
                                                        Ocupa a Ribeira” (The Little Prince Occupies the
     Inaugurated in August 2017, CECCO in Na-           Ribeira), held in December 2019 – an experience
tal has been consolidating itself in the city as an     that we will seek to share through this writing.
essential space for the Psychosocial Care Net-               By placing this experience within the field of
work, a place for meetings, reception, and access       deinstitutionalization of madness and mental
to artistic and cultural activities, with the target    health, we understand that madness and the field
– but not exclusive – audience of RAPS users.           of mental health and its policies must be deinsti-
This movement is supported by the articulation          tutionalized. That is, it is necessary to create and
of different social actors, which gathers the team      sustain a network of territorial care services that
linked to the service and employees from other          dispute the place and meanings of madness and
RAPS services, artists in the territory who per-        difference in the city and RAPS should establish
form volunteer work, students, and teachers who         ways to connect with other knowledge, outside
seek the service as a space for formation.              the field of mental health, opening and cross-
     Several workshops are offered, including           ing the clinic for psychosocial care to operate
dance, percussion, poetry, guitar, handicraft,          the replacement, or better, the subversion of the
theater, vocal group, stretching, meditation, and       asylum logic. Art and streets are strategic to this
programmed activities that seek to expand the           end, producing aesthetic fragments that do not
occupation of spaces and inclusion of hangouters        reproduce as roadmaps and are unique and priv-
in the city. Such activities draw a changing rou-       ileged moments between health and madness,
tine of daily offerings, which are built according      extinguishing art and life and art and non-art11
to the availability of the actors that underpin the     boundaries.
community and the hangouters’ desires. Besides               What makes an artistic manifestation a po-
the workshops, CECCO is experienced by its at-          litical act? What makes a Psychosocial Care ser-
tendees as “a place to make friends” and “discover      vice position itself clinically and politically in
skills I didn’t know I had” – expressions they of-      the dispute for social places socially attributed
ten use.                                                to madness and difference? Without intending to
     The CECCO seeks to establish itself as a space     answer these questions, but letting them rever-
of freedom where hangouters can attend as they          berate as a background for the experience report
desire and relate to activities uniquely and not as     to be shared here, we argue that this transition
a need imposed by a treatment. More than using          takes place precisely in the occupation of public
art for the treatment of mental health, we seek to      space, shifting from the clinic’s private territory
explore the uselessness of art as a powerful force      to the city’s public space: “it is when the block goes
in creating a stylistic feature of existence, which     to the street…”.
faces the institutionalization of madness with its           If asylum spaces and asylums operate the vio-
diagnostic and psychiatrist (or even psychologiz-       lence of pulling people out of their places of exis-
ing) captures10.                                        tence in the name of the watchword of treatment,
     Thus, some people go there to carry out activ-     deinstitutionalizing involves investing in the rela-
ities, and others do not conduct any workshops,         tionships with the different territories of people’s
such as the guest from the streets who sleeps on        lives and creating new territories that empower
the sofa, or the one who will water the plants,         their lives. In this way, narrating this story, this
feed the cats in the vicinity, or participate in the    experience report about this aesthetic interven-
opening circle of activities and then leave, or even    tion in the city summons the narrative about the
the one that stays more in the corridors or the         territory where this occupation occurred.
games room…. there are multiple types of con-
nection that each guest creates with the service.           Territory and the narrative of a collective
     In this work context, several cultural offer-          construction process
ings were presented to the city over the three
years of CECCO’s existence, such as the theatrical          CECCO occupied Ribeira, a historic district
production of Auto de Natal in 2018; the hold-          in Natal, where the city began to develop, beside
ing of the First LeiloArte in an art gallery, and the   River Potengi. It is a territory of intense commer-
launch of Cordel Poetas Convivas in a traditional       cial and port activity, which received the invest-
cultural space in the city, both in the week of cel-    ment of a city that wanted to modernize itself in
ebration of the two years of CECCO’s existence          the early 20th century. Bars, cafes, luxury outlets,
42
Schenkel JM et al.

                     and cabarets...“A modern, civilized and elegant        experiences despite having several artist work-
                     Natal, who wanted to resemble the Paris of the         shops. Undergraduate Nursing students who
                     Belle Époque”12.                                       were supervised by him also collaborated with
                         From a privileged location to becoming a           the support of the CECCO team. In the collective
                     place of abandonment and disinvestment by the          construction of this process, we realized that it
                     public power, we have a century of history we can      was necessary to expand beyond our capabilities
                     feel when observing the facades of the countless       as health professionals and summon other actors
                     heritage buildings, which mostly deteriorated          directly linked to the performing arts.
                     over the years. The disinvestment of the Port of           With the arrival of a theater director, a work-
                     Natal, caused by the weakened river transport,         er from the Municipal Culture Secretariat, and a
                     seems to leave the neighborhood ‘in the lurch’,        FUNCART employee, our proposal for produc-
                     an exception for some cultural movements and           ing a “play” gained new creative and imagery
                     spaces that still occupy this territory. This is the   contours, and we began to explore the idea of
                     place that emerged for CECCO as a propitious           aesthetic intervention in the city.
                     place to carry out an action of occupying the city
                     and deinstitutionalizing madness. After all, the          Aesthetic intervention as a
                     fight against neglect and abandonment is, unfor-          deinstitutionalization strategy:
                     tunately, a known territory for bodies excluded           fragments of an urban occupation
                     by a normalized society.
                                                                                If the CECCO had occupied a theater in the
                        The provocation for a cultural encounter            city and performed a show (Auto de Natal) in the
                                                                            previous year, in our experience reported here,
                         In this same space in the city, based on the       the performing arts partner did not assume the
                     CECCO’s relationship with the Gallery called           traditional role of a theater director. However, it
                     B-612, we received an invitation to participate        took us away from the initial idea of producing a
                     in an event in honor of the work “The Little           script, lines, and a play and called us to produce
                     Prince” of Saint-Exupéry. We activated the Ex-         interference in the city’s routine in a cultural cir-
                     tension Project, which was already developing          cuit that went out to the street. Several actions
                     theater workshops in the service, and thus began       were taking shape, and some gained strength and
                     the meeting of hangouters and the CECCO with           body while others did not materialize. It was es-
                     this classic book that narrates the adventures and     sential to look at what would acquire a certain
                     affections of a boy who dares to transcend his         speed and what would or would not make sense
                     planet.                                                to the hangouters.
                         The approximation and the tension field with           We abandoned the traditional idea of the
                     the classic work of Antoine de Saint-Exupéry oc-       stage. The audience and actors are well separat-
                     curred through groups of reading and discussion        ed and demarcated and started to build an urban
                     of the book, exhibition of a movie13, production       artistic occupation, in which aesthetic effects are
                     of drawings and poetry. In this collective produc-     produced in unexpected and unusual city en-
                     tion process, we took ownership of this story and      counters.
                     singularized it from the conversations, thoughts,          However, since the hangouters wanted to
                     and reflections that the encounter with the text       act, we accepted this desire and produced some
                     of the Little Prince awakened: “- What if the Little   scenes with them (which will be described below
                     Prince fell in the city of Natal?”; “- What if we      in the text). Thus, we were composing our circuit
                     made a medicalization country?”; “- But why did        between theatrical sketches, urban interventions,
                     the Little Prince leave his planet abandoning the      and everything else that CECCO had to express:
                     rose?”; “- Never abandon what you love”... these       dance, percussion, handicrafts, free radio, and
                     and other questions and other “what ifs (...)” oc-     wall painting... An explosion of expressive and
                     curred in this construction among hangouters.          artistic lines took the Ribeira streets, generating
                         Subsequently, all the service workshops            unusual encounters with passers-by and local
                     turned to this cultural production, involving          businesses. We characterize the occupation as
                     workshops on poetry, crafts, dance, percussion,        “urban intervention” from the meaning pro-
                     transforming the daily life of the service and its     posed by Lima11 (p. 13):
                     hangouters. CECCO’s theater workshop was de-               Located at the intersection between art and
                     veloped by a Nurse implementing the extension          politics, urban intervention can be understood as
                     project mentioned above, affected by other scenic      a comprehensive and diversified form of language
43

                                                                                                                Ciência & Saúde Coletiva, 27(1):39-48, 2022
that manifests itself in public spaces, whose main      took ownership of the work so much at heart that
characteristic is the use of the city itself and its    she entered the room at break time and began to
pre-existing elements as a platform to carry out        recite on some day of rehearsals. She memorized
these interventions (...) In this way, urban inter-     every line from one of the book scenes. She also
vention is understood as the most different types of    experienced herself as a screenwriter and narrat-
interaction with elements that underlie the urban       ed/created one of the scenes that took shape as
landscape, which considers the city as a large can-     “Planeta das Mulheres Rendeiras” (Planet of the
vas that serves as support, motivation, and even        Lacemaking Women).
character for its realization extrapolating the fron-        We understand that this space for leader-
tiers of art and political action.                      ship and creation is, in itself, the foundation of
    The street was temporarily shut down, daily         the ethics of anti-asylum care that starts to work
traffic was interrupted, and urban flows bifur-         when we start to adopt and invest in the capacity
cated. Our group of hangouters mingled with the         of creation, in potency! In other words, the inter-
public who followed the Circuit, besides passers-       vention is created so that the bodies there affirm
by who randomly came across this event on their         their life potency as what a body is capable of in
daily journey in the city and stopped to see “our       the relationship with others16.
band passing by”, and some walked with us. Mul-              In this context, in the intervention, we expe-
ticolored flowers and stars and flowers produced        rienced the scope of an aesthetic-clinical dimen-
from medicine inserts were scattered throughout         sion that expands and is weaved in the territory
the circuit, strategically placed in unusual places     by opening up to the street and art. This type
so that maybe they could be rescued by someone          of clinic goes against the asylum structure, as it
some other time.                                        abandons the exclusive care of symptoms and
    The urban occupation intervention carried           promotes health broadly, boosting creativity and
out can also be characterized by the so-called          the ability to think and act. Based on it, we can
street theater, which consists of the artistic and      see the health-disease process as a natural part
scenic productions invading the daily environ-          of life, whose vulnerability is not an obstacle but
ment to interfere with routine, causing estrange-       the possibility of opening up to people and the
ment and the re-signification of the space the          world11.
present population, and the already established              In the proposition of this clinic-aesthetics di-
culture. The street invasion allows a different         mension, we find ways to resist the psychiatrist
audience to be reached, one that does not seek          captures in the encounter with art. When we
or does not have access to the theater and goes         adopt the creative power of the hangouters, we
further: it allows this audience to dialogue with       witness people shouting “Art resists here!” even
art, become part of the theater, and assign new         in overly medicalized bodies. A guest inserted
meanings to what is before them. It is a socio-         this phrase in the anti-asylum version inspired by
political manifestation that seeks to generate im-      the song O Pulso of Brazilian Rock group Titãs,
pact, sensitize the public, and cause concerns and      which we invented in the process of building the
reflections on the theme portrayed. In this way,        Circuit and became one of the soundtracks of the
the space and all the participants in this type of      aesthetic intervention:
intervention, actors and spectators, are affected            Lithium, Haldol, Neuleptil, Schizophrenia /
and transformed by it14-15.                             OCD, dullness, Depakote, catatonia / Biperiden,
    We will present the experience of the Cir-          topiramate, agitation, hysteria / Risperidone,
cuit in five acts, among countless that were            olanzapine, amplictil, lethargy / And the mind
produced collectively, seeking to revive times of       still feels...Art resists here!
experimentation of hangouters as readers (we                 The stanza synthesizes the resistance to the
had non-readers in the group, and the reading           reductionist, psychiatric, and medicalizing logic
occurred collectively with readers lending their        that bases the anti-asylum struggle in its ethical
eyes and voices to non-readers), actors, dancers,       aesthetic-political guideline. More than that, it is
screenwriters, and even directors.                      the affirmation that the body is there, lives, sings,
                                                        and dances. In short, it creates and expresses
   Allocations in the context                           itself despite the anesthesia that often and his-
   of production and creation                           torically silences the mad, the madness in social
                                                        life. The version of the song, written by a RAPS
   Dona Flor (fictitious name), one of the              worker (CECCO collaborator) and with the final
non-readers, black woman, mother of a guest,            line “Art resists here!” inserted by a guest, reveals
44
Schenkel JM et al.

                     that, despite the flight of thought produced by          vated before? (Excerpt from the “The Little Prince
                     the excess of medicines, the mind feels and art          Occupies the Ribeira” Circuit Script)
                     still resists as a pulsating affirmative force of liv-        Our script started from where the book
                     ing in the face of medicalization, the effect of a       ended: the return of the Little Prince to aster-
                     biopolitical regime of control of bodies and life        oid B-612 (which in our case was the Gallery),
                     through diagnoses and prescriptions, which is re-        where we present the scene of the reunion be-
                     produced in the capitalistic social life in a broad      tween Little Prince, coming from the most varied
                     sense9.                                                  adventures in infinite space, and his Rose, who
                          The song was recorded with the hangouters,          had been lonely all this time. The Rose was per-
                     most into the experience of being in a music             formed by a guest who lent her body for artistic
                     studio for the first time. It was presented as a         expression through body painting, costumes, and
                     soundtrack for the aesthetic intervention, setting       props. It is withered at first – the guest’s poten-
                     the tone for our anti-asylum ‘version’ of the clas-      tial to use the marks of her life to express a rose’s
                     sic story of the Little Prince.                          near-life without the prince causes a stir: a fetal
                                                                              body, colorless and wordless, blossoms, return-
                         Act one: The B-612 Art Gallery                       ing to life with the return of his friend, whom
                                                                              she hadn’t seen for a long time. We thought of
                          Rhythmically rocked by the pulse of the well-       the traditional hegemonic clinic in its excess of
                     known Titãs music, we now invite the readers to          classificatory descriptions and how this obses-
                     imagine themselves wandering around Ribeira,             sion with saying what it is, diagnosing, ends up
                     the historic neighborhood of Natal, and coming           neglecting the main thing that can happen in an
                     across an Art Gallery. In the middle of old build-       encounter: the power to captivate (affect and be
                     ings and streets, the B-612 Gallery, named after         affected by the other).
                     Saint-Exupéry’s work, invites you to meet diverse
                     artistic expressions: painting, sculpture, architec-        Act three: the pill seller
                     ture, highlighting works that refer to the history          on the medicalization planet
                     of Natal. Starting stage of the Circuit “The Little
                     Prince Occupies the Ribeira”, this Gallery was the            Our Little Prince comes across a woman,
                     first planet, our starting point. On arrival, the        dressed head to toe with boxes of medicines,
                     visitor would find four hangouters welcoming the         eyes symmetrically painted with a black stripe,
                     public, inspired by the planets of Saint-Exupéry:        accompanied by four companions, similar-
                     an astronomer and her spyglass, a businessman            ly dressed, carrying trays of small glasses. The
                     and his briefcase, the queen and her royalty, and        group walks through the audience, convincing
                     the geographer and her maps. Stepping on rugs            everyone in a directive and allegorical way: “-
                     made from boxes of psychotropic drugs, the               Take your happiness pill!” To the sound of our
                     visitor was welcomed and “stamped” with a bar            anti-asylum soundtrack mentioned above, the
                     code. This reception made us see and hear the            scene keeps repeating until the Pill Seller offers
                     experience of life medicalization in each one who        the product to the Little Prince, and he is asked
                     arrived. Thus, in the heart of a historic district of    why everyone is taking that pill: “- Gee, these
                     the city, part of the history of the local madness       people are strange. They even use a happiness
                     could be undone a little and those usually labeled       pill!”. The Prince makes fun of it, saying that the
                     as “crazy” invited them to enter “another planet”,       planet of Gallery B-612 is too small for all those
                     the planet of socialization and culture for all and      people and “so much happiness”. He invites us to
                     each one, and embark on a journey of problema-           leave the gallery and occupy the streets of Ribei-
                     tizing the psychiatrist and medicalizing logic of        ra, carried by the percussive procession and the
                     life.                                                    sound of the maracatu. Those present at the Gal-
                                                                              lery and passersby are guided along the street by
                         Act two: the meeting of the Little Prince            wild birds (a reference to “The Little Prince”) /
                         and the Rose                                         drumming hangouters towards another artistic,
                                                                              cultural point of the city, Casa da Ribeira. Before
                          - Rose, these people are very strange! They don’t   the start of the circuit, a group of hangouters had
                     live without subjects, spend time doing calculations,    left marks on posts and abandoned walls with
                     describing everything in the world, but without re-      stencils in the shape of roses and foxes. Along
                     ally knowing, finding, affecting... Now, how could I     this path, during the procession, the curious and
                     describe, talk about you without having been capti-      the participants of the encounter were faced with
45

                                                                                                                Ciência & Saúde Coletiva, 27(1):39-48, 2022
these images and affected by the happiness that         murdered and raped. She cries for realizing her
is also possible for crazy people, or even, which       impotence in the face of so many losses. In the
is perhaps only possible in the practices of liber-     scene, another lacemaker approaches and asks
ation from the attempts at normalization carried        why so much sadness. After the explanation, she
out by the biopower. Several flowers were offered       offers her help and other women to stitch togeth-
to passersby along the way, who were also im-           er the stars in the sky with a “thread of affection”.
pacted with a simple request: “- Draw a rose for        The lacemakers then begin to chant: “Hey lace
me!”.                                                   woman, hey lace woman, you teach me how to
                                                        make lace, I’ll teach you how to fight”, while an-
   Act four: drummers, wild birds of emotions           other guest plays the melody on his viola/fiddle.
                                                        Thus, all the women present are moved by the
    When the Little Prince leaves the Gallery           scene, and the voices unite and multiply, echoing
(Medicalization Planet) on his way to discover          in the streets of Ribeira. The scene ends with de-
new places, at that very moment, he is taken by         livering a vase of paper flowers, decorated at the
the new wild birds, our drummers. Just as in the        CECCO’s craft workshop, by the artsy women to
text by Saint-Exupéry, in which the birds across        the delegate. And the walk continues until the
the planets lead the Little Prince, the percussion      Casa da Ribeira.
guided this occupation through the streets of Ri-
beira in our Circuit. The drummers are the hang-           What we can think of the experience:
outers who participate in the percussion work-             notes for deinstitutionalization work
shop and are always present at many CECCO
events, whose captivating power in cultural and             Carrying out the Circuit required efforts
street music is highlighted. Sounds almost for-         from the entire team and hangouters and changes
gotten by society gain strength, form, and move-        in the daily service. The entire CECCO sched-
ment in the drummers’ hands – maracatu, sam-            ule was reorganized so that time and workshops
ba-reggae, maculelê, and coco. In our aesthetic         were directed towards intervention: some work-
intervention, this power and vibration became an        shops were paused during the implementation
ascendant guide, and, as in Saint-Exupéry’s text,       of the project; craft, crochet, and fuxico (hand-
the Little Prince was guided by the birds across        made flowers from fabric remnants) workshops
the planets; in our Circuit, percussion guided          focused on the production of sets and costumes;
this occupation of Ribeira’s streets. Every beat of     we had rehearsals of the performance’s choreog-
a wing pulsating to the beat of the drum, every         raphies and music in the dance and percussion
chant of our scream in the streets, every vibra-        workshops; the theater workshop started to oc-
tion generated was our landing and our mark on          cupy a more extended period of the day for writ-
the planets. Regardless of why the percussion was       ing scripts and rehearsals.
there, it was proof that we were alive and gen-             Moreover, we often took the project home,
erating emotions. If there were a strength in the       where we brought stars and roses from different
screams, there would be much more in the beats.         materials, ideas for scenes, and donated clothes
If there were weeping for the fallen stars, there       and fabrics. The Circuit occupied everyone’s
would be silence in our hands. Every drummer            routine and thoughts. Thus, this entire process
on the street was a bird that transmits and ex-         was an intervention on the Center’s routine, as
presses emotion. The experience thus shows that         it changed the service’s operations, giving more
everyone, whether crazy or healthy, diagnosed           autonomy and freedom to hangouters and staff to
and undiagnosed, can learn, teach, captivate, and       create, think, and express themselves.
create together.                                            Thus, the production of this aesthetic in-
                                                        tervention in the city brought effects of dein-
   Act five: the planet of lacemakers                   stitutionalization in the service itself, which by
                                                        disrupting its daily organization, its “workshop
    During the circuit, we are invited to stop in       program schedule”, experienced the opening of a
front of the Women’s Police Station. There, a           space for something different to be created. From
guest kneeling on the floor, trying to glue stars on    this experience, we learned that deinstitutional-
her lace, cries. She looks up at the sky, weeps, and    ization does not happen without a certain will-
screams for the stars “that are falling”, the forests   ingness to get in touch with chaos, with the re-
that are being burned and destroyed, the women          fusal to easily answer the question “What should
and young people, the minorities that are being         one do?” set by several hangouters, and rephras-
46
Schenkel JM et al.

                     ing the question as: “– What can we/do we want         tion processes and thus ends up ignoring color,
                     to create?”                                            gender, social class, life territories, placing itself
                         The movement that the aesthetic interven-          in a transcendent and supposedly neutral stance,
                     tion generated in the collective of “stepping          we seek distance to invent an anti-asylum clinic
                     down from the stage” towards the street connects       that, through the strength of groups, socializa-
                     with the twist of the clinic that we seek to sustain   tion, and art, connects with the city floor, build-
                     in the daily life of CECCO. From an asylum logic,      ing a clinic that takes place in the immanence of
                     which, by separating subjects from their contexts,     the hangouters’ territories of existence.
                     invests in separating the disease from its produc-

                     Collaborations

                     JM Schenkel and GWS Silva participated in the
                     conception, design, scripting, implementation of
                     the artistic intervention, drafted the experience
                     report, and approved the version to be published.
                     AKMA Amorin, FAN Miranda, and JBL Carval-
                     ho participated in the artistic intervention, col-
                     laborated with the critical review, and approved
                     the version to be published. SEA Ribeiro, ACP
                     Almeida, and MM Silva participated in the de-
                     sign, scripting, and implementation of the artis-
                     tic intervention, drafted the experience report,
                     and approved the version to be published.
47

                                                                                                                      Ciência & Saúde Coletiva, 27(1):39-48, 2022
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                     Article submitted 31/10/2020
                     Approved 18/10/2021
                     Final version submitted 20/10/2021

                     Chief editors: Romeu Gomes, Antônio Augusto Moura da
                     Silva

                      CC   BY      This is an Open Access article distributed under the terms of the Creative Commons Attribution License
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