Concepts of construction of autonomy under the psychosocial paradigm in the field of care for psychoactive substances users

Abstract

The psychosocial paradigm in the field of drugs focuses on the suffering individual in relation to the social reality and values ​the uniqueness of users and professionals for the development of health care. A concept that bases these characteristics, and that comes from different theoretical frameworks, is the construction of autonomy. However, there is no study in the literature that summarizes it in its different meanings. This article aimed to systematize the concepts of autonomy construction under the psychosocial paradigm in the field of drugs. The methodology used was the integrative review. We searched, in the Psycinfo, PubMed, BVS and Web of Science databases, studies that analyzed the care process using the construction of autonomy. These concepts, their theoretical references and their foundations were identified and systematized. Among the 22 studies, there are concepts based on six theories, such as collective health and harm reduction. It could be considered that the construction of autonomy is a process that mobilizes different actions, such as co-responsibility and territorial sociopolitical action; which can be systematized in three interrelated dimensions; and which has different epistemological roots, such as the psychiatry of deinstitutionalization.