O fetiche sobre a equipe multiprofissional no Sistema Único de Assistência Social no Brasil: análise a partir do trabalho de terapeutas ocupacionais, psicólogos/as e assistentes sociais

Abstract

This doctorate thesis regarding the professional work in the social security policy, in the current Brazilian context, focuses in analyzing the attributions and competencies of professional categories which are part of the multiprofissional teams from the services provided by the Unified Social Assistence System (SUAS). The general objective was to analyze the particularities of said professional attributions and competencies that are inserted in the social and technical divisions of the work inside SUAS, more specifically the ones regarding social work, psychology and occupational therapy. Methodologically, we have conducted documented and field researches. Throughout the first one we analyzed official documents from PNAS, which represent guidelines regarding the team work inside SUAS and other documents produced by the three professions that are investigated in this study, that concerned the work of the professional towards social assistance. For the field research, we interviewed social workers, psychologists and occupational therapists acting in reference teams from a Reference Center for Social Assistance and three Reference Centers Specialized in Social Assistance located in Maceió, Alagoas and Vitória, Espírito Santo and also the coordination of these places. The data produced by these strategies were then analyzed and discussed based on the Marxist theoretical references, using the assumption of the understanding that the social professions derive from the process of the specialization of the work inside capitalism, being the professional work inserted in the social and technical division of labor. Results indicate that, despite an attempt from the professions to delimit specificities, that are not always defended as private attributions, a no differentiation of professional responsibilities prevails. The explanatory thesis defended in this study is that this phenomenon is mediated by three broader social vectors, external to the professions themselves, being: Institutional definitions and characteristics of the PNAS; the intensification of work precariousness and of the public social services in the current conjuncture and of means of team work organization inside (SUAS). Regarding the definitions from the PNAS, besides the not so well-defined demands, we draw attention to the fact that, in politics, by using the generic denomination of reference technician, it leaves the specific definition of each attribution of the categories that are recognized by the CNAS resolution number 17/2011. The no differentiation of professional attributions in the evereyday lives of social assistance equipments not only reinforces an idea about the team work, supported by the interdisciplinary formulations thus establishing, ways of organizing the work that become functional to the precarious work logic of social services which are working with a reduced team. We concluded that the confluence of these three vectors results in a generic feature that is predominant in the professional work in SUAS, and we recognize that, even though the fetishization of team work, this way of working represents an advance for the professionalization of social assistance and may qualify the work that is done in SUAS in the perspective of broadening and diversifying of social assistance actions and the conception of social assistance that was intended and developed in the last three decades in Brazil. We hope that this thesis can contribute to advancing the debate about the professional work in SUAS and reposition the conversation regarding the team work and interdisciplinarity towards critical thinking, recognizing the contradictions that are involved within and the insertion in the social totality.