THE OPEN VEINS OF MENTAL HEALTH IN BRAZIL: an analysis of ideological and political trends
Mental health; Neoliberalism; Conservatism; Political projects.
The present project is grounded in the context of intensified neoliberalism and the commodification of life, intertwined with the advance of conservatism marked by the ethos of the bourgeois order and its repercussions on Brazil’s political polarization. This polarization became particularly evident in the disputes between conservative and progressive sectors during the 2018 and 2022 elections, as part of the struggle for control over the power bloc. Within this historical framework, the study aims to analyze the ideological and political trends of the Executive and Legislative branches of the Federal Government between 2019 and 2025, in order to identify how these dynamics have shaped the direction of mental health policy currently in place in Brazil. Historically, mental health care in the country has been marked by profound contradictions, where progress occurs in slow and often unstable steps – frequently followed by setbacks. The open wounds of Brazil’s mental health field are manifested in the limited and fragile attempts to overcome the asylum-based and custodial logic which, even when incorporated into legislation and institutional proposals, rarely materialize in practice. While such regulatory frameworks introduce and consolidate elements that could sustain a process of rupture with the institutionalization of madness – such as the persistence of psychiatric hospitals – a shadow looms in the resurgence of conservative and religious obscurantism, exemplified by the expansion of so-called therapeutic communities across the national territory. To provide feasible conditions for the development and advancement of this research, the study adopts the critical-dialectical materialist method, grounded in the Marxist theoretical assumption that the apprehension of social phenomena must start from concrete reality. The theoretical and methodological approach follows a mixed design, integrating qualitative and quantitative analytical procedures, given the relevance of their mutual articulation. Accordingly, the research will include an extensive literature review and documentary analysis of governmental instruments from the administrations of Jair Messias Bolsonaro and Luiz Inácio Lula da Silva, through their respective Multiannual Plans (Planos Plurianuais, PPA) for the 2020 – 2023 and 2024 – 2027 periods. Furthermore, it will include the collection and analysis of bills under discussion in the National Congress between 2019 and 2025 that address mental health care. The relevance of producing knowledge in this field lies in understanding to what extent mental health care has been prioritized in the Brazilian context, and how the prevailing trends within the broader dispute of societal projects reverberate in the formulation and implementation of this public policy.