Medicalization as an element of raciality and gender devices in the governmentality of death: discourse analysis on the distribution of psychotropics in prisons in Bahia.
Prisons. Psychotropics. Medicalization. Governmentality. Devices of raciality and gender.
Bringing the proposal to intersect prison architecture in its “said and unsaid”, I have formulated the following question that guides the research: which devices are articulated in the management of mental health information about the prison population and in the distribution of psychoactive medications in the Women's Penal Complex of Salvador-BA, in the period from 2018 to 2022, in comparison to other prison units in the capital of Bahia? Studying the topic, I have identified the use of psychoactive substances in prison as one of the threads that interconnects the continuum of violence between medicine and law, asylums and penitentiaries, madness and criminalization. Between the 18th and 20th centuries, the discourses of psychiatry and criminology, guided by eugenics and hygienist practices, based on racism and gender discrimination, had elaborated the “organic female madness” and the “black man as madman and criminal” to legitimize - scientifically - mental asylum, imprisonment, medicalization and death, mainly of black women. With the anti-asylum and abolitionist movements, psychological suffering and mental disorders are highlighted as products of oppression and exclusion, as opposed to the idea of a crazy and dangerous nature; practices and interventions in psychiatry, including medicalization, are perceived as violence that acts on the victimized subject, transforming social issues into individual ones; places of imprisonment are seen as structurally racist, sexist, colonizing spaces of mental illness; and the right to mental health becomes an issue of human rights, citizenship and democracy. I have identified that the achievements and normative advances on mental health in prisons demarcate only a “should be” in the face of the maintenance of asylum and punitive logics, which made me continue, beyond law, to understand and oppose the devices of knowledge and power that contribute to the mental illness and death of people in prison, especially in women's prisons. Thus, through the Transparency Portal of the Ombudsman System of the State of Bahia, I have obtained the list of psychotropic drugs distributed, between the years 2018 and 2022, to some of the prison units located in Salvador-BA. To focus on the research corpus, I chose document analysis, which allowed me to debug and organize the document. Subsequently, to study the statements contained in the research material, I have adopted the technique of discourse analysis. Among the results, I found that there is a greater distribution of psychoactive substances to the female prison and, secondly, to the male prison for people temporarily detained. I also found that, in general, anxiolytics are the class with the greatest circulation, but each unit has its own prevalent class. In view of these and other findings, through the lens of governmentality, I assessed that there is a reason to act in the management of information by the State on the mental health of the prison population and that medicalization is a constitutive element of racial and gender security devices, which engenders yet another form of punishment and death in prisons.