El derecho a la salud y la política social precarizada: desafíos de la dimensión terapéutica en el trabajo social

Abstract

In Puerto Rico there are a series of changes occurringin Social Work (SW), among these, the proliferationof Clinical Social Work (CSW), and related to this, the therapeutic dimension of the profession, whichrequires an analysis of the context. In this paper we propose that these changes are related to the delegitimization and rupture of Social Work, and the functionality that CSW offers to the NeoliberalState. The dismantling of the Welfare State, led by the financial capital, has shifted the human rights guaranteed by the State to the market, to be sold through services offered by the private sector. Thus, drawing social policy away from its universal character, to be focused and precarized for low income or unemployed working class populations. In the health field, it involves the transformation of public services to be purchased through private health insurance. These new capitalist regulatory mechanisms are driving the liberal practice of the profession, the increase in self-help approachesand coaching, and the strong emphasis on the psychologizing of the “social question”.

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