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This paper aims to contribute with analytical reflections on awareness and alienation in the context of the Brazilian psychiatric reform movement, pointing out the peculiarities of this process in a capitalist society. It seeks to present initial elements that problematize the political and social direction that is being built and consolidated by the psychiatric reform movement, which does not rely on transforming societal order and, as such, is limited to attaining political emancipation. It starts with the hypothesis that it is essential to locate the importance and contribution of the dialectical historical materialism in analyzing not only the context, but to guide it in everyday actions and in the search for critical awareness in order to build a new social order.
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