A tecedura das relações saber-poder em saúde: matizes de saberes e verdades

• Ano de defesa: 2004
• Autor(a) principal: Ojeda, Beatriz Sebben
• Orientador(a): Strey, Marlene Neves
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica do Rio Grande do Sul; Porto Alegre
• Palavras-chave em Português: PSICOLOGIA; RECURSOS HUMANOS EM SAÚDE; RELAÇÕES INTERPESSOAIS; RELAÇÕES DE GÊNERO; RELAÇÕES DE TRABALHO
• Link de acesso: http://hdl.handle.net/10923/5005

The present doctor’s dissertation analyses knowledge-power relations present in the social relations of health professionals. In the social reality of these people different kinds of knowledge – related to profession and gender – coexist and give rise to so-called truth regimes in their professional life and in society. The final outcome are power games which represent barriers and hindrances to effective attention in healthcare. The professional limits of an area frequently convey the idea of appropriate knowledge; however, circulation of power may also reveal insufficient knowledge, or segments of knowledge inhabited by other sorts of power. Knowledge-power relations in healthcare make clear that its practices are a place of intense activity, which is permeated by conflicts that may change knowledge and limits and, at same time, point at new possibilities. Based on discourse analysis, the dissertation builds upon references by Michel Foucault and searches for the regularities which are dispersed in different utterances and materialise in discourses as truth games. Therefore, different discourse practices are analysed, e. g. nuances in documents that express the situation of the Brazilian health system, mainly that of the National Healthcare System (SUS), where truth is frequently subjected to fights and ruptures; discourses of several teaching professionals who verbalise truth regimes about their practices in healthcare units and colleges; and media discourses that are responsible for mediating and institutionalising those truth regimes. In the analysis two perspectives are presented: the archaeological one, whose aim is to reveal different sorts of knowledge and truth; and the genealogical one, which is designed to explain the causes and transformations of knowledge-power relations. After that, the limits and possibilities of the present investigation are pointed out in regard to the constitution of new actions in healthcare.It is evidently necessary to integrate the professionals’ scientific and ethic discourses in order to direct them to their social relations. Knowledge in healthcare is powerful and positive in many ways, but it must also be open to new sorts of knowledge, new practices and to the questioning of scientific knowledge as the only warrant of a healthy life. Viewing health under the perspective of life rather than disease requires new ways of subject-making that tear up dichotomic conceptions of living and working.