Carlos Roberto Soares Freire de Rivorêdo

Emoção e soma (des)conectadas em páginas de revista: as categorias temáticas do discurso prescritivo sobre os fenômenos da vida e da doença

As revistas vendidas nas bancas tem se tornado textos de autoajuda e o estudo de suas materias possibilita compreender como seus discursos sao construidos, como se tornam repertorios utilizados para dar sentido a vida. No caso das revistas que versam sobre a esfera da saude, que prescrevem receitas de tratamento, prevencao e ate estilos de vida saudaveis, os estudos permitem compreender os significados dos discursos sobre corpo e saude. Em algumas materias, por vezes o destaque dado ao fisico se faz acompanhar da insercao de aspectos mentais. Tal fato originou o presente estudo que tem por objetivo clarificar como esta conexao mente e corpo e conceituada e prescrita nessas paginas. Seis materias de uma revista brasileira de saude, publicadas entre agosto de 2005 e fevereiro de 2006, foram analisadas quanto ao conteudo dos textos e ao destaque grafico e textual. Considerou-se significativo o formato em que esta midia opera, pois associado as categorias tematicas: autodiagnostico, o lugar das emocoes, as prescricoes e a causalidade reforca estilos de vida saudaveis. Para tanto o leitor deve aprender a se autodiagnosticar e controlar suas emocoes, consideradas contrapostas ao fisico. As materias delineiam um campo de saude em que a cisao mente corpo se adensa e se prolonga, instaurando a medicalizacao da sociedade.

Puericultura: duas concepções distintas

OBJECTIVE: To present, in an essay form, two distinct views on well-child care. METHODS: Using several different methods of historical analysis, the two most common views on well-child care are presented: the positivist one, whose foundation is essentially based upon historical facts, and that of social criticism, concerned with how historical facts are inserted in society at different levels. RESULTS: The coexistence of two distinct views on well-child care reveals two conflicting ideologies, but it does not invalidate the two different types of knowledge. CONCLUSIONS: Even though the understanding of well-child care through a historical approach does not allow for definitive conclusions on what it is or what it will be, it encourages reflections on more practical meanings, namely: the possibility to consider practices that gather an ensemble of positive knowledge without disregarding their limitations, and the formulation of well-child care practices concerned with social care, determined by several aspects, instead of by ideological interest.

A prática pediátrica no SUS: reflexões sobre o papel dos pediatras na Estratégia de Saúde da Família

This essay seeks to contribute to the elucidation of the potential activities of pediatricians in the Family Healthcare Strategy. The origins, types of care and inherent implications to the process of change in the Healthcare Model that are being implemented in the Brazilian Unified Health System (SUS) since the Basic Operational Norms were instituted in 1996 are duly presented.

[Emotion and soma (dis)connected in magazine pages: the thematic categories of the prescriptive discourse on phenomena of life and illness].

Magazines sold on newsstands have become self-help texts, and the study of the topics covered makes it possible to understand how the discourses are constructed, how they become repositories used to give meaning to life. In the case of magazines that deal with the sphere of health, prescribing methods of treatment, prevention and even healthy lifestyles, the studies allow us to understand the meanings of discourses about body and health. In some articles, the emphasis that sometimes highlights the physical aspect is accompanied by the inclusion of mental aspects. This fact gave rise to this study, which seeks to clarify how this mind-body connection is conceptualized and prescribed in these pages. Six articles of a Brazilian health magazine published between August 2005 and February 2006 were analyzed regarding the content of the texts as well as graphic and textual features. The way this media format operates was considered significant, and when associated with the themes: self-diagnosis, the place of emotion, the prescriptions and causality reinforce healthy lifestyles. Readers must learn to self-diagnose and control their emotions, considered to be juxtaposed to the physical emotions. The articles outline a field of health in which the mind-body split deepens and extends, establishing the medicalization of society.

Pediatria: medicina para crianças?

O autor reve, em uma trajetoria historica, hipoteses formuladas sobre a existencia de um campo do conhecimento medico - a Pediatria. Identifica um caminho que apenas foi possivel mediante mudancas no estatuto social sobre as criancas e o papel que elas exercem na sociedade contemporânea. Fixando uma periodizacao a partir do seculo XVII e XVIII, constata uma sucessao de eventos historicos que culminaram com o surgimento de um interesse cientifico sobre as criancas e seu corpo para, ao fim, tornar ambos prisioneiros de procedimentos atrelados a mentalidade clinica. Por sua vez, presa ao paradigma ecletico do conhecimento referido ao processo, saude e doenca, como assinala QUEVEDO (1989). As consequencias para as criancas e para as praticas sociais, entre elas a pratica medica, estao expostas de forma a contribuir com elementos para futuros estudos sobre o campo teorico e o aperfeicoamento da medicina para as criancas.

Sexual difference, identification and object choice in individuals with sex differentiation disorders

OBJETIVO: Interrogar como se estrutura a identidade sexual. Investigar as relacoes entre identidade sexual, escolha de objeto sexual e diferenca sexual. METODO: Aplicamos entrevista semi-estruturada em pacientes com disturbios da diferenciacao sexual: 2 com deficiencia da 5 alfa redutase tipo 2 e 5 com Hiperplasia Adrenal Congenita. CONCLUSOES: Sexo e trauma. Identificacao masculina, feminina ou outras nao implicam no sexo do objeto de escolha, genero dos parceiros ou praticas sexuais.OBJECTIVE: To investigate how sexual identity is structured and also to investigate the relationship between sexual identity, choice of sex object and sexual difference. METHOD: Semi-structured interviews were held with seven adult patients who were born with sex differentiation disorders: Two had 5-alpha-reductase type-2 deficiency and five had congenital adrenal hyperplasia. CONCLUSIONS: Sex is trauma. Neither male nor female nor any other gender identification implies the choice of sex object, genders of partners or sexual practices.

Diferença sexual, identificação e escolha de objeto em pacientes com distúrbios da diferenciação sexual

OBJETIVO: Interrogar como se estrutura a identidade sexual. Investigar as relacoes entre identidade sexual, escolha de objeto sexual e diferenca sexual. METODO: Aplicamos entrevista semi-estruturada em pacientes com disturbios da diferenciacao sexual: 2 com deficiencia da 5 alfa redutase tipo 2 e 5 com Hiperplasia Adrenal Congenita. CONCLUSOES: Sexo e trauma. Identificacao masculina, feminina ou outras nao implicam no sexo do objeto de escolha, genero dos parceiros ou praticas sexuais.OBJECTIVE: To investigate how sexual identity is structured and also to investigate the relationship between sexual identity, choice of sex object and sexual difference. METHOD: Semi-structured interviews were held with seven adult patients who were born with sex differentiation disorders: Two had 5-alpha-reductase type-2 deficiency and five had congenital adrenal hyperplasia. CONCLUSIONS: Sex is trauma. Neither male nor female nor any other gender identification implies the choice of sex object, genders of partners or sexual practices.

Diferencia sexual, identificación e elección de objeto en pacientes con anomalías de la diferenciación sexual

OBJETIVO: Interrogar como se estrutura a identidade sexual. Investigar as relacoes entre identidade sexual, escolha de objeto sexual e diferenca sexual. METODO: Aplicamos entrevista semi-estruturada em pacientes com disturbios da diferenciacao sexual: 2 com deficiencia da 5 alfa redutase tipo 2 e 5 com Hiperplasia Adrenal Congenita. CONCLUSOES: Sexo e trauma. Identificacao masculina, feminina ou outras nao implicam no sexo do objeto de escolha, genero dos parceiros ou praticas sexuais.OBJECTIVE: To investigate how sexual identity is structured and also to investigate the relationship between sexual identity, choice of sex object and sexual difference. METHOD: Semi-structured interviews were held with seven adult patients who were born with sex differentiation disorders: Two had 5-alpha-reductase type-2 deficiency and five had congenital adrenal hyperplasia. CONCLUSIONS: Sex is trauma. Neither male nor female nor any other gender identification implies the choice of sex object, genders of partners or sexual practices.

P-1172 - Psychological meanings given by Brazilian clinical-school’ users about outcomes of psychoanalytic psychotherapy: a qualitative study

Introduction Since the Freudian construction of Psychoanalytic purposes, the foundations for the psychotherapy treatment have suffering profound transformations. However the understanding of the outcomes for patients in the therapeutic strategies used in the psychotherapeutic relationship need to be better discussed. Although the technique has been used in various contexts and submitted to a technical theoretical-structure, it lacks elements that help to evaluate both whether pedagogical actions employed to this education to potentize the professional actuation and whether they are effectives for the establishment of pillars for this practice. Objective To discuss the psychological meanings of outcomes of a psychoanalytic psychotherapeutic process for young and adults ex-patients who has used a clinical-school of a Brazilian federal university. Method Clinical-qualitative method whose sample was closed by information of saturation. The data was collected through semi-directed interviews, registered and transcribed for further Qualitative Content Analysis of Enunciation, based on a psychoanalytic theoretic framework. Results Preliminary data have emerged three thematic categories: the treatment as an escape from a death the life generates, expressed by pain of the overloads life; the maternal function attributed to the therapist and demonstrated through idealizations; and the pain felt by him/herself regarding perceptions of being a different one. Conclusion These categories support the reflection of treatment goals currently in public services and they permit to improve the approach to these users and to explore constitutive elements of the teaching-learning process.

P-1343 - Sexual difference, identification and object choice in brazilian individuals with sex differentiation disorders: a qualitative study

Introduction Over the last two decades, through the voices of groups including non-governmental organizations, persons bearing sex differentiation disorders have begun to question when and how one should decide in favor of or against surgical intervention following diagnosis. Method Semi-structured interviews were held with seven adult patients who showed sex differentiation disorders at birth: Two with 5-alpha-reductase type-2 deficiency and five with congenital adrenal hyperplasia. Objectives To investigate both how sexual identity is structured and the relationship between sexual identity, choice of sex object and sexual difference. Discussion There is no ideal moment to perform surgical reassignment interventions on intersex patients, since the depth of the trauma can be neither predicted nor avoided. Traumatic events and their numerous occurrences are overdetermined, and depend on how parents, medical teams and subjects themselves cope with them throughout life. This fact is closely related to the question of how and when to operate, and who makes any decision to operate in order to “normalize” “abnormal” sex organs. The subject should never be left out of this decision. This most complex discussion involves many variegated factors, including X and Y chromosomes, testosterone levels, hormone receptor sensitivities, sexual practices, the gender of partners, mannerisms, clothing, accessories, dream content and sexual fantasies, and none of them determine individuals’ identification nor their preferences for this or that sexual object. Conclusions Sex is trauma. Neither male nor female nor any other gender identification implies the choice of sex object, genders of partners or sexual practices.