Renata Bellenzani

Scripts em cena: HIV e mercado sexual no contexto turístico

Tourism creates social, cultural and health impacts on host communities. Current paper analyzes, throu gh an ethnographic study and 14 interviews with young ecoto urism guides, how the sexual scenario in the tourism context and its sexual scripts construct the vulnerability to STD/HIV and to commercial sex among young “caiçaras”. Tradi tional sexual scripts, operated by “sex playing”, “pleasure,” “no sexual inhibition” scenario, revealed social inequ alities among “caiçaras” and tourists and expanded the young people’s vulner ability to STD/HIV and the commercialization of sexual ity. Female sexual scripts (passive/naïve) impaired the condom negotiation in collected sexual scenes. The “more a utonomous” scripts were interpreted as availability for “sexual program ”. The “non-failing” and “pick the tourists” script s also broadened the vulnerability of young males. The tourist context b uilds a unique sexual scenario and crosses the loca l residents’ socialaffective trajectory. Political and local health pr og ams must take seriously into account the tourism impact.

Scripts in scene: HIV and sexual market in the context of tourism

Tourism creates social, cultural and health impacts on host communities. Current paper analyzes, throu gh an ethnographic study and 14 interviews with young ecoto urism guides, how the sexual scenario in the tourism context and its sexual scripts construct the vulnerability to STD/HIV and to commercial sex among young “caiçaras”. Tradi tional sexual scripts, operated by “sex playing”, “pleasure,” “no sexual inhibition” scenario, revealed social inequ alities among “caiçaras” and tourists and expanded the young people’s vulner ability to STD/HIV and the commercialization of sexual ity. Female sexual scripts (passive/naïve) impaired the condom negotiation in collected sexual scenes. The “more a utonomous” scripts were interpreted as availability for “sexual program ”. The “non-failing” and “pick the tourists” script s also broadened the vulnerability of young males. The tourist context b uilds a unique sexual scenario and crosses the loca l residents’ socialaffective trajectory. Political and local health pr og ams must take seriously into account the tourism impact.

Trabalho em Saúde Mental e Estresse na Equipe: Questões para a Política Nacional de Humanização/SUS

Um dos focos da Politica Nacional de Humanizacao (PNH) e promover saude e bem-estar dos profissionais do SUS; a literatura aponta sua vulnerabilidade ao estresse ocupacional. Um estudo quali-quanti (observacoes etnograficas e aplicacao da Escala de Estresse no Trabalho - 13 respondentes) investigou o estresse na equipe de um CAPS e suas praticas/processos de trabalho. Diagnosticou-se “nivel intermediario de estresse” na equipe (M=2,5); 09 de 23 fatores psicossociais tiveram medias acima de 2,5 (altamente estressores). As mais altas: deficiencia nas capacitacoes (M=3,8) e na circulacao das informacoes (M=3,2); discriminacao/favoritismo na instituicao (M=3,2). A analise qualitativa, construcionista social, elucidou processos psicossociais e sentidos, “por tras” dos fatores objetivos, construidos sobre a assistencia, a instituicao e seus problemas. Destacam-se: sensacoes de despreparo tecnico, tensoes interpessoais, dificuldades comunicacionais e de lidar com a “loucura”. O estresse elevado sugere possivel “desumanizacao” dos/ nos processos de trabalho do servico e na sua relacao com a gestao.

Evaluation of a psychosocial intervention in caring for adherence to treatment for HIV/AIDS: a case study

Patient adherence to medication is a central dimension for AIDS programs worldwide. The role of health professionals in adherence, especially with chronic diseases, has been emphasized by studies, including the committee of experts from the WHO, that recommends support to patients and not blame. We conducted a case study using the evaluation approach, analysing a set of four individual assistance sessions of a patient who had problems with adherence to antiretroviral therapy. An “Evaluative Framework” guided the analysis of one database case - audio recordings and transcripts of an overall protocol composed of 44 people cared for by three trained professionals in a specialized service, in the context of a clinical trial that evaluated the effectiveness of a novel modality of psychosocial intervention on adherence health care. Its theoretical and methodological bases are the ‘Vulnerability and Human Rights Framework’; the references of Care and Psychosocial Attention in the setting of AIDS, inspired by social constructionism. The notions of convenience and practical success were stressed to suggest a change in focus towards the patient’s perspective, democratizing the relation of care; in the dialogues centered on everyday scenes of the medications taken, seeking to enlarge the mutual recognition of the vulnerability to illness due to treatment failures. The results refer to the instrumentality of the “Evaluative Framework” and the content of the evaluations that focused on the intersubjective dynamics of interactions and dialogues related to the everyday experiences with ART in search of a better way of living with the treatment.

Scripts en escena: HIV y mercado sexualen el contexto turístico

Tourism creates social, cultural and health impacts on host communities. Current paper analyzes, throu gh an ethnographic study and 14 interviews with young ecoto urism guides, how the sexual scenario in the tourism context and its sexual scripts construct the vulnerability to STD/HIV and to commercial sex among young “caiçaras”. Tradi tional sexual scripts, operated by “sex playing”, “pleasure,” “no sexual inhibition” scenario, revealed social inequ alities among “caiçaras” and tourists and expanded the young people’s vulner ability to STD/HIV and the commercialization of sexual ity. Female sexual scripts (passive/naïve) impaired the condom negotiation in collected sexual scenes. The “more a utonomous” scripts were interpreted as availability for “sexual program ”. The “non-failing” and “pick the tourists” script s also broadened the vulnerability of young males. The tourist context b uilds a unique sexual scenario and crosses the loca l residents’ socialaffective trajectory. Political and local health pr og ams must take seriously into account the tourism impact.