1518/2010 - REPRESENTAÇÕES DE ADOECIMENTO E CURA DE PACIENTES DO CENTRO DE DEPENDÊNCIA QUÍMICA DO HOSPITAL CENTRAL DA MARINHA REPRESENTATIONS ON ILLNESS AND CURE OF THE CENTER FOR CHEMICAL DEPENDENCY PATIENTS’ OF THE NAVY CENTRAL HOSPITAL
• ELIZABETH ESPINDOLA HALPERN - Halpern, E.E. - RIO DE JANEIRO, RIO DE JANEIRO - INSTITUTO DE PSIQUIATRIA UNIVERSIDADE FEDERAL DO RIO DE JANEIRO - <espindolahalpern@yahoo.com.br>
Área Temática:
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Resumo:
Este artigo apresenta um dos segmentos de uma pesquisa etnográfica feita ao longo de dois anos, por meio da observação participante, no Centro de Dependência Química (CEDEQ) da Marinha do Brasil (MB). Pacientes de dois grupos terapêuticos foram observados durante 24 sessões de grupoterapia. Entrevistas individuais após as sessões ocorreram com 13 pacientes escolhidos aleatoriamente dentre os 22 militares dos dois grupos. Objetivou-se examinar suas representações de adoecimento e cura relacionadas aos seus diagnósticos de transtorno mental e comportamental devido ao uso de drogas, além de investigar a influência do ambiente de trabalho no envolvimento dos pacientes com drogas, em particular com o álcool. Resultados apontam que os pacientes passam a crer que são os principais responsáveis pelo seu adoecimento e alcance da sobriedade, e que nunca serão curados. Todavia, eles nem sempre aderem ao discurso médico vigente e à visão dos Alcoólicos Anônimos de que são doentes alcoólicos em recuperação, construindo percepções sobre seus diagnósticos, prognósticos e tratamentos. Concluiu-se que traços culturais peculiares à vida naval indicam que as categorias analisadas são, sobretudo, sociais e que certas condições laborativas colaboram para a emergência do alcoolismo de muitos pacientes, apesar do uso de drogas geralmente ser abordado pelo viés administrativo. Palavras-chave: Alcoolismo; Militares; Saúde do Trabalhador; Condições de Trabalho.
Abstract:
This article presents one of the segments of an ethnographic research which was held during a two-year period, through participant observation, at the Center for Chemical Dependency in the Brazilian Navy. Patients of two treatment groups were observed during 24 sessions of group therapy. Among the 22 existing patients of the two groups, 13 patients were randomly selected to be submitted to individual interviews. The objective is to examine their illness and healing representations related to mental and behavioral disorders caused by drugs, and also to investigate the work environment’s influence over the patients’ involvement with drugs, mostly alcohol. Results show that patients generally believe that they are the main character responsible for their illness and for their alcoholic sobriety, as they also believe they will never be cured. Yet, they usually do not follow up to the on-going medical discourse nor to the Alcoholics Anonymous’ belief that they are recovering alcoholics; they build their own views about their diagnoses, prognoses, and treatments. In conclusion, there are cultural traits particular to the naval life that indicate that the analyzed categories are mainly social, and that certain work conditions help to the uprising of alcoholism in many patients, despite the use of drugs commonly be considered as a matter to be seen under the administrative perspective. Keywords: Alcoholism, Military, Occupational Health, Working Conditions.
REPRESENTATIONS ON ILLNESS AND CURE OF THE CENTER FOR CHEMICAL DEPENDENCY PATIENTS’ OF THE NAVY CENTRAL HOSPITAL
Resumo (abstract):
This article presents one of the segments of an ethnographic research which was held during a two-year period, through participant observation, at the Center for Chemical Dependency in the Brazilian Navy. Patients of two treatment groups were observed during 24 sessions of group therapy. Among the 22 existing patients of the two groups, 13 patients were randomly selected to be submitted to individual interviews. The objective is to examine their illness and healing representations related to mental and behavioral disorders caused by drugs, and also to investigate the work environment’s influence over the patients’ involvement with drugs, mostly alcohol. Results show that patients generally believe that they are the main character responsible for their illness and for their alcoholic sobriety, as they also believe they will never be cured. Yet, they usually do not follow up to the on-going medical discourse nor to the Alcoholics Anonymous’ belief that they are recovering alcoholics; they build their own views about their diagnoses, prognoses, and treatments. In conclusion, there are cultural traits particular to the naval life that indicate that the analyzed categories are mainly social, and that certain work conditions help to the uprising of alcoholism in many patients, despite the use of drugs commonly be considered as a matter to be seen under the administrative perspective. Keywords: Alcoholism, Military, Occupational Health, Working Conditions.
Halpern, E.E.. REPRESENTAÇÕES DE ADOECIMENTO E CURA DE PACIENTES DO CENTRO DE DEPENDÊNCIA QUÍMICA DO HOSPITAL CENTRAL DA MARINHA. Cien Saude Colet [periódico na internet] (2011/jan). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/representacoes-de-adoecimento-e-cura-de-pacientes-do-centro-de-dependencia-quimica-do-hospital-central-da-marinha/6639?id=6639