0289/2017 - Violência institucional e humanização em saúde: Apontamentos para o debate. Institutional violence and humanization in health: Notes to debate.
O presente trabalho parte das políticas de humanização e seu debate acadêmico para refletir sobre a violência institucional na saúde. Tendo por base pesquisa sobre as publicações científicas na Saúde Coletiva, constata-se que nesse debate a violência que se identifica nas relações entre profissionais e usuários, núcleo das indagações na temática da humanização, é concebida como um excessivo poder no uso da autoridade profissional, sendo esta pouco discutida. Apresentando as reflexões de Hannah Arendt como um novo aporte teórico acerca dos conceitos de ‘autoridade’, ‘poder’ e ‘violência’, objetiva-se distinguir e repensar esses fenômenos. Conjugando essas reflexõescom a história da institucionalização da saúde no Brasil, em especial as mudanças no trabalho médico durante o século XX, concluímos que o problema da violência institucional na saúde não se fundamenta em um excesso de autoridade e poder dos profissionais, mas no seu contrário: quando a autoridade profissional se esvazia e as relações entre os homens não se dão através das relações de poder, é que está aberto o espaço para o fenômeno da violência.
Palavras-chave:
violência, humanização da assistência, serviço de saúde, poder
Abstract:
In this work, we starthumanization policies and its academic debate to think about institutional violence on health services. Based on research on scientific publications in Collective Health, it was observed that violence in relationships between health professionals and users – which is the core of the humanization’s debate – is conceived as an excessive power in exercise of professional authority. Presenting reflexions of Hannah Arendt as a theoretical contribution on the concepts of \'authority\', \'power\' and \'violence\', our objective is to distinguish and rethink these phenomena. Combining these reflexions with the history of institutionalization of health in Brazil, especially the changes in medical work during twentieth century, we conclude that the problem of institutional violence on health services is not based on an excess of authority and power of professionals, but in its opposite. When professional authority is emptied and relationships between people do not occur through power relations, the space for the phenomenon of violence takes place.
Institutional violence and humanization in health: Notes to debate.
Resumo (abstract):
In this work, we starthumanization policies and its academic debate to think about institutional violence on health services. Based on research on scientific publications in Collective Health, it was observed that violence in relationships between health professionals and users – which is the core of the humanization’s debate – is conceived as an excessive power in exercise of professional authority. Presenting reflexions of Hannah Arendt as a theoretical contribution on the concepts of \'authority\', \'power\' and \'violence\', our objective is to distinguish and rethink these phenomena. Combining these reflexions with the history of institutionalization of health in Brazil, especially the changes in medical work during twentieth century, we conclude that the problem of institutional violence on health services is not based on an excess of authority and power of professionals, but in its opposite. When professional authority is emptied and relationships between people do not occur through power relations, the space for the phenomenon of violence takes place.
Azeredo, YNN, Schraiber, L.B. Violência institucional e humanização em saúde: Apontamentos para o debate.. Cien Saude Colet [periódico na internet] (2017/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/violencia-institucional-e-humanizacao-em-saude-apontamentos-para-o-debate/16341?id=16341
