Fragmentos de uma genealogia do trabalho em saúde: a genealogia como ferramenta de pesquisa

Abstract

The article aims to explore the influence of health work in subjectification processes. The notion of history commonly used in health-related scientific output is based on an evolutionist and developmental logic. As a counterpoint, the genealogical approach used in this article and based on Michel Foucault highlights the notions of discontinuity, event, and the production of truth as tools to rethink the ethical and political implications involved in the production of knowledge, practices, and subjects. To illustrate these aspects we sketch a health work genealogy, specifically in the field of mental health and HIV/AIDS work.

Genealogia do cuidado na perspectiva foucaultiana Genealogy of care in foucault’s perspective

“…5,p1045 The genealogy is opposed to the traditional historical method; your goal is to point out the uniqueness of events, out of all monotonous purpose. The genealogical history works with the discontinuity, breaks the fixed points, breaking the identities and enters the body in history 5 . She is meticulous and therefore requires the minutia of knowledge, avoiding at all costs what is above history, their meanings ideals.…”

“…The doctor before did not act, it is primarily responsible for the hospital organization. 5,12 Starts this context, what Foucault calls the clinic birth, or even of biopolitics, whose representatives are the medical staff and their agents, emerge as a kind of clergy in the organization of hospital institutions and issue precepts and requirements for the people take care of themselves. It is not about the soul that rests the basis of the requirements of care, but on the body of medicine of the organs, fragmented and mechanistic.…”

“…15,16 With the insertion of the clinic in the hospital, this turns into pedagogy and its development will give a new provision to the objects of knowledge -the look of the doctor not only detects, but discovers, names and classifies the disease. 5 In this context, the hospital, considered until then as "workhouse" or place for "the salvation of souls", becomes the great school, funded by the rich, serves poor and transform their suffering into knowledge that is useful to the rich. 17 The transformation of the hospital and its reorganization takes place through a political technology -discipline.…”

Profissionais de saúde de um serviço de emergência hospitalar: discursividades em torno do cuidado

“…Objetivando investigar os discursos dos profissionais de saúde de um SEH acerca do cuidado, conforme a justificativa de instrumentalizar discussões acerca dos processos de atenção e gestão nesse contexto, optou-se pelo método genealógico de Foucault. Trata-se de uma abordagem destacada por Nardi et al (2005) como profícua para atualidade do campo da saúde.…”

O modelo militar no ensino de Enfermagem: um olhar histórico sob a perspectiva foucaultiana

“…Segundo Siles (2004), os arquivos são considerados unidades vivas, na medida em que podem contribuir para a recuperação de informações, sustentando afirmações, críticas, bem como a construção e a interpretação histórica.…”