Work and Inter-subjectivity: a theoretical reflection on its dialectics in the field of health and nursing

Abstract

This theoretical reflection intends to show the inter-subjective relationship that takes place in health and nursing practices under the following theoretical perspectives: Institutional Analysis, Psychodynamics of Labor and the Theory of Communicative Action, with an emphasis on the latter. Linking these concepts to the Marxist approach to work in the field of health emerges from recognizing the need for its continuous reconstruction-in this case, with a view to understand the interaction and communication intrinsic to work in action. The theory of Communicative Action seeks to consider these two inextricable dimensions: work as productive action and as interaction.The first corresponds to instrumental action based on technical rules with a production-guided rationale. The second refers to the interaction that takes place as communicative action and seeks understanding among subjects. We assume that adopting this theoretical perspective in the analysis of health and nursing practices opens new possibilities for clarifying its social and historical process and inter-subjective connections. A articulação desses referenciais à abordagem marxiana do trabalho em saúde parte do reconhecimento da necessidade de sua contínua reconstrução neste caso, no sentido da apreensão da interação e comunicação intrínsecas ao trabalho em ato. A Teoria do Agir Comunicativo busca considerar essas duas inextricáveis dimensões: trabalho como ação produtiva e como interação. A primeira corresponde à ação instrumental baseada em regras técnicas e com uma racionalidade dirigida à produção. A segunda refere-se à interação realizada como ação comunicativa visando o entendimento entre sujeitos.Assume-se aqui que a adoção dessa perspectiva teórica na análise das práticas em saúde e enfermagem abre novas possibilidades de elucidação de suas conexões sociais, históricas, processuais e intersubjetivas.Descritores: Trabalho; Relações Interpessoais; Saúde; Enfermagem.Trabajo e intersubjetividad: ponderación teorética sobre su dialéctica en el campo de la salud y enfermería Esta ponderación teorética objetiva evidenciar la relación intersubjetiva presente en el trabajo en salud y enfermería bajo la mirada de las siguientes vertientes teoréticas: Análisis Institucional; Psicodinámica del Trabajo y Teoría de la Acción Comunicativa, con profundización de la última. La articulación de eses referenciales al abordaje marxiana del trabajo en salud parte del reconocimiento de la necesidad de su continuada reconstrucción -en este caso, en el sentido de la aprehensión de la interacción y comunicación intrínsecas al trabajo en acto. La Teoría de la Acción Comunicativa busca considerar ésas dos inextricables dimensiones: trabajo como acción productiva y como interacción. La primera corresponde a la acción instrumental basada en reglas técnicas y con una racionalidad dirigida a la producción. La segunda se refiere a la interacción realizada como acción comunicativa visando el entendimiento entre sujetos. Se asume aquí que la adopción de esa perspectiva teoréti...

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