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Abstract

483 COMUNICAÇÃO SAÚDE EDUCAÇÃOWithin the diversity of academic fields, topics, subjects and theoretical-methodological reference points presented by the texts that make up the sections of issue 34 of Interface -Comunicação, Saúde, Educação, the following contributions stand out: representations among healthcare and education professionals regarding distress, becoming ill and care; healthcare education and professional training as a strategy for producing care and promoting health; medicalization of the social sphere; and the complexity involved in the field of producing care for mental health.The "Dossier on medical discourse: diagnose and medicalization" is structured with two articles that make up different viewpoints on medical discourse. They bring new views on the wide-ranging and long process of medicalization and modification of the borders between normal and pathological.The debate on increasing use of medications, especially through expansion of the use of psychiatric drugs for therapeutic purposes and their spread beyond this domain, is richly updated through the approach used for attention deficit disorder, with or without hyperactivity. The social implications of expansion of this diagnosis and the spread of drug use (especially ritalin) as a therapeutic method are discussed by María Cecília Tamburrino and coworkers in the article "Medical discourse and marketing strategies in the pharmaceutical industry, within the processes of medicalization of childhood in Argentina". From an analysis of the discourse within the medical field (pediatrics, child and adolescent psychiatry and child neurology) in the regions of Buenos Aires, Corrientes, Salta and Tierra del Fuego, concerning the diagnosis of attention deficit disorder and medical treatment with drug use for the child population, the authors indicate that, although most of the interviewees recognized the difficulty in making precise diagnoses, drugs become imposed as the therapeutic choice in most cases. The treatment circuit within which the decision to medicated emerges covers different spheres such as the school (which proposes the treatment), the family (which asks the physician for it) and the physician (who, even with difficulty in defining the diagnosis, prescribes the drug). The influence of the pharmaceutical industry within the spheres of this circuit can also be highlighted. Through marketing strategies, these companies disseminate information that goes beyond the medical community and penetrates schools and families, which are the main areas of children's lives.The second study, "Ritalin in Brazil: production, discourse and practice", by Francisco Ortega and coworkers, discusses the social perception of drugs in this country, where the use of drugs to treat attention disorders has increased considerably over the last decade, while at the same time, their use by healthy individuals seeking to improve their cognitive functions has been observed. The results from two fields of investigation are analyzed: firstly, in relation to Brazilian publ...