El poder médico y la crisis de los vínculos de confianza en la medicina contemporánea

Abstract

Based on the Brazilian context, this paper addresses medical power in terms of the current conflicts in the intersubjective relationships that doctors establish in their work, conflicts considered here as a product of a crisis of trust connected to recent historical transformations in the medical practice. Reading these conflicts as questions of an ethical and moral order, we use Hanna Arendt's theoretical formulations to further analyze this crisis of trust. In this way, utilizing the concepts of "crisis," "tradition," "power," "authority," and "natality," we search for new meanings regarding these conflicts, enabling new paths and solutions that avoid nostalgia for the past.

Percepción social de usuarias atendidas exclusivamente por enfermeras en la etapa perinatal

“…Dado lo anterior, los vínculos de confianza entre paciente y enfermera, fundados en las relaciones intersubjetivas construidas durante la atención, cambiaron radicalmente, respecto a las que se establecen entre sí, el lugar que ocupan y el sentido que tienen en la asistencia y cuidado por lo que se refiere a lo tradicional 19 . En contraparte, la incomodidad como alteración del bienestar de la paciente, se presenta cuando la atención es brindada por hombres, ya que la intervención obstétrica en el modelo institucionalizado provoca incomodidad, entre lo natural y lo cultural, hasta generar la pérdida de la autonomía y la capacidad de decidir, así lo reflejan las declaraciones de las participantes, cuando relatan que la tención otorgada por un médico les genera incomodidad, debido a la poca comunicación que existe entre el profesional y la usuaria.…”

Violência institucional e humanização em saúde: apontamentos para o debate

“…Rather, our interpretation is different from the others and can enrich the debate in the field of Collective Health. Therefore, we believe that Hannah Arendt's theoretical reflections on 'authority' , 'power' and 'violence' can contribute with new interpretations for the field of Collective Health, since it is a theoretical set that has not yet been fully explored [30][31][32] .…”

Violência institucional, direitos humanos e autoridade tecno-científica: a complexa situação de parto para as mulheres

“…This happens because the healthcare proposal is offered to the patient in her individual medical care, always with the character of advice, not of imposition. It is that acceptance that progressively makes the patient depend on the scientific basis that underlies clinical judgement, in a social process in which science is legitimized as competent knowledge and the physician is legitimized as competent agent in the use of this scientific basis [8][9][10] . Due to this, imposing the decision means, in fact, undermining the legitimate authority.…”