Práticas populares e representações de saúde de comunidades ribeirinhas no Baixo Madeira

• Autor(a) principal: Bôas, Luana Michele da Silva Vilas
• Data de Publicação: 2017
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/15183
• topic: Riverside; Social Representations; Health and disease; Ribeirinhos; Saúde e doença; Psicologia Social; Vida ribeirinha; Representações sociais; CNPQ::CIENCIAS HUMANAS::PSICOLOGIA::PSICOLOGIA SOCIAL

The investigation centers in capturing the social representations of health and disease and their relation with the healthcare pratices in three riverside communities of the municipality of Porto Velho. It is thought that the representative forms of health and disease that orientate the popular health practices go beyond the helath-patient professional relationship and are enrolled in the daily activities of the village, within a dynamic which envolves the consensual and the reified universes. It was adopted for the guidance of the study a psychosocial perspective, from the point of view of the Social Representations Theory (SRT), for it contributes to a broader approximation to social reality, promoting a dialogue between the different reified knowledges and the popular knowledge of the riverside dwellers and privileging the common sense produced on the group and the tacit knowledge of the daily health situation. It is a qualitative approach study with cross-sectional design, based on the SRT processual and structural approaches. The multimethodological strategy of the data collection combined four techniques for the identification of the different representation frames: participating systematic observation, survey, free association and semi-structured interview. The complementary use of different methodological strategies of data collection and analysis is intended to help in the best understanding of the social reality studied and evaluate the abilities, behaviors and relationships between the individuals and the context. The representations of health and disease of the riverside dwellers envolve distinct elements from the reified knowledge and the common sense, which are overlapped and alternated, and can be complementary on healthcare actions, depending on the itinerary made by the subject. Disease is seen as something localized in the body; care is associated to biomedical technology and health is opposed to disease; mystic-spiritual dimension is privileged in both representations, which converge to the popular health practices performed by the riverside social group and guide the subjects' choice on the search for the therapeutic itinerary to be gone through, under the official professional or folk knowledge, according to the needs, availabilities and wishes of the group. Both knowledge forms are present on the healthcare practices performed on these communities by the healthcare professionals, retranslating the official knowledge, and by the local knowledge specialists. Thus, the logic established upon the social representations of the group may include, simultaneously, going to the healthcare service and use allopathic medicines and self-blessing, using plants and teas, praying and turning to a witch doctor. These caring practices take part on a cultural trace of the group and form a set of norms and criteria included on the common sense knowledge which comprise, for example, the act of blessing and the use of homemade medicines as internalized actions on the communities, and demonstrate the identitary relation owned by the subjects through their beliefs, faith and religiosity, and the knowledge transmitted from the ancient ones and specially from close relatives, transgenerationally and between people from the same generation