Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado

Detalhes bibliográficos
Autor(a) principal: Oliveira, Leonardo Hernandes de Souza
Data de Publicação: 2021
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/1/16622
Resumo: Fibromyalgia (FM) is a rheumatic syndrome characterized by chronic and diffuse musculoskeletal pain. It is an affection of a class of disorders that presents diagnostic and therapeutic challenges to Western medical rationality, mainly due to chronic pain. The processes of social interaction, in the family, medical and work spheres, promote embarrassing and illegitimate relationships, with a lack of recognition Patients is not interpreted under the assumption of the total social fact. Studies highlight the role of interdisciplinary treatment (IT) and corporal practices of health (CPH) in the treatment of the syndrome. CPH comprise the human movement endowed with social relationships of health care and reception, while IT allows a better understanding of patients in social, psychological and physical terms. The theory of gift, based on the acts of giving, receiving and giving back care goods, provides recognition and legitimacy to the health-disease process of FM, in line with the assumption of the totality of the social fact. The study's thesis supports IT and PCS as circuits of legitimacy and recognition, where gifts of health care are exchanged between health professionals and patients with FM. The health professional offers health care in the treatment of the patient, who, in turn, receives this gift and reciprocates by continuing the circuit. The objective is to understand the IT and CPH for patients with FM as a system for the exchange of gifts health care that is established between patients and health professionals. This is a qualitative study carried out in the Project “Traramento Interdisciplinar para Pacientes com Fibromialgia” (TIF) through the application of an open interview and field observation with 8 patients diagnosed with FM and a semi-structured questionnaire with 9 health professionals. Participated in the study the patients who entered the TIF in 2019 and the health professionals involved with TIF. The categorical Content Analysis constructed three thematic categories: "Interdisciplinary treatment for patients with fibromyalgia: care practices and reception", "Constitution of the donation in the health care process" and "Body, health and chronic pain from the insertion in interdisciplinary treatment". The TIF was structured as a space for health care practices and reception, in terms of territorialization, decentralization and health care. The constitution of the gift in the health care process occurred through a shift to the other, symbolic actions in the relational circuit, gift of hospitality, gift of recognition, gift of conversation and hermeneutic cycle. The gift reciprocity circuit promoted new constructions, techniques and social uses of the body, health and chronic pain when entering the TIF. The conclusion of the study points to IT and CPH as spaces developed in the meeting between patients and health professionals, from the cycle of the triple obligation to give, receive and repay gifts of health care, which resulted in healthier social uses and legitimate aspects of the body and pain, processes of social interaction in the context of the recognition of symbolic effectiveness and in the assumption of totality of the social fact in terms of the health-disease process of FM.
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spelling Mattos, Rafael da Silvahttp://lattes.cnpq.br/8547550722276945Camargo, Tereza Claudia de Andradehttp://lattes.cnpq.br/0253430720900777Ferreira, Jaqueline Teresinhahttp://lattes.cnpq.br/4098277785291746Espírito Santo, Wecisley Ribeiro dohttp://lattes.cnpq.br/8007151674691557Telles, Silvio de Cassio Costahttp://lattes.cnpq.br/9130913958427863http://lattes.cnpq.br/8324699552487273Oliveira, Leonardo Hernandes de Souza2021-09-15T13:10:50Z2021-02-18OLIVEIRA, Leonardo Hernandes de Souza. Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado. 2021. 249 f. Tese (Doutorado em Ciências do Exercício e do Esporte) - Instituto de Educação Física e Desportos, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2021.http://www.bdtd.uerj.br/handle/1/16622Fibromyalgia (FM) is a rheumatic syndrome characterized by chronic and diffuse musculoskeletal pain. It is an affection of a class of disorders that presents diagnostic and therapeutic challenges to Western medical rationality, mainly due to chronic pain. The processes of social interaction, in the family, medical and work spheres, promote embarrassing and illegitimate relationships, with a lack of recognition Patients is not interpreted under the assumption of the total social fact. Studies highlight the role of interdisciplinary treatment (IT) and corporal practices of health (CPH) in the treatment of the syndrome. CPH comprise the human movement endowed with social relationships of health care and reception, while IT allows a better understanding of patients in social, psychological and physical terms. The theory of gift, based on the acts of giving, receiving and giving back care goods, provides recognition and legitimacy to the health-disease process of FM, in line with the assumption of the totality of the social fact. The study's thesis supports IT and PCS as circuits of legitimacy and recognition, where gifts of health care are exchanged between health professionals and patients with FM. The health professional offers health care in the treatment of the patient, who, in turn, receives this gift and reciprocates by continuing the circuit. The objective is to understand the IT and CPH for patients with FM as a system for the exchange of gifts health care that is established between patients and health professionals. This is a qualitative study carried out in the Project “Traramento Interdisciplinar para Pacientes com Fibromialgia” (TIF) through the application of an open interview and field observation with 8 patients diagnosed with FM and a semi-structured questionnaire with 9 health professionals. Participated in the study the patients who entered the TIF in 2019 and the health professionals involved with TIF. The categorical Content Analysis constructed three thematic categories: "Interdisciplinary treatment for patients with fibromyalgia: care practices and reception", "Constitution of the donation in the health care process" and "Body, health and chronic pain from the insertion in interdisciplinary treatment". The TIF was structured as a space for health care practices and reception, in terms of territorialization, decentralization and health care. The constitution of the gift in the health care process occurred through a shift to the other, symbolic actions in the relational circuit, gift of hospitality, gift of recognition, gift of conversation and hermeneutic cycle. The gift reciprocity circuit promoted new constructions, techniques and social uses of the body, health and chronic pain when entering the TIF. The conclusion of the study points to IT and CPH as spaces developed in the meeting between patients and health professionals, from the cycle of the triple obligation to give, receive and repay gifts of health care, which resulted in healthier social uses and legitimate aspects of the body and pain, processes of social interaction in the context of the recognition of symbolic effectiveness and in the assumption of totality of the social fact in terms of the health-disease process of FM.A fibromialgia (FM) é uma síndrome reumática caraterizada principalmente por dor musculoesquelética crônica e difusa. Trata-se de um acometimento de uma classe de desordens que apresenta desafios diagnósticos e terapêuticos à racionalidade médica ocidental, principalmente por conta da dor crônica. Os processos de interação social, nos âmbitos familiar, médico e laboral, promovem relações constrangedoras e de ilegitimidade, com ausência de reconhecimento. Os pacientes não são interpretados no pressuposto do fato social total. Estudos ressaltam o papel do tratamento interdisciplinar (TI) e das práticas corporais de saúde (PCS) no tratamento da síndrome. As PCS compreendem o movimento humano dotado de relações sociais de cuidado em saúde e acolhimento, enquanto o TI possibilita uma melhor compreensão dos pacientes em termos sociais, psicológicos e físicos. A teoria da dádiva, a partir dos atos de dar, receber e retribuir bens de cuidado, fornece reconhecimento e legitimidade ao processo saúde-doença da FM, alinhada ao pressuposto de totalidade do fato social. A Tese do estudo sustenta o TI e as PCS como circuitos de legitimidade e reconhecimento, onde ocorrem a troca de dádivas de cuidado em saúde, entre profissionais de saúde e pacientes com FM. O profissional de saúde oferece o cuidado em saúde no tratamento ao paciente, que, por sua vez, recepciona este dom e retribui dando continuidade ao circuito. O objetivo é compreender o TI e as PCS para pacientes com FM como um sistema de troca de dádivas de cuidado em saúde que se estabelece entre os pacientes e os profissionais de saúde. Trata-se de um estudo qualitativo realizado no Projeto “Tratamento Interdisciplinar para pacientes com fibromialgia” (TIF) mediante entrevistas abertas e observações em campo com 8 pacientes diagnosticadas com FM e questionário semiestruturado com 9 profissionais de saúde. Participaram do estudo as pacientes que ingressaram em 2019 no TIF e os profissionais de saúde envolvidos com o TIF. A Análise do Conteúdo temática construiu três categorias: “Tratamento interdisciplinar para pacientes com fibromialgia: práticas de cuidado e acolhimento”, “Constituição da dádiva no processo de cuidado em saúde” e “Corpo, saúde e dor crônica a partir da inserção no tratamento interdisciplinar”. O TIF estruturou-se enquanto espaço de práticas de cuidado em saúde e acolhimento, em termos de territorialização, descentralização e atenção à saúde. A constituição da dádiva no processo de cuidado em saúde ocorreu mediante um deslocamento ao próximo na trama relacional, dom da hospitalidade, dom do reconhecimento e dom da conversação. Novos usos sociais do corpo, da saúde e dor crônica na inserção no TIF foram proporcionados. Conclui-se que o TI e as PCS são espaços construídos no encontro entre as pacientes e os profissionais de saúde, a partir do ciclo da tripla obrigação de dar, receber e retribuir dádivas de cuidado, resultando em usos sociais mais saudáveis e legítimos do corpo e da dor, processos de interação social na esteira do reconhecimento da eficácia simbólica e no pressuposto de totalidade do fato social em termos do processo saúde-doença da FM.Submitted by Mirna CEH/B (mirna129@globo.com) on 2021-09-15T13:10:50Z No. of bitstreams: 1 Tese - Leonardo Hernandes de Souza Oliveira - 2021 - Completa.pdf: 2570250 bytes, checksum: 4cfe9988b0ff6da81604998fe8a6ca7c (MD5)Made available in DSpace on 2021-09-15T13:10:50Z (GMT). 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dc.title.por.fl_str_mv Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
dc.title.alternative.eng.fl_str_mv Corporal practices and the interdisciplinary treatment of people with fibromyalgia: the gift of care
title Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
spellingShingle Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
Oliveira, Leonardo Hernandes de Souza
Fibromyalgia
Corporal practices of health
Interdisciplinary treatment
Gift
Health care
Fibromialgia
Práticas corporais de saúde
Tratamento interdisciplinar
Dádiva
Cuidado em saúde
Acompanhamento terapêutico
Pessoal da área médica
Fibromialgia – Pacientes
Cuidados
Fibromialgia – Tratamento
CIENCIAS DA SAUDE::EDUCACAO FISICA
title_short Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
title_full Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
title_fullStr Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
title_full_unstemmed Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
title_sort Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
author Oliveira, Leonardo Hernandes de Souza
author_facet Oliveira, Leonardo Hernandes de Souza
author_role author
dc.contributor.advisor1.fl_str_mv Mattos, Rafael da Silva
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/8547550722276945
dc.contributor.referee1.fl_str_mv Camargo, Tereza Claudia de Andrade
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/0253430720900777
dc.contributor.referee2.fl_str_mv Ferreira, Jaqueline Teresinha
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/4098277785291746
dc.contributor.referee3.fl_str_mv Espírito Santo, Wecisley Ribeiro do
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/8007151674691557
dc.contributor.referee4.fl_str_mv Telles, Silvio de Cassio Costa
dc.contributor.referee4Lattes.fl_str_mv http://lattes.cnpq.br/9130913958427863
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/8324699552487273
dc.contributor.author.fl_str_mv Oliveira, Leonardo Hernandes de Souza
contributor_str_mv Mattos, Rafael da Silva
Camargo, Tereza Claudia de Andrade
Ferreira, Jaqueline Teresinha
Espírito Santo, Wecisley Ribeiro do
Telles, Silvio de Cassio Costa
dc.subject.eng.fl_str_mv Fibromyalgia
Corporal practices of health
Interdisciplinary treatment
Gift
Health care
topic Fibromyalgia
Corporal practices of health
Interdisciplinary treatment
Gift
Health care
Fibromialgia
Práticas corporais de saúde
Tratamento interdisciplinar
Dádiva
Cuidado em saúde
Acompanhamento terapêutico
Pessoal da área médica
Fibromialgia – Pacientes
Cuidados
Fibromialgia – Tratamento
CIENCIAS DA SAUDE::EDUCACAO FISICA
dc.subject.por.fl_str_mv Fibromialgia
Práticas corporais de saúde
Tratamento interdisciplinar
Dádiva
Cuidado em saúde
Acompanhamento terapêutico
Pessoal da área médica
Fibromialgia – Pacientes
Cuidados
Fibromialgia – Tratamento
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::EDUCACAO FISICA
description Fibromyalgia (FM) is a rheumatic syndrome characterized by chronic and diffuse musculoskeletal pain. It is an affection of a class of disorders that presents diagnostic and therapeutic challenges to Western medical rationality, mainly due to chronic pain. The processes of social interaction, in the family, medical and work spheres, promote embarrassing and illegitimate relationships, with a lack of recognition Patients is not interpreted under the assumption of the total social fact. Studies highlight the role of interdisciplinary treatment (IT) and corporal practices of health (CPH) in the treatment of the syndrome. CPH comprise the human movement endowed with social relationships of health care and reception, while IT allows a better understanding of patients in social, psychological and physical terms. The theory of gift, based on the acts of giving, receiving and giving back care goods, provides recognition and legitimacy to the health-disease process of FM, in line with the assumption of the totality of the social fact. The study's thesis supports IT and PCS as circuits of legitimacy and recognition, where gifts of health care are exchanged between health professionals and patients with FM. The health professional offers health care in the treatment of the patient, who, in turn, receives this gift and reciprocates by continuing the circuit. The objective is to understand the IT and CPH for patients with FM as a system for the exchange of gifts health care that is established between patients and health professionals. This is a qualitative study carried out in the Project “Traramento Interdisciplinar para Pacientes com Fibromialgia” (TIF) through the application of an open interview and field observation with 8 patients diagnosed with FM and a semi-structured questionnaire with 9 health professionals. Participated in the study the patients who entered the TIF in 2019 and the health professionals involved with TIF. The categorical Content Analysis constructed three thematic categories: "Interdisciplinary treatment for patients with fibromyalgia: care practices and reception", "Constitution of the donation in the health care process" and "Body, health and chronic pain from the insertion in interdisciplinary treatment". The TIF was structured as a space for health care practices and reception, in terms of territorialization, decentralization and health care. The constitution of the gift in the health care process occurred through a shift to the other, symbolic actions in the relational circuit, gift of hospitality, gift of recognition, gift of conversation and hermeneutic cycle. The gift reciprocity circuit promoted new constructions, techniques and social uses of the body, health and chronic pain when entering the TIF. The conclusion of the study points to IT and CPH as spaces developed in the meeting between patients and health professionals, from the cycle of the triple obligation to give, receive and repay gifts of health care, which resulted in healthier social uses and legitimate aspects of the body and pain, processes of social interaction in the context of the recognition of symbolic effectiveness and in the assumption of totality of the social fact in terms of the health-disease process of FM.
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-09-15T13:10:50Z
dc.date.issued.fl_str_mv 2021-02-18
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv OLIVEIRA, Leonardo Hernandes de Souza. Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado. 2021. 249 f. Tese (Doutorado em Ciências do Exercício e do Esporte) - Instituto de Educação Física e Desportos, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2021.
dc.identifier.uri.fl_str_mv http://www.bdtd.uerj.br/handle/1/16622
identifier_str_mv OLIVEIRA, Leonardo Hernandes de Souza. Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado. 2021. 249 f. Tese (Doutorado em Ciências do Exercício e do Esporte) - Instituto de Educação Física e Desportos, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2021.
url http://www.bdtd.uerj.br/handle/1/16622
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade do Estado do Rio de Janeiro
dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Ciências do Exercício e do Esporte
dc.publisher.initials.fl_str_mv UERJ
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Centro de Educação e Humanidades::Instituto de Educação Física e Desporto
publisher.none.fl_str_mv Universidade do Estado do Rio de Janeiro
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UERJ
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instacron:UERJ
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