Praticidades de tirar o fôlego

Uma política de posições do paciente corporificadas

Autores/as

  • Jeannette Pols University of Amsterdam

DOI:

https://doi.org/10.48006/2358-0097/V9N1.E9108

Palabras clave:

corpo, teoria social, doença/enfermidade, etnografia, política

Resumen

Ao declarar a Biomedicina como o seu contradiscurso apolítico, as teorias sociais, incluindo os estudos da deficiência, encontram problemas ao discutir os corpos e os seus padecimentos. Este artigo explora as possibilidades de “trazer os corpos de volta” de formas politicamente relevantes, ao mesmo tempo que evita reduzi-los a “dados” singulares e naturais. Isto é feito explorando algumas das práticas em que pessoas com Doença Pulmonar Obstrutiva Crônica (DPOC) tentam viver com a sua doença crônica e em conjunto com outras. Torna-se claro que o que elas experienciam como problemas físicos e sociais importantes são a invisibilidade da sua doença, combinada com a visibilidade dos recursos utilizados para lidar com os seus problemas. Esta combinação leva a comportamentos incompreensíveis para os outros. Demonstra-se que alguma forma de presença da doença é necessária para criar posições sociais que permitam aos doentes viver com os outros de uma forma aceitável. O artigo prossegue explorando formas em que os corpos são tornados presentes de modo proveitoso. Estas encontram-se onde as pessoas com DPOC: (1) criam comunidades de corpos partilhados que permitem uma multiplicidade de presenças visíveis e invisíveis de DPOC; (2) desenvolvem formas de educar os seus corpos de diferentes maneiras para criar novas presenças; (3) utilizam os seus corpos como fontes de conhecimento sobre viver com falta de ar; e (4) criam corpos transportáveis para levar presenças de DPOC para outros lugares, utilizando o argumento da “demonstração por números”, do passar do tempo e do descarte das características excepcionais dos seus corpos e de suas situações. O artigo conclui com uma discussão sobre as possibilidades relativamente inexploradas de criar e partilhar “conhecimentos do paciente” e sobre as áreas que isto abre para uma nova política de inclusão social.

Biografía del autor/a

Jeannette Pols, University of Amsterdam

University of Amsterdam

Citas

BARBOT, J. 2006. “How to build an ‘active’ patient”. Social Science and Medicine, 3, p. 538-51. DOI: https://doi.org/10.1016/j.socscimed.2005.06.025

BARBOT, J; DODIER, N. 2002. “Multiplicity in scientific medicine: The experience of HIV- positive patients”. Science, Technology and Human Values, 27, p.404-40. DOI: https://doi.org/10.1177/016224390202700304

BARNES, C; MERCER, G; SHAKESPEARE, T. 1999. Exploring disability. Cambridge: Polity Press.

BOEVINK, W. 2006a. Stories of recovery. Working together towards experiential knowledge in mental health care. Utrecht, The Netherlands: Trimbos-instituut.

BOEVINK, W. 2006b. From being a disorder to dealing with life. Schizophrenia Bulletin, 1(2), p. 17-19. DOI: https://doi.org/10.1093/schbul/sbi068

DAVIS, L.J. 1997. The disability studies reader. New York: Routledge.

DEPARTMENT OF HEALTH. 2001. The expert patient: A new approach to chronic disease management for the 21st century. London: Department of Health.

DIXON, L; HACKMAN, A; LEHMAN, A. 1997. “Consumers as staff in assertive community treatment program”. Administration and Policy in Mental Health, 25, p.199-208. DOI: https://doi.org/10.1023/A:1022243106341

EDGAR, A. 2005. “The expert patient. Illness as practice”. Medicine. Health Care and Philosophy, 8, 165-171. DOI: https://doi.org/10.1007/s11019-005-2277-5

ELIAS, N. 1976. Über den Prozess der Zivilisation. Soziogenetische und psychogenetische Untersuchungen. Baden-Baden, Germany: Suhrkamp Taschenbuch Verlag.

EPSTEIN, S. 2008. “Patient groups and health movements”. In: HACKET, E.J; AMSTERDAMSKA, O; LYNCH, M; WAJCMAN, J (eds) The handbook of science and technology studies, p.499-539. Cambridge, MA: MIT Press.

GOFFMAN, E. 1968. Stigma. Harmondsworth, UK: Pelican.

GREENHALGH, T. 2009. “Patient and public involvement in chronic illness: Beyond the expert patient”. British Medical Journal, 338, b.49. DOI: https://doi.org/10.1136/bmj.b49

HABRAKEN, J.M; POLS, J; BINDELS, P.J.E; WILLEMS, D.L. 2008. “The silence of patients with end-stage COPD: A qualitative study”. British Journal of General Practice, 58, p. 844-849. DOI: https://doi.org/10.3399/bjgp08X376186

HENDRIKS, R. 1998. “Egg timers, human values and the care of autistic youths”. Science, Technology and Human Values, 23(4), p.399-424. DOI: https://doi.org/10.1177/016224399802300403

HUGHES, B. 2009. “Wounded/monstrous/abject: A critique of the disabled body in the sociological imaginary”. Disability and Society, 24(4), p.399-410. DOI: https://doi.org/10.1080/09687590902876144

HUGHES, B; PATERSON, K. 1997. “The social model of disability and the disappearing body. Towards a sociology op impairment”. Disability and Society, 12(3), p 325-340. DOI: https://doi.org/10.1080/09687599727209

LAW, J. 2002. Aircraft stories. De-centering the object in techno-science. Durham, NC: Duke University Press.

MEAD, S; HILTON, D; CURTIS, L. 2001. “Peer support: A theoretical perspective”. Psychiatric Rehabilitation Journal, 25(2): 134-141. DOI: https://doi.org/10.1037/h0095032

MOL, A. 1998. “Missing links, making links. The performance of some atheroscleroses”. In: BERG, M and MOL, A (eds) Differences in medicine, p. 144-165. Durham, London: Duke University Press. DOI: https://doi.org/10.2307/j.ctv1220pvr.11

MOL, A. 2002. The body multiple. An ontology of medical practice. Durham, NC: Duke University Press. DOI: https://doi.org/10.1215/9780822384151

MOL, A. 2008. The logic of care. London: Routledge DOI: https://doi.org/10.4324/9780203927076

MOL, A; LAW, J. 2004. “Embodied action, enacted bodies. The example hypoglycaemia”. Body and Society, 10, p.43-62. DOI: https://doi.org/10.1177/1357034X04042932

MOL, A; POLS, J. 1996. “Ziekte leven: Bouwstenen voor een medische sociologie zonder disease/illness-onderscheid [Living disease: Building blocks for a medical sociology without the illness/disease distinction]”. Kennis en methode. Tijdschrift voor wetenschapsfilosofie en wetenschapsonderzock, 20(4), p.347-361.

MOSER, I. 2000. “Against normalisation: Subverting norms of ability and disability”. Science as Culture, 9, 201-240. DOI: https://doi.org/10.1080/713695234

MOSER, I. 2005. “On becoming disabled and articulating alternatives: The multiple modes of ordering disability and their interferences”. Cultural Studies, 19, p.667-700. DOI: https://doi.org/10.1080/09502380500365648

MOSER, I. 2006. “Disability and the promise of technology: Technology, subjectivity and embodiment within an order of the normal”. Information, Communication and Society, 9(3), p 373-395. DOI: https://doi.org/10.1080/13691180600751348

MOSER, I. 2009. “A body that matters? The role of embodiment in the recomposition of life after a road traffic accident”. Scandinavian Journal of Disability Research, 11(2), p.81-96. DOI: https://doi.org/10.1080/15017410902830520

MOSER, I; LAW, J. 1999. “Good passages, bad passages”. In: LAW, J and HASSARD, J (eds) Actor network theory and after, p.196-217. Oxford: Blackwell Publishers. DOI: https://doi.org/10.1111/j.1467-954X.1999.tb03489.x

MOWBRAY, C.T; MOXLEY, D; COLLINS, M.E. 1998. “Consumers as mental health providers: First person accounts of benefits and limitations”. Journal of Behavioral Health Services and Research, 25, p.397-411. DOI: https://doi.org/10.1007/BF02287510

OLIVER, M. 1996. Understanding disability: From theory to practice. Basingstoke, UK: Macmillan.

POLS, J. 2005. “Enacting appreciations: Beyond the patient perspective”. Health Care Analysis, 13(3), p.203-221. DOI: https://doi.org/10.1007/s10728-005-6448-6

POLS, J. 2006. “Washing the citizen: Washing, cleanliness and citizenship in mental health care”. Culture, Medicine and Psychiatry, 30(1), p.77-104. DOI: https://doi.org/10.1007/s11013-006-9009-z

POLS, J. 2008. “Which empirical research, whose ethics? Articulating ideals in long-term mental health care”. In: WIDDERSHOVEN, G; HOPE, T; SCHEER, VD; MCMILLAN, J Empirical ethics in psychiatry, p.51-68. Oxford: Oxford University Press. DOI: https://doi.org/10.1093/med/9780199297368.003.0005

POLS, J. 2009. “Burgerschap in relaties. Over zichtbaarheid, onzichtbaarheid en het belang van lotgenoten [Citizenship in relations. About visibility, invisibility and the importance of fellow patients]”. Maandblad Geestelijke volksgezondheid, 64(9), p.760-774..

POLS, J. 2010a. “Telecare: What patients care for”. In: MOL, A; MOSER, I; POLS, J (eds) Care in practice, p.171-193. Bielefeld, Germany: Transcript Verlag.

POLS, J. 2010b. “Wonderful webcams. About active gazes and invisible technologies”. Science Technology and Human Values. DOI: 10.1177/0162243910366134. DOI: https://doi.org/10.1177/0162243910366134

POLS, J. 2011. “Breathtaking practicalities: A politics of embodied patient positions”. Scandinavian Journal of Disability Research, v. 13, n. 3, p. 189-206. DOI: https://doi.org/10.1080/15017419.2010.490726

SHAKESPEARE, T. 2006. Disability rights and wrongs. London: Routledge. DOI: https://doi.org/10.4324/9780203640098

SHERLOCK, J. 1996. “Dance and the culture of the body. Where is the Grotesque?” Women’s Studies International Forum, 19(5), p. 525-533. DOI: https://doi.org/10.1016/0277-5395(96)00047-7

SORENSEN, E. 2009. The materiality of learning. Technology and knowledge in educational practice. Cambridge: Cambridge University Press.

STRUHKAMP, R; MOL, A; SWIERSTRA, T. 2009. “Dealing with in/dependence: Doctoring in physical rehabilitation practice”. Science, Technology and Human Values, 34, p. 55-76. DOI: https://doi.org/10.1177/0162243907312954

TAYLOR, S; SHOULTZ, B; WALKER, P. 2003. Disability studies: Information and resources. http://thechp.syr.edu/disability_studies_2003_current.html#Introduction

THOMSON, R.G. 1997. “Feminist theory, the body and the disabled figure”. In: DAVIS, J.L (eds) The disability studies reader, p.279-292. London: Routledge.

TRAPPENBURG, M. 2008. Genoeg is genoeg. Over gezondheidszorg en democratie [Enough is enough. About health care and democracy]. Amsterdam: AUP. DOI: https://doi.org/10.5117/9789053568194

VELPRY, L. 2008. “The patient’s view: Issues of theory and practice”. Culture, Medicine and Psychiatry, 32, p.238-258. DOI: https://doi.org/10.1007/s11013-008-9086-2

WINANCE, M. 2001. The`se et Prothe`se. Le processus d’habilitation comme fabrication de la personne. Paris: ENSMP, CSI.

WINANCE, M. 2007. “Being normally different? Changes to normalisation processes: From alignment to work on the norm”. Disability and Society, 22(6), p.625-638. DOI: https://doi.org/10.1080/09687590701560261

WORLD HEALTH ORGANIZATION. 1980. International classification of impairments, disabilities and handicaps. Geneva: WHO.

ZOLA, I.K. 1991. “Bringing our bodies and ourselves back in: Reflections on a past, present and future ‘medical sociology’”. Journal of Health and Social Behavior, 32, p.1-16. DOI: https://doi.org/10.2307/2136796

Publicado

2024-06-17

Cómo citar

Pols, J. (2024). Praticidades de tirar o fôlego: Uma política de posições do paciente corporificadas. Novos Debates, 9(1). https://doi.org/10.48006/2358-0097/V9N1.E9108

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