FundaÃÃo de Amparo à Pesquisa do Estado do Cearà / Neste trabalho realizamos uma arqueogenealogia acerca do empoderamento em saÃde. Levantamos discursos e prÃticas que atuam nas prÃticas cotidianas do cuidado de si e do outro, positivando certos tipos de poderes e de saÃdes. O inÃcio da pesquisa se deu colocando o empoderamento em saÃde como incÃgnita, para que pudÃssemos nos desfamiliarizar com o que supostamente se acredita sobre tal conceito e, a partir disso, investigar suas construÃÃes no campo da saÃde, assim como suas vizinhanÃas com outros campos. A partir do referencial foucaultiano da arqueogenealogia, buscamos responder Ãs questÃes: Que poder à esse que as pessoas empoderadas devem ter? Que pessoas devem ter poder? Que pessoas devem ter qual poder? E quem diz que as pessoas devem ter poder? Com este horizonte metodolÃgico, estabelecemos uma histÃria do empoderamento que nÃo encontra sua origem ou essÃncia, mas sim os erros, as falhas e as aproximaÃÃes que deram nascimento e vÃm fortalecendo tal conceito. Portanto, foi necessÃrio debruÃar-se sobre enunciados efetivos que se encontram em artigos acadÃmicos, cartilhas de organizaÃÃes internacionais e polÃticas pÃblicas. Com este movimento pudemos apreender um certo caminho do empoderamento que atua como tecnologia de reorganizaÃÃo do cuidado em saÃde a partir de uma axiomÃtica contemporÃnea biopolÃtica e neoliberal. NÃo vem se restringindo apenas à conduÃÃo dos processos de saÃde-adoecimento, mas produzindo um cuidado e gerenciamento da vida que a desenvolve e a lapida dentro de uma gestÃo econÃmica de si mesmo e da populaÃÃo. / In this work we perform an archeogenealogy about Health empowerment. We raise discourses and practices that act in the daily practices of caring for oneself and the other, that encourage certain types of powers and health. The research began by placing Health empowerment as an unknown figure, so that we could defamiliarize with what is supposedly believed about such concept and, from that, investigate its constructions in the health field, as well as its neighborhoods with other fields. From the foucaultian referential of archeogenealogy, we seek to answer the questions: Wich power is this that empowered people should have? Wich people should have power? Wich people should have that power? And who says people should have power? With this methodological horizon, we establish a history of empowerment that does not find its origin or essence, but rather the mistakes, failures and approximations that gave birth and strengthen this concept. Therefore, it was necessary to look at actual statements found in academic articles, booklets of international organizations and public policies. With this movement we were able to apprehend a certain path of empowerment that acts as a technology for the reorganization of health care from a contemporary bio-political and neoliberal axiomatics. It is not only restricted to the conduct of health-illness processes, but also produces care and management of the life that develops and eliminates it within an economic management of oneself and of the population.

Patients' use of medicines is widely recognised as sub-optimal with a high proportion of patients with a long-term condition not taking their medicines as prescribed. Research and policy guidance emphasise the importance of partnership within the patient-prescriber encounter in enhancing patients' use of medicines. There is however considerable evidence that this is not usually achieved by medical prescribers, limiting the extent to which shared decision-making occurs about prescribed medicines. There is a general assumption that nurse prescribers, who within the United Kingdom have comparable prescribing rights to medical doctors, demonstrate greater abilities in collaborative working with patients leading to an enhanced use of medicines. Research evidence is however limited, particularly in relation to the ways in which patients' use of medicines is discussed and negotiated within the patient-nurse prescriber encounter. This study focused on the management of patients' use of medicines within the patient-nurse prescriber encounter. Seven nurse prescribers, working within a number of clinical specialities in both primary and secondary care settings, were recruited to the study together with their patients who were living with one or more long-term conditions (n=21). Data collection involved the non-participant observation of out-patient consultations to examine the management of patients' use of medicines within the encounter and semi-structured interviews with both patients and prescribers. Discourse analysis was undertaken to examine underpinning assumptions, views and beliefs regarding the management of patients' use of medicines. Asymmetry was evident within the encounters with prescribers controlling the agenda for discussion and interrupting patients' attempts to demonstrate their knowledge. Patient accounts of the moral approach adopted in managing their condition in the context of their everyday lives were also ignored. Biomedical and contrasting moral discourses are examined. An interpretive framework derived from the work of Michel Foucault is used to explain the operation of disciplinary, pastoral and bio-political power within the encounter and the extent to which subjugation of patients' knowledge and resistance were evident. Foucault's concept of technologies of the self is examined to explore its potential application in enhancing patients' medicines use.