本研究之主要研究目的在於探討我國綜合高中之課程規劃與實施之現況、相關問題及具體改進建議，包含綜合高中教育基本理念之相關問題、課程規劃之相關問題以及課程實施之相關問題三個部分。為達成上述研究目的，研究者採用文獻分析法以及問卷調查法；首先探討課程規劃與實施的理論基礎與相關研究； 接著探討我國辦理綜合高中的相關理論基礎與研究；之後分析美國、英國與我國綜合高中的沿革與發展現況；最後編制『我國綜合高中課程規劃與實施現況問題之分析研究問卷』，針對2003學年度接受教育部綜合高中輔導訪視150所學校進行調查研究；然後依問卷回收後分析之結果，建議我國綜合高中課程規劃與實施可行之改進途徑，以提供相關單位決策及後續之研究。 本研究之問卷調查對象以學程主任、學科召集人、承辦綜合高中業務之組長或教務主任以及輔導人員為母群體。首先在學校部分進行普查，而學校相關教師樣本之取得則採取隨機抽樣而來，共抽取150所學校，900位教師，回收有效樣本為530份，問卷資料處理採用SPSS10.0版進行統計分析。 據此，研究者係將本研究之調查結果發現與文獻探討發現作成結論如下： 一、綜合高中教育基本理念未能落實 (一)就編班方面來說：學校未能落實高一不分流及依意願分類編班。 (二)就開始教授專業科目的時間來說：有部分的學校未能在「高二上」實行，高一未進行性向試探及輔導，即開始教授專業科目。 (三)就規劃綜合高中課程的主體來說：部分學校未能透過「該科老師於教學研究會時參與討論」之後，經由「課發會」進行協調，再由校務會議通過後實行。 (四)就各類課程及各學程課程之規劃經何種會議討論通過方面來說：仍有學校相關人員對此議題不甚清楚。 (五)就一年級職業試探課程之實施方式方面來說：仍有學校「未開設」或直接教授專業科目。 (六)就『高一不分流』、『提供多元課程』、『學生適性選課』這幾方面來說：各校由於理念不清，學校在各面向均自覺已符合綜合高中相關精神。 (七)就二、三年級學生選課之方式來說：仍有學校抱持選學程不能選課的觀念。 二、綜合高中課程規劃之意見調查分析 (一)就校訂必修科目數為多少學分數來說：仍有學校理念不清，將校訂必修學分數視為學程概念或「不清楚」，甚而無校訂必修科目。 (二)課程規劃以升學導向為主：課程規劃仍有考試領導課程規劃的情形。 (三)就學校在修訂或調整綜合高中課程時的決定主體方面來說：仍有學校決定主體未能落實綜合高中相關理念。 (四)就課程發展委員會之成員方面來說：學校課程發展委員會的家長代表及學者代表比例仍低。 (五)就生涯規劃課程由誰擔任方面來說：學校仍有配課的情形產生，未能給予學生專業的輔導。 (六)就規劃空白課程之單位以及學生遇空白課程時，負責到班或活動地點的負責老師方面而言：學校多數以「教務處」為主。 三、綜合高中課程實施之意見調查分析 (一)就學生空白課程節數方面而言：學校對綜合高中的理念並不清楚，因此大部分學校並無空白課程的實施。 (二)就學生改選科目方面的主要程序方面而言：學校輔導機制並未落實。 (三)就學生課表中之科目包含哪些類而言：課程的實施仍受限於升學導向的限制。 (四)就一年級學生說明有關綜合高中理念與具體做法之方式而言：學校便宜行事，使效果不彰。 本研究根據文獻探討、調查研究發現與結論作成以下建議： 一、強化綜合高中教育基本理念 (一)宣導綜合高中理念 (二)正確瞭解空白課程及職業試探的意義 二、綜合高中課程規劃之意見調查分析 (一)課程之規劃本著學校本位課程之精神，除教師積極參與之外，宜增加學者專家、社區及家長之意見 (二)課程規劃時，增加學生課程選修空間 (三)輔導人員需加強瞭解課程之規劃，以利輔導 (四)規劃空白課程及職業試探課程 (五)除升學及檢定科目之外，宜兼重人文素養之科目 三、綜合高中課程實施之意見調查分析 (一)豐富空白課程之內容及職業試探的廣度 (二)處室之間密切合作 (三)接受教育改革挑戰，行政上不宜方便行事 / The main purpose of this study was to explore the current situation, related issues and concrete suggestions of the curriculum planning and the curriculum implementation of Comprehensive High Schools in Taiwan. This study had three parts: the related issues of basic educational ideals of Comprehensive High Schools, the curriculum planning and the curriculum implementation. To achieve above-mentioned goal, the researcher adopted literature review and questionnaire survey as research methods. First, the theories and related researches of the curriculum planning and implementation were reviewed, and then the development and current situation of Comprehensive High Schools in America, England and Taiwan were discussed. Finally the researcher made “Current Problems Analysis of the Curriculum Planning and Implementation of Comprehensive High Schools in Taiwan Questionnaire” and took 150 schools interviewed and guided by the Ministry of Education in 2003 as samples to conduct the survey. According to the result of analyzing these questionnaires, suggestions of the improvement about Comprehensive High Schools in Taiwan were offered for related authorities' execution and the following researches. The investigation took heads of programs, heads of subjects, the section chiefs or directors of academic affairs who are responsible for the affairs of the Comprehensive High School and the counselors. 900 teachers in 150 schools were randomly chosen as research samples and 530 valid copies were retrieved. The questionnaires were analyzed by conducting SPSS10.0 statistic software. The conclusion according to the result of this survey and findings of literature review are as follows, 1.The Incomplete Implementation of Educational Ideals of Comprehensive High Schools (1)Class Assignment：The implementation of integrating the academic and vocational programs for the first-grade students was incomplete and students were not grouped according their willing. (2)The Beginning Time to Teach the Professional Subjects：Students didn’t learn the professional subjects in the first semester of their second-grade years but during their first-grade yeas without accepting the aptitude tests. (3)The Subjectivity to Planning the Curriculum of Comprehensive High Schools：The implementation of the Curriculum didn’t follow the procedures of subject teachers’ discussion in the teaching committee, negotiation in the curriculum development committee and approval in the school affair conference. (4)The Conferences to Discuss and Approve the Curriculum of Different Programs：Some school staff didn't realize it clearly. (5)The Implementation of the Occupation Exploration Curriculum for the First-grade Students：Some schools didn’t provide it or taught students the subjects directly. (6)The Academic and Vocational Programs Integration during Students’ first year in High School, the Multiple Curriculum Offering and Adaptive Course Election：Schools had vague ideal and didn’t correspond to the spirits of the Comprehensive High School. (7)Curriculum Election for the Second and Third-Grade Students：Students couldn’t elect courses but programs. 2.The Analysis of the Survey about the Curriculum Planning of the Comprehensive High School (1)The Credits of the School Required Subjects：Some schools regarded the credits of school required subjects as the level of programs, ill-defined or not established. (2)The Exam-oriented Curriculum Planning：The curriculum planning relied on the exams. (3)The Subjectivity Deciding the Revision and Adjustment of the Curriculum of the Comprehensive High School：Some couldn’t put the ideal of Comprehensive High School into practice. (4)The Members of the Curriculum Development Committee：The participation rate of the representatives of parents and scholars in the curriculum development committee was low. (5)The Teachers Responsible for the Career Planning Curriculum：The career planning curricula were taught by teachers of different subjects and students didn't accept the professional counseling and guidance. (6)The Responsible Administration and Teachers of the Alternative Learning Period：The offices of academic affairs in schools were assigned. 3.The Analysis of the Survey about the Curriculum Implementation of the Comprehensive High School (1)The Number of Students' Alternative Learning Periods：Most school didn’t provide the null learning periods. (2)The Main Procedures of Students’ changing elective subjects：The counseling and guidance mechanism were not put into practice. (3)The Dimensions of the Subjects：The implementation of the curriculum was confined to the exam-orientation. (4)The Announcement to the First-grade students about the Ideal and Concrete Methods of the Comprehensive High School：The schools acted in haste and it turned out inefficiency. Suggestions according to the literature review, findings of the survey and the conclusion are as follows, 1.Strengthening the ideals of the Comprehensive High School (1) announcement of the ideal of the Comprehensive High School (2) to realize the meanings of the alternative learning periods and the occupation exploration curriculum 2.The Analysis of the survey of the Curriculum Planning of the Comprehensive High School (1)the curriculum planning according to the spirit of the school-based curriculum, teachers’ active participation and scholars, communities and parents’ suggestions adopted (2)flexibility of students’ selecting the elective courses (3)counselors’ deeper realization about the curriculum planning. (4)planning the alternative learning periods and the occupation exploration curriculum (5)emphasizing the subjects for the entrance examination, skill tests and humanities cultivation at the same time 3.The Analysis of the survey of the Curriculum Implementation of the Comprehensive High School (1)enriching the content of the alternative learning periods and broadening the occupation exploration (2)the close cooperation among offices in school (3)taking the challenges of educational reform

本研究旨在探討台灣綜合高中學生學習字彙時所運用的字彙學習策略，研究問題主要探討：學術學程及職業學程的學生在學習字彙時是否運用不同的字彙學習策略並找出其較常和較少使用之字彙學習策略，以及字彙學習高成就者和低成就者字彙學習策略之差異。藉此俾能提供英文老師幫助不同學程、成就的學生運用字彙學習策略，以期達到更佳的字彙學習成效。 本研究抽樣台北縣、市8所綜合高中共648位高三學生為調查對象，研究工具為字彙學習策略問卷與字彙能力測驗。分析方法主要採量化分析，包括獨立樣本t檢定、描述性統計、斯皮爾曼等級相關，本研究結果發現如下： 一、學術學程及職業學程的學生之字彙學習策略使用頻率具有顯著差異，學術學程的學生比職業學程的學生運用較多決定策略及記憶策略。 二、學術學程及職業學程的學生之字彙學習策略使用頻率排序相同，在發現字義部份依序為決定策略、社會策略；在鞏固字義部份依序為認知策略、記憶策略、後設認知策略、社會策略。 三、字彙學習高成就者和低成就者之字彙學習策略使用頻率具有顯著差異，高成就者比低成就者運用較多字彙學習策略。 最後，本文依據研究結果，提出老師英語教學上之應用及未來研究之建議。 / The purpose of this study was to investigate the vocabulary learning strategies used by comprehensive high school students in Taiwan. There were three questions focusing on the differences of use frequency of vocabulary learning strategies between academic-oriented and vocational-oriented students, the strategy use rank between these two groups of students, as well as the relation between vocabulary achievement and vocabulary learning strategy use frequency. A total of 648 students in Taipei City and Taipei County participated in the study. A vocabulary learning strategy questionnaire and a vocabulary achievement test were applied as instruments to obtain the data needed. Data from the students’ responses were computed and analyzed by means of independent-sample t-tests, descriptive statistics, and Spearman’s rank correlation. The findings of this study were summarized as follows. 1.There was a significant difference in vocabulary learning strategy use frequency between academic-oriented students and vocational-oriented students. The former applied more determination strategies to discover the meaning of a new word, and more memory strategies to consolidate the words encountered. 2.The ranking order of use frequency in vocabulary learning strategies by academic-oriented and vocational-oriented students was identical. In Part 1 (discovering the meaning of a new word), determination strategies were used most frequently, then followed by social strategies. In part 2 (consolidating the words encountered), cognitive strategies were used most frequently, followed by memory strategies, metacognitive strategies, and the last, social strategies. 3.There was a significant difference between good learners and poor learners in vocabulary learning strategy use frequency. Good learners applied more vocabulary learning strategies than poor learners to know an English word’s meaning. Based on the above results, some pedagogical implications for English teachers were developed and suggestions for future research were provided at the end of the study.

Performance management, which is a core element of the New Public Management (NPM), has maintained its significance both in academic and practical perspectives for many scholars and governments, although enthusiasm for the NPM has waned since the late 1990s. There have been debates on the universality of the NPM, and the divergence argument regards the practices and trajectories of specific reforms as being shaped by the different characteristics of politico-administrative and cultural systems. Through the comparative study of performance management based on the case studies in the UK and South Korea, this thesis demonstrates that the processes of a NPM-type reform can be similar in spite of differences of politico-administrative and cultural characteristics. It examines performance management systems in the two countries in terms of the speed and nature of reform, resistance to reform, use of performance information and importance as a control mechanism. The comparison is also useful for lesson-drawing for the improvement of current systems. This research has been conducted by undertaking a wide literature review, including journal articles and government papers, and by conducting semi-structured interviews. To undertake analysis and comparison of performance management systems, the thesis looks at the Public Service Agreements (PSAs) in the UK and the Government Performance Evaluation (GPE), Financial Performance Management System (FPMS) and Performance Agreements in Korea. Case studies have been carried out with the Department of Health in the UK and the Ministry of Government Administration and Home Affairs in Korea. The PSA system has problems generated by excessive central control and lack of participation of professionals and front-line staff. In Korea all three performance management systems are based on evaluation. Departments used evaluation as a tool of exercising control, which resulted in duplication of evaluation and excessive bureaucracy. Focus on the process-oriented evaluation has undermined the value of the systems for improving public services. Whilst the two countries display differences in the fundamental approach to performance management, there are similarities in the detailed practices and trajectories in the operation of the systems. The reason for these similarities may be attributed to the strong leadership of top politicians in both countries.

In chemical analyses, it is crucial to distinguish between chemical species. This is often accomplished via chromatographic separations. These separations are often pushed to their limits in terms of the number of analytes that can be sufficiently resolved from one another, particularly when a quantitative analysis of these compounds is needed. Very often, complicated methods or new technology is required to provide adequate separation of samples arising from a variety of fields such as metabolomics, environmental science, food analysis, etc. An often overlooked means for improving analysis is the use of chemometric data analysis techniques. Particularly, the use of chemometric curve resolution techniques can mathematically resolve analyte signals that may be overlapped in the instrumental data. The use of chemometric techniques facilitates quantitation, pattern recognition, or any other desired analyses. Unfortunately, these methods have seen little use outside of traditionally chemometrics focused research groups. In this dissertation, we attempt to show the utility of one of these methods, multivariate curve resolution-alternating least squares (MCR-ALS), to liquid chromatography as well as its application to more advanced separation techniques. First, a general characterization of the performance of MCR-ALS for the analysis of liquid chromatography-diode array detection (LC-DAD) data is accomplished. It is shown that under a wide range of conditions (low chromatographic resolution, low signal-to-noise, and high similarity between analyte spectra), MCR-ALS is able to increase the number of quantitatively analyzable peaks. This increase is up to five-fold in many cases. Second, a novel methodology for MCR-ALS analysis of comprehensive two-dimensional liquid chromatography (LC x LC) is described. This method, called two dimensional assisted liquid chromatography (2DALC), aims to improve quantitation in LC x LC by combining the advantages of both one-dimensional and two dimensional chromatographic data. We show that 2DALC can provide superior quantitation to both LC x LC and one dimensional LC under certain conditions. Finally, we apply MCR-ALS to an LC x LC analysis of fourteen furanocoumarins in three apiaceous vegetables. The optimal implementation of MCR-ALS and subsequent integration was determined. For these data, simply performing MCR-ALS on the two dimensional chromatogram and manually integrating the results proved to be the superior method. These results demonstrate the usefulness of these curve resolution techniques as a compliment to advanced chromatographic techniques.

This master thesis introduces the issue of individual concepts that affect the psychological and motor processes, occurring at people with physical disabilities. It addresses the definition of the basic concepts within both historical and present context. The thesis considers what kind of connection and relationships exist behind the failures of the body scheme and the human psyche, and in greater detail deals with methods that work to improve the quality of life for a person with a physical disability. The research part establishes the situation of comprehensive rehabilitation in the Czech Republic. It is developed according to the preliminary areas: lifelong learning, the status of the comprehensive rehabilitation and procedures used in caring for a person with a physical disability. KEYWORDS: physical disability, therapeutic methods, psychomotor, neuromotor, lifelong learning, comprehensive rehabilitation.

Master of Regional and Community Planning / Department of Landscape Architecture and Regional & Community Planning / Huston Gibson / As a legislative technique, the application of initiative or referendum is considered unconventional, yet frequently utilized to address local conservation issues throughout most of the United States. The subject of its appropriateness continues to remain under debate, especially in the field of planning. This longitudinal study employs a descriptive trend analysis on conservation measures conducted by local governments between 1996 and 2012, in order to identify any changes or consistencies in application. Subsequently, personal interviews were conducted with experienced local government officials to facilitate an understanding of current perceptions, specific experiences, and the outcomes relationship to comprehensive and capital improvement plans. Some key findings from this study include numerous relationships between ballot box conservation and election cycles, and a misperception by local governments of the passage capabilities of ballot box conservation. The inferences from this study will aid local governments and planners to consider or reconsider their stance on the use of ballot box conservation. Additionally, if local communities and governments do choose to practice or continue to practice the use of ballot box conservation, this study’s key findings will assist them in making their measures more successful.

To achieve true sustainability, planners must balance the interests of environmental protection, economic development, and social equity. In a critically changing, complex ecosystem such as Louisiana’s coast, challenges to achieve the perfect equilibrium are further compounded. Following the logic of emerging adaptive co-management literature, the planning framework for Louisiana’s Coastal Master Plan could be transformed into a more collaborative, democratic process. Adaptive co-management is a regime which provides power to local citizens, often in possession of invaluable traditional ecological knowledge. In general, it focuses on constant learning and collaboration. Through power-sharing and participatory action, we embrace science, but step back from technocracy. We utilize local knowledge, and combine it with expertise.

The purpose of this study was to examine the relationships between demographic and occupational variables, the implementation of the American School Counselor Association (ASCA) National Model, and burnout in professional secondary school counselors. Participants in this study were professional secondary school counselors who were members of ASCA (n=494). All participants completed the Secondary School Counselor Demographic, Implementation of the ASCA National Model, and Burnout Survey that was designed to assess counselors’ perceptions and practices related to the level of implementation of the ASCA National Model and the degree of burnout. The instrument combined a researcher-developed questionnaire with the School Counseling Program Implementation Survey (SCPIS) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Descriptive statistics, Spearman’s rho correlations, and hierarchical multiple regression models were utilized for data analysis. The results of this study indicated that professional secondary school counselors had high levels of emotional exhaustion and depersonalization, yet also had high levels of personal accomplishment. In addition, results indicated that professional secondary school counselors believed they are making progress in implementing the ASCA National Model; however, the model is not fully implemented. An inverse, significant relationship was discovered between the level of implementation of the ASCA National Model and the degree of burnout.

Plusieurs villes moyennes de l’est de la France se sont lancées, dans le courant des années 2000, dans la conception de nouveaux quartiers principalement dédiés à l’habitation. Dix ans plus tard, les premiers logements sont livrés aux propriétaires et aux locataires qui investissent les lieux et commencent à se les approprier. Ce travail de thèse a pour objectif de rendre compte de l’expérience socio-spatiale de ces habitants à partir d’une méthode de recherche qualitative et d’une approche sociologique compréhensive. Cette recherche porte plus précisément sur trois quartiers en train de se faire dans deux villes moyennes de l’est de la France et s’appuie sur un matériau empirique constitué d’entretiens semi-directifs et non-directifs menés auprès des habitants des quartiers, indépendamment de leur statut d’occupation, et des concepteurs (élus, techniciens, urbanistes, etc.). À la manière d’Henri Lefebvre, l’espace des nouveaux quartiers est analysé au prisme de la triplicité de l’espace, laquelle distingue l’espace conçu, l’espace perçu et l’espace vécu. Ces différents moments de l’espace sont étudiés séparément – afin de mettre en exergue la dialectique propre à chaque moment – puis assemblés à nouveau dans le but de montrer la tension qui les anime. Porter attention à l’espace conçu invite à questionner le mode de production contemporain de la ville qui s’incarne depuis les années 1980 dans la notion de projet urbain. L’espace conçu est aussi un espace vendu, un espace virtuel, modélisé en 3D dans des publicités qui présentent les lieux en construction de manière utopique et les donnent comme « prêts-à-habiter ». Pourtant, ces espaces idéaux sont aseptisés, lissés et standardisés. Les nouveaux quartiers existent également dans la pratique concrète de l’espace, dans l’espace vécu. Même si les habitants sont pris dans divers réseaux d’appartenances, mêmes s’ils pratiquent la ville à la carte, en fonction de leurs histoires, de leurs habitudes ou de leurs compétences propres de mobilité, le nouveau quartier est un espace qui fait sens, à la fois comme lieu, comme territoire et comme milieu. Seulement, la présente étude montre que le nouveau quartier ne fait pas toujours sens de la même manière, qu’il est dépendant des moments, des contextes et des situations dans lesquels il est mobilisé, qu’il est un enjeu identitaire et représentationnel / In the course of the 2000 s, several medium-size cities in the East of France decided to design new neighborhoods dedicated mostly to housing. Ten years after, the first accommodations were made available to both homeowners and tenants, who began to occupy and appropriate those locations. The aim of this research, which relies on a ‘‘comprehensive’’ sociological approach in conjunction with qualitative research methods, is to give full account of the socio-spatial experience of the residents. More precisely, this PhD focuses on three neighborhoods in the making located in two medium-size cities in the East of France and is based on empirical material that includes semi-structured as well as unstructured interviews of the residents – independently of their occupancy status – and of the designers (elected officials, technicians, city planners, etc.). The space of the developing neighborhoods is analyzed following Henri Lefebvre’s model of the “spatial triad”, which divides space into “the conceived space” (or representations of space), “the perceived space” (or spatial practice) and “the lived space” (or representational space). Each of these moments is studied separately – to highlight the dialectic behind each moment – then together again to show the tensions at work. Focusing on the conceived space invites us to question the contemporary production method of cities which is embodied since the 1980 s by the concept of ‘‘urban project’’. The conceived space is also a marketed space, a virtual space, a 3D model space appearing in advertisements presenting the accommodations which are still under construction as a ready-to-live-in utopia. However, these ideal spaces are aseptic, bland and standardized. The developing neighborhoods also exist through their concrete practice, through the lived space. Although the local residents develop multiple identities and affiliations, even if they practice the urban world differently because of their backgrounds, their habits or their own mobility capabilities, the new neighborhood is a significant place both as a location, a territory and a milieu. Nevertheless, this research shows that new neighborhoods do not always carry the same significance but are highly dependent on the moments, contexts and situations when they are mobilized, that they truly represent an identity and representational issue

A invisibilidade das lésbicas e das mulheres bissexuais, bem como a escassez de conhecimento científico a seu respeito ainda se faz presente no Brasil. Nas políticas de saúde brasileira elas são incluídas na Política Nacional de Atenção Integral à Saúde da Mulher de 2003 e na Política Nacional de Atenção Integral à Saúde de Lésbicas, Gays, Bissexuais, Travestis e Transgêneros de 2010. No entanto, é imprescindível conhecer suas concepções e práticas de saúde, no sentido de possibilitar interpelar as políticas elaboradas e identificar desvantagens sociais relacionadas aos processos de discriminação a que são submetidas. Este trabalho, de vertente qualitativa, teve por objetivo analisar como as lésbicas e mulheres bissexuais vivenciam a sexualidade e experienciam o cuidado à saúde em geral e à saúde sexual, em particular, a partir da abordagem da interseccionalidade. Participaram da pesquisa 17 mulheres com 18 anos ou mais que se auto referiram lésbicas ou bissexuais. A produção dos dados empíricos se deu por meio de entrevistas semiestruturadas seguindo roteiro temático previamente elaborado. Os cuidados éticos incluíram explicação detalhada acerca dos objetivos da pesquisa, de modo a garantir a participação voluntária e a assinatura do Termo de Consentimento Livre e Esclarecido. O estudo foi aprovado pelo comitê de ética da USP. Todas as entrevistas foram gravadas e transcritas. Para análise dos dados utilizamos a abordagem da interseccionalidade, compreendendo como os marcadores sociais da diferença dialogam com o cuidado à saúde. A idade das participantes variou de 19 a 68 anos; seis eram negras, nove brancas e duas pardas; doze eram lésbicas e cinco bissexuais. Raça/cor e orientação sexual foram auto referidos. A diversidade na composição das participantes foi uma escolha metodológica para abarcar diferentes marcas identitárias quanto à raça, classe social, geração e orientação sexual. A intersecção entre sexualidade e geração opera vulnerabilizando mulheres jovens, pois estão expostas a intenso sofrimento psíquico em função da dependência financeira de familiares. Questões raciais surgiram no discurso de mulheres negras como marca identitária e de opressão em situações para além de contexto de saúde. O sentido e a visibilidade em torno da orientação sexual dependem, entre outras coisas, de experiências racistas. Finalmente, o intercruzamento entre sexualidade e classe social foi apreendida a partir da noção de territorialidade. A periferia de São Paulo parece interferir na maneira como as mulheres se apropriam e performatizam gênero. Percebemos relação entre regiões centrais e maior flexibilidade na expressão de gênero e de orientação sexual. No tocante aos temas relativos à saúde e à saúde sexual, os resultados apontam para a invisibilidade bissexual no contexto clínico. As dificuldades de lésbicas e bissexuais na consulta ginecológica vão desde receios quanto à exposição da orientação sexual até a não validação de sua sexualidade, quando sua vivência sexual com mulher é classificada como não sexo pelo profissional que a atende. A consulta em ginecologia opera com preponderância dos aspectos reprodutivos em detrimentos dos sexuais e é marcada por pressupostos heteronormativos. A intersecção entre orientação sexual e gênero pode produzir invisibilidade às bissexuais, que são lidas socialmente enquanto heterossexuais ou homossexuais / The invisibility of lesbians and bisexual women, as well as the scarcity of scientific knowledge about them, is still present in Brazil. In Brazilian health policies, they are included in the National Policy for Integral Attention to Women\'s Health of 2003 and in the National Policy of Integral Health Care for Lesbian, Gay, Bisexual, Transgender and Transgender of 2010. However, it is imperative to know their conceptions and health practices, in order to make it possible to question the policies elaborated and to identify social disadvantages related to the discrimination processes to which they are submitted. This qualitative study aimed to analyze how lesbians and bisexual women experience sexuality and experience general health care and sexual health, in particular, from the intersectionality approach. The study was attended by 17 women aged 18 years or over who reported on lesbians or bisexuals. The production of the empirical data was done through semi-structured interviews following the thematic route previously elaborated. Ethical care included a detailed explanation of the research objectives, in order to guarantee voluntary participation and the signing of the Informed Consent Term. The study was approved by the ethics committee of USP. All interviews were recorded and transcribed. To analyze the data we use the intersectionality approach, understanding how the social markers of difference dialogue with health care. The participants\' ages ranged from 19 to 68 years; six were black, nine were white, and two were brown; twelve were lesbian and five bisexual. Race / color and sexual orientation were self-reported. The diversity in the composition of the participants was a methodological choice to embrace different identity marks regarding race, social class, generation and sexual orientation. The intersection between sexuality and generation operates by vulnerabilizing young women, as they are exposed to intense psychological suffering due to the financial dependence of their families. Racial questions have emerged in the discourse of black women as an identity mark and oppression in situations beyond a health context. The sense and visibility of sexual orientation depend, among other things, on racist experiences. Finally, the interbreeding between sexuality and social class was apprehended from the notion of territoriality. The periphery of São Paulo seems to interfere with the way women appropriate and performatize gender. We perceive the relationship between central regions and greater flexibility in the expression of gender and sexual orientation. Regarding health and sexual health issues, the results point to bisexual invisibility in the clinical context. The difficulties of lesbians and bisexuals in the gynecological consultation range from fears about the exposure of sexual orientation to the non-validation of their sexuality, when their sexual experience with women is classified as non-sex by the professional who attends her. The consultation in gynecology operates with preponderance of the reproductive aspects in detriments of the sexual and is marked by heteronormative assumptions. The intersection between sexual orientation and gender can produce invisibility to bisexuals, who are read socially as heterosexual or homosexual