Submitted by PPG Servi?o Social (servico-social-pg@pucrs.br) on 2018-02-06T10:27:01Z No. of bitstreams: 1 Tese - L?via Ramalho Arsego.pdf: 1074022 bytes, checksum: 87261735547fd5e8720b9202a94b2fd5 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-02-07T13:02:22Z (GMT) No. of bitstreams: 1 Tese - L?via Ramalho Arsego.pdf: 1074022 bytes, checksum: 87261735547fd5e8720b9202a94b2fd5 (MD5) / Made available in DSpace on 2018-02-07T13:06:06Z (GMT). No. of bitstreams: 1 Tese - L?via Ramalho Arsego.pdf: 1074022 bytes, checksum: 87261735547fd5e8720b9202a94b2fd5 (MD5) Previous issue date: 2017-11-30 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This study had the objective to comprehend the process by which the terminology Health Work Management emerged in the area of Brazilian public health, especially in the year of 2003, replacing the term Human Resources, which was traditionally used in reference to the work force in organizations. Based on the Social Work?s Ethical Political Project (PEP), formalized through the Code of Ethics (CE), questions were raised on the evidences and possibilities of meanings inherent in literacy. Relying on historical materialism and contributions from Discourse Analysis based in P?cheux?s work, which relate to the conception of material and historical construction of discourse, and its heterogeneities, to its objective interventional capacities and to the understanding of the work of constant reformulation of ideology of the ruling class, which shows the absorption of movements of resistances and oppositions. To this process of reinforcement to the reproduction of the order of capital, to which it is restricted in circularity and limits the analytical possibilities of this discursive approach, it is possible to approximate its preponderance as a dynamic of daily life, and refers to the possibilities of ethical reflection aiming suspensions and construction of overruns, in a commitment to the assumptions and values contained in the professional CE. To understand the effects of meaning produced from the word Work Management in Health, and terminological substitution act, we returned to the design of the conditions of production to which these articulations and interventions of distinct discursive memories are related. From the meanings denoted by the linguistic materialities at those intersection of work, health and management, it was shown that work and health had the funcionality to produce opposing meanings, generating displacements by associating themselves with the meanings of the management word, to which the maintenance and prevailing functions of capitalism. Thus, the presence of the term management in the new terminology referring to work relations in health involves convergent meanings to the hegemonic processes, at the same time that there is a tension exerted in the direct composition to the terms work and health, including the contradictory processes between paraphrase and polysemy. In a world context where management practices are conformed with neoliberalism, of worsening social conditions and of protection to work, in the discursive process dominant in the Official Discourse (DO) of the period preponderates this operation, to which it is emphasized the importance of the displacements associated to the meanings of work and health, which establish relationship with the historical agenda of health workers, to obtain social support for the actions that resulted in greater capillarization of capital in public establishments. At the same time, it affirms the importance of the struggles that allowed re9 significations and rearticulation of the networks of meaning. This movement is not to justify the adaptive capacities of the dominant ideology, but to consider, according to the Social Work?s CE, the possibilities of acting within the limits of the bourgeois order, to recognize levels of political and social emancipation that guarantee conditions and security of life to the subaltern classes, reiterating them as a relevant part of a compromised project for human emancipation, for which the potentialities of the ethical-political praxis on Marxism bases are recognized. / Este estudo visou a compreender o processo de exsurgimento, no campo da sa?de p?blica brasileira, em especial em 2003, da terminologia Gest?o do Trabalho em Sa?de como substitutiva ao termo Recursos Humanos, tradicionalmente utilizado para referir-se ? for?a de trabalho nas organiza??es. A partir da identifica??o ao Projeto ?tico Pol?tico do Servi?o Social (PEP), formalizado por meio do C?digo de ?tica (CE), elaboraram-se questionamentos ?s evid?ncias e ?s possibilidades de sentidos inerentes ? literalidade. Fundamentando-se no materialismo hist?rico, buscou-se contribui??es da An?lise de Discurso em P?cheux, que se relacionam ? concep??o de constru??o material e hist?rica do discurso, e suas heterogeneidades, ?s suas capacidades interventivas objetivas e ? compreens?o do funcionamento de reformula??o constante da ideologia da classe dominante, a qual apresenta a absor??o de movimentos de resist?ncias e oposi??es. A esse processo de refor?o ? reprodu??o da ordem do capital, ao qual se restringe em circularidade e limita as possibilidades anal?ticas dessa abordagem discursiva, realiza-se a aproxima??o da sua preponder?ncia como din?mica da cotidianidade, ? qual reporta-se ?s possibilidades de reflex?o ?tico-pol?tica visando suspens?es e constru??o de supera??es, em um compromisso aos pressupostos e valores constantes no CE profissional. Assim, para compreens?o dos efeitos de sentido produzidos a partir do enunciado Gest?o do Trabalho em Sa?de, e ? a??o de substitui??o terminol?gica, voltou-se ao delineamento das condi??es de produ??o ?s quais se relacionam estas articula??es e interven??es de mem?rias discursivas distintas. A partir dos sentidos denotados pelas materialidades lingu?sticas em interse??o trabalho, sa?de e gest?o, evidenciou-se que trabalho e sa?de funcionam a produzir sentidos em oposi??o, produzindo deslocamentos ao associarem-se aos sentidos do enunciado gest?o, ao qual preponderam as funcionalidades de manuten??o e reprodu??o do capitalismo. Assim, ? presen?a do termo gest?o na nova terminologia referente ?s rela??es de trabalho na sa?de interv?m sentidos convergentes aos processos hegem?nicos, ao mesmo tempo em que h? uma tens?o exercida na composi??o direta aos termos trabalho e sa?de, compreendendo-se os contradit?rios processos entre par?frase e polissemia. Em um contexto mundial de conforma??o de pr?ticas gerenciais sob o neoliberalismo, de agravamento das condi??es sociais e de prote??o ao trabalho, no processo discursivo dominante no Discurso oficial (DO) do per?odo prepondera esse funcionamento, ao que se salienta a import?ncia dos deslocamentos associados ?s significa??es de trabalho e sa?de, que estabelecem rela??o com as pautas reivindicat?rias hist?ricas dos trabalhadores da sa?de, para a obten??o do apoio social ?s a??es que resultaram em maior capilariza??o do capital nos aparatos p?blicos. Ao mesmo tempo, afirma-se a 7 import?ncia dos processos de lutas e questionamentos que permitiram ressignifica??es e rearticula??o das redes de sentido. Esse movimento n?o est? em justificar as capacidades adaptativas da ideologia dominante, mas em considerar, conforme o CE do Servi?o Social, as possibilidades de atua??o dentro dos limites da ordem burguesa, de reconhecer n?veis de emancipa??o pol?tica e social que garantam condi??es e seguran?a de vida ?s classes subalternas, reiterando-as como parte, relevante, de um projeto compromissado para com a emancipa??o humana, para o qual se reconhecem as potencialidades da pr?xis ?tico-pol?tica em bases marxianas.