This dissertation is about Indigenous and settler health, wellbeing and health policy in rural Manitoba. Across Canada, both sweeping and incremental provincial health system changes have profound effects on marginalized communities facing existing health inequities, including rural settler and Indigenous peoples. Increasingly, the centralization of provincial health care systems has led to the elimination of health services within rural settings. The research I present in this dissertation arose from advocacy efforts in a rural community in southwest Manitoba. The community sought representation and recognition in health decision-making in the midst of the largest health care system transformation in provincial history and called for local research production. The community-led study grew to the larger inquiry and analysis presented here, including a First Nation and Métis community, which were both affected by the transformation. The objectives of this dissertation were to analyze the ideas and structures used to inform provincial decisions, and to understand community experiences of rural health care before and during system transformation. As a settler researcher, I undertake an anti-colonial, strengths-based, community-engaged approach to research, developed through ongoing relationship with the community. In addition to a critical thematic analysis of key policy documents, semi-structured interviews were conducted with settler, First Nations, and Métis community members and service providers regarding their experiences within the health care system, their perceptions of change and the impacts of transformation on health and wellbeing. Arising themes include the importance of relational health care relationships in determining wellbeing, and the sense that the government undertook dehumanized decision-making in developing and implementing health system change. This dissertation concludes with policy recommendations for provincial governments, including the prioritization of community voices, and the visibility and involvement of rural and Indigenous peoples in health system decision-making. / Thesis / Doctor of Philosophy (PhD)

Thesis (MPH.) -- University of Limpopo, 2022 / Background: Substances abuse is affecting many young people in rural communities of Limpopo Province. There are no effective measures to combat substance abuse. Therefore, there is a need to strengthen substance abuse prevention and treatment services through the integration of indigenous health care practices. The Indigenous Health Practitioners Act No.22 of 2007 permits IHPs to provide prevention and treatment services to combat substance abuse. However, there is a lack of literature on the roles of IHPs in combating substance abuse. This paucity of literature necessitates the need to explore the perceived roles of IHPs in combating substance abuse. Objectives: The study aimed at exploring the perceived roles of IHPs in combating substance abuse at Mohodi Ga-Manthata in Limpopo Province. Method: A qualitative research approach using a case study design was conducted among IHPs of RDHA at Mohodi Ga-Manthata in Molemole Local Municipality of Limpopo Province. The purposive sampling technique was used in order to select IHPs that serve the aims of the study best to ensure that data saturation was reached. Data was collected through semi-structured one-to-one interviews with selected IHPs. Braun and Clarke’s six-phase framework for doing a thematic analysis was used to analyse data. An independent coder confirmed the findings. Results: The study findings revealed that IHPs perform demand reduction activities such as conducting awareness campaigns and involving young people in sporting and behavioural sessions for prevention of substance abuse. Furthermore, the findings show that IHPs perform harm reduction activities such as assessment and diagnosis, in-patient rehabilitation, counselling, diet therapy and prescription of indigenous medicines for treatment of substance abuse. Conclusion: The Indigenous Health Practitioners Act No.22 of 2007 permits IHPs to provide prevention and treatment services to combat substance abuse. The current study shows that IHPs have a significant role in demand reduction, harm reduction and supply reduction of substance abuse in rural communities. Therefore, there is a need for the Departments of Health and Department of Social Development to develop strategies to effectively train and integrate IHPs into the health system to ensure the provision of quality substance abuse continuum of care services and the strengthening of the health system.

Mothers typically act as gatekeepers to health care for their children, yet many Indigenous mothers report poor access to health services. Inadequate access to health services may contribute to the poor health outcomes experienced by Indigenous infants. Understanding how urban-dwelling Indigenous mothers experience selecting and using health services to meet the health needs of their infants is important to informing how health services can best support the needs of these families. This study employs qualitative interpretive description methodology guided by the Two-Eyed Seeing framework and Andersen’s Behavioural Model of Health Services Use. Interviews facilitated by ecomaps and a discussion group were conducted with 19 Indigenous mothers living in Hamilton with infants under the age of 2 years. Additional interviews with 12 health providers added further context to the mothers’ experiences. Results relate to three domains of health service use: primary care, acute care and early childhood health promotion services. Findings suggest that health providers can improve the access and use of health services by Indigenous mothers and infants through integrating three approaches to care: culturally safe care, trauma and violence-informed care and family centred care. While Indigenous-led supports may be better suited to meet the needs of Indigenous families, mainstream services can improve access and promote health service use through integrating these approaches to care. The findings have numerous implications for nursing education, practice and research as well as for health policy. Application of this evidence may result in equitable access to care, improved use of health services and better health outcomes for Indigenous infants and their families. / Thesis / Doctor of Philosophy (PhD) / Access and use of health care are important to health and wellness. Indigenous infants are known to have poorer health outcomes than non-Indigenous infants in Canada, yet little is understood of how their parents access health care to meet their health needs. This thesis uses qualitative methods, including interviews and a discussion group, to ask Indigenous mothers living in a city about their experiences selecting and using health services to meet their infant’s health needs. Interviews with health providers assist with understanding how health care is delivered to these families. The results provide important strategies for nurses and other health providers to improve how they provide care. This may then improve access to health services for Indigenous parents and ultimately lead to improved health outcomes for Indigenous infants and their families.

Thesis (PhD)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: Rationale: Critical questions have been raised about the overcrowding of primary care services, such as community health centres (CHCs) and clinics in predominantly Xhosa-occupied areas in the Western and Eastern Cape, with clients who present with minor health ailments. Suggestions have been made about the integration and the use of the indigenous health knowledge (IHK) carried by older Xhosa women in the services as a strategy for managing minor health ailments, and as a way of encouraging appropriate health-seeking behaviour. Preliminary studies have reinforced the need for the revival of the IHK that currently is lying dormant within communities. The studies affirm that such knowledge could be an asset if integrated into, and valued by, the Western biomedical model, and could play a major role in contributing towards alleviating the problem of overcrowding in primary care (PC) services. Aim: This study primarily explored and described the IHK carried by older Xhosa women and used in the management of health problems in their home situation. Secondary recommendations were made to key stakeholders regarding the use, retainment and integration of the IHK into PC services. Method: This ethnographic, feminist and emancipatory study used qualitative methods of data collection. Thirty-six (36) older Xhosa women were purposefully selected to participate in four FGDs, to explore the IHK that they used for managing health problems in their home situation. Sixteen (16) in-depth interviews were conducted with the elite older Xhosa women and their family members to validate the findings from the four FGDs. The process of analysis and interpretation was informed by an inductive process of a combination of narrative analysis and the analysis of narratives strategies. Findings: The findings showed that the older Xhosa women possess IHK regarding the management of minor health problems within the home situation. Assessment, treatment strategies and medications were identified. Functionality and observation are mainly used to diagnose and manage illness. This approach also includes monitoring the progress, severity and recovery from illness in the patient. The findings further demonstrated that older Xhosa women were also managing illnesses that could be classified as major. They could clearly distinguish between what was health and what was illness in their village. Distance from health care services had an impact on the health-seeking behaviour of the older Xhosa women, with those closer to health care services wanting all illnesses, even those that could be classified as minor health ailments, to be managed by the health service, and those who were farther away from the hospital appearing to manage complex illnesses, and only referring clients with those illnesses to external health care services quite late. The findings further showed communication and attitudinal problems that existed between the clients and health care providers. Conclusion: Many studies have already challenged the manner in which PHC was implemented in developing countries, as it appeared to focus on the curative approach to disease and left out disease prevention and health promotion. It is within this area that the older Xhosa women appear to express the greatest concern for the health of their homes and villages. The older Xhosa women in the Eastern Cape appear to be struggling with problems of broken family units, and are left behind to struggle to keep the home together, as they lack the necessary resources to do the hard work involved with producing food and building the home and village. In the light of the promise of National Health Insurance and the revitalisation of PHC, the study proposes that the two major national health policies should take cognisance of the IHK utilised by the older Xhosa women, and that there should be a clear plan as to how the knowledge can be supported within a health care systems approach. A rural health model is proposed by the study to do this. / AFRIKAANSE OPSOMMING: Rasionaal: Daar word kritiese vrae gestel oor die toeloop van mense met geringe ongesteldhede by primêre-sorg(PS)-dienste, soos gemeenskapgesondheidsentrums (GGS) en klinieke, hoofsaaklik in Xhosa-woongebiede in die Wes- en Oos-Kaap. Voorstelle is geopper dat ouer Xhosa-vroue se inheemse gesondheidskennis (IGK) by die dienste geïntegreer en benut moet word as ’n strategie om minder ernstige gesondheidsprobleme te bestuur en om mense aan te moedig om toepaslike keuses oor gesondheidshulp te maak. Voorlopige navorsing het die nodigheid bevestig dat die kundigheid wat tans onbenut in gemeenskappe lê, herontgin behoort te word. Die navorsing bevestig dat sulke kennis ’n bate kan wees indien dit as ’n gewaardeerde element by die Westerse biomediese model ingeskakel word en dat dit ’n groot rol kan speel om die druk op PS-sentrums te verlig. Doelstelling:Hierdie navorsing ondersoek en beskryf hoofsaaklik die IGK waaroor ouer Xhosa-vroue beskik en wat in die hantering van gesondheidsprobleme in hul tuisomgewing aangewend word. Aanvullende aanbevelings rakende die gebruik, behoud en integrasie van IGK by PS-dienste is aan bepalende belanghebbers voorgelê. Metode: Kwalitatiewe data-insamelingsmetodes is in hierdie etnografiese, feministiese en bevrydingsgerigte navorsing gebruik. Ses-en-dertig ouer Xhosa-vroue is spesifiek uitgesoek vir deelname aan vier fokusgroepbesprekings (FGB’s) om hul hantering van gesondheidsprobleme in hul tuisomgewing aan die hand van hul IGK te ondersoek. Sestien indringende onderhoude is met die elite- ouer Xhosa-vroue en hul gesinslede gevoer om die bevindings van die vier besprekings te bevestig. Die proses van ontleding en vertolking is gerig deur ’n induktiewe proses wat ’n kombinasie van narratiewe ontleding en die ontleding van narratiewe strategieë behels het. Bevindings: Die bevindings wys dat ouer Xhosa-vroue IGK het rakende die hantering van minder ernstige gesondheidsprobleme in die tuisomgewing. Evalueringsmetodes, behandelingstrategieë en medikasie is uitgewys. Kwale word hoofsaaklik volgens funksionaliteit en waarneming gediagnoseer en hanteer. Die werkwyse sluit in dat pasiënte se vordering, die erns van hul siekte en hul herstel gemoniteer word. Die bevindings wys verder dat ouer Xhosa-vroue ook siektetoestande hanteer wat as ernstig geklassifiseer kan word. Hulle kan duidelik tussen gesondheid en siekte in hul gemeenskap onderskei. Die afstand vanaf gesondheidsorgdienste speel ’n rol in die gedrag van ouer Xhosa-vroue wat keuses oor gesondheidshulp betref; diegene wat na aan ʼn gesondheidsorgsentrum woon, verkies dat die gesondheidsdienste alle siektes - selfs dié wat as minder ernstige gesondheidskwale geklassifiseer kan word - moet hanteer, terwyl diegene wat verder van ’n hospitaal woon, klaarblyklik self komplekse siektetoestande behandel en eers op ’n gevorderde stadium sulke kliënte na eksterne gesondheidsorgdienste verwys. Die bevindings het ook probleme rakende kommunikasie en houdingsingesteldheid tussen kliënte en gesondheidsdiensverskaffers uitgewys. Gevolgtrekking: Verskeie ondersoeke het al die manier waarop PG-sorg in ontwikkelende lande toegepas word, bevraagteken, aangesien die benadering oënskynlik op genesing fokus terwyl dit siektevoorkoming en gesondheidsvoorligting verontagsaam. Dis oor hierdie aspek dat die ouer Xhosa-vroue skynbaar die grootste kommer oor die welstand van hul huishoudings en gemeenskappe het. Die ouer Xhosa-vroue in die Oos-Kaap het klaarblyklik met dieselfde probleme van gebroke gesinne as dié in die Wes-Kaap te kampe, en word dikwels alleen agtergelaat om die huishouding te laat oorleef. Hulle kry swaar om sonder die nodige hulpbronne die harde werk te doen om voedsel te produseer en om huishoudings en die gemeenskap op te bou. In die lig van die vooruitsigte wat nasionale gesondheidsversekering en vernuwing van die PGS inhou, stel hierdie navorsingsprojek voor dat bogenoemde twee hoofelemente van die nasionale gesondheidsorgbeleid aandag skenk aan die IGK wat ouer Xhosa-vroue toepas, asook dat ’n duidelike plan uitgewerk word oor hoe hierdie kennis binne die benadering tot gesondheidsorg ondersteun kan word. Die navorsings stel ’n model vir plattelandse gesondheidsorg voor om dié doelstellings te verwesenlik.

O presente estudo qualitativo teve como objetivo descrever e compreender o cuidado das crianças no processo saúde-doença sob a perspectiva das famílias de uma comunidade nativa do Peru. O Modelo para Competência Cultural de Purnell foi a base teórica que deu sustentação ao estudo. O método etnográfico com ênfase na etnoenfermagem, utilizando as técnicas da observação participante e da entrevista etnográfica, com cinco famílias durante um período de convivência de quatro meses em uma comunidade nativa; permitiu a compreensão da perspectiva dos informantes sobre o cuidado das crianças. Emergiram três temas culturais do conjunto dos dados: A estrutura sociocultural da comunidade Kabano e seu cotidiano, na qual a função desempenhada por cada membro representa um papel preponderante na estrutura sociocultural e no cotidiano da cultura. A promoção e preservação da saúde na comunidade Kabano é caracterizada por um cotidiano de limitações e dificuldades. Os papéis dos membros da família nuclear, da família ampliada, e do curandeiro e da parteira, referentes às atividades de cuidado cotidianas, visam à promoção da saúde e a vida do coletivo. As práticas no adoecimento das crianças são permeadas por grandes dificuldades apesar do suporte da rede social. As dificuldades são de natureza econômica e provêm das falhas no relacionamento e na comunicação do profissional de saúde com os membros da cultura e os déficits estruturais do estabelecimento de saúde. A assistência à saúde na cultura Kabano se encontra nas etapas iniciais do Modelo para Competência Cultural de Purnell, ou seja, um cuidado caracterizado pela inconsciência incompetente. Os resultados descritos neste estudo, se considerados, podem levar os profissionais a se aproximarem da competência inconsciente para o cuidado cultural da pessoa, da família e da comunidade. / This qualitative study aimed to describe and understand the care of children in the health-illness process from the perspective of the families of a native community in Peru. The Purnell Model for Cultural Competence was the theoretical framework that had supported the study. The ethnographic method with emphasis in the ethnonursing using the participant observation and ethnographic interview techniques with five families, during four months of coexistence in a native community; allowed to understand the informants perspective about the care of children. Three cultural themes emerged from the data set: The socio-cultural structure of Kabano\'s community and their everyday, in which the role played by each member represents a preponderant role in the socio-cultural structure and in the everyday of the culture. The promotion and preservation of health in Kabanos community is characterized by daily limitations and difficulties. The roles of the members of the nuclear family, extended family, and the healer and midwife, regarding the daily care activities, aim at promoting health and life of the collective. Practices in childrens illness are permeated by great difficulties despite the support of social network. The difficulties are of economic kind and come from failures in the relationship and communication between the health professional and the members of the culture and from the structural deficits of the health center. The health care in the Kabano culture is in the early stages of the Purnell Model for Cultural Competence, and characterized by a careful unconscious incompetent. The results described in this study, if they can bring to the professional approach the unconscious competence for cultural care of the person, family and community.

O estudo propôs conhecer as relações dos jovens Guarani com a comunidade da aldeia Boa Vista e a cidade de Ubatuba. O trabalho de campo e análises foram realizadas com 12 jovens entre 13 e 29 anos que participaram como colaboradores. As principais temáticas foram no campo da educação e saúde; além dos estudos das histórias de vida compostas nos eixos entre cidade/ aldeia relativos aos itinerários dos jovens, suas redes sociais e perspectivas futuras. Na saúde verificamos as tensões existentes nas relações de poder entre o conhecimento técnico-científico e os procedimentos Guarani de saúde. E na educação, o aprendizado e domínio do português aparecem como essenciais nas relações sociais interculturais, isto é, para o diálogo e negociações com outras culturas / This study intended to deepen the knowledge of the relationship of Guarani youths with the community of Boa Vista village and the city of Ubatuba (SP). Field work and analysis were performed with twelve 13- and 29-year old youngsters, in which they took part as collaborators. The main themes focus in the field of Education, Health and also studies of Composed Life History within the axis of the city-village related to the youths\' itineraries, their social nets and of their future perspectives. In the Health issue, we witnessed the existence of tensions between the power of the technical-scientific knowledge and the procedures undertaken within the Guaranis own Health approach. In the Education issue, the fact of having fluency, learning and dominating the Portuguese language seems as an essential part of their social relationship with Brazilian society, because of the need to negotiate and dialog with other cultures

Made available in DSpace on 2016-04-29T14:16:27Z (GMT). No. of bitstreams: 1 Rosiane Pinheiro Palheta.pdf: 6018959 bytes, checksum: 7a132157645f7980d863f8c73f4cb34f (MD5) Previous issue date: 2013-10-22 / This survey has as study object indigenous participation in the District Council of Indigenous Health (CONDISI) in the context the Special Secretary for Indigenous Health from Manaus in Amazonas (SESA). It was Set up as the main objective to analyzing the indigenous participation in indigenous health policy focusing on the role of indigenous leaderships in DSEI Manaus / Am Between 1999-2013. The presumption of the thesis is that the indigenous movementin corporate the strategies of the national society to claim those rights to its self-determination with achievements and limitations in the context of indigenous policies such as health. The main references that formented the analys is were found in Brazilian and foreign authors in the Social Sciences area, especially anthropology, health and social work. The adopted methodology involved the bibliographical, documentary and field research with the use of observation and semi-structured interviews with 6 indigenous leaderships from CONDISI and health manager of the Municipal Health (Semsa) in 2012 and 2013. The survey pointed out as the main out come conceptions and conflicting practices of health and participation among health policy and indigenous health characterizing the role of indigenous leaderships in CONDISI to a constant struggle for indigenous self-determination / A pesquisa trata da participação indígena no Conselho Distrital de Saúde Indígena (CONDISI) no âmbito da Secretaria Especial de Saúde indígena de Manaus (SESAI). O objetivo é analisar como a participação indígena vem sendo incorporada nas políticas locais de saúde e qual o papel das lideranças indigenas na construção da política do DSEI Manaus no período de 1999-2013. O objeto central da pesquisa é a análise da participação indígena no âmbito da política de saúde indigenista de Manaus, sobretudo a executada pela SESAI. O principal pressuposto da tese é a de que o movimento indígena tem incorporado estratégias da sociedade nacional para reivindicação de direitos referidos a sua autodeterminação com conquistas efetivas no âmbito das políticas indigenistas como as de saúde. A metodologia adotada englobou a pesquisa bibliográfica, a pesquisa documental e a pesquisa de campo com a utilização da observação e da entrevista semi-estruturada. A pesquisa de campo realizou-se entre os anos de 2011 e 2013 junto ao Conselho Distrital de Saúde Indígena. Dentre os resultados da análise de dados constata-se que a participação enquanto categoria analítica e ao mesmo tempo categoria empírica foi objeto central da pesquisa. Dessa forma foi necessário refazer o trajeto que a participação trilho na historia da construção democrática brasileira. Todavia, apesar dos aspectos comuns que estão no invólucro da participação no seio das políticas públicas o trabalho permite concluir que a participação sob a lente indígena no bojo da política de saude indigenista está aquém das inspirações indigenas e longe do cerne que vem caracterizando a luta do movimento indigena no país. Conclui-se que incorporar as reivindicações indigenas às inovações e mudanças operadas no bojo das políticas de saúde não tem significado melhorias para a qualidade do atendimento e para mudanças efetivas no cotidiano da vida das populações indigenas

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-10-23T12:21:52Z No. of bitstreams: 1 Leandro Lucato Moretti.pdf: 2417525 bytes, checksum: 7c0359091be308c65bb1cc356b694dfb (MD5) / Made available in DSpace on 2017-10-23T12:21:52Z (GMT). No. of bitstreams: 1 Leandro Lucato Moretti.pdf: 2417525 bytes, checksum: 7c0359091be308c65bb1cc356b694dfb (MD5) Previous issue date: 2017-09-29 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / Alcoholic beverages and ways of drinking are present in the daily lives of the Kaiowá and Guarani and often, are related to several problems faced by these groups, such as internal violence among relatives. However, it should be understood that despite of the introduction of distilled beverages by settlers arriving in the territories traditionally occupied by the Kaiowá, there were already fermented beverages belonging to these groups that were consumed for different reasons based on cosmology and the ideal way of life. In this sense, in this work, it was adopted as a general objective to know, describe and register alcoholization processes and the different meanings elaborated internally regarding the consumption of beverages, more specifically in the aldeia Panambizinho. The method used here has an ethnographic inspiration, which allowed to approach the perceptions and perspectives of the Kaiowá and Guarani. From the different inputs in the field research, it was possible to perceive that drinking take on several potencies related to the well-being of these groups, such as sociability, body building and health, among others. Despite transformations and changes generated by the contact with the Western way of life, it is still possible to perceive permanences in the ways of drinking, which can be shaped as forms of resistance against the violence characteristic of this contact / As bebidas alcoólicas e os modos de beber estão presentes no cotidiano atual dos Kaiowá e Guarani e são frequentemente relacionados a diversos dos problemas enfrentados por estes grupos, como a violência interna entre parentes. Porém, é preciso compreender, que apesar da introdução das bebidas destiladas ter sido feita por parte dos colonos que chegavam aos territórios tradicionalmente ocupados pelos Kaiowá, já existiam bebidas fermentadas próprias desses grupos que eram consumidas por diferentes razões, pautadas na cosmologia e no modo de vida ideal. Nesse sentido, no trabalho que aqui segue, foi traçado como objetivo geral conhecer, descrever e registrar processos de alcoolização e os diferentes sentidos e significados elaborados internamente, pelos grupos Kaiowa e Guarani a respeito do consumo de bebidas, mais especificamente na aldeia Panambizinho. Para tal, o método utilizado, de inspiração etnográfica, permitiu aproximação das percepções e perspectivas próprias desses grupos indígenas. A partir das diferentes entradas em campo realizadas, foi possível perceber que as bebidas assumem diversas potências relacionadas ao bem viver desses grupos, como a sociabilidade, construção do corpo e saúde, entre outros. Apesar de transformações e mudanças geradas pelo contato com o modo de vida ocidental, ainda é possível perceber permanências nos modos de beber, que podem se configurar como formas de resistência perante as violências características desse contato interétnico

Made available in DSpace on 2016-04-25T20:20:02Z (GMT). No. of bitstreams: 1 Eduardo Carrara.pdf: 20763634 bytes, checksum: 3defc4e3e68427008077bebb40f2a7f3 (MD5) Previous issue date: 2010-12-02 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This Ph.D dissertation based on ethnographical research performed in Pimentel Barbosa and Etenhiritipá indigenous villages in state of Mato Grosso, city of Canarana, investigates a specific process of alcoolization. This ultimate process can not be classified as constructive drinking. The Dependence Alcohol Syndrome (DAS) directly means chronical disease named alcoholism, but this concept is inadequate to a preview diagnosis of individuals or to understand an entire collectivity of Xavante people relation to a industrial alcoholic beverages. This research is not an epidemiological study with statistical quantity, frequency and other factors utilized to measure health indigenous diseases. This qualitative anthropological research has turned into an interdisciplinary study, then scientifical developments about alcohol use in Heath Sciences and in Social Sciences too have been interconnected here. Despite, there is a new neuroscience perspective to which body, brain and mind are inseparable. This postulate makes no division between reason and emotion. Cells and symbols are profoundly interrelated, when Xavante individuals take decisions based on the complexity of their emotions and sentiments actuated by person during body and mental experience. Alcohol ingestion influences the biochemistry of the human body, although this influence is not decisive to a social action of the subject. Memory was constructed inside culture and Xavante ethos by autonomy of individual s self decision and relationships between old/ new generations. Based on dynamics of emotional individuals balance in relation to indigenous villages and urban spaces are the construction of new memories. But Xavante individuals can change their perception with alcohol usage and feel quite different from when they haven t taken alcoholic beverages. Then, the essence of community, the corporal and substance of the collective physical-mental feeling begin to disappear from individuals memory with alcohol deregulated ingestion. In result, Xavante people s sentiment demonstrates a kind of metamorphosis / A tese procura demonstrar, por meio de pesquisas etnográficas realizadas nas aldeias Pimentel Barbosa e Etenhiritipá (Canarana-MT), que o específico processo de alcoolização em curso na sociedade Xavante não está ligado a um beber estruturado ou ritualizado. A síndrome de dependência do álcool (SDA) que melhor caracteriza a doença crônica chamada alcoolismo não é aqui utilizada para pré-diagnosticar as relações dos indivíduos e da coletividade com as bebidas industrializadas. Mesmo porque não se trata de uma pesquisa epidemiológica com objetivos de quantificar o uso, a quantidade, a frequência, entre outros fatores para se ter o perfil de saúde indígena em relação a um problema específico. Este trabalho antropológico qualitativo se pretende interdisciplinar, pois existem avanços científicos tanto do âmbito das ciências da saúde quanto do lado das ciências sociais que lidam com esse fenômeno. Além da nova perspectiva gerada pela neurociência, para a qual é impossível separar o corpo do cérebro e os dois da própria mente, como também a razão da emoção. Células e símbolos estão profundamente entrelaçados na base das tomadas de decisão, nos comportamentos apoiados em uma complexidade de emoções e sentimentos dos indivíduos Xavante frente às bebidas ou qualquer outro evento que se coloque como desafio à experiência corporal e mental da pessoa. O álcool interfere na bioquímica corporal, mas não determina a ação social do próprio sujeito. A memória impregnada de cultura, o ethos A uwe e o livre arbítrio, além das relações entre velhas e novas gerações juntamente com o ambiente da aldeia e o mundo urbano, entre outras vivências históricas e biográficas vão interferir no equilíbrio emocional do ser e na forma e conteúdo dos seus sentimentos. Ao embriagar-se o sujeito se desprende momentaneamente do seu corpo, altera sua percepção, seu quadro emocional e a formação de novas memórias, deixa de sentir como antes sentia sem o uso do álcool. Dilui-se no indivíduo a essência de sua formação corpóreo-mental coletiva, a comunidade de substância fica mais distante, mais que isso metamorfoseia-se o sentimento coletivo A uwe

Made available in DSpace on 2016-04-26T14:52:57Z (GMT). No. of bitstreams: 1 Eduardo Carrara.pdf: 20763634 bytes, checksum: 3defc4e3e68427008077bebb40f2a7f3 (MD5) Previous issue date: 2010-12-02 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This Ph.D dissertation based on ethnographical research performed in Pimentel Barbosa and Etenhiritipá indigenous villages in state of Mato Grosso, city of Canarana, investigates a specific process of alcoolization. This ultimate process can not be classified as constructive drinking. The Dependence Alcohol Syndrome (DAS) directly means chronical disease named alcoholism, but this concept is inadequate to a preview diagnosis of individuals or to understand an entire collectivity of Xavante people relation to a industrial alcoholic beverages. This research is not an epidemiological study with statistical quantity, frequency and other factors utilized to measure health indigenous diseases. This qualitative anthropological research has turned into an interdisciplinary study, then scientifical developments about alcohol use in Heath Sciences and in Social Sciences too have been interconnected here. Despite, there is a new neuroscience perspective to which body, brain and mind are inseparable. This postulate makes no division between reason and emotion. Cells and symbols are profoundly interrelated, when Xavante individuals take decisions based on the complexity of their emotions and sentiments actuated by person during body and mental experience. Alcohol ingestion influences the biochemistry of the human body, although this influence is not decisive to a social action of the subject. Memory was constructed inside culture and Xavante ethos by autonomy of individual s self decision and relationships between old/ new generations. Based on dynamics of emotional individuals balance in relation to indigenous villages and urban spaces are the construction of new memories. But Xavante individuals can change their perception with alcohol usage and feel quite different from when they haven t taken alcoholic beverages. Then, the essence of community, the corporal and substance of the collective physical-mental feeling begin to disappear from individuals memory with alcohol deregulated ingestion. In result, Xavante people s sentiment demonstrates a kind of metamorphosis / A tese procura demonstrar, por meio de pesquisas etnográficas realizadas nas aldeias Pimentel Barbosa e Etenhiritipá (Canarana-MT), que o específico processo de alcoolização em curso na sociedade Xavante não está ligado a um beber estruturado ou ritualizado. A síndrome de dependência do álcool (SDA) que melhor caracteriza a doença crônica chamada alcoolismo não é aqui utilizada para pré-diagnosticar as relações dos indivíduos e da coletividade com as bebidas industrializadas. Mesmo porque não se trata de uma pesquisa epidemiológica com objetivos de quantificar o uso, a quantidade, a frequência, entre outros fatores para se ter o perfil de saúde indígena em relação a um problema específico. Este trabalho antropológico qualitativo se pretende interdisciplinar, pois existem avanços científicos tanto do âmbito das ciências da saúde quanto do lado das ciências sociais que lidam com esse fenômeno. Além da nova perspectiva gerada pela neurociência, para a qual é impossível separar o corpo do cérebro e os dois da própria mente, como também a razão da emoção. Células e símbolos estão profundamente entrelaçados na base das tomadas de decisão, nos comportamentos apoiados em uma complexidade de emoções e sentimentos dos indivíduos Xavante frente às bebidas ou qualquer outro evento que se coloque como desafio à experiência corporal e mental da pessoa. O álcool interfere na bioquímica corporal, mas não determina a ação social do próprio sujeito. A memória impregnada de cultura, o ethos A uwe e o livre arbítrio, além das relações entre velhas e novas gerações juntamente com o ambiente da aldeia e o mundo urbano, entre outras vivências históricas e biográficas vão interferir no equilíbrio emocional do ser e na forma e conteúdo dos seus sentimentos. Ao embriagar-se o sujeito se desprende momentaneamente do seu corpo, altera sua percepção, seu quadro emocional e a formação de novas memórias, deixa de sentir como antes sentia sem o uso do álcool. Dilui-se no indivíduo a essência de sua formação corpóreo-mental coletiva, a comunidade de substância fica mais distante, mais que isso metamorfoseia-se o sentimento coletivo A uwe