Cette thèse analyse les transformations de l'espace urbain qui ont eu lieu depuis la moitié du XIXe siècle dans la ville de Fortaleza - capitale de l'état du Ceará - à partir du discours médical-hygiéniste. La transformation urbaine qui s'est produite s'insère dans un contexte international d'hégémonie du discours médical qui prêchait l'hygiène et l'assainissement des villes. Ces idées ont eu un rôle fondamental dans le processus de formation et d'ordonnancement de l'espace urbain. Pour comprendre et expliquer la constellation d'idées et de pratiques il a fallu étudier le rôle du médecin dans l'élaboration d'une nouvelle forme de penser la ville à partir de l'hygiène et de la santé, l'application et l'adaptation des modèles d'hygiène et d'urbanisation européens - principalement français -, inventoriant les actions réactives et préventives de l'Etat pendant les sécheresses et les épidémies ; les politiques de prévention contre les maladies et les campagnes contre les épidémies. La Géographie a contribué à comprendre le rôle des idées et à l'impact des changements de mentalité pour la génération de nouvelles configurations territoriales et des paysages géographiques. La diffusion de théories médicales entre la population et les gouvernants a eu un effet significatif dans l'ordonnancement des villes brésiliennes. / From the hygienic and medical point of view, this thesis analyses the transformation of the urban space that took place in the city of Fortaleza - Capital of Ceará State (Brazil) - since mid XIX Century. The occurred urban transformation is comprised in an international context of the hegemony of the medical discourse that preached city's hygiene and sanitation. These ideas played a fundamental role in the process of formation and organisation of the urban space; in order to understand and explain the constellation of ideas and practices, it was necessary to study the role of the doctor in the design of a new way of thinking the city from the hygiene and health perspective, in addition to its application and adaptation to the European hygienic and urbanisation patterns - notably the French ones -, listing the State reactive and preventive actions during droughts and epidemics; the preventive policies against illness and campaign against epidemics. Geography contributed to the understanding of the role of ideas and of the impact of changes in the mentality for the creation of new territorial layouts and geographical landscapes. The dissemination of medical theories amongst the population and public authorities had significant impact in the organisation of Brazilian cities.

Made available in DSpace on 2017-07-10T17:56:09Z (GMT). No. of bitstreams: 1 Luiz_Augusto_Mugnai_Vieira_Junior.pdf: 1278005 bytes, checksum: b1be0206fd8947e7b5b49a56752e2943 (MD5) Previous issue date: 2011-08-23 / Unsafe abortion is considered a serious public health problem, since the Decade of 1990, by the World Health Organization (WHO). In Brazil, its practice is also insecure due mainly to its illegality, imposed judicially. From such issues, the central issue of this work was to understand the why of illegality and criminalisation of abortion in Brazil. Was this based on gender issues and ways in Brazilian society? So, to understand this problem, bibliographic studies were analyzed and fonts that allow to realize the legal, medical and religious discourses on abortion. Featured were the positions, the subject and the speeches that have marked these three speeches throughout history. After the discussion of striking aspects of speeches that substantiate the illegality of abortion in the past tense, were highlighted changes or resistance in the form of seeing these discourses regarding abortion practice, which configure the onslaughts of time present. It was noted that in the discussion about the illegality of abortion for the mobilization of those who are fighting for the maintenance of its criminalisation and illegality and others who are fighting for their decriminalization and legalization, as feminist groups and women, government sectors and even religious, which has resulted in projects of laws and public policies. The concerns which led the research were perceived as condensed in election debate of 2010, when the problem of criminalization of abortion came to the fore, highlighting important issues as the secularity of the State. Must also point out that the privileged subject the focus that this research was the object abortion issue of gender relations and perceptions of the Brazilian society in relation to this, inserted into a place of power between the various speeches by the control of the female body, by decision whether the woman should abort or not and even if this is right or wrong. Is regarding gender issues that the relevance and adequacy of this research shows, opening paths for future studies / O aborto inseguro é considerado um grave problema de saúde pública, desde a década de 1990, pela Organização Mundial de Saúde (OMS). No Brasil, a sua prática se mostra também insegura devido, principalmente a sua ilegalidade, imposta judicialmente. A partir de tais questões, a problemática central desse trabalho consistiu em compreender o porquê da ilegalidade e da criminalização do aborto no Brasil. Estaria essa pautada nas questões e formas de gênero na sociedade brasileira? Afim, de entender esse problema, foram analisados estudos bibliográficos e fontes que permitiram perceber os discursos jurídicos, médicos e religiosos sobre o aborto. Foram destacados as posições, os sujeitos e as falas que marcaram esses três discursos ao longo da história. Após a discussão de aspectos marcantes dos discursos que fundamentaram a ilegalidade do aborto no tempo passado, foram evidenciadas as mudanças ou as resistências na forma de se ver desses discursos em relação à prática abortiva, os quais configuram os embates do tempo presente. Observou-se que na discussão sobre a ilegalidade do aborto há a mobilização daqueles que lutam pela manutenção da sua criminalização e ilegalidade e outros que lutam pela sua descriminalização e legalização, como grupos feministas e de mulheres, setores governamentais e mesmo religiosos, o que tem resultado em projetos de leis e políticas públicas . As preocupações que conduziram a pesquisa foram percebidas de maneira condensada no debate eleitoral de 2010, quando o problema da criminalização do aborto veio a tona, evidenciando questões importantes como a laicidade do estado brasileiro. Deve-se, ainda, ressaltar que o foco privilegiado que tematizou o objeto aborto nessa pesquisa foi a questão de gênero, as relações e percepções da sociedade brasileira em relação a esta, inserida em uma disputada de poder entre diversos discursos pelo controle do corpo feminino, pela decisão se a mulher deve ou não abortar e ainda se isto está certo ou errado. É no tocante as questões de gênero que a relevância e a pertinência da presente pesquisa mostra-se, abrindo assim caminhos para futuros estudos

In this thesis, I argue that the modern view on tattooing as a new trend and its former association with antisocial people is an old trope, in many ways constructed by the newspapers.  Tattooing is a practice with a long and multifaceted history. From Ötzi the iceman to the presumed tattoo-boom or tattoo-renaissance in the late twentieth century, it has waxed and waned in popularity but never fully got out of sight. The inhabitants of Sweden's capital city Stockholm are said to be the world's most tattooed people.  The Swedish word for tattoo: tatuering, was introduced in 1799 in an article about natives in the South Pacific. For about half a century, the newspapers mostly wrote about tattooing as a native practice in faraway countries. But, as far back as 1869, the Swedish newspapers started to report on a more western-centered tattoo interest. Approximately 30 years later, it was also reported as a trend attracting new target groups such as women and nobility in America and Britain. Since then, Swedish newspapers have repeatedly described tattooing alternatively as a new trend reaching out to new target groups, a practice on the brink of extinction, a danger to the health, or a stigmatizing mark. The tattooed person has been depicted as odd, self-destructive, an outcast, or incapable of making their own decisions. Authorities such as medics, scholars, social workers, and journalists have taken a right to interpret, discuss and judge the choices of other people. From researching Swedish Newspapers from 1799 to 1999, I conclude that the modern reports on tattooing as a trend, a danger, or a sign of deviance is a narrative with a long history. The view of tattooed people as odd, strange, and victims of self-destructive behavior is a discourse with an equally long tradition. Further, I argue that the tattooed person, when interviewed or depicted to this day, is constructed by old conceptions and stereotypes. The result is that people with an interest in tattooing internalizes prejudices as a self-image. This image is either promoted and self-encouraged, or the object of denial, and a wish to be seen as a whole person, not a stereotype or cliché.

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This is a time of expanding futures for transgender youth who are able to “buy time” by blocking puberty and transitioning young. Twenty years of clinical literature indicates that suppressing puberty can be lifesaving for trans youth, allowing them to avoid the distress and harm associated with transgender lives writ large. A growing number of “gender affirming” clinics now offer young trans people greater autonomy over their bodies, their futures, and their future bodies. Yet there remain troubling disparities, with indications that clinics are primarily serving white middle class trans youth and that autistic trans youth face delays. This thesis is a discourse analysis of 18 interviews with international health and mental health clinicians and 10 interviews with key stakeholders. Drawing from the literature of queer temporalities, sociological work on time and social power, queer and trans of colour critique, critical disability studies, critical autism studies, and transgender studies, I use an “interpretive repertoire” analysis to ask: How have puberty suppression and early gender transition become thinkable futures for trans youth? This thesis finds that the conditions of possibility that make early transition possible for some, are the same that foreclose it for others. The discourses of maturity and cognitive age, the expected “chrononormative” narrative, and the discourses of crisis and the “race against time”, each work to make outsiders of autistic and racialized trans youth in particular. While there is much to celebrate in the new futures available to trans youth, I argue that puberty blockers currently function as a “switchpoint” moving privileged trans youth onto a track toward even greater privilege, and widening the gap in life opportunities. This thesis introduces the concept of “the temporality of privilege” and calls for greater attention to the political implications augured by the contemporary scene of gender-affirming care for trans youth. / Thesis / Doctor of Philosophy (PhD) / We are in a time of expanding futures for transgender youth who are able to “buy time” by blocking puberty and transitioning to a new gender while young. Clinical research and literature suggest this as a lifesaving option for trans youth, allowing them to avoid distress and harm. Yet there remain troubling disparities with this treatment. Many clinics report they are primarily serving white middle class trans youth and there are some indications that autistic trans youth may be stalled or delayed in the process. I report on a discourse analysis of 18 interviews with health and mental health clinicians across six countries, in addition to 10 interviews with community level experts. I draw on a range of theory and an “interpretive repertoire” analysis to theorize how these futures become thinkable and possible for trans youth, while considering the political implications and unforeseen consequences for those youth unable to benefit.

This study is on the political and ethical aspects of recent advances in genetics. Its aim is to explicate the scientific and technological premises of genetics along historical, philosophical and political axes by employing the critical perspectives of Jonas, Heidegger and Foucault. Starting the discussion from a brief account of scientific and technological revolutions initiated in the 16th and 17th centuries, I defend the thesis that the idea of control and manipulation of life is not a novelty introduced by genetics, but a historical orientation underlying modern man&rsquo / s metaphysical reasoning. That is to say, &lsquo / the idea of control and manipulation of life&rsquo / is not an unintended technological excess of genetic practices, and hence a transgression of our moral principles. Rather, this endeavour is a scientific and technological &lsquo / project&rsquo / which has been at the very core of modern man&rsquo / s rational political agenda. Therefore, any attempts to understand genetics from a na&iuml / ve Baconian utilitarianism and optimism fails to grasp its complicated political nature. For the ethical concerns to become more comprehensive, three genetic cases (prenatal screening tests, cloning, and genetic engineering) are examined in the light of the philosophical reflections of Jonas and Heidegger. Besides, following Foucault&rsquo / s critical assessments of medicine and bio-power, a &lsquo / fourth spatialization of disease&rsquo / is proposed at the end of the study in order to evaluate the transformations with the introduction of genetics into medicine. Consequently, it is argued that geneticized medicine might sign a new regime of bio-power &ndash / a reconfiguration of knowledge, power and subjectivity.

Cette étude cherche à mettre en lumière un moment décisif dans l’élaboration du genre picaresque espagnol, à travers l’écriture du corps malade et la réflexion anthropologique sur le modèle masculin du gueux colérique. Notre corpus se compose de cinq textes : les deux parties de Guzmán de Alfarache de Mateo Alemán, la suite apocryphe de Mateo Luján de Sayavedra, El Guitón Onofre de Gregorio González et El Buscón de Francisco de Quevedo. Il s’agira de montrer la nouveauté du regard alémanien sur le corps : le gueux de l’autobiographie fictive évoque de nombreuses pathologies spécifiques dans une double dimension descriptive et introspective, littérale et morale. L’écriture médicale fait des émules et les auteurs suivants, quoiqu’ils s’inscrivent en rupture avec la dimension morale de la démonstration alémanienne, s’évertuent à reproduire l’imaginaire médical construit autour de l’anthropologie masculine du colérique. La cohérence de ce système fondé sur la pensée humorale et la notion de microcosme, s’organise autour d’une représentation plus complexe de l’homme dans l’univers : par son tempérament, l’homme subit physiologiquement et psychologiquement des influences astrales et cosmiques. Francisco de Quevedo qui annule toute dimension psychologique dans son récit, remet en question le fondement de l’écriture nosologique à laquelle il adhère par ailleurs. Nous avançons l’idée que l’adhésion à l’imaginaire médical alémanien est paradoxalement le moyen par lequel les auteurs de récits picaresques de première génération font imploser le modèle de l’écriture morale de leur prédécesseur, condamnant le reste de la production à évoluer vers une littérature de divertissement. / The purpose of this thesis is to shed light on a decisive moment in the development of the Spanish picaresque genre, through the writing about the sick body and anthropological reflection on the masculine model of the angry picaro. Our corpus consists of five texts: the two parts of Guzmán Alfarache by Mateo Alemán, the apocryphal second part by Mateo Luján de Sayavedra, El Guitón Onofre by Gregorio González and El Buscón by Francisco de Quevedo. It demonstrates the new approach of the body proposed by Mateo Alemán: the picaro of the fictional autobiography mentiones many specific diseases in a descriptive and introspective, literal and moral, double dimension. The medical writing is emulated and although the following authors depart from the moral dimension of Mateo Alemán’s demonstration, they strive to reproduce the medical imaginary built around the male anthropology of the angry. The coherence of this system based on the humoralthought and the concept of microcosm, is organized around a more complex representation of man in the universe: by his temperament, the man undergoes physiologically and psychologically astral and cosmic influences. Francisco de Quevedo, negating any psychological dimension in his narrative, calls into question the basis of nosological writing to which he adheres elsewhere. We put forward the idea that joining the medical imaginary proposed by Mateo Alemán is paradoxically the means by which the authors of picaresque first generation narratives are imploding the model of moral writing of their predecessor, condemning the rest of the production to evolve into entertainment literature.

Although these discourses construct disability differently, three of them – the lay, charity and medical discourses – view disability very negatively. The lay discourse sees disability as something to be fearful of and therefore chooses to ignore it. According to the charity discourse people who are disabled should be pitied and helped because they are dependent and helpless. The medical discourse defines disability as abnormal – a “sickness” that requires treatment by medical experts. This study endeavors to challenge the stereotypical “picture” of a person with a disability. By conducting a narrative research design the life-world of a unique boy (who has a physical disability, called spina bifida) is captured in the telling of his life-story. A narrative research design was specifically chosen to portray the context and life-experiences (good and bad) of this little boy – a child in totality. The narrative life-story was written in the first person in order to invite the reader as a co-participant into the world of a boy with spina bifida. An asset-based approach accompanied the narrative research design in order to explore whether positive aspects of this boy’s life-world could be identified. Where disability is concerned, the asset-based approach proposes a shift from the traditional “deficit approach” towards a “strength-based approach”. This study not only tells the captivating life-story of a boy with a physical disability, but also identifies and embraces the positive side of living with a disability. / Dissertation (MEd (Educational Psychology))--University of Pretoria, 2006. / Educational Psychology / unrestricted

This diploma thesis focuses on the issue of postnatal care in maternity hospitals in the Czech Republic as it is perceived by women who went through the medicalised obstetric birth in the past year. It examines in particular women's expectations concerning the care on the postnatal ward, their experiences of various aspects of care provided, the moments women highlight and the strategies they adopt in case of possible clashes of their own "non-expert" opinions with the regime of particular maternity hospital or "authoritative knowledge" of the staff. The aim of this thesis is to present the authentic experiences of postnatal care and to implant them into broader conceptual framework, especially considering the medical discourse and possible disciplinary techniques which are implemented to strengthen the authority of medical staff and to provide the opportunity for physical and social control of women.