Orientador: Everardo Duarte Nunes / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-15T16:33:46Z (GMT). No. of bitstreams: 1 Amaral_SergioAugustoVizzaccaro_D.pdf: 5140888 bytes, checksum: 2483b988fa5daa4444390aa72e5cb0ee (MD5) Previous issue date: 2010 / Resumo: Nossa pesquisa, "Fazer ver e fazer falar na saúde coletiva: enunciado e visibilidade em tempos de biopoder", pretende entender a constituição do campo da saúde coletiva a partir de um problema que não se restrinja as produções discursivas tipicamente territoriais, e nos remeta mais diretamente ao aparato de produção do saber. Entendemos o saber como uma formalização efetuada por meio de elementos constituintes mais difusos (pois podem atravessar vários territórios discursivos sem, no entanto, se deixar descaracterizar), mais dificilmente detectáveis (pois, por estarem presentes em diversos campos discursivos, tais elementos portam uma grande capacidade em diferenciar-se, isto é, podem repetir-se sem perder certa raridade) e que se articulam por meio de relações não diretamente determinadas, mas determináveis (relações impostas pelo poder - enquanto biopoder - que, no nosso caso, pode ser entendido pela estratégia do "fazer sobreviver", mais que do "fazer viver"). Não buscamos, portanto, falas específicas dos campos tradicionalmente apresentados como correspondentes ao campo maior da saúde coletiva, (ciências sociais, epidemiologia e gestão e planejamento), para dispormos delas em termos de acordos e desacordos gerenciados por incompatibilidades e compatibilidades epistemológicas. Nosso objetivo concentra-se, por outro lado, em trabalhar o "entre", em estabelecer quais tendências de saber perduram entre tais campos, quais eixos conformam as falas e as verdades destes campos, para podermos, então, pensar no fator que promove a convivência de territórios tão diversos sob o nome de Saúde Coletiva. Mas, para tanto, foi preciso escolher um eixo central, uma espécie de função problemática sobre a qual pudéssemos articular os enunciados e as visibilidades produzidos ao seu redor: o suicídio. Resolvemos o perigo da dispersão com a divisão do eixo "suicídio", em três outros "sub-eixos" de aglutinação de saber: a detecção do risco, o levantamento das causas e a proposição da prevenção. Assim, para entrarmos na discussão da constituição do campo da saúde coletiva, escolhemos o suicídio como linha principal (função enunciativa primitiva) para, em seguida, traçar as formalizações locais (derivadas da função primitiva) de saber (epidemiologia e gestão/planejamento enquanto localidades), processo viabilizado pela segunda divisão em três outros eixos (ou "sub-eixos) de investigação (o risco, a causa e a prevenção). Isso nos insere novamente no objetivo original, que é a questão de como se produz a coesão do campo, apesar da sua grande diversidade. Em outras palavras, com a pesquisa, conseguimos tangenciar as relações de poder que permeiam a produção de saber no campo maior da saúde coletiva, mostrando as tendências mais ou menos fortes, os pontos de contágio de sentido conceitual, as linhas enunciativas dominantes e as formas de visibilidade que imperam e criam a emergência de práticas e saberes / Abstract: Our research: Collective Health: Making See and Making Speak Out - Proposition and Visibility in Times of Biopower - is meant to understand how the field of collective health is made up, from a problem that is not to be restrained to typically territorial dialectical productions and more straightforwardly refer us to the knowledge production apparatus. We understand knowledge as a formalization carried out through more diffuse constituting elements (for they can get across several dialectical fields without however letting themselves lose their character), more difficult to be detected (since by being present in several dialectical fields such elements bear a great ability to differentiate themselves, i.e., they can be repeated while preserving some level of uniqueness) and that achieve articulation through relations that though not directly determined) are still determinable (relations imposed by power - as biopower - which, in our case, can be understood by a making survive strategy rather than a making live strategy).Therefore, we do not pursue specific speeches in those fields traditionally presented as corresponding to the extended field of collective health (social sciences, epidemiology and management & planning), to have them available in terms of agreements and disagreements administered by epistemological compatibilities and incompatibilities. On the other hand, our objective is centered on working the between, in defining which knowledge trends are long-lasting among such fields, which axes conform the speeches and the truths of those fields, hence making it possible for us to think up the factor that promotes conviviality in so diverse territories under the name of Collective Health. But for such, it was necessary to choose a central axis, a sort of problematic function over which we would be able to articulate the propositions and visibilities produced around it: suicide. We had the dispersion hazard resolved by dividing the suicide axis in three other sub-axes of knowledge agglutination: risk detection, survey of causes and the prevention proposition. Consequently, to enter into the discussion of constitution of the collective health field we have chosen suicide as the main line (primitive propositional function) and next proceeded with outlining the local formalizations (deriving from primitive function) of knowledge (epidemiology and management/planning as localities), a process whose feasibility was made possible through another division in three more axes (or sub-axes) of investigation (risk, cause and prevention).That brings us back to the original objective which is the issue of how field cohesion is produced notwithstanding its large diversity. In other words, with this research we could touch the power relations that permeate knowledge production in the extended field of collective health, showing trends that are more or less strong, the points of contamination in a conceptual sense, the dominant propositional lines and the forms of visibility that dominate and bring about the emergence of practices and knowledge / Doutorado / Saude Coletiva / Doutor em Saude Coletiva

M.A. (Politics). / This is a study in political philosophy. It defends the following thesis: where there is poverty there is a lack of power and thus a lack of freedom. It does not follow from this that a life of wealth is a life of freedom and a life of poverty is a life of complete unfreedom. This is because full freedom also involves other components such as political freedom, economic freedom and so on. The thesis defended here is simply the negative one that humans remain unfree as long as they live in conditions of poverty. Thus poverty should be construed as lack of freedom in the sense of constraints or fetters it casts upon people collectively. For example, the harsh effects of segregation in the United States and apartheid in South Africa are that people continue to live in separate communities somewhat along the colour line. The worse effect of this is that those who live in poorly resourced communities are Black. They in this manner remain without freedom here construed as power to tum their situation around. This thesis criticises the liberal account of Berlin and others of similar persuasions and offer a distinct account of freedom that locates it in an individual's capacity to carry out desired actions. It will then argue that poverty constrains freedom in this sense. Thus if you are poor, you are unfree and without power to generate the requisite necessaries of life. This thesis also aims to show how the two concepts of liberty or the liberal perspective of freedom as such do not take into account the important social problems confronting us in the world today, for example poverty which in this project is taken as an exemplar of lack of freedom. Poverty is characterized best as being without the necessities to meet basic human needs such as shelter, food and recreation. More importantly, any alternative to address poverty must take into account the fundamental significance of participation in politics.

Thesis (M.IC.)--Unitec New Zealand, 2009. / Includes bibliographical references (leaves 76-81).