The National Industrial Recreation Association has recently created local Chapters to facilitate the needs of recreation professionals at the local level. The purpose of this study was twofold: first, to describe characteristics of the existing Chapters and compare their operational procedures; secondly, to determine problems and assess means for overcoming these problems in the establishment of Chapters. The data collection methodology choses for this study was a questionnaire. Results were tabulated in six question areas dealing with the operational procedures of Chapters and the barriers prohibiting the establishment of new Chapters. Through participation in Chapters, recreators can fulfill many of their own needs as well as contribute to the advancement of the industrial recreation profession.

Cette thèse de doctorat se compose de deux parties distinctes. L’examen détaillé de la professionambiguë de l’antiquité postclassique du φωνασκός (lat. phonascus), maître de déclamation, maître dechant ou entraîneur de voix occupe toute la première partie. Nous en reconsidérons les interprétationsproposées dans le passé. Toutes les sources relatives à ce sujet, littéraires, médicales et épigraphiques,ont été interrogées. Une prosopographia phonascorum est aussi présentée. La deuxième partie porte surla question plus générale de l’art vocal. Bien que nos remarques concernent l’ensemble desprofessionnels de la voix (orateurs, acteurs, hérauts, maîtres de voix, rhapsodes etc.), notre attention seporte plus particulièrement sur le métier du chanteur. Nous déchiffrons le sens d’un certain nombre determes relatifs à la vocalité (un lexique spécialisé des métiers de la voix), ainsi que les exercices vocauxles plus importants attestés dans l’antiquité gréco-romaine (8e siècle av. notre ère - fin du 3e siècle denotre ère). Enfin, les questions de l’eunuque musicien, du « trac » éprouvé par les artistes de voix ainsique celle du métier de chanteur professionnel des thrènes (θρηνῳδός) y sont aussi discutées. / In this dissertation, divided in two distinct parts, I examine firstly the ambiguousdefinition/interpretation of the term φωνασκός (lat. phonascus) which we commonly understand tomean a teacher of singing or recitation or declamation, or simply, a voice coach. This term first appearsin Latin texts that date from the second half of the 1st century A.D. In Greek, it emerges some yearslater, at the very beginning of the 2nd century. Unfortunately, we do not possess an ancient definition ofthis term. All the relevant sources, literary, medical and inscriptional are studied closely in order toundertake a presentation of the historical evolution of this term/profession. A prosopographiaphonascorum is also provided. The second part of this dissertation concerns generally the vocal art andmore precisely the profession of the singer. In addition, I propose an interpretation of some terms relatedto the human voice, which probably constituted a special vocabulary (slang) of the professionalmusicians, as well as the most important attested vocal exercises of the Greco-Roman antiquity. Thecases of eunuch-musician, of the stage fright as well as of the profession of the professionalmourner (θρηνῳδός) are also discussed.

Magister Artium - MA / Osteoarthritis (OA) is the major cause of pain and disability in the elderly, as well as people younger than the age of 45. Research reported the importance of conservative management of OA in the early stages, as it has proved to be effective in slowing down the progression of the disease, as well as reducing the secondary effects of decreased functional ability and disability. Early referral could assist with effective pain management, decrease in disease progression and increase in functional ability and quality of life. Therefore, the overall aim of the study was to establish a profile of patients with OA, as well as to explore the perceptions and experiences of health professionals regarding the conservative management of OA at a tertiary hospital in Nigeria. The study employed a sequential exploratory mixed method approach, using a retrospective and exploratory study design for the quantitative and qualitative phases respectively. Data was collected from one hundred and thirty-five medical records of patients with OA, meeting the inclusion criteria of the study, and admitted at the University of Calabar Teaching Hospital (UCTH) from 1 January 2012 to 31 December 2016. The patient sample was predominantly female (n=80; 93%), with a mean age of 51.85 years old (SD=13.73). Thirteen (13) health professionals, eight (8) physiotherapists and five (5) orthopedic surgeons participated in the interviews. The Statistical Package for Social Sciences (SPSS) version 24 was used to analyse quantitative data. Inferential and descriptive statistics were used to describe the results in terms of frequencies, percentages, means and standard deviation. Alpha level was set at 5%. Audio-taped qualitative data was transcribed verbatim, and analysed using categories and themes.

Thesis submitted to the Faculty of Commerce, Law and Management, University of the Witwatersrand, in fulfilment of the requirements for the degree of Doctor of Philosophy, PhD (Management) / The South African Government has entrusted Social Work Professionals (SWP’s) with the responsibility of humanizing the lives of the most vulnerable groups in society. SWP’s are scrupulously trained to rehabilitate and heal the ailing community, but nowadays they are inadvertently incapacitated because their role has grown far beyond its original skill-base whilst their educational grooming and the legislation governing their role has remained stagnant. Furthermore, the Non Governmental Organisations (NGOs) within which they operate are unsustainable and many of them struggle for survival. The prevailing socio-economic environment imposes various demands on both the SWP profession and the non-profit sector, forcing them to provide for their survival by performing commercial duties that they are not trained to perform. This practice has resulted in a disjuncture in the roles of SWP’s and a brain-drain of professionals out of the sector. The study was split into two separate albeit related components employing a combination of qualitative methods and techniques to thoroughly investigate the source of this disjuncture and establish viable methods to address it. The first phase was designed to understand the history of social work in South Africa spanning two political dispensations, assess the legislated role that SWP’s should perform against the current role they are performing, in order to understand and explain the discrepancy in their role. Thereafter the second phase was conducted as a follow-up to explore how the concept of Social Entrepreneurship in conjunction with comprehensive management proficiency could provide possibilities of addressing and improving the shortcomings arising in the role of the SWP. ii The first phase documented that SWP’s are currently struggling in practice, with inadequate resources and lack of enterprise and management proficiency to fully facilitate their mandate. This deficiency suggested a shift in their role that is different from their usual rehabilitating role. Social Policy Frameworks were identified as the possible hindrance for the current lack of enterprising in the social sector, followed by socio-economic pressures and insufficient education and training of SWP’s. A paradigm shift to acknowledge and qualify the growth in the role of an SWP academically and legislatively was recommended, followed by relevant intellectual construction of knowledge. The second phase of the study acknowledged that Social Entrepreneurship is a fairly new concept in academic circles. In addition, most reviewed literature on Social Entrepreneurship suggested that the African landscape was either not fully understood by the authors or not yet catered for since most of the solutions were not fully commensurate with problems experienced in (South) Africa. Therefore, the researcher approached available scholars globally with primary data depicting real problems that are experienced on the ground and which seemed to challenge their presented solutions from the reviewed literature. This process systematically examined the concept of Social Entrepreneurship, accentuating how a different set of resource combinations of its aspects customized for the South African socio-economic environment could open up a new window of knowledge to enhance the impending social transformation, notwithstanding the view that further research for African needs was strongly encouraged. Findings from the first phase strongly suggested specialisation in the profession of an SWP in the short term and the development of a new cadre of enterprising SWP’s in the longer term. The second phase’s findings validated the suggestion from the first phase to split the role of an SWP, introduce entrepreneurial and management competence designed for social benefit as a new and special role, and develop a new cadre of professionals over time who will specialise in the new competence. iii Findings from both phases of the study have led to the conclusion that the role of an SWP has shifted and grown far beyond its original skill-base. This conclusion has notable policy implications for legislation governing SWP’s. Whilst this study has acknowledged and qualified the growth in the role of an SWP academically as entrepreneurial and management deficiency, to complete the acknowledgement, this growth has to be recognised legislatively within the policy frameworks. Specialisation in the profession of social work would also need to be legislated to enable academia to provide intellectual leadership on the new role, define research needs, develop a new curriculum, then recruit and develop a new cadre of enterprising SWP’s. These findings lead to a further conclusion that policy frameworks governing SWP’s are not entirely congruent with the prevailing socio-economic environment and might benefit from a review that underlines SWP’s’ core function, education and training that is commensurate with the needs of their role, especially the needs of the shift experienced in their role.

Orientador: Ana Cláudia Bortolozzi Maia / Banca: Paulo Rennes Marçal Ribeiro / Banca: Alessandra de Andrade Lopes / Resumo: O processo histórico e social construiu modelos de masculinidade e feminilidade que culminam em padrões e normas a serem seguidas pelos indivíduos em suas interações sociais. Nas últimas décadas estudos fundamentados nas discussões originadas no movimento feminista têm investigado a forma como as instituições sociais, incluindo aí a medicina e as demais ciências da saúde, estabeleceram ao longo da história padrões de masculinidade e feminilidade, nutrindo o discurso sexista presente no senso comum e nas ciências. Papéis sociais são atribuídos aos gêneros especificando limites rígidos de comportamento e de controle social. A noção da predisposição feminina a distúrbios físicos e emocionais gerou especulações dentro de vertentes acadêmicas culminando na criação de especialidades médicas que prevenissem o adoecimento feminino; o masculino permeado por noções de resistência e força se tornou sinônimo de corpo saudável, ratificando a dominação masculina e o papel político e econômico dos homens. Estudos indicam que as relações de gênero influenciam negativamente sobre os cuidados com a saúde. Como objetivo de estudo esta pesquisa buscou investigar, por meio de entrevistas semi-estruturadas e análise de conteúdo, as concepções sobre gênero e suas relações no cuidado com a saúde nos relatos de 11 profissionais da sáude. Os resultados obtidos indicam que para os entrevistados as características tidas como de gênero são determinadas por fatores biológicos e sociais e irão influenciar na forma como homens e mulheres lidam com a sua saúde e doença. De acordo com os resultados há uma diferença significativa na interação com homens e mulheres sendo que as interações profissionais com o público feminino são entendidas como mais satisfatórias. Para os participantes a formação profissional não... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The historical and social process has built models of masculinity and femininity that culminate in standards and norms to be followed by individuals in their social interactions. In recent decades studies based on the discussions that originated in the feminist movement have been investigating how social institutions, including medicine and other health sciences, have established standards of masculinity and femininity throughout the history, nurturing this sexist discourse on common sense and sciences. Social roles are assigned to the genera specifying rigid boundaries of behavior and social control. The notion of the female predisposition to physical and emotional disorders has prompted speculation within academic strands culminating in the creation of specialized medical illness that would prevent the female, the male permeated by notions of endurance and strength has become synonymous of a healthy body, confirming the male domination and the economic and political role of men. Studies indicate that gender relations influence negatively on health care. This research concerned to study and investigate through semi-structured interviews and content analysis, conceptions of gender and its relationship to health care in reports of 11 health professionals. The results obtained indicate that for the interviewed subjects that the regarded characteristics of gender are determined by biological and social factors and will influence the way men and women deal with their health and disease. According to the results there is a significant difference in interaction with men and women being the professional interactions with the female audience perceived as more satisfactory. For the participants the professional background did not address gender issues and strategies to cope with the demands male and female were learned in professional... (Complete abstract click electronic access below) / Mestre

Analisa e descreve a atuação do profissional da Informação nos processos de Gestão do Conhecimento das empresas, com ênfase no mapeamento do conhecimento tácito e explícito das pessoas, buscando disponibilizar/compartilhar as informações mapeadas, por meio da Intranet, que é uma facilitadora, enquanto Tecnologia da Informação, do trabalho do profissional da Informação. Para atingir tal objetivo, os onceitos relativos ao tema foram aprofundados por meio de pesquisa e revisão bibliográfica nas literaturas nacional e internacional. Com a intenção de ilustrar a realidade, um estudo de caso é apresentado, o qual foi realizado no Knowledge Center da KPMG Auditores Independentes. Conclui-se que o Profissional da Informação tem potencial para liderar e administrar processos de mapeamento do conhecimento nas organizações, principalmente porque possui especializações inerentes à sua formação, no que concerne a localização, a organização, a estruturação e a disponibilização de dados e informações, que posteriormente são transformados em conhecimento. Outra conclusão positiva refere-se ao uso da Tecnologia da Informação, neste caso específico, a Intranet, como aliada no trabalho do bibliotecário. Faz-se, portanto, uma análise do perfil esperado deste profissional, relacionado-a a fatores comportamentais, técnicos e intelectuais. / Analysis and description of the performance of the information professional involved in the processes of Knowledge Management within companies, with an emphasis on the mapping of tacit and explicit knowledge of people, as well as making available and sharing the mapped information, by means of the Intranet, which is a information technology facilitator of the information professional. To reach such objective, the relative concepts of the subject were based upon research and bibliographical review of national and international literature. With the intention to illustrate the reality, a case study is performed on the Knowledge Center of KPMG Brazil. It can be concluded that the information professional has potential to lead and manage processes of knowledge mapping in organizations, mainly, because he/she possess expertise inherent to his/her education, related to the location, organization, structure, and availability of data and information that are later transformed into knowledge. Another positive conclusion refers to the use of information technology, in this specific case, the Intranet, as an ally in the work of the librarian. An analysis of the expected profile of this professional, in relation to behavioral, technical and intellectual traits. KEY WORDS: Information Professionals; Knowledge Management; Intranet

Este estudo teve o propósito de compreender como os profissionais de saúde constroem o significado do sofrimento do paciente oncológico, segundo suas experiências. A investigação foi desenvolvida segundo as propostas da antropologia interpretativa de Clifford Geertz, a antropologia médica de Arthur Kleinman e no conceito de sofrimento de Morse. A amostra constou de doze profissionais, membros da equipe interdisciplinar que atuam com pacientes oncológicos. Os dados foram coletados por meio de entrevistas semi - estruturadas e de observações participantes, no contexto sociocultural hospitalar. A análise dos dados foi realizada segundo os pressupostos referencial metodológico de narrativas. Com as experiências relatadas pelos informantes foi possível compreender que os significados do sofrimento do paciente oncológico são construídos segundo os sistemas de cuidado cultural profissional e não profissional. O estudo levou a compreensão de que a experiência de sofrimento do paciente pelos profissionais leva a construção de significados comuns, integrados em temas que destacam a empatia, a emoção, o conflito, a individualização dos papéis, as estratégias de intervenção e que estão embasados nos conhecimentos culturais dos profissionais. / The purpose of this study was to understand how health professionals construct the meaning of oncology patients suffering based on their experiences. The research was conducted according to the Clifford Geertz proposal of interpretative anthropology and Arthur Kleinman medical anthropology and Morse?s suffering model. The sample was formed by twelve professionals, members of an interdisciplinary team that work with oncology patients. Data were collected through semi-structured interviews and participant observation at a hospital socio-cultural context. Data analysis was performed according to the presuppositions of the narrative method. Based on the experiences of suffering reported by the professionals, the author understood that the meanings of suffering to the oncology patients are constructed according to the professional and non-professional cultural care systems. The author concluded that the experience of suffering results in common meanings, integrated in themes such as empathy, emotion, conflict, role individualization, intervention strategies and that they are based on the professionals? cultural knowledge.

Aims: Eating disorder recovery is often supported by caregivers and mental health professionals. This research portfolio focuses on the experiences of supporting someone with an eating disorder from the perspective of the caregivers and also mental health professionals. The aims of this research portfolio are: Firstly, to systematically review the published qualitative literature relating to the experiences of caregivers supporting someone during eating disorder treatment; and secondly, to investigate the factors which may contribute to burnout, the factors which may protect against burnout and ways of managing work related stress for healthcare professionals who work in an eating disorder service. Method: A systematic review and meta-synthesis of caregiver experiences with eating disorder treatment was conducted. Searches identified 1927 studies of which 12 met the inclusion criteria for the study. Quality assessment revealed a number of strengths and also some limitations of the studies. For the research study ten healthcare professionals were interviewed on their experiences of supporting people with an eating disorder and ways of managing work related stress/burnout in this role. Interpretative Phenomenological Analysis was used to analyse the data. Results: Five major themes were identified from the systematic review: “access to treatment”, “key features of treatment”, “support for the caregiver”, “encounters with health care professionals” and “the future – hopes and fears”. The research study identified seven super-ordinate themes: “Dealing with Client Physical Health Risks”, “Working to Different Goals from the Client”, “Awareness of own Eating Patterns”, “Personal Accomplishment”, “Working Together as a Team”, “Working with Caregivers” and “Ways of Managing Work Related Stress”. Conclusions: The systematic review highlighted a number of clinical implications including the importance to caregivers of early intervention, the provision of practical, tailored information, support for the caregiver, the need for caregivers and professionals to work collaboratively and the importance of instilling hope in caregivers. The research study highlights potential contributors to burnout in eating disorder services as well as positive or protective factors to burnout. It also highlights ways of managing burnout through ensuring a work-life balance, utilising self-care strategies, self-reflection and realising recovery is not 'all or nothing'.

A fragmentação do trabalho em saúde, atualmente, tem sido muito estudada. Os estudos apontam que esta além de esvaziar o trabalho de sentido, gerando conseqüências emocionais para os profissionais, trás repercussões na vida dos pacientes, uma vez que, entre outras coisas, prioriza os aspectos técnicos do atendimento em detrimento dos aspectos psicossocias. Considerando que a infecção ao HIV trás desdobramentos psicossociais na vida da pessoa contaminada, a atuação voltada para estes aspectos torna-se primordial. Assim sendo, este estudo tem como objetivo recuperar a síntese do processo de trabalho em HIV/Aids a partir dos profissionais envolvidos neste processo. Dentro da abordagem de pesquisa qualitativa foram realizadas 10 entrevistas com profissionais da Unidade Especial de Tratamento de Doenças Infecciosas do HC de Ribeirão Preto. Estas foram semi-estruturadas e realizadas segundo procedimentos de evocação-enunciação-verificação. As falas dos profissionais foram agrupadas conforme as semelhanças de seus conteúdos temáticos e analisadas à luz do materialismo histórico. Os dados mostraram que três Elementos constituem a síntese do processo de trabalho em HIV/Aids: Elementos de Competência Psicossocial; Elementos de Controle Sócio-Político e Administrativo; Elementos de Competência Técnica. Embora os profissionais estudados tenham privilegiado em suas reflexões os Elementos de Competência Psicossocial, a dicotomia entre habilidade técnica e competência psicossocial se faz presente na atuação. Todavia com novas configurações, pois não há a negação destes aspectos e estes não pareceram ser relegados a segundo plano. No entanto, as reflexões apontaram a dificuldade da atuação contemplando plenamente estes aspectos. Estas dificuldades embora tenham como fundamento a fragmentação do saber, conseqüentemente associam-se a estruturação do serviço que se liga às formas protocolares de controle do trabalho em todos os seus níveis. Desta forma, o trabalho se dá a partir da complementariedade de abordagens. Esta fragmentação, além de prejudicar a qualidade do atendimento prestado, dificulta o sentimento de apropriação do trabalho por parte do profissional. Assim sendo, consideramos que a sistematização da aprendizagem informal decorrente da atuação seria uma das alternativas para esta questão. Esta tornaria os profissionais mais ativos no processo de trabalho o que favoreceria a apropriação deste e tornaria a equipe de trabalho mais coesa, uma vez que juntos, os profissionais estariam construindo sua práxis. Além disto, este estudo nos deu a visibilidade que, em algumas situações, a relação estabelecida entre profissional e paciente propicia esta aprendizagem. No entanto, sabemos que a implementação de tal proposta não será fácil, haja visto que rompe com o modelo de atuação vigente e com a estruturação do ensino em saúde, no qual o saber é compartimentado não havendo espaço na atuação para os sentimentos dos profissionais nem dos pacientes. No entanto, observamos que estes sentimentos, entre outras coisas, tem que ser o pano de fundo da atuação. Desta forma, consideramos também, que se faz necessária a discussão em grupo dos sentimentos suscitados pela atuação, pois estes seriam socializados e discutidos entre pessoas que passam pelas mesmas vivências. Isto minimizaria os desdobramentos destes na vida dos profissionais e favoreceria a atuação voltada para os aspectos psicossociais. / Nowadays the fragmentation of health work has been studied a lot. Studies point out that besides giving no sense to work, fragmentation brings emotional consequences to healthcare professionals and results in changes into patients life, because it privileges the technical aspects of care in detriment of psychosocial aspects. Considering that HIV infection results in many psychosocial problems to people living with HIV/Aids, it is primordial to give more attention to these aspects. Therefore, this study aims the recuperation of HIV/Aids work process synthesis considering first all professionals who are involved in this process. Qualitative analysis was the methodological strategy and it included 10 healthcare professionals of Special Unit of Infectious Diseases of HC of Ribeirão Preto. The analysis was semi-structured and according to procedures of evocation- enunciation- verification. The discourses of the professionals were grouped according to thematic contents, and analyzed by historical materialism. Data showed that three Elements constitute work process synthesis in HIV/Aids: Elements of Psychosocial Competency; Elements of Administrative and Socio-Political Control; Elements of Technical Competency. Although the healthcare professionals showed emphasis on reflections about Elements of Psychosocial Competency, the dichotomy between technical skill and psychosocial competency is presented in the during work, but it brings different aspects because there is no denial of any of them, and they do not seem to be relegated as a second place. However, the reflections indicate difficulties in fully consider these aspects during patients care. Although these difficulties are based on fragmentation of knowledge, consequently it is associated with service structure which is linked to work control protocols. The fragmentation impairs patient treating quality and raises objections to healthcare professionals feelings of misappropriation of their job. In such case, we consider that the systematization of informal learning according to work practice would be one of the alternatives, which would result into more functional healthcare professionals and cohesive work teams, and they would be building together their praxis. Furthermore, this study shows that, in some situations, the relationship between patient and healthcare professionals favors this learning. Nevertheless, we are aware that such implementation is not an easy task, because it is not according to the model in vigor, nor to health teaching structure that does not take account patients or professionals feelings. These feelings, among other issues, must be considered during healthcare professionals work. So, we consider the necessity of a group discussion about feelings raised by the work practice, because they would be discussed and socialized among people who have experienced the same situations. This would minimize the problems faced by these healthcare professionals and it would favor psychosocial aspects during work practice.

A fragmentação do trabalho em saúde, atualmente, tem sido muito estudada. Os estudos apontam que esta além de esvaziar o trabalho de sentido, gerando conseqüências emocionais para os profissionais, trás repercussões na vida dos pacientes, uma vez que, entre outras coisas, prioriza os aspectos técnicos do atendimento em detrimento dos aspectos psicossocias. Considerando que a infecção ao HIV trás desdobramentos psicossociais na vida da pessoa contaminada, a atuação voltada para estes aspectos torna-se primordial. Assim sendo, este estudo tem como objetivo recuperar a síntese do processo de trabalho em HIV/Aids a partir dos profissionais envolvidos neste processo. Dentro da abordagem de pesquisa qualitativa foram realizadas 10 entrevistas com profissionais da Unidade Especial de Tratamento de Doenças Infecciosas do HC de Ribeirão Preto. Estas foram semi-estruturadas e realizadas segundo procedimentos de evocação-enunciação-verificação. As falas dos profissionais foram agrupadas conforme as semelhanças de seus conteúdos temáticos e analisadas à luz do materialismo histórico. Os dados mostraram que três Elementos constituem a síntese do processo de trabalho em HIV/Aids: Elementos de Competência Psicossocial; Elementos de Controle Sócio-Político e Administrativo; Elementos de Competência Técnica. Embora os profissionais estudados tenham privilegiado em suas reflexões os Elementos de Competência Psicossocial, a dicotomia entre habilidade técnica e competência psicossocial se faz presente na atuação. Todavia com novas configurações, pois não há a negação destes aspectos e estes não pareceram ser relegados a segundo plano. No entanto, as reflexões apontaram a dificuldade da atuação contemplando plenamente estes aspectos. Estas dificuldades embora tenham como fundamento a fragmentação do saber, conseqüentemente associam-se a estruturação do serviço que se liga às formas protocolares de controle do trabalho em todos os seus níveis. Desta forma, o trabalho se dá a partir da complementariedade de abordagens. Esta fragmentação, além de prejudicar a qualidade do atendimento prestado, dificulta o sentimento de apropriação do trabalho por parte do profissional. Assim sendo, consideramos que a sistematização da aprendizagem informal decorrente da atuação seria uma das alternativas para esta questão. Esta tornaria os profissionais mais ativos no processo de trabalho o que favoreceria a apropriação deste e tornaria a equipe de trabalho mais coesa, uma vez que juntos, os profissionais estariam construindo sua práxis. Além disto, este estudo nos deu a visibilidade que, em algumas situações, a relação estabelecida entre profissional e paciente propicia esta aprendizagem. No entanto, sabemos que a implementação de tal proposta não será fácil, haja visto que rompe com o modelo de atuação vigente e com a estruturação do ensino em saúde, no qual o saber é compartimentado não havendo espaço na atuação para os sentimentos dos profissionais nem dos pacientes. No entanto, observamos que estes sentimentos, entre outras coisas, tem que ser o pano de fundo da atuação. Desta forma, consideramos também, que se faz necessária a discussão em grupo dos sentimentos suscitados pela atuação, pois estes seriam socializados e discutidos entre pessoas que passam pelas mesmas vivências. Isto minimizaria os desdobramentos destes na vida dos profissionais e favoreceria a atuação voltada para os aspectos psicossociais. / Nowadays the fragmentation of health work has been studied a lot. Studies point out that besides giving no sense to work, fragmentation brings emotional consequences to healthcare professionals and results in changes into patients life, because it privileges the technical aspects of care in detriment of psychosocial aspects. Considering that HIV infection results in many psychosocial problems to people living with HIV/Aids, it is primordial to give more attention to these aspects. Therefore, this study aims the recuperation of HIV/Aids work process synthesis considering first all professionals who are involved in this process. Qualitative analysis was the methodological strategy and it included 10 healthcare professionals of Special Unit of Infectious Diseases of HC of Ribeirão Preto. The analysis was semi-structured and according to procedures of evocation- enunciation- verification. The discourses of the professionals were grouped according to thematic contents, and analyzed by historical materialism. Data showed that three Elements constitute work process synthesis in HIV/Aids: Elements of Psychosocial Competency; Elements of Administrative and Socio-Political Control; Elements of Technical Competency. Although the healthcare professionals showed emphasis on reflections about Elements of Psychosocial Competency, the dichotomy between technical skill and psychosocial competency is presented in the during work, but it brings different aspects because there is no denial of any of them, and they do not seem to be relegated as a second place. However, the reflections indicate difficulties in fully consider these aspects during patients care. Although these difficulties are based on fragmentation of knowledge, consequently it is associated with service structure which is linked to work control protocols. The fragmentation impairs patient treating quality and raises objections to healthcare professionals feelings of misappropriation of their job. In such case, we consider that the systematization of informal learning according to work practice would be one of the alternatives, which would result into more functional healthcare professionals and cohesive work teams, and they would be building together their praxis. Furthermore, this study shows that, in some situations, the relationship between patient and healthcare professionals favors this learning. Nevertheless, we are aware that such implementation is not an easy task, because it is not according to the model in vigor, nor to health teaching structure that does not take account patients or professionals feelings. These feelings, among other issues, must be considered during healthcare professionals work. So, we consider the necessity of a group discussion about feelings raised by the work practice, because they would be discussed and socialized among people who have experienced the same situations. This would minimize the problems faced by these healthcare professionals and it would favor psychosocial aspects during work practice.