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Previous issue date: 2017-11-30 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This study had the objective to comprehend the process by which the terminology Health Work
Management emerged in the area of Brazilian public health, especially in the year of 2003,
replacing the term Human Resources, which was traditionally used in reference to the work
force in organizations. Based on the Social Work?s Ethical Political Project (PEP), formalized
through the Code of Ethics (CE), questions were raised on the evidences and possibilities of
meanings inherent in literacy. Relying on historical materialism and contributions from
Discourse Analysis based in P?cheux?s work, which relate to the conception of material and
historical construction of discourse, and its heterogeneities, to its objective interventional
capacities and to the understanding of the work of constant reformulation of ideology of the
ruling class, which shows the absorption of movements of resistances and oppositions. To this
process of reinforcement to the reproduction of the order of capital, to which it is restricted in
circularity and limits the analytical possibilities of this discursive approach, it is possible to
approximate its preponderance as a dynamic of daily life, and refers to the possibilities of ethical
reflection aiming suspensions and construction of overruns, in a commitment to the
assumptions and values contained in the professional CE. To understand the effects of meaning
produced from the word Work Management in Health, and terminological substitution act, we
returned to the design of the conditions of production to which these articulations and
interventions of distinct discursive memories are related. From the meanings denoted by the
linguistic materialities at those intersection of work, health and management, it was shown that
work and health had the funcionality to produce opposing meanings, generating displacements
by associating themselves with the meanings of the management word, to which the
maintenance and prevailing functions of capitalism. Thus, the presence of the term management
in the new terminology referring to work relations in health involves convergent meanings to
the hegemonic processes, at the same time that there is a tension exerted in the direct
composition to the terms work and health, including the contradictory processes between
paraphrase and polysemy. In a world context where management practices are conformed with
neoliberalism, of worsening social conditions and of protection to work, in the discursive
process dominant in the Official Discourse (DO) of the period preponderates this operation, to
which it is emphasized the importance of the displacements associated to the meanings of work
and health, which establish relationship with the historical agenda of health workers, to obtain
social support for the actions that resulted in greater capillarization of capital in public
establishments. At the same time, it affirms the importance of the struggles that allowed re9
significations and rearticulation of the networks of meaning. This movement is not to justify
the adaptive capacities of the dominant ideology, but to consider, according to the Social
Work?s CE, the possibilities of acting within the limits of the bourgeois order, to recognize
levels of political and social emancipation that guarantee conditions and security of life to the
subaltern classes, reiterating them as a relevant part of a compromised project for human
emancipation, for which the potentialities of the ethical-political praxis on Marxism bases are
recognized. / Este estudo visou a compreender o processo de exsurgimento, no campo da sa?de p?blica
brasileira, em especial em 2003, da terminologia Gest?o do Trabalho em Sa?de como
substitutiva ao termo Recursos Humanos, tradicionalmente utilizado para referir-se ? for?a de
trabalho nas organiza??es. A partir da identifica??o ao Projeto ?tico Pol?tico do Servi?o Social
(PEP), formalizado por meio do C?digo de ?tica (CE), elaboraram-se questionamentos ?s
evid?ncias e ?s possibilidades de sentidos inerentes ? literalidade. Fundamentando-se no
materialismo hist?rico, buscou-se contribui??es da An?lise de Discurso em P?cheux, que se
relacionam ? concep??o de constru??o material e hist?rica do discurso, e suas heterogeneidades,
?s suas capacidades interventivas objetivas e ? compreens?o do funcionamento de reformula??o
constante da ideologia da classe dominante, a qual apresenta a absor??o de movimentos de
resist?ncias e oposi??es. A esse processo de refor?o ? reprodu??o da ordem do capital, ao qual
se restringe em circularidade e limita as possibilidades anal?ticas dessa abordagem discursiva,
realiza-se a aproxima??o da sua preponder?ncia como din?mica da cotidianidade, ? qual
reporta-se ?s possibilidades de reflex?o ?tico-pol?tica visando suspens?es e constru??o de
supera??es, em um compromisso aos pressupostos e valores constantes no CE profissional.
Assim, para compreens?o dos efeitos de sentido produzidos a partir do enunciado Gest?o do
Trabalho em Sa?de, e ? a??o de substitui??o terminol?gica, voltou-se ao delineamento das
condi??es de produ??o ?s quais se relacionam estas articula??es e interven??es de mem?rias
discursivas distintas. A partir dos sentidos denotados pelas materialidades lingu?sticas em
interse??o trabalho, sa?de e gest?o, evidenciou-se que trabalho e sa?de funcionam a produzir
sentidos em oposi??o, produzindo deslocamentos ao associarem-se aos sentidos do enunciado
gest?o, ao qual preponderam as funcionalidades de manuten??o e reprodu??o do capitalismo.
Assim, ? presen?a do termo gest?o na nova terminologia referente ?s rela??es de trabalho na
sa?de interv?m sentidos convergentes aos processos hegem?nicos, ao mesmo tempo em que h?
uma tens?o exercida na composi??o direta aos termos trabalho e sa?de, compreendendo-se os
contradit?rios processos entre par?frase e polissemia. Em um contexto mundial de conforma??o
de pr?ticas gerenciais sob o neoliberalismo, de agravamento das condi??es sociais e de prote??o
ao trabalho, no processo discursivo dominante no Discurso oficial (DO) do per?odo prepondera
esse funcionamento, ao que se salienta a import?ncia dos deslocamentos associados ?s
significa??es de trabalho e sa?de, que estabelecem rela??o com as pautas reivindicat?rias
hist?ricas dos trabalhadores da sa?de, para a obten??o do apoio social ?s a??es que resultaram
em maior capilariza??o do capital nos aparatos p?blicos. Ao mesmo tempo, afirma-se a
7
import?ncia dos processos de lutas e questionamentos que permitiram ressignifica??es e
rearticula??o das redes de sentido. Esse movimento n?o est? em justificar as capacidades
adaptativas da ideologia dominante, mas em considerar, conforme o CE do Servi?o Social, as
possibilidades de atua??o dentro dos limites da ordem burguesa, de reconhecer n?veis de
emancipa??o pol?tica e social que garantam condi??es e seguran?a de vida ?s classes
subalternas, reiterando-as como parte, relevante, de um projeto compromissado para com a
emancipa??o humana, para o qual se reconhecem as potencialidades da pr?xis ?tico-pol?tica em
bases marxianas.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/7847 |
| Date | 30 November 2017 |
| Creators | Arsego, L?via Ramalho |
| Contributors | Bellini, Maria Isabel Barros |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Servi?o Social, PUCRS, Brasil, Escola de Humanidades |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -5042336829439580540, 500, 500, 500, 600, -6557531471218110192, -8796676102858938039, 2075167498588264571 |
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