A construção da normalidade em consultas pediátricas
AUTOR(ES)
Karen Seger
DATA DE PUBLICAÇÃO
2007
RESUMO
This qualitative investigation, which uses the analytical tools of Conversation Analysis (SACKS, SCHEGLOFF, JEFFERSON, 1974), derives from a larger research study (OSTERMANN, 2005) and aims to investigate interactions between doctors and mothers during the puerperal time in public healthcare settings, analyzing how the concept of normality is built and negotiated. The idea is to bring new perspectives and questionings about these institutions, contribute to the traditional sociological analysis and provide a broader understanding about how people build and negotiate the concept of normality during medical consultations. This research is also an attempt to explore what is conceived as normal in relations to babies. This study aims at seeing which strategies are used by the doctors and what the mothers do and say at the doctors office. The transcribed and analyzed interactions in this study help raise questions and answers that enable us to understand doctor-patient interactions better. As some researchers point out (CANGUILHEM, 2002; FOUCAULT, 1994), the concept of normality is built through the opposition between health and illness, between something normal and something pathological. Among the concepts of normality studied, some are explained as opposites to health, while some are defined as a variation of a normal condition. In relation to the concept of normality, the analyzed interactions revealed an interest by the doctors and by the mothers to create an opposition between a normal condition and an abnormal one, between health and sickness. How well the baby is breastfeeding and gaining weight is used by the doctors and the mothers to check the well-being of the child. The analysis showed that when the doctors say that something is fine, it is because it is part of an average according to the age of the baby. However, it was not possible to see whether this way of grouping the baby in his/her normality is clear for the mothers, since the averages within which the babies are grouped are either not explained by the doctors or not questioned by the mothers
ASSUNTO(S)
conversation analysis pediatrics public health system puericultura linguistica aplicada fala-em-interação análise da conversa puerperal time talk-in-interaction postos de saúde públicos consultas pediátricas
ACESSO AO ARTIGO
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