Abstract

This paper starts from humanization policies and the academic debate around them to reflect about institutional violence inside health services. Based on research on scientific publications in Collective Health, it was observed that violence in relationships between health professionals and users - which is at the core of the humanization's debate - is conceptualized as an excessive power in exercise of professional authority. Using Hannah Arendt thinking as theoretical contributions regarding the concepts of 'authority', 'power' and 'violence', our objective is to define and rethink these phenomena. Melting these reflections with the history of institutionalization of health in Brazil, and especially the changes in medical work during the twentieth century, we conclude that the problem of institutional violence on health services is not based on excess of authority and power of professionals, but rather in its opposite. When there is a vacuum of professional authority, and relationships between people do not happen through power relations, there is space for the phenomenon of violence.

Highlights

  • The present reflective essay is one of the products of the research carried out regarding the ongoing academic and political debate of humanization in health in the field of Collective Health[1]

  • The objective of this study was to identify the different themes and conceptions of humanization within the aforementioned debate, addressed through two documentary bodies that are the empirical basis of the research[1]: the bibliographical production in Collective Health, resulting in the analysis of 98 scientific publications, as well as the official texts of the PNH

  • We will examine the link between institutional violence and humanization in the way it is presented in the academic debate developed in the scientific publications examined, as a reflection on one of the main results of this research

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Summary

Introduction

The present reflective essay is one of the products of the research carried out regarding the ongoing academic and political debate of humanization in health in the field of Collective Health[1]. The objective of this study was to identify the different themes and conceptions of humanization within the aforementioned debate, addressed through two documentary bodies that are the empirical basis of the research[1]: the bibliographical production in Collective Health, resulting in the analysis of 98 scientific publications, as well as the official texts of the PNH Examination of these documents showed how the contents of the national policy, were consistent with the publications of the field, and ended signaling institutional violence as one of their main targets[1], linking deeply both institutional violence and humanization themes. Some observations of a methodological nature are needed in which our considerations are anchored

Methodological aspects
Technological medicine and the medical work crisis
Final considerations
Full Text
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