Citation

Azeredo YN, Schraiber LB. Cien. Saude Colet. 2017; 22(9): 3013-3022.

Vernacular Title

Violência institucional e humanização em saúde: apontamentos para o debate.

Affiliation

Departamento de Medicina Preventiva, Faculdade de Medicina, USP. Av. Dr. Arnaldo, Cerqueira César. 01246-903 São Paulo SP Brasil. yuri.azeredo@gmail.com.

Copyright

(Copyright © 2017, Associacao Brasileira de Pos-Graduacao em Saude Coletiva)

DOI

10.1590/1413-81232017229.13712017

PMID

28954152

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.

Language: en