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A psicologia fenomenológica existencial no suporte à saúde mental de pessoas


acometidas pelo HIV/AIDS

Article · January 2020


DOI: 10.24024/23579897v29n12020p43053

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Virgínia Levy
Federal University of Santa Catarina
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ƌƟŐŽϯ
ƉƐŝĐŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂĞdžŝƐƚĞŶĐŝĂůŶŽƐƵƉŽƌƚĞăƐĂƷĚĞŵĞŶƚĂůĚĞ
ƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^
džŝƐƚĞŶƟĂůƉŚĞŶŽŵĞŶŽůŽŐŝĐĂůƉƐLJĐŚŽůŽŐLJŝŶƐƵƉƉŽƌƟŶŐƚŚĞŵĞŶƚĂůŚĞĂůƚŚ
ŽĨƉĞŽƉůĞĂīĞĐƚĞĚďLJ,/sͬ/^

Maria Margarida Gonçalves DINIZ1


Adrícia Gonçalves DINIZ2
:ŽŶĂƚĂŶŽƐƚĂ'KD^3
sŝƌŐşŶŝĂ>ŝŵĂĚŽƐ^ĂŶƚŽƐ>szϰ

ZĞƐƵŵŽ͗KƉƌĞƐĞŶƚĞĞƐƚƵĚŽĚĞƌĞǀŝƐĆŽďŝďůŝŽŐƌĄĮĐĂƉĂƌƚĞĚĞƵŵǀŝĠƐĨĞŶŽŵĞŶŽůſŐŝĐŽĞƚĞǀĞĐŽŵŽŽďũĞ-
ƟǀŽĂƉƌĞƐĞŶƚĂƌƵŵĂĐŽŵƉƌĞĞŶƐĆŽĚŽƐƵƉŽƌƚĞƉƐŝĐŽůſŐŝĐŽĞdžŝƐƚĞŶĐŝĂůŝƐƚĂƉĂƌĂĂƐĂƷĚĞŵĞŶƚĂůĚĞƉĞƐƐŽĂƐ
ĂĐŽŵĞƟĚĂƐƉĞůŽsşƌƵƐĚĂ/ŵƵŶŽĚĞĮĐŝġŶĐŝĂ,ƵŵĂŶĂ;,/sͿ͕ƌĞƐƉŽŶƐĄǀĞůƉŽƌĐĂƵƐĂƌĂ^şŶĚƌŽŵĞĚĂ/ŵƵŶŽ-
ĚĞĮĐŝġŶĐŝĂĚƋƵŝƌŝĚĂ;/^Ϳ͘DĂƌƟŶ,ĞŝĚĞŐŐĞƌ͕DĂƵƌŝĐĞDĞƌůĞĂƵͲWŽŶƚLJĞ:ĞĂŶͲWĂƵů^ĂƌƚƌĞĨŽƌĂŵĂůŐƵŶƐ
ĚŽƐĂƵƚŽƌĞƐƵƟůŝnjĂĚŽƐĐŽŵŽďĂƐĞƚĞſƌŝĐĂƉĂƌĂŽĚĞƐĞŶǀŽůǀŝŵĞŶƚŽĚĞƐƚĞĞƐƚƵĚŽ͘KƐƐƵũĞŝƚŽƐĚŝĂŐŶŽƐƟ-
ĐĂĚŽƐĐŽŵ,/sͬ/^ƐĆŽĂĨĞƚĂĚŽƐĞŵƐĞƵďĞŵͲĞƐƚĂƌİƐŝĐŽ͕ƉƐşƋƵŝĐŽĞƐŽĐŝĂů͘ŽŵŝƐƐŽ͕ƉŽĚĞƐƵƌŐŝƌƵŵĂ
ŐĂŵĂĚĞƐĞŶƟŵĞŶƚŽĚĞƚƌŝƐƚĞnjĂ͕ĚĞƉƌĞƐƐĆŽ͕ĂŶƐŝĞĚĂĚĞ͕ĂŶŐƷƐƟĂĞŵĞĚŽĚĂŵŽƌƚĞ͕ŽƋƵĞĂĐĂďĂŝŶƚĞƌĨĞ-
ƌŝŶĚŽŶĂŝĚĞŶƟĚĂĚĞĞŶĂĂƵƚŽĞƐƟŵĂĚĞƐƐĞƐƐƵũĞŝƚŽƐ͘ŶƚƌĞŽƐĚĞƐĂĮŽƐĞŶĐŽŶƚƌĂĚŽƐƉŽƌĞƐƐĂƐƉĞƐƐŽĂƐ͕
ĞƐƚĆŽƉƌĞƐĞŶƚĞƐĂĞƐƟŐŵĂƟnjĂĕĆŽƐŽĐŝĂůĞĂƐĚŝĮĐƵůĚĂĚĞƐĞŵƚĞƌƚĂŶƚŽƵŵĂƌĞĚĞĚĞĂƉŽŝŽĨĂŵŝůŝĂƌƋƵĂŶƚŽ
ƵŵĂĂƐƐŝƐƚġŶĐŝĂƉƐŝĐŽůſŐŝĐĂ͘dĂůĨĂƚŽĐŽŶƚƌŝďƵŝŶĞŐĂƟǀĂŵĞŶƚĞŶĂƚĆŽŝŵƉƌĞƐĐŝŶĚşǀĞůĂĚĞƐĆŽĂŽƚƌĂƚĂŵĞŶ-
ƚŽŵĞĚŝĐĂŵĞŶƚŽƐŽƉŽƌŵĞŝŽĚĂdĞƌĂƉŝĂŶƟƌƌĞƚƌŽǀŝƌĂů;dZsͿ͘ĞƐƐĞŵŽĚŽ͕ŽƐƵƉŽƌƚĞƉƐŝĐŽůſŐŝĐŽĚĞ
base existencial é de suma importância para a construção do cuidado relacionado às questões da saúde
ŵĞŶƚĂů͕ůĞǀĂŶĚŽͲƐĞĞŵĐŽŶƐŝĚĞƌĂĕĆŽĂĐŽŵƉůĞdžŝĚĂĚĞĚĂƐĚĞŵĂŶĚĂƐŐĞƌĂĚĂƐŶĂƉƌĞƐĞŶĕĂĚŽ,/sͬ/^͘
WĂůĂǀƌĂƐͲĐŚĂǀĞ͗WƐŝĐŽůŽŐŝĂ&ĞŶŽŵĞŶŽůſŐŝĐĂdžŝƐƚĞŶĐŝĂů͘,/sͬ/^͘^ĂƷĚĞŵĞŶƚĂů͘
ϰϯ

ďƐƚƌĂĐƚ͗dŚĞƉƌĞƐĞŶƚďŝďůŝŽŐƌĂƉŚŝĐƌĞǀŝĞǁƐƚƵĚLJƐƚĂƌƚƐĨƌŽŵĂƉŚĞŶŽŵĞŶŽůŽŐŝĐĂůďŝĂƐĂŶĚĂŝŵĞĚƚŽ
ƉƌĞƐĞŶƚĂŶƵŶĚĞƌƐƚĂŶĚŝŶŐŽĨƚŚĞĞdžŝƐƚĞŶƟĂůƉƐLJĐŚŽůŽŐŝĐĂůƐƵƉƉŽƌƚĨŽƌƚŚĞŵĞŶƚĂůŚĞĂůƚŚŽĨƉĞŽƉůĞĂĨ-
ĨĞĐƚĞĚďLJƚŚĞ,ƵŵĂŶ/ŵŵƵŶŽĚĞĮĐŝĞŶĐLJsŝƌƵƐ;,/sͿ͕ƌĞƐƉŽŶƐŝďůĞĨŽƌĐĂƵƐŝŶŐƚŚĞĐƋƵŝƌĞĚ/ŵŵƵŶŽ-
ĚĞĮĐŝĞŶĐLJ^LJŶĚƌŽŵĞ;/^Ϳ͘DĂƌƟŶ,ĞŝĚĞŐŐĞƌ͕DĂƵƌŝĐĞDĞƌůĞĂƵͲWŽŶƚLJĂŶĚ:ĞĂŶͲWĂƵů^ĂƌƚƌĞǁĞƌĞ
ƐŽŵĞŽĨƚŚĞĂƵƚŚŽƌƐƵƐĞĚĂƐĂƚŚĞŽƌĞƟĐĂůďĂƐŝƐĨŽƌƚŚĞĚĞǀĞůŽƉŵĞŶƚŽĨƚŚŝƐƐƚƵĚLJ͘dŚĞƐƵďũĞĐƚƐĚŝĂŐ-
ŶŽƐĞĚǁŝƚŚ,/sͬ/^ĂƌĞĂīĞĐƚĞĚŝŶƚŚĞŝƌƉŚLJƐŝĐĂů͕ƉƐLJĐŚŽůŽŐŝĐĂůĂŶĚƐŽĐŝĂůǁĞůůͲďĞŝŶŐ͖ǁŝƚŚƚŚŝƐ͕Ă
ƌĂŶŐĞŽĨĨĞĞůŝŶŐƐŽĨƐĂĚŶĞƐƐ͕ĚĞƉƌĞƐƐŝŽŶ͕ĂŶdžŝĞƚLJ͕ĂŶŐƵŝƐŚĂŶĚĨĞĂƌŽĨĚĞĂƚŚŵĂLJĂƌŝƐĞ͕ǁŚŝĐŚĞŶĚƐ &&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ
ƵƉŝŶƚĞƌĨĞƌŝŶŐŝŶƚŚĞŝĚĞŶƟƚLJĂŶĚƐĞůĨͲĞƐƚĞĞŵŽĨƚŚĞƐĞƐƵďũĞĐƚƐ͘ŵŽŶŐƚŚĞĐŚĂůůĞŶŐĞƐĞŶĐŽƵŶƚĞƌĞĚ
ďLJƚŚĞƐĞƉĞŽƉůĞ͕ƐŽĐŝĂůƐƟŐŵĂƟnjĂƟŽŶĂŶĚĚŝĸĐƵůƟĞƐŝŶŚĂǀŝŶŐďŽƚŚĂĨĂŵŝůLJƐƵƉƉŽƌƚŶĞƚǁŽƌŬĂŶĚ

ŚƩƉ͗ͬͬĚdž͘ĚŽŝ͘ŽƌŐͬϭϬ͘ϮϰϬϮϰͬϮϯϱϳϵϴϵϳǀϮϵŶϭϮϬϮϬƉϰϯϬϱϯ

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1
ZĞƐŝĚĞŶƚĞŶŽWƌŽŐƌĂŵĂĚĞ^ĂƷĚĞŽůĞƟǀĂĐŽŵġŶĨĂƐĞĞŵ'ĞƐƚĆŽĚĞZĞĚĞƐĚĞ^ĂƷĚĞͮWZD^ͮͲŵĂŝů͗ŵĂƌŐĂƌŝĚĂĚŝ-
niz17@hotmail.com
2
'ƌĂĚƵĂĚĂĞŵŶĨĞƌŵĂŐĞŵͮ&/^ͮƐƉĞĐŝĂůŝƐƚĂĞŵ^ĂƷĚĞĚĂ&ĂŵşůŝĂͮh&Dͮ͘ͲŵĂŝů͗ĂĚƌŝĐŝĂ͘Ő͘ĚΛŐŵĂŝů͘ĐŽŵ
3
DĞƐƚƌĞ Ğŵ ŶĨĞƌŵĂŐĞŵ ͮ WW'E&ͬh&Ddͮ ƐƉĞĐŝĂůŝƐƚĂ Ğŵ ǀĂůŝĂĕĆŽ Ğŵ ^ĞƌǀŝĕŽƐ ĚĂ ^ĂƷĚĞ ͮ hE&W ͮ ŽƵƚŽƌĂŶĚŽ ͮ
WW'>ͬh&DdŽĐĞŶƚĞhŶŝǀĞƌƐŝƚĄƌŝŽͮ/^DdͮͲŵĂŝů͗ũŽŶĂƚĂŶĨĂĞŶΛLJĂŚŽŽ͘ĐŽŵ͘ďƌ
ϰ
Mestre em Saúde Mental e Atenção Psicossocial | UERJ | Doutoranda Interdisciplinar em Ciências Humanas | UFSC |
ͲŵĂŝů͗ǀŝƌŐŝŶŝĂůĞǀLJΛŐŵĂŝů͘ĐŽŵ

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
Maria Margarida Gonçalves Diniz | Adrícia Gonçalves Diniz | Jonatan Costa Gomes | Virgínia Lima dos Santos Levy

ƉƐLJĐŚŽůŽŐŝĐĂůĂƐƐŝƐƚĂŶĐĞĂƌĞƉƌĞƐĞŶƚ͕ƚŚŝƐĨĂĐƚĐŽŶƚƌŝďƵƚĞƐŶĞŐĂƟǀĞůLJƚŽƚŚĞƐŽĞƐƐĞŶƟĂůĂĚŚĞƌĞŶĐĞ
&&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ

ƚŽĚƌƵŐƚƌĞĂƚŵĞŶƚƚŚƌŽƵŐŚĂŶƟƌĞƚƌŽǀŝƌĂůƚŚĞƌĂƉLJ;ZdͿ͘dŚƵƐ͕ƚŚĞĞdžŝƐƚĞŶƟĂůůLJďĂƐĞĚƉƐLJĐŚŽůŽŐŝĐĂů
ƐƵƉƉŽƌƚŝƐŽĨƉĂƌĂŵŽƵŶƚŝŵƉŽƌƚĂŶĐĞĨŽƌƚŚĞĐŽŶƐƚƌƵĐƟŽŶŽĨĐĂƌĞƌĞůĂƚĞĚƚŽŵĞŶƚĂůŚĞĂůƚŚŝƐƐƵĞƐ͕
ƚĂŬŝŶŐŝŶƚŽĂĐĐŽƵŶƚƚŚĞĐŽŵƉůĞdžŝƚLJŽĨƚŚĞĚĞŵĂŶĚƐŐĞŶĞƌĂƚĞĚŝŶƚŚĞƉƌĞƐĞŶĐĞŽĨ,/sͬ/^͘
Keywords͗džŝƐƚĞŶƟĂůWŚĞŶŽŵĞŶŽůŽŐŝĐĂůWƐLJĐŚŽůŽŐLJ͘,/sͬ/^͘DĞŶƚĂůŚĞĂůƚŚ͘

WĂůĂǀƌĂƐŝŶŝĐŝĂŝƐ
EĂĚĠĐĂĚĂĚĞϭϵϴϬ͕ŽƐƵƌŐŝŵĞŶƚŽĚĞƵŵĂĚŽĞŶĕĂĂŝŶĚĂƉŽƵĐŽĐŽŶŚĞĐŝĚĂƚƌŽƵdžĞƉĂƌĂ
ŽŵƵŶĚŽƵŵĂƐĠƌŝĞĚĞŝŵƉĂĐƚŽƐ͘ƐşŶĚƌŽŵĞĚĂŝŵƵŶŽĚĞĮĐŝġŶĐŝĂĂĚƋƵŝƌŝĚĂ;/^ͿĨŽŝƌĞ-
ĐŽŶŚĞĐŝĚĂŶŽŝŶşĐŝŽĚŽƐĂŶŽƐϴϬ͕ŶŽƐƐƚĂĚŽƐhŶŝĚŽƐ͕ĞƐƵĂĐŚĞŐĂĚĂĂŽƌĂƐŝůĂƉĂƌĞĐĞŽĮ-
ĐŝĂůŵĞŶƚĞĞŵϭϵϴϮ;,>/͖ZZ/Z͖^d/>,K͕ϮϬϬϬͿ͘
ŝŵƉŽƌƚĂŶƚĞƐĂůŝĞŶƚĂƌƋƵĞ͕ƐĞŐƵŶĚŽŽDŝŶŝƐƚĠƌŝŽĚĂ^ĂƷĚĞ;ϮϬϭϮͿ͕ƉŽƐƐƵŝƌŽ,/sŶĆŽ
ĠŽŵĞƐŵŽƋƵĞƚĞƌ/^͘ůŐƵŵĂƐƉĞƐƐŽĂƐƐŽƌŽƉŽƐŝƟǀĂƐǀŝǀĞŵĂŶŽƐƐĞŵĂƉƌĞƐĞŶƚĂƌƐŝŶ-
ƚŽŵĂƐŽƵƐĞŵĚĞƐĞŶǀŽůǀĞƌĂĚŽĞŶĕĂ͘EŽĞŶƚĂŶƚŽ͕ĂŝŶĚĂĂƐƐŝŵĠƉŽƐƐşǀĞůƚƌĂŶƐŵŝƟƌŽǀşƌƵƐ
ƉŽƌŵĞŝŽĚĞƌĞůĂĕƁĞƐƐĞdžƵĂŝƐĚĞƐƉƌŽƚĞŐŝĚĂƐ͕ĚĞŵĆĞƉĂƌĂĮůŚŽ͕ĚƵƌĂŶƚĞĂŐƌĂǀŝĚĞnjĞĂĂŵĂ-
ŵĞŶƚĂĕĆŽ͕ƉĞůŽĐŽŵƉĂƌƟůŚĂŵĞŶƚŽĚĞƐĞƌŝŶŐĂƐĐŽŶƚĂŵŝŶĂĚĂƐ͕ĐĂƐŽŶĆŽƐĞũĂŵƌĞĂůŝnjĂĚĂƐ
ŵĞĚŝĚĂƐ ĚĞ ƉƌĞǀĞŶĕĆŽ͘ ,/s Ġ Ă ƐŝŐůĂ Ğŵ ŝŶŐůġƐ ƌĞĨĞƌĞŶƚĞ ĂŽ ΗǀşƌƵƐ ĚĂ ŝŵƵŶŽĚĞĮĐŝġŶĐŝĂ
ŚƵŵĂŶĂΗ͕ĐĂƵƐĂĚŽƌĚĂ/^͘ŵĞƐƚĄŐŝŽŵĂŝƐĂǀĂŶĕĂĚŽĚĂĚŽĞŶĕĂ͕ŽǀşƌƵƐĂƚĂĐĂŽƐŝƐƚĞŵĂ
ŝŵƵŶŽůſŐŝĐŽ͕ƌĞƐƉŽŶƐĄǀĞůƉŽƌĚĞĨĞŶĚĞƌŽŽƌŐĂŶŝƐŵŽĚĞŝŶĨĞĐĕƁĞƐĞŽƵƚƌĂƐƉĂƚŽůŽŐŝĂƐ͘
ϰϰ ĞĂĐŽƌĚŽĐŽŵŽƐĚĂĚŽƐĚŽŽůĞƟŵĞƉŝĚĞŵŝŽůſŐŝĐŽĚŽDŝŶŝƐƚĠƌŝŽĚĂ^ĂƷĚĞĚŽƌĂƐŝů
;ϮϬϭϯͿ͕ĂƉƌŽdžŝŵĂĚĂŵĞŶƚĞϳϭϴŵŝůƉĞƐƐŽĂƐĞƐƚĂǀĂŵĐŽŵŽ,/sͬ/^ŶŽƌĂƐŝů͕ŽƋƵĞĂƉŽŶƚĂ
ƵŵĂƚĂdžĂĚĞƉƌĞǀĂůġŶĐŝĂĚĞϬ͕ϰйŶĂƉŽƉƵůĂĕĆŽĞŵŐĞƌĂů͘ĞƐƚĞƐ͕ĐĞƌĐĂĚĞϴϬй;ϱϳϰŵŝůͿũĄ
ƉŽƐƐƵĞŵŽĚŝĂŐŶſƐƟĐŽ͕ĞĂƉƌŽdžŝŵĂĚĂŵĞŶƚĞϳϰйĚĞůĞƐ;ϱϯϭŵŝůͿĮnjĞƌĂŵĂǀŝŶĐƵůĂĕĆŽĂŽƐ
ƐĞƌǀŝĕŽƐĚĞƐĂƷĚĞ͕ƚĞŶĚŽƐƵĂŝŶĨĞĐĕĆŽŵŽŶŝƚŽƌĂĚĂŵĞĚŝĂŶƚĞĞdžĂŵĞƐůĂďŽƌĂƚŽƌŝĂŝƐ͕ĐŽŵŽŽ
ϰĞĐĂƌŐĂǀŝƌĂů͕ŽƵĞƐƚĆŽƌĞĂůŝnjĂŶĚŽĂƚĞƌĂƉŝĂĂŶƟƌƌĞƚƌŽǀŝƌĂů;dZsͿ͘
ƉĂƌƟƌĚĂ>Ğŝϵϯϭϯͬϵϲ͕Ž^ŝƐƚĞŵĂjŶŝĐŽĚĞ^ĂƷĚĞďƌĂƐŝůĞŝƌŽ;^h^ͿĂƐƐĞŐƵƌĂŽĂĐĞƐƐŽ
ŐƌĂƚƵŝƚŽăŵĞĚŝĐĂĕĆŽĂŶƟƌƌĞƚƌŽǀŝƌĂůĞĞdžĂŵĞƐĚĞĐŽŶƚƌŽůĞĚĂĞŶĨĞƌŵŝĚĂĚĞ͘ƐƐĞĨĞŝƚŽƉŽƐƐŝ-
ďŝůŝƚŽƵŵƵĚĂŶĕĂƐŶŽƉĞƌĮůĚŽ,/sͬ/^ŶŽƉĂşƐ͕ŽƋƵĞǀĞŵĞŶƚĆŽĂƵŵĞŶƚĂŶĚŽĂƐŽďƌĞǀŝĚĂ
ĚŽƐƉĂĐŝĞŶƚĞƐĞĚŝŵŝŶƵŝŶĚŽĂŵŽƌƚĂůŝĚĂĚĞƌĞůĂĐŝŽŶĂĚĂƚĂŶƚŽĐŽŵ,/sͬ/^͕ƋƵĂŶƚŽĐŽŵĂƐ
ŝŶĨĞĐĕƁĞƐŽƉŽƌƚƵŶŝƐƚĂƐ;Z^/>͕ϭϵϵϲͿ͘
>ŽďŽĞWŝŵĞŶƚĞů;ϮϬϭϮͿŵĞŶĐŝŽŶĂŵƋƵĞ͕ŚŝƐƚŽƌŝĐĂŵĞŶƚĞ͕ŽƌĂƐŝůĂŝŶĚĂĠĚĞƐƚĂƋƵĞŶĂ
ĂĚĞƐĆŽĂŽƐƚƌĂƚĂŵĞŶƚŽƐĂŶƟƌƌĞƚƌŽǀŝƌĂŝƐ͕ůĞǀĂŶĚŽͲƐĞĞŵĐŽŶƐŝĚĞƌĂĕĆŽŽƵƚƌŽƐƉĂşƐĞƐŶŽƋƵĞ
ƐĞ ƌĞĨĞƌĞ Ă ĞƐƐĞ ƋƵĞƐŝƚŽ͘ K ĂĐĞƐƐŽ ŐƌĂƚƵŝƚŽ ăƐ ŵĞĚŝĐĂĕƁĞƐ ĨŽŝ ĚĞ ĞdžƚƌĞŵĂ ƌĞůĞǀąŶĐŝĂ ƉĂƌĂ
que a gestão pública pudesse desenvolver novas estratégias para tornar os tratamentos mais
ĞĮĐĂnjĞƐ͘ŽŶƚƵĚŽ͕ŽĂďĂŶĚŽŶŽĐŽŶƐƚĂŶƚĞĚŽƐƚƌĂƚĂŵĞŶƚŽƐĐŽŵĂŶƟƌƌĞƚƌŽǀŝƌĂŝƐĨĂnjĐŽŵƋƵĞ
ĂƐƌĞƐƉŽƐƚĂƐĂŽĐŽŵďĂƚĞĚŽ,/sͬ/^ƉĂƐƐĞŵĂƐĞƌŵĞŶŽƐĞĮĐĂnjĞƐ͘ŽŵŝƐƐŽ͕ŽŐŽǀĞƌŶŽĞŽ
setor da saúde devem estabelecer mecanismos que possam reverter essa situação.
>ŝŵĂ;ϮϬϭϮ͕Ɖ͘ϮϯͲϮϰͿĂĮƌŵĂƋƵĞΗŽƚĞŵĂĂĚĞƐĆŽĐŽŶƐƟƚƵŝͲƐĞŶƵŵĂĄƌĞĂĚĞŐƌĂŶĚĞ
ŝŵƉŽƌƚąŶĐŝĂƉĂƌĂĂ^ĂƷĚĞWƷďůŝĐĂĞƵŵĚĞƐĂĮŽƉĂƌĂĂĞĚƵĐĂĕĆŽ͘ĚĞƌŝƌĂƵŵƚƌĂƚĂŵĞŶƚŽĠ
ďĞŵŵĂŝƐĚŽƋƵĞƐŝŵƉůĞƐŵĞŶƚĞĐƵŵƉƌŝƌĂƐŽƌĚĞŶƐƉƌĞƐĐƌŝƚĂƐΗ͘ĞƐƐĂĨŽƌŵĂ͕ĠŶĞĐĞƐƐĄƌŝŽ

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
ƉƐŝĐŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂĞdžŝƐƚĞŶĐŝĂůŶŽƐƵƉŽƌƚĞăƐĂƷĚĞŵĞŶƚĂůĚĞƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^

ĞŶƚĞŶĚĞƌƋƵĞĂĐŽŵƉůĞdžŝĚĂĚĞĚĞƐƚĂƚĞŵĄƟĐĂ͕ĂůĠŵĚĞĞƐƚĂƌƌĞůĂĐŝŽŶĂĚĂăƐŵƵĚĂŶĕĂƐŶŽ
ĞƐƟůŽĚĞǀŝĚĂ͕ĂŝŶĚĂĚĞŵŽŶƐƚƌĂƋƵĞŽƐƵũĞŝƚŽĂĐŽŵĞƟĚŽƉĞůŽ,/sͬ/^ƉƌĞĐŝƐĂƐĞƌĞŶdžĞƌ-
ŐĂĚŽĞƌĞƐƉĞŝƚĂĚŽĞŵƚŽĚŽƐŽƐƐĞƵƐĂƐƉĞĐƚŽƐďŝŽƉƐŝĐŽƐƐŽĐŝĂŝƐ͕ƉŽŝƐƵŵĐŽŶƚĞdžƚŽĞƐƟŐŵĂ-
ƟnjĂŶƚĞƚŽƌŶĂĂĂĚĞƐĆŽĂŽƚƌĂƚĂŵĞŶƚŽĂůŐŽŵƵŝƚŽŵĂŝƐĚŝİĐŝů͘
ŝĂŶƚĞ ĚĂ ŝŶĚƵďŝƚĄǀĞů ŝŵƉŽƌƚąŶĐŝĂ ĚĂ ĂĚĞƐĆŽ ĂŽ dƌĂƚĂŵĞŶƚŽ ŶƟƌƌĞƚƌŽǀŝƌĂů ;dZsͿ͕
ĨĂnjͲƐĞŶĞĐĞƐƐĄƌŝŽƌĞŇĞƟƌĂĐĞƌĐĂĚĞƵŵĐŽŶũƵŶƚŽĚĞĐŽŶĐĞƉĕƁĞƐ͘>ŝŵĂ;ϮϬϭϮͿĞŶĨĂƟnjĂƋƵĞ
ĞŶƚƌĞĂƐŵŽƟǀĂĕƁĞƐƋƵĞŝŵƉůŝĐĂŵĂƌĞĚƵĕĆŽĚĂĂĚĞƐĆŽ͕ƉŽĚĞŵƐĞƌĐŝƚĂĚĂƐ͕ƉŽƌĞdžĞŵƉůŽ͗
ĂƉĂƌƟĐŝƉĂĕĆŽĚŽƉƌſƉƌŝŽƐƵũĞŝƚŽ͕ŽƐƵƉŽƌƚĞĨĂŵŝůŝĂƌ͕ŽƐƉƌŽĮƐƐŝŽŶĂŝƐĚĞƐĂƷĚĞĞƚĂŵďĠŵĂƐ
ƉŽůşƟĐĂƐĞĂŐĞƐƚĆŽƉƷďůŝĐĂ͘ŽŵŝƐƐŽ͕ĠŝŵƉƌĞƐĐŝŶĚşǀĞůƋƵĞƐĞũĂŽĨĞƌƚĂĚŽƵŵĂƉŽŝŽĂŵƉůŽ
ƉĂƌĂĂƐƉĞƐƐŽĂƐƐŽƌŽƉŽƐŝƟǀĂƐ͘
ĂůǀĞƫĞƚĂů͘;ϮϬϭϲͿƌĞĨŽƌĕĂŵĂƌĞůĞǀąŶĐŝĂĚŽƐƵƉŽƌƚĞƐŽĐŝĂů͕ďĞŵĐŽŵŽĂŝŵƉůĞŵĞŶƚĂ-
ção de programas de saúde que visem ao cuidado integral ofertado por toda a equipe que
ĂĐŽŵƉĂŶŚĂĂƐƉĞƐƐŽĂƐƋƵĞǀŝǀĞŵĐŽŵ,/sͬ/^͘KƐĂƵƚŽƌĞƐƐĂůŝĞŶƚĂŵ͕ĂŝŶĚĂ͕ƋƵĞĠĨƵŶ-
ĚĂŵĞŶƚĂůŽŝŶǀĞƐƟŵĞŶƚŽŶĂĂƚĞŶĕĆŽĂŽƐĂƐƉĞĐƚŽƐƉƐŝĐŽƐƐŽĐŝĂŝƐĚĂƐƉĞƐƐŽĂƐƐŽƌŽƉŽƐŝƟǀĂƐ͕
ƉŽŝƐĞƐƚĞƐĐŽŶƐƟƚƵĞŵĨĂƚŽƌĞƐĚĞĞdžƚƌĞŵĂŝŵƉŽƌƚąŶĐŝĂŶĂƋƵĂůŝĚĂĚĞĚĞǀŝĚĂĚĞƐƐĂƐƉĞƐƐŽĂƐ
Ğ͕ ĐŽŶƐĞƋƵĞŶƚĞŵĞŶƚĞ͕ ŶĂ ĂĚĞƐĆŽ ĂŽ ƚƌĂƚĂŵĞŶƚŽ ŵĞĚŝĐĂŵĞŶƚŽƐŽ͘ Ɛ ĐŽŶƐĞƋƵġŶĐŝĂƐ ĚŽ
,/sͬ/^ŶŽĐŽƌƉŽ͕ƋƵĂŶĚŽŶĆŽŚĄĂĂĚĞƐĆŽĂŽƚƌĂƚĂŵĞŶƚŽ͕ǀĆŽĚĞƐĚĞŽĐŽŵƉƌŽŵĞƟŵĞŶ-
ƚŽĚŽĨƵŶĐŝŽŶĂŵĞŶƚŽĚŽƐŝƐƚĞŵĂŝŵƵŶŽůſŐŝĐŽ͕ĐŽŵŽƐƵƌŐŝŵĞŶƚŽĚĞĚŽĞŶĕĂƐŽƉŽƌƚƵŶŝƐƚĂƐ͕
ĂƚĠŵĞƐŵŽĂŽſďŝƚŽ͕ĚĞǀŝĚŽăƐĂƷĚĞĞdžĐĞƐƐŝǀĂŵĞŶƚĞĨƌĄŐŝůĞƐƵƐĐĞơǀĞůĂŵƵŝƚĂƐŝŶĨĞĐĕƁĞƐ͘
EŽĞŶƚĂŶƚŽ͕ĐŽŵŽĂĮƌŵĂŵ^ŝůǀĂĞdĂǀĂƌĞƐ;ϮϬϭϱͿ͕ŽƐĂǀĂŶĕŽƐŶĂĚĞƚĞĐĕĆŽĞƚƌĂƚĂŵĞŶ-
ƚŽ͕ĐŽŵĂĐŚĞŐĂĚĂĚĂdĞƌĂƉŝĂŶƟƌƌĞƚƌŽǀŝƌĂů;dZsͿ͕ĨĂǀŽƌĞĐĞƌĂŵƵŵĂŵĞůŚŽƌƋƵĂůŝĚĂĚĞĚĞ ϰϱ
ǀŝĚĂƉĂƌĂĂƐƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^ƋƵĞ͕ĞŵďŽƌĂƚĞŶŚĂŵƵŵĂĐŽŶĚŝĕĆŽĐƌƀŶŝĐĂ
ĚĞƐĂƷĚĞ͕ŶĆŽĞƐƚĆŽŝŵƉĞĚŝĚĂƐĚĞĂůĐĂŶĕĂƌĂůŽŶŐĞǀŝĚĂĚĞ͘
ŽůŽŶŐŽĚŽƐĂŶŽƐ͕ƐĆŽĐĂĚĂǀĞnjŵĂŝƐƉĞƌĐĞƉơǀĞŝƐŽƐďĞŶĞİĐŝŽƐƋƵĞŽƉƌŽŐƌĞƐƐŽŶŽ
ƚƌĂƚĂŵĞŶƚŽĚŽ,/sͬ/^ƚĞŵŐĞƌĂĚŽ͗ŽƐĨƌĞƋƵĞŶƚĞƐĐĂƐŽƐĚĞƉĞƐƐŽĂƐĚĞĮŶŚĂŶĚŽĞŵůĞŝƚŽƐ
ŚŽƐƉŝƚĂůĂƌĞƐũĄŶĆŽƐĆŽŵĂŝƐƌĞĐŽƌƌĞŶƚĞƐĐŽŵŽĂŶƚĞƐ͘dŽĚĂǀŝĂ͕ŽĨĂƚŽĚĞŶĆŽŚĂǀĞƌŵĂŝƐƵŵ
ŐƌĂŶĚĞĐŽŵƉƌŽŵĞƟŵĞŶƚŽİƐŝĐŽŶĆŽƐŝŐŶŝĮĐĂƋƵĞĂƐƋƵĞƐƚƁĞƐƌĞůĂĐŝŽŶĂĚĂƐĂŽĞƐƟŐŵĂ͕
preconceito e danos emocionais tenham sido sanadas. &&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ
Conforme Lages Ğƚ͘Ăů͘;ϮϬϭϱͿ͕ŽƐƉƌŝŵĞŝƌŽƐƉĂĐŝĞŶƚĞƐĚŝĂŐŶŽƐƟĐĂĚŽƐĐŽŵĂĚŽĞŶĕĂ
ĞƌĂŵŚŽŵŽƐƐĞdžƵĂŝƐ͕ƌĂnjĆŽƉĞůĂƋƵĂůĞƐƚĞƐĨŽƌĂŵŽƐƉƌŝŵĞŝƌŽƐĐŽŶƐŝĚĞƌĂĚŽƐĂĐŽŶƐƟƚƵŝƌƵŵ
͞ŐƌƵƉŽĚĞƌŝƐĐŽ͘͟ĂƌƌĞŐĂĚĂĚĞŵŽƌĂůŝƐŵŽ͕ĞƐƚĂĐŽŶĐĞƉĕĆŽĐƵůƉĂǀĂŽƐŚŽŵŽƐƐĞdžƵĂŝƐ͕ƋƵĞ
ĞƌĂŵƟĚŽƐĐŽŵŽŽƐƌĞƐƉŽŶƐĄǀĞŝƐ͕ĐŽŵŽĂĨŽŶƚĞĚŽ͞ĐąŶĐĞƌŐĂLJ͟ƋƵĞĂƟŶŐŝĂĂƐŽĐŝĞĚĂĚĞ͘
KƐŵĞƐŵŽƐĂƵƚŽƌĞƐĂŝŶĚĂĂƉŽŶƚĂŵƋƵĞĂĞƐƐĞŐƌƵƉŽŝŶŝĐŝĂůĨŽƌĂŵĂĐƌĞƐĐĞŶƚĂĚŽƐŽƐŚĞ-
ŵŽİůŝĐŽƐ͕ŚĂŝƟĂŶŽƐ͕ƵƐƵĄƌŝŽƐĚĞŚĞƌŽşŶĂĞƉƌŽƐƟƚƵƚĂƐ͘ŽŵŝƐƐŽ͕ĨŽŝĐƌŝĂĚĂƵŵĂĐŽŶƐƚƌƵĕĆŽ
moralista que enxergava a sexualidade “descontrolada” como a grande causa do mal.
^ĞŶĚŽĂƐƐŝŵ͕ĂƐƋƵĞƐƚƁĞƐƌĞůĂƟǀĂƐĂŽǀşƌƵƐ,/sƵůƚƌĂƉĂƐƐĂŵŝŵƉůŝĐĂĕƁĞƐďŝŽŵĠĚŝĐĂƐ͕
ƉŽƐƚŽƋƵĞĂĞƐƟŐŵĂƟnjĂĕĆŽƐŽĐŝĂůĞƐƚĂďĞůĞĐŝĚĂĞŵƚŽƌŶŽĚŽƐĞƌƋƵĞƉŽƐƐƵŝĞƐƐĂĚŽĞŶĕĂ
ƉŽĚĞ ĐĂƵƐĂƌ ƐĠƌŝŽƐ ƉƌĞũƵşnjŽƐ ă ƐƵĂ ƐĂƷĚĞ ŵĞŶƚĂů͘ ĞŶƚƌŽ ĚĞƐƚĂ ƉĞƌƐƉĞĐƟǀĂ͕ Ž ƉƌĞƐĞŶƚĞ
ĞƐƚƵĚŽ ƉƌĞƚĞŶĚĞ ƉƌŽďůĞŵĂƟnjĂƌ ĐŽŵŽ Ž ƐƵƉŽƌƚĞ ƉƐŝĐŽůſŐŝĐŽ ĚĞ ďĂƐĞ ĞdžŝƐƚĞŶĐŝĂů ƉŽĚĞƌŝĂ
ĐŽŶƚƌŝďƵŝƌƉĂƌĂĂƋƵĂůŝĚĂĚĞĚĞǀŝĚĂĚĂƐƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^͘WĂƌĂŝƐƚŽ͕ĞƐƚĂ
ƉĞƐƋƵŝƐĂĚĞƌĞǀŝƐĆŽďŝďůŝŽŐƌĄĮĐĂƉĂƌƚĞĚŽŵĠƚŽĚŽƋƵĂůŝƚĂƟǀŽĐŽŵǀŝĠƐĨĞŶŽŵĞŶŽůſŐŝĐŽ͘

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
Maria Margarida Gonçalves Diniz | Adrícia Gonçalves Diniz | Jonatan Costa Gomes | Virgínia Lima dos Santos Levy

 ƉƐŝĐŽůŽŐŝĂ ĨĞŶŽŵĞŶŽůſŐŝĐĂ ĞdžŝƐƚĞŶĐŝĂů ƚĞŵ ƐƵĂƐ ŽƌŝŐĞŶƐ ǀŝŶĐƵůĂĚĂƐ Ă ŐƌĂŶĚĞƐ ŶŽ-


&&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ

ŵĞƐĚŽĞdžŝƐƚĞŶĐŝĂůŝƐŵŽ͕ƐĞŶĚŽŽĮůſƐŽĨŽĚŝŶĂŵĂƌƋƵġƐ^ƆƌĞŶĂďLJĞ<ŝĞƌŬĞŐĂĂƌĚŽƉŝŽŶĞŝƌŽ
ĚĞƐƚĞŵŽǀŝŵĞŶƚŽ͘ŽŶƐŝĚĞƌĂĚŽŽ͞ĮůſƐŽĨŽĚĂĞdžŝƐƚġŶĐŝĂ͕͟<ŝĞƌŬĞŐĂĂƌĚƚƌĂnjĞŵƐƵĂƐŽďƌĂƐ
ŵƵŝƚĂƐƋƵĞƐƚƁĞƐĚĂƉƌſƉƌŝĂǀŝĚĂ͕ĐŽŵŽĂŶŽĕĆŽĚĞĂŶŐƷƐƟĂĞĂŝŵƉŽƌƚąŶĐŝĂĚĞƌĞĂůŝnjĂƌŵŽƐ
ŶŽƐƐĂƐĞƐĐŽůŚĂƐůŝǀƌĞŵĞŶƚĞ͕ŶƵƚƌŝŶĚŽƵŵĂĨŽƌƚĞĐŽŶĞdžĆŽĐŽŵŽĐƌŝƐƟĂŶŝƐŵŽ͘WĂƌĂĞůĞ͕ĐĂĚĂ
ƐƵũĞŝƚŽĚĞǀĞƐĞƌŽ͞ĂƵƚŽƌĚĞƐƵĂĞdžŝƐƚġŶĐŝĂ͟;</Z<Z'Z͕ϭϵϱϮ͕Ɖ͘ϭϵϳͿ͘
ĞŶƚƌĞŽƐƉƌŝŶĐŝƉĂŝƐƌĞĨĞƌĞŶĐŝĂŝƐƚĞſƌŝĐŽƐƵƟůŝnjĂĚŽƐĞƐƚĆŽ͗DĂƌƟŶ,ĞŝĚĞŐŐĞƌ͕DĂƵƌŝĐĞ
DĞƌůĞĂƵͲWŽŶƚLJĞ:ĞĂŶͲWĂƵů^ĂƌƚƌĞ͘ŽŵŽŽďũĞƟǀŽŐĞƌĂů͕ďƵƐĐŽƵͲƐĞ͕ƉŽƌƚĂŶƚŽ͕ĂƉƌĞƐĞŶƚĂƌ
ƵŵĂĐŽŵƉƌĞĞŶƐĆŽĚĂŝŵƉŽƌƚąŶĐŝĂĚŽƐƵƉŽƌƚĞƉƐŝĐŽůſŐŝĐŽĞdžŝƐƚĞŶĐŝĂůŝƐƚĂƉĂƌĂĂƐĂƷĚĞŵĞŶ-
ƚĂůĚĞƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^͘

ĚĞƐĐŽďĞƌƚĂĚŽĚŝĂŐŶſƐƟĐŽƐŽƌŽƉŽƐŝƟǀŽƉĂƌĂŽ,/sͬ/^͗ĚĂŵƵĚĂŶĕĂŶŽĞƐƟůŽ
ĚĞǀŝĚĂĂŽŝŵƉĂĐƚŽŶĂƐĂƷĚĞŵĞŶƚĂů
ŽŵĂĐŚĞŐĂĚĂĚĞƵŵĂĚŽĞŶĕĂƋƵĞĂŝŶĚĂŶĆŽƚĞŵĐƵƌĂ͕ĂƚƌĂŶƐĨŽƌŵĂĕĆŽĚĂĐŽŶƐĐŝġŶ-
ĐŝĂƐŽďƌĞƐŝŵĞƐŵŽĞƐŽďƌĞĂǀŝĚĂƚŽƌŶĂŵͲƐĞĞƐƐĞŶĐŝĂŝƐ͖ŽƐƐŝŶƚŽŵĂƐ͕ƋƵĞƐĞĂƉƌĞƐĞŶƚĂŵ
ŝŶŝĐŝĂůŵĞŶƚĞŶŽĐŽƌƉŽ͕ŝŶĞǀŝƚĂǀĞůŵĞŶƚĞĐĂƵƐĂŵƌĞƉĞƌĐƵƐƐƁĞƐŶŽƉƐŝƋƵŝƐŵŽ͘WĂƌĂ^ŝůǀĂĞƚ͘
Ăů͘;ϮϬϭϱͿ͕ŽƐŽĨƌŝŵĞŶƚŽĂƉĂƌĞŶƚĂĞƐƚĂƌĞƐƚƌĞŝƚĂŵĞŶƚĞĂƚƌĞůĂĚŽăƐĚƷǀŝĚĂƐƋƵĞƐƵƌŐĞŵĂƉſƐ
ŽĚŝĂŐŶſƐƟĐŽŶŽƋƵĞƐĞƌĞĨĞƌĞăƐƉŽƐƐŝďŝůŝĚĂĚĞƐĚĞĐŽŶǀŝǀġŶĐŝĂĞĂĐĞŝƚĂĕĆŽĞĐŽŵĂƌĞũĞŝĕĆŽ
ƉŽƌƉĂƌƚĞĚĂƐƉĞƐƐŽĂƐƋƵĞŝŶƚĞŐƌĂŵĂƐƐƵĂƐƌĞůĂĕƁĞƐ͘ůĠŵĚŝƐƐŽ͕ƚĂŵďĠŵƉŽĚĞĞdžŝƐƟƌŽ
ũƵůŐĂŵĞŶƚŽĚĞŝŶĨĞƌŝŽƌŝĚĂĚĞƋƵĞĂƉƌſƉƌŝĂƉĞƐƐŽĂĨĂnjĚĞƐŝŵĞƐŵĂ͘
ϰϲ
^ĞŐƵŶĚŽ^ŽƵnjĂ;ϮϬϬϴͿ͕ĂŶĂůŝƐĂŶĚŽͲƐĞĂĐŽŵƉůĞdžŝĚĂĚĞĚĂĚŽĞŶĕĂ͕ŽĐƵŝĚĂĚŽĚŝƌĞĐŝŽ-
ŶĂĚŽăƐƉĞƐƐŽĂƐƋƵĞĨŽƌĂŵĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^ĚĞǀĞƐĞƌŚŽůşƐƟĐŽĞŝŶƚĞƌĚŝƐĐŝƉůŝŶĂƌ͕
ƵŵĂǀĞnjƋƵĞŚĂǀĞƌĄŽƐƵƌŐŝŵĞŶƚŽĚĞƐŝƚƵĂĕƁĞƐŵƵŝƚĂƐǀĞnjĞƐĚŝİĐĞŝƐĚĞŵĂŶĞũĂƌ͕ƚĂŝƐĐŽŵŽ͗
ĞƐƟŐŵĂ͕ĚŝƐĐƌŝŵŝŶĂĕĆŽ͕ŵƵĚĂŶĕĂƐŶŽĞƐƟůŽĚĞǀŝĚĂ͕ŝŶƚƌŽĚƵĕĆŽĚĞƵŵĂŵĞĚŝĐĂĕĆŽĚŝĄƌŝĂ͕
ĚŝĮĐƵůĚĂĚĞƐŶĂĂĚĞƐĆŽĂŽƚƌĂƚĂŵĞŶƚŽ͕ĞĨĞŝƚŽƐĐŽůĂƚĞƌĂŝƐ͕ƌĞŝŶƐĞƌĕĆŽƐŽĐŝĂů͕ĂůĠŵĚĞĐŽŶƐĞ-
ƋƵġŶĐŝĂƐŶĂǀŝĚĂƐĞdžƵĂů͕ĚĞŶƚƌĞŽƵƚƌĂƐ͘
WŝŶŚĞŝƌŽĞDĞĚĞŝƌŽƐ;ϮϬϭϯ͕Ɖ͘ϲͿĚĞĐůĂƌĂŵƋƵĞ͞΀͘͘͘΁ĂƌĞƐƉŽŶƐĂďŝůŝĚĂĚĞĐĂƌĂĐƚĞƌŝnjĂĂĨŽƌ-
ŵĂĚĞŝŵƉůŝĐĂĕĆŽĚŽƐƵũĞŝƚŽŶŽƉƌŽĐĞƐƐŽĚĞŶŽƌŵĂůŝnjĂĕĆŽĚĂĐŽŶĚƵƚĂŶĂůƵƚĂĐŽŶƚƌĂŽ,/sͬ
/^͛͛͘ŽŵŝƐƐŽ͕ŶŽƚĂͲƐĞĂŝĚĞŝĂŐĞŶĞƌĂůŝnjĂĚĂĚĞƋƵĞŽƐƵƌŐŝŵĞŶƚŽĚŽ,/sͬ/^ĠĐĂƵƐĂĚŽƚĆŽ
ƐŽŵĞŶƚĞƉŽƌŵĞŝŽĚĞƌĞůĂĕƁĞƐƐĞdžƵĂŝƐƉƌŽŵşƐĐƵĂƐĚĞƐƉƌŽƚĞŐŝĚĂƐ͘ŶƚƌĞƚĂŶƚŽ͕ĠƉƌĞĐŝƐŽƋƵĞ
outras causas que não englobam apenas uma responsabilização individual sejam reconhe-
ĐŝĚĂƐ͕ĐŽŵŽĂƚƌĂŶƐŵŝƐƐĆŽĚĞŵĆĞƉĂƌĂĮůŚŽĚƵƌĂŶƚĞĂŐƌĂǀŝĚĞnjĞĂĂŵĂŵĞŶƚĂĕĆŽ͕ŽĂďƵƐŽ
ƐĞdžƵĂů͕ĞƚĂŵďĠŵĂƚƌĂŶƐŵŝƐƐĆŽĚŽǀşƌƵƐĚĞĨŽƌŵĂƉƌŽƉŽƐŝƚĂůŽƵŝŶĐŝĚĞŶƚĂůŶĂƐƌĞůĂĕƁĞƐƟĚĂƐ
ĐŽŵŽƐĐƀŶũƵŐĞƐ͘ůĠŵĚŝƐƐŽ͕ŽĞdžĞƌĐşĐŝŽĚĂƐĞdžƵĂůŝĚĂĚĞĠĂůŐŽƉĞƐƐŽĂů͕ŶĆŽĐĂďĞŶĚŽũƵůŐĂ-
ŵĞŶƚŽƐƋƵĂŶƚŽĂŽƐŵŽĚŽƐĚĞĞdžĞƌĐġͲůĂ͕ĂŶĆŽƐĞƌĞŵƐŝƚƵĂĕƁĞƐĚĞǀŝŽůġŶĐŝĂͬĂďƵƐŽ͘
EŽƋƵĞƐĞƌĞĨĞƌĞăŶĆŽƌĞƐƉŽŶƐĂďŝůŝnjĂĕĆŽƉĞůĂƐĐŽŶƐĞƋƵġŶĐŝĂƐĚĂƐƉƌſƉƌŝĂƐĞƐĐŽůŚĂƐ͕
^ĂƌƚƌĞ;ϮϬϭϰͿĞůƵĐŝĚĂƋƵĞĂΗŵĄͲĨĠΗƉŽĚĞƐĞƌĞŶƚĞŶĚŝĚĂƋƵĂŶĚŽĞƐƉŽŶƚĂŶĞĂŵĞŶƚĞŽƐƵũĞŝ-
ƚŽĂƐƐƵŵĞƵŵĂŝĚĞŶƟĚĂĚĞƌşŐŝĚĂ͕ĂƉŽŶƚŽĚĞĚĞƐĐŽŶŚĞĐĞƌĂƉƌſƉƌŝĂůŝďĞƌĚĂĚĞĚĞĞƐĐŽůŚĂ͘
ůĂƚĂŵďĠŵƉŽĚĞƐĞƌĐŽŵƉƌĞĞŶĚŝĚĂĐŽŵŽƵŵĂƚĞŶƚĂƟǀĂĚĞĞƐĐĂƉĂƌŵŽƐĚĂŶŽƐƐĂĐŽŶĚŝ-
ĕĆŽĚĞůŝďĞƌĚĂĚĞĂŶŐƵƐƟĂŶƚĞĨƌĞŶƚĞăƐĐŽŶƐĞƋƵġŶĐŝĂƐĚĞŶŽƐƐĂƐĞƐĐŽůŚĂƐĞĨƌĞŶƚĞĂŽĨĂƚŽ

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
ƉƐŝĐŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂĞdžŝƐƚĞŶĐŝĂůŶŽƐƵƉŽƌƚĞăƐĂƷĚĞŵĞŶƚĂůĚĞƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^

ĚĞƋƵĞŵĞƐŵŽŶĆŽĞƐĐŽůŚĞƌƚĂŵďĠŵƚĞŵĐŽŶƐĞƋƵġŶĐŝĂƐ͕ůŽŐŽ͕ƚĂŵďĠŵĠƵŵĂĞƐĐŽůŚĂ͘
/ƐƚŽĂĐŽŶƚĞĐĞƉŽƌƋƵĞ͕ŶŽƉƌŽĐĞƐƐŽĚĞĐŽŶƐƟƚƵŝĕĆŽĚĞŶŽƐƐĂƐƐƵďũĞƟǀŝĚĂĚĞƐ͕ĞŵĐŽŶƐƚƌƵ-
ĕĆŽĐŽŶƐƚĂŶƚĞ͕ƐſĐŽŶĐůƵşĚŽŶĂŵŽƌƚĞ͕ĂƐƐŽĐŝĂŵŽͲŶŽƐĂĂůŐƵŵĂĮŐƵƌĂƋƵĞĐƌŝĂŵŽƐĚĞŶſƐ
ŵĞƐŵŽƐŽƵĂĂůŐƵŵƉĂƉĞůƐŽĐŝĂůƋƵĞĞdžĞƌĐĞŵŽƐ͕ƚĞŶĚŽĐŽŵŽĮŶĂůŝĚĂĚĞĂƚĞŶƵĂƌŽŶŽƐƐŽ
ƐĞŶƟŵĞŶƚŽĚĞĂŶŐƷƐƟĂĨƌĞŶƚĞĂŽƐĐŽŶŇŝƚŽƐƋƵĞƉŽĚĞŵƐƵƌŐŝƌĞŶƚƌĞĂƋƵĞůĞƉĂƉĞůĞŽƵƚƌŽƐ
papéis ou outros valores que também consideramos.
^ĂƌƚƌĞ;ϭϵϴϳͿƐĂůŝĞŶƚĂĂŝŶĚĂƋƵĞ͕ĚĞĂĐŽƌĚŽĐŽŵĂǀŝƐĆŽĞdžŝƐƚĞŶĐŝĂůŝƐƚĂ͕ĂŵĄͲĨĠĂƉĞŶĂƐĠ
ƉŽƐƐşǀĞůĚĞǀŝĚŽăůŝďĞƌĚĂĚĞ͕ŽƵƐĞũĂ͕ƉĞůŽĨĂƚŽĚĞŽƐĞƌŚƵŵĂŶŽĐŽŶƐƟƚƵŝƌͲƐĞĂƚƌĂǀĠƐĚĞƐƵĂůŝ-
ďĞƌĚĂĚĞĚĞĞƐĐŽůŚĂ͘ĞƐƐĞŵŽĚŽ͕ĐŽŵƉĞƚĞĂĞůĞŵĞƐŵŽĂƌĞƐƉŽŶƐĂďŝůŝĚĂĚĞŶŽƋƵĞĚŝnjƌĞƐƉĞŝƚŽ
ĂŽƋƵĞĞůĞĨĂnjĚĂƋƵŝůŽƋƵĞĨŽŝĨĞŝƚŽĚĞůĞ͘/ƐƚŽŶĆŽŝŵƉůŝĐĂ͕ĐŽŶƚƵĚŽ͕ĚĞƐĐŽŶƐŝĚĞƌĂƌĂĨĂĐƟĐŝĚĂĚĞ͘
EŽĐĂƐŽĚŽ,/s͕ŽĐŽŶƚĄŐŝŽŶĆŽŶĞĐĞƐƐĂƌŝĂŵĞŶƚĞĐŽŶƐƚĂǀĂŶŽŚŽƌŝnjŽŶƚĞĚĞƉŽƐƐŝďŝůŝĚĂĚĞƐĨƌĞŶƚĞ
ĂŽƋƵĂůĂůŐƵĠŵĞƐĐŽůŚĞƵ͖ƉŽĚĞŵĞƐŵŽƚĞƌĂĐŽŶƚĞĐŝĚŽĨƌĞŶƚĞĂŽƚŽƚĂůĚĞƐĐŽŶŚĞĐŝŵĞŶƚŽĚĞƋƵĞ
ĞůĞƐĞƌŝĂƉŽƐƐşǀĞů͘ZĞƐƉŽŶƐĂďŝůŝnjĂƌͲƐĞ͕ĠŝŵƉŽƌƚĂŶƚĞĨƌŝƐĂƌ͕ŶĆŽĠƐŝŶƀŶŝŵŽĚĞĐƵůƉĂƌͲƐĞ͕ŵĂƐĚĞ
ĐŽŵƉƌĞĞŶĚĞƌƋƵĞ͕ĞŶƋƵĂŶƚŽƉŽƌƚĂĚŽƌĚŽƉŽĚĞƌĚĞĐŝƐſƌŝŽĚĂĞƐĐŽůŚĂ͕ĠƉŽƐƐşǀĞůĨĂnjĞƌĞƐĐŽůŚĂƐ
ĚŝĨĞƌĞŶƚĞƐĚĂƋƵĞůĂƐƋƵĞĮnjĞŵŽƐĂŶƚĞƐ͕ăƐƋƵĂŝƐƉĞŶƐĄǀĂŵŽƐĞƐƚĂƌŽďƌŝŐĂĚŽƐ͘
ŵĐŽŶĨŽƌŵŝĚĂĚĞĐŽŵŽŽŶƐĞůŚŽ&ĞĚĞƌĂůĚĞWƐŝĐŽůŽŐŝĂ;ϮϬϭϵͿ͕ŶŽƋƵĞƐĞƌĞĨĞƌĞăƐ
ŝŶĨŽƌŵĂĕƁĞƐĞƐƉĞĐşĮĐĂƐĂĐĞƌĐĂĚĂƐ/^dͬ,/sͬ/^Ğ^ĂƷĚĞDĞŶƚĂů͕ĠƉƌĞĐŝƐŽĐŽŵƉƌĞĞŶĚĞƌ
ƋƵĞĂƐ/ŶĨĞĐĕƁĞƐ^ĞdžƵĂůŵĞŶƚĞdƌĂŶƐŵŝƐƐşǀĞŝƐ;/^dƐͿŶĆŽĞƐƚĆŽƌĞůĂĐŝŽŶĂĚĂƐĞdžĐůƵƐŝǀĂŵĞŶƚĞ
ăƉƌĄƟĐĂƐĞdžƵĂůĞŵƐŝ͘džŝƐƚĞƵŵĂĐŽƌƌĞůĂĕĆŽĚĞŵƵŝƚŽƐĨĂƚŽƌĞƐ͕ŝŶĐůƵŝŶĚŽͲƐĞĂƐƉĞĐƚŽƐĐŽŵŽ
ĂŚŝƐƚſƌŝĂĚĞǀŝĚĂĚŽƐƵũĞŝƚŽ͕ƐƵĂƐĞŵŽĕƁĞƐ͕ƌĞůĂĕƁĞƐŝŶƚĞƌƉĞƐƐŽĂŝƐ͕ĐŽƐƚƵŵĞƐĞĚĞƐĞũŽƐ͕Ž
que torna este um tema complexo e que necessita de espaços acolhedores para formação ϰϳ
ĚŽƐƉƌŽĮƐƐŝŽŶĂŝƐĚĞƉƐŝĐŽůŽŐŝĂ͘ůĠŵĚŝƐƐŽ͕ŽƵƚƌĂƐƋƵĞƐƚƁĞƐĐŽŵŽĂƐƌĞůĂĕƁĞƐĚĞŐġŶĞƌŽ͕
ŚĞƚĞƌŽŶŽƌŵĂƟǀŝĚĂĚĞ͕ŽƌŝĞŶƚĂĕĆŽĞƉƌĄƟĐĂƐƐĞdžƵĂŝƐ͕ƌĞůĂĕƁĞƐĨĂŵŝůŝĂƌĞƐ͕ƉƌĞĐŽŶĐĞŝƚŽƐĞŽƐ
ĂƐƉĞĐƚŽƐŶĞƵƌŽƉƐŝƋƵŝĄƚƌŝĐŽƐ;ĨĂĚŝŐĂĐƌƀŶŝĐĂ͕ĚĞƉƌĞƐƐĆŽ͕ĂŶƐŝĞĚĂĚĞ͕ďĂŝdžĂĂƵƚŽĞƐƟŵĂ͕ĚŝĮ-
ĐƵůĚĂĚĞĚĞĐŽŵƉƌĞĞŶƐĆŽͿƚĂŵďĠŵƉƌĞĐŝƐĂŵƐĞƌĐŽŶƐŝĚĞƌĂĚĂƐ͘
EĞƐƚĞƐĞŶƟĚŽ͕ƚŽƌŶĂͲƐĞĨƵŶĚĂŵĞŶƚĂůŽƐƵƉŽƌƚĞƉƐŝĐŽůſŐŝĐŽ͗͞ŝŶƚĞƌǀĞŶĕĆŽƉƐŝĐŽůſŐŝĐĂ
ƉŽĚĞĚŝŵŝŶƵŝƌ͕ĞdžƉƌĞƐƐŝǀĂŵĞŶƚĞ͕ŽƐƐŝŶƚŽŵĂƐĚĞƉƌĞƐƐŝǀŽƐĞĐĂƵƐĂƌƌĞĂĕƁĞƐƐĂƵĚĄǀĞŝƐ͕ŶĂ
ĂĐĞƉĕĆŽĚĞŽƉĂĐŝĞŶƚĞƉŽĚĞƌůŝĚĂƌĐŽŵĂĞƐƟŐŵĂƟnjĂĕĆŽĞĂĚĞƉƌĞƐƐĆŽ͕ĞƉŽĚĞƌĞŶĐĂƌĂƌĂ &&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ
ĐŽŶĚŝĕĆŽĚŝĂŶƚĞĚĂĚŽĞŶĕĂ͟;^/>s͖Z/^:hE/KZ/E͕ϮϬϭϳ͕Ɖ͘ϰϲϭͿ͘
ŽŵŽĂďĂůŽŶĂƐĂƷĚĞŵĞŶƚĂů͕ĚĞĐŽƌƌĞŶƚĞĚĂƐƉƌĞŽĐƵƉĂĕƁĞƐĐŽŵĂƐĐŽŶƐĞƋƵġŶĐŝĂƐĚŽ
ĐŽŶƚĄŐŝŽ͕ŽƉĞŶƐĂŵĞŶƚŽƐŽďƌĞĂĮŶŝƚƵĚĞƐĞĨĂnjƉƌĞƐĞŶƚĞ͘^ĞŐƵŶĚŽDŽƌĞŝƌĂ͕ůŽĐĞZŽĐŚĂ
;ϮϬϭϮͿ͕ĂŵŽƌƚĞƉŽĚĞƐĞƌĐŽŶƐŝĚĞƌĂĚĂƵŵĂƋƵĞƐƚĆŽĚĞŐƌĂŶĚĞŝŵƉŽƌƚąŶĐŝĂŶŽŵƵŶĚŽǀŝǀŝĚŽ
ĚĞƚŽĚĂƐĂƐƉĞƐƐŽĂƐ͘ŶŽƋƵĞƐĞƌĞĨĞƌĞĂŽƐĐĂƐŽƐĚĞƉĞƐƐŽĂƐƋƵĞǀŝǀĞŵĐŽŵ,/sͬ/^͕ĞƐƚĞ
ŵƵŶĚŽǀŝǀŝĚŽĠƐƵďũĞƟǀĂŵĞŶƚĞƉĂƌƟĐƵůĂƌ͕ƉŽŝƐ͕ŵĞƐŵŽĐŽŵŽƐŵƵŝƚŽƐĂǀĂŶĕŽƐĐŝĞŶơĮĐŽƐ
ŶŽƚƌĂƚĂŵĞŶƚŽ͕ĂĐŚĞŐĂĚĂĚŽƐƐŝŶƚŽŵĂƐĞŽĂŐƌĂǀĂŵĞŶƚŽĚĂĚŽĞŶĕĂĂĐĂďĂŵƉŽƌǀĞnjĞƐƐĞŶĚŽ
ĂƐƐŽĐŝĂĚŽƐăƉĞƌƐƉĞĐƟǀĂĚĂŵŽƌƚĞ͕ƚƌĂnjĞŶĚŽĨŽƌƚĞƐƌĞƉĞƌĐƵƐƐƁĞƐŶĂǀŝĚĂĚĞƐƐĂƐƉĞƐƐŽĂƐ͘

ŝŶŇƵġŶĐŝĂĚĂĞƐƟŐŵĂƟnjĂĕĆŽƐŽĐŝĂůŶŽƚƌĂƚĂŵĞŶƚŽĚĞƉĞƐƐŽĂƐƋƵĞǀŝǀĞŵĐŽŵ,/sͬ/^
As questões relacionadas à saúde na nossa contemporaneidade estão sendo cada vez
ŵĂŝƐĂƐƐŽĐŝĂĚĂƐăŶĞĐĞƐƐŝĚĂĚĞĚĞĂĚĞƋƵĂĕĆŽƐŽĐŝĂů͕ĞŵƉƌŽĐĞƐƐŽĚĞĐŽŶƚƌŽůĞďŝŽƉŽůşƟĐŽ

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
Maria Margarida Gonçalves Diniz | Adrícia Gonçalves Diniz | Jonatan Costa Gomes | Virgínia Lima dos Santos Levy

ũĄƉƌĞǀŝƐƚŽƉŽƌ&ŽƵĐĂƵůƚ;ϮϬϬϴͿ͘EĞƐƚĞĐŽŶƚĞdžƚŽ͕ĠĐŽŵŽƐĞŽĂĚŽĞĐŝŵĞŶƚŽĨŽƐƐĞƐŝŶƀŶŝŵŽ
&&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ

ĚĞĨƌĂĐĂƐƐŽƉĞƐƐŽĂů͗ŚĄƵŵĐŽŶƚƌŽůĞĐŽŵƉƵůƐŝǀŽĚĂĞdžŝƐƚġŶĐŝĂ͕ƋƵĞƉŽĚĞƐĞƌŶŽƚĂĚŽŶŽ
ƋƵĞĐŽŶĐĞƌŶĞăĐŽƌƉŽƌĞŝĚĂĚĞ͕ăƚĞŵƉŽƌĂůŝĚĂĚĞĞĂƚĠŵĞƐŵŽĐŽŵƌĞůĂĕĆŽăĮŶŝƚƵĚĞĚĂ
ĞdžŝƐƚġŶĐŝĂ͘  ĐŽŵƵŵ ƋƵĞ Ž ŝŵĂŐŝŶĄƌŝŽ ƐŽĐŝĂů ƐŽďƌĞ ĂůŐƵĠŵ ƋƵĞ ĂĚŽĞĐĞ͕ ƉƌŝŶĐŝƉĂůŵĞŶƚĞ
ƋƵĂŶĚŽƐĞƚƌĂƚĂĚĞƵŵĂĚŽĞĐŝŵĞŶƚŽƌĞůĂĐŝŽŶĂĚŽĂƉƌĄƟĐĂƐƋƵĞƐŽĨƌĞŵĐŽŶƚƌŽůĞƐĞdžƵĂů͕
ĐŽŵŽĂƐĞdžƵĂůŝĚĂĚĞ͕ƐĞũĂƵŵŝŵĂŐŝŶĄƌŝŽĚĞƚĞƌŵŝŶŝƐƚĂ͕ĞŵƋƵĞƐĞĂĐƌĞĚŝƚĂƋƵĞĂƋƵĞůĞƋƵĞ
ĂĚŽĞĐĞƵŽĨĞnjƉŽƌƚĞƌƵŵĂĞƐƐġŶĐŝĂƌƵŝŵƋƵĞŽĐŽŶĚƵnjĂĐŽŶĚƵƚĂƐƌƵŝŶƐ͕ĚĂƐƋƵĂŝƐŶĆŽ
pode se desvencilhar.
EŽĞŶƚĂŶƚŽ͕ŽƉƌŝŵĞŝƌŽƉŽŶƚŽƐŽďƌĞĂĐŽŶƐƟƚƵŝĕĆŽĚŽƐƵũĞŝƚŽ͕ƐĞŐƵŶĚŽ^ĂƌƚƌĞ;ϭϵϳϴ͕
Ɖ͘ϭϮͿĠƋƵĞĂ͞ĞdžŝƐƚġŶĐŝĂƉƌĞĐĞĚĞĂĞƐƐġŶĐŝĂ͘͟/ƐƚŽĠ͕ŽƐĞƌŚƵŵĂŶŽƉƌŝŵĞŝƌĂŵĞŶƚĞĞdžŝƐƚĞ͕
ƐĞĚĞƐĐŽďƌŝŶĚŽ͕ƐƵƌŐŝŶĚŽŶŽŵƵŶĚŽ͕ĞƐſŶĞƐƐĞƉƌŽĐĞƐƐŽƐĞĚĞĮŶĞ͘EĆŽĨĂƌŝĂƐĞŶƟĚŽĚŝnjĞƌ͕
ƉŽƌƚĂŶƚŽ͕ƋƵĞĞdžŝƐƚĂƵŵĂĞƐƐġŶĐŝĂŚƵŵĂŶĂƋƵĞĐŽŶĚƵnjĂĂŵĄƐĂĕƁĞƐŶĞŵƋƵĞĚĞƚĞƌŵŝ-
ŶĞŵƋƵĞĂĕƁĞƐƐĆŽĐŽƌƌĞƚĂƐŽƵŶĆŽ͕ĐŽŶĐĞƉĕĆŽƋƵĞĠĂďĂƐĞƉĂƌĂŽƉƌĞĐŽŶĐĞŝƚŽƐŽĐŝĂů
;ĐŽŶƚƌĂŐƌƵƉŽƐŚƵŵĂŶŽƐĞƐƉĞĐşĮĐŽƐͿ͘
YƵĂŶĚŽĂĚŽĞŶĕĂĞŵƋƵĞƐƚĆŽƉŽƐƐƵŝƵŵĂŐƌĂŶĚĞĞƐƟŐŵĂƟnjĂĕĆŽ͕ĐŽŵŽŶŽĐĂƐŽĚĂ
/^͕ĂďŽƌĚĄͲůĂƐĞƚŽƌŶĂƵŵĐŽŵƉůĞdžŽĚĞƐĂĮŽ͘DĂŝĂĞ:ƷŶŝŽƌ;ϮϬϭϵͿĂƉŽŶƚĂŵƋƵĞĂĚŝƐĐƵƐ-
ƐĆŽƐŽďƌĞĂƌĞůĂĕĆŽĚĂƐƉĞƐƐŽĂƐĐŽŵ,/sͬ/^ŝŵƉůŝĐĂĚŝĂůŽŐĂƌĐŽŵƚĞŵĄƟĐĂƐƋƵĞƚƌĂƚĂŵ
ĚĞƉŽŶƚŽƐƉŽůşƟĐŽƐ͕ĐƵůƚƵƌĂŝƐ͕ƐŝƚƵĂĕĆŽƐŽĐŝĂů͕ƐƚĂƚƵƐĞĐŽŶƀŵŝĐŽ͕ǀĂůŽƌĞƐŵŽƌĂŝƐ͕ƉƌŽũĞƚŽƐ
ĚĞǀŝĚĂ͕ĂƐƐŝŵĐŽŵŽĂĐŽŵƉƌĞĞŶƐĆŽĚŽŶşǀĞůĚĞǀƵůŶĞƌĂďŝůŝĚĂĚĞĚĂƉŽƉƵůĂĕĆŽ͗
^Ğ Ă ŝĚƐ ƉƌŽŐƌŝĚĞ ĂƚƵĂůŵĞŶƚĞ ĐŽŵ ƉŽƚĞŶĐŝĂů ŝŶĐŝĚġŶĐŝĂ ĞŶƚƌĞ ŵƵůŚĞƌĞƐ͕ ũŽǀĞŶƐ͕ ƉŽďƌĞƐ Ğ
ϰϴ ŶĞŐƌŽƐ͕ĞŵŐĞƌĂů͕ŝƐƐŽŶŽƐĨĂůĂĚĞƵŵĂǀƵůŶĞƌĂďŝůŝĚĂĚĞŚŝƐƚſƌŝĐĂĚĞƐƐĞƐŐƌƵƉŽƐ͕ƋƵĞƐĞŵĂ-
ŶŝĨĞƐƚĂŶĂƐƵĂĨĂůƚĂĚĞƉŽĚĞƌƉŽůşƟĐŽĞĂƵƚŽŶŽŵŝĂƉĂƌĂƌĞŝǀŝŶĚŝĐĂƌĞŵĂŶƚĞƌĚŝƌĞŝƚŽƐ;D/͖
Z/^:hE/KZ͕ϮϬϭϵ͕Ɖ͘ϭϴϲͿ͘

ŽŵŽďĞŵĐŽůŽĐĂĚŽƉĞůŽƐĂƵƚŽƌĞƐ͕ĞdžŝƐƚĞƵŵƋƵĂĚƌŽĚĞƉƌĞǀĂůġŶĐŝĂĚŽ,/sͬ/^ƋƵĞ
ĐŽƌƌĞƐƉŽŶĚĞăĚĞƐŝŐƵĂůĚĂĚĞƐŽĐŝĂůĚŽƉĂşƐ͘ŽŶƐŝĚĞƌĂŶĚŽͲƐĞĞƐƚĞĨĂƚŽ͕ŽƌĂƐŝůĞŽŵƵŶĚŽ
ĚĞǀĞŵ ĂŵƉůŝĂƌ ƐĞƵƐ ŽůŚĂƌĞƐ ŶŽ ƋƵĞ Ěŝnj ƌĞƐƉĞŝƚŽ ĂŽ ŝŵƉĂĐƚŽ ĚŽ ƉƌĞĐŽŶĐĞŝƚŽ Ğ ĚĂ ĞƐƟŐ-
ŵĂƟnjĂĕĆŽ ŶĂ ĐƌĞƐĐĞŶƚĞ ĚŝƐƐĞŵŝŶĂĕĆŽ ĚŽ ǀşƌƵƐ͘  ŵƵŝƚŽ ĐŽŵƵŵ ƋƵĞ͕ ĚŝĂŶƚĞ ĚĞ ĂŐƌĂǀŽƐ
ƌĞůĂĐŝŽŶĂĚŽƐăƐŝƚƵĂĕĆŽĚĞǀƵůŶĞƌĂďŝůŝĚĂĚĞĞŵƋƵĞĂůŐƵŶƐƐƵũĞŝƚŽƐƐĞĞŶĐŽŶƚƌĂŵůĂŶĕĂĚŽƐ͕
ƐƵƌũĂŵĞdžƉůŝĐĂĕƁĞƐƋƵĞĐƵůƉĂďŝůŝnjĂŵĞƐƚĞƐƐƵũĞŝƚŽƐ͕ƋƵĂŶĚŽŽĨƵŶĚĂŵĞŶƚĂůƐĞƌŝĂƌĞĐŽŶŚĞ-
ĐĞƌĂŶĞĐĞƐƐŝĚĂĚĞĚĞĂƵdžşůŝŽ͕ĐŽŵďĂƚĞŶĚŽͲƐĞĂƐĨŽƌŵĂƐĚĞĚĞƐŝŐƵĂůĚĂĚĞ͕ĚŝƐĐƌŝŵŝŶĂĕĆŽĞ
ƉƌĞĐŽŶĐĞŝƚŽ͘EŽąŵďŝƚŽĚĂƐĂƷĚĞƉƷďůŝĐĂ͕ŝƐƐŽƉƌĞƐƐƵƉƁĞĂƌƟĐƵůĂƌĂŶŽĕĆŽĚĞƐĂƷĚĞĐŽŵ
outras questões da vida em sociedade.
ĞƐƐĞŵŽĚŽ͕ĂŽŽůŚĂƌƉĂƌĂŽŽƵƚƌŽ͕ĠŝŵƉƌĞƐĐŝŶĚşǀĞůƋƵĞŚĂũĂƵŵĂĐŽŵƉƌĞĞŶƐĆŽĂŵ-
ƉůŝĂĚĂ͕ĚĂĚŽƋƵĞƵŵĂƷŶŝĐĂƉĞƌĐĞƉĕĆŽŶĆŽƉŽƐƐŝďŝůŝƚĂƋƵĞƐĞũĂƌĞĂůŝnjĂĚĂƵŵĂĂƉƌĞĞŶƐĆŽ
ĂĚĞƋƵĂĚĂ͘΀͘͘͘΁͞ŶĆŽĠĂƉĞŶĂƐŵĞƵŵƵŶĚŽ͕ĠŶĞůĞƋƵĞǀĞũŽĚĞƐĞŶŚĂƌͲƐĞĂƐĐŽŶĚƵƚĂƐĚĞ
ŽƵƚƌĞŵ͕ĞůĂƐƚĂŵďĠŵŽǀŝƐĂŵĞĞůĞĠŽĐŽƌƌĞůĂƟǀŽ͕ŶĆŽƐŽŵĞŶƚĞĚĞŵŝŶŚĂĐŽŶƐĐŝġŶĐŝĂ͕
ŵĂƐĂŝŶĚĂĚĞƚŽĚĂĐŽŶƐĐŝġŶĐŝĂƋƵĞĞƵƉŽƐƐĂĞŶĐŽŶƚƌĂƌ͟;DZ>hͲWKEdz͕ϭϵϵϵ͕Ɖ͘ϰϱϯͿ͘
ƐƉĞƐƐŽĂƐŝŶĨĞĐƚĂĚĂƐƉĞůŽ,/sͬ/^ƐĆŽĂƟŶŐŝĚĂƐƉĞůŽƐŽĨƌŝŵĞŶƚŽƌĞƐƵůƚĂŶƚĞƚĂŶƚŽ
ĚŽƐ ƐŝŶƚŽŵĂƐ ĚĂ ĚŽĞŶĕĂ͕ ĐŽŵŽ ƉĞůĂ ŝŐŶŽƌąŶĐŝĂ ĞͬŽƵ ĐŽŶĐĞŝƚŽƐ ĞƌƌƀŶĞŽƐ ƐŽďƌĞ Ă ĞŶĨĞƌ-
ŵŝĚĂĚĞĞƐĞƵƐŵŽĚŽƐĚĞĐŽŶƚĂŵŝŶĂĕĆŽ͕ŽƋƵĞŽĐĂƐŝŽŶĂƵŵĞƐƟŐŵĂ͘͞KƚĞƌŵŽĞƐƟŐŵĂ͕

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
ƉƐŝĐŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂĞdžŝƐƚĞŶĐŝĂůŶŽƐƵƉŽƌƚĞăƐĂƷĚĞŵĞŶƚĂůĚĞƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^

ƉŽƌƚĂŶƚŽ͕ĠƵƐĂĚŽĞŵƌĞĨĞƌġŶĐŝĂĂƵŵĂƚƌŝďƵƚŽƉƌŽĨƵŶĚĂŵĞŶƚĞĚĞƉƌĞĐŝĂƟǀŽ͕ŵĂƐŽƋƵĞĠ
ƉƌĞĐŝƐŽ͕ŶĂƌĞĂůŝĚĂĚĞ͕ĠƵŵĂůŝŶŐƵĂŐĞŵĚĞƌĞůĂĕƁĞƐĞŶĆŽĚĞĂƚƌŝďƵƚŽƐ͟;'K&&DE͕ϭϵϳϱ͕
Ɖ͘ϭϯͿ͘^ĞŶĚŽƌŽƚƵůĂĚŽĚĞŵŽĚŽƉĞũŽƌĂƟǀŽ͕ƵŵƐƵũĞŝƚŽƉŽĚĞƐĞƚŽƌŶĂƌĚĞƉƌŝŵŝĚŽ͕ŽƵŵĞƐ-
ŵŽĚĞƐĞŶǀŽůǀĞƌŝĚĞĂĕĆŽƐƵŝĐŝĚĂ͕ƉŽƌŶĆŽĞŶĐŽŶƚƌĂƌĂĐŽůŚŝŵĞŶƚŽĞŵƐĞƵĞŶƚŽƌŶŽĞƚĞƌĚŝĮ-
ĐƵůĚĂĚĞĞŵƐĞƌďĞŵƌĞĐĞďŝĚŽƉĂƌĂĚĞƐĞŶǀŽůǀĞƌŶŽǀŽƐǀşŶĐƵůŽƐ͘ůĠŵĚŝƐƐŽ͕ƉŽĚĞƚĂŵďĠŵ
ŝŶĐůƵŝƌĞƐƐĂĐŽŶĐĞƉĕĆŽƉĞũŽƌĂƟǀĂĚĞƐŝ͕ĞŵƵŵƉƌŽĐĞƐƐŽĂďŽƌĚĂĚŽĞŵĚŝǀĞƌƐĂƐƉĞƐƋƵŝƐĂƐ͕
ƋƵĞ͕ƐĞŐƵŶĚŽĂƌĞǀŝƐĆŽƐŝƐƚĞŵĄƟĐĂĚĞůŝƚĞƌĂƚƵƌĂĚĞ^ŽĂƌĞƐĞƚ͘Ăů͘;ϮϬϭϭͿ͕ĠĚĞŶŽŵŝŶĂĚŽĚĞ
ΗĞƐƟŐŵĂŝŶƚĞƌŶĂůŝnjĂĚŽΗ͘

ƉƐŝĐŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂĞdžŝƐƚĞŶĐŝĂůŶŽƉƌŽĐĞƐƐŽĚĞƌĞƐƐŝŐŶŝĮĐĂĕĆŽĚŽŵƵŶĚŽǀŝǀŝĚŽ
ĚĂƐƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^
ƐƌĞĂĕƁĞƐĞŵŽĐŝŽŶĂŝƐĚŝĂŶƚĞĚĂĚĞƐĐŽďĞƌƚĂĚŽ,/sͬ/^ƉŽĚĞŵƐĞƌĂƐŵĂŝƐĚŝǀĞƌƐĂƐ
ƉŽƐƐşǀĞŝƐ͘WĂƌĂĂůŐƵŵĂƐƉĞƐƐŽĂƐ͕ŽĚŝĂŐŶſƐƟĐŽƐŽƌŽƉŽƐŝƟǀŽũĄĠĂůŐŽĞƐƉĞƌĂĚŽ͕ƉŽŝƐĞdžŝƐ-
ƚĞĂĐŽŶƐĐŝġŶĐŝĂĚŽƉƌſƉƌŝŽĐŽŵƉŽƌƚĂŵĞŶƚŽĚĞƌŝƐĐŽ͖ƉĂƌĂŽƵƚƌĂƐ͕ŽƌĞƐƵůƚĂĚŽĠƌĞĐĞďŝ-
ĚŽĐŽŵƵŵŵŝƐƚŽĚĞƐƵƌƉƌĞƐĂĞĚĞƐĞƐƉĞƌŽ͘WŽƌĐŽŶƐĞŐƵŝŶƚĞ͕ĂƉƐŝĐŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂ
ĞdžŝƐƚĞŶĐŝĂůƉŽĚĞƚƌĂnjĞƌŵƵŝƚĂƐĐŽŶƚƌŝďƵŝĕƁĞƐŶŽąŵďŝƚŽĚŽĐƵŝĚĂĚŽƉĂƌĂŽƐƵũĞŝƚŽ͕ĂďƌŝŶĚŽ
ƵŵĐĂŵƉŽĚĞƉŽƐƐŝďŝůŝĚĂĚĞƐĂƚƌĂǀĠƐĚĞŶŽǀĂƐƉĞƌĐĞƉĕƁĞƐ͕ƉŽŝƐ͕ĐŽŵŽĂĮƌŵĂƵŵĚĞƐĞƵƐ
ŐƌĂŶĚĞƐĞdžƉŽĞŶƚĞƐ͗ΗĂĨĞŶŽŵĞŶŽůŽŐŝĂĠƚĂŵďĠŵƵŵĂĮůŽƐŽĮĂƋƵĞƌĞƉƁĞĂƐĞƐƐġŶĐŝĂƐŶĂ
ĞdžŝƐƚġŶĐŝĂ͕ĞŶĆŽƉĞŶƐĂƋƵĞƐĞƉŽƐƐĂĐŽŵƉƌĞĞŶĚĞƌŽŚŽŵĞŵĞŽŵƵŶĚŽĚĞŽƵƚƌĂŵĂŶĞŝƌĂ
ƐĞŶĆŽĂƉĂƌƟƌĚĞƐƵĂΗĨĂĐƟĐŝĚĂĚĞΗ;DZ>hͲWKEdz͕ϭϵϵϵ͕Ɖ͘ϭͿ͘
ϰϵ
DŽƌĞŝƌĂ͕ůŽĐĞZŽĐŚĂ;ϮϬϭϮͿƐĂůŝĞŶƚĂŵƋƵĞĠůĂŶĕĂĚĂƵŵĂĨŽƌƚĞĐĂƌŐĂĞŵŽĐŝŽŶĂůŶĞƐ-
ƐĞƐƐƵũĞŝƚŽƐƋƵĞĚĞƐĐŽďƌĞŵŽĚŝĂŐŶſƐƟĐŽƐŽƌŽƉŽƐŝƟǀŽ͕ĞƋƵĞ͕ƐĞŶĆŽĨŽƌĞĨĞƟǀĂĚĂƵŵĂ
ƉƌĞƉĂƌĂĕĆŽŶŽŵŽŵĞŶƚŽĚĂĚĞƐĐŽďĞƌƚĂĞŶŽƐƉƌŝŵĞŝƌŽƐŵĞƐĞƐ͕ŽƐŝŵƉĂĐƚŽƐĞŵŽĐŝŽŶĂŝƐ
ƉŽĚĞŵƐĞƌĂŝŶĚĂŵĂŝŽƌĞƐ͕ĐĂƵƐĂŶĚŽĚĂŶŽƐĂŽƚƌĂƚĂŵĞŶƚŽĞĂŽƉƌſƉƌŝŽƐƵũĞŝƚŽ͘
ĐŽŵƉƌĞĞŶƐĆŽĚĞƵŵĂĞdžƉĞƌŝġŶĐŝĂĚĞƐŽĨƌŝŵĞŶƚŽĂƉĂƌƟƌĚĂſƟĐĂĚĂƉƐŝĐŽůŽŐŝĂĨĞ-
ŶŽŵĞŶŽůſŐŝĐĂĞdžŝƐƚĞŶĐŝĂůŶŽƐƚƌĂnjŽŝŵƉŽƌƚĂŶƚĞĞŶƐŝŶĂŵĞŶƚŽĚĞƋƵĞŽĐƵŝĚĂĚŽƉƐŝĐŽƚĞƌĂ-
ƉġƵƟĐŽƌĞƋƵĞƌŶĆŽĂƉĞŶĂƐŽĐŽŶŚĞĐŝŵĞŶƚŽƚĞſƌŝĐŽĞĂŚĂďŝůŝĚĂĚĞƚĠĐŶŝĐĂĚŽƉƌŽĮƐƐŝŽŶĂů͕
ƵŵĂǀĞnjƋƵĞƐĞƵŵŽĚŽĚĞĞdžŝƐƟƌĠĚĞƐƵŵĂŝŵƉŽƌƚąŶĐŝĂ͘^ĂŶƚŽƐĞ^Ą;ϮϬϭϯͿƌĞůĂƚĂŵƋƵĞ &&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ
ĂĂƚĞŶĕĆŽŶĞĐĞƐƐĄƌŝĂĂŽĐƵŝĚĂĚŽƉƐŝĐŽƚĞƌĂƉġƵƟĐŽĚĞǀĞƚĞƌ͕ĚĞƐƐĞŵŽĚŽ͕ƵŵŵŽǀŝŵĞŶƚŽ
ĞdžŝƐƚĞŶĐŝĂůƐƵƐƉĞŶƐŝǀŽƉŽƌƉĂƌƚĞĚŽƉƐŝĐſůŽŐŽ͕ŶŽƋƵĞĐŽŶĐĞƌŶĞăƐŝĚĞŶƟĮĐĂĕƁĞƐĐŽƟĚŝĂ-
ŶĂƐ͕ŽƐƐĂďĞƌĞƐĐŝĞŶơĮĐŽƐĞĂĚŝƐƉŽŶŝďŝůŝĚĂĚĞƉĂƌĂƉĞƌŵŝƟƌĂƉĂƌĞĐĞƌĞƐĞƌƚƵĚŽĂƋƵŝůŽƋƵĞ
ĞŶĐŽŶƚƌĂ͕ĂƚƌĂǀĠƐĚĞƐƵĂƐƉŽƐƐŝďŝůŝĚĂĚĞƐƉƌſƉƌŝĂƐ͘
ƐŝŶĐĞƌƚĞnjĂƐƟĚĂƐƉŽƌĂƋƵĞůĞƐƋƵĞƉŽƐƐƵĞŵŽ,/sͬ/^ĐŚĞŐĂŵĂĐĂƵƐĂƌŵƵŝƚŽƐƚĞ-
ŵŽƌĞƐĞĨƌĂŐŝůŝĚĂĚĞƐĞŵǀĄƌŝŽƐąŵďŝƚŽƐĚĂǀŝĚĂ͕ĐŽŵŽĂŵĂŶƵƚĞŶĕĆŽĚŽƐǀşŶĐƵůŽƐĂŵŽ-
ƌŽƐŽƐĞĨĂŵŝůŝĂƌĞƐ͕ŽĂƉĂƌĞĐŝŵĞŶƚŽĚŽƐƐŝŶƚŽŵĂƐ͕ŽƵƐŽĚĞŵĞĚŝĐĂŵĞŶƚŽƐĞƐĞƵƐĞĨĞŝƚŽƐ
ĐŽůĂƚĞƌĂŝƐ͕ĞŽƋƵĂŶƚŽƋƵĞĂĚŽĞŶĕĂŝƌĄŝŶƚĞƌĨĞƌŝƌŶĂƋƵĂůŝĚĂĚĞĚĞǀŝĚĂ͘,ĞŝĚĞŐŐĞƌƉƌŽƉƁĞ
ƵŵĂĚŝĨĞƌĞŶĐŝĂĕĆŽĞŶƚƌĞŽƚĞŵŽƌĞĂĂŶŐƷƐƟĂ͘EĂĂŶŐƷƐƟĂ͕ĂĂŵĞĂĕĂŶĆŽĠĚĞƚĞƌŵŝŶĂĚĂ͕
ŶĆŽĞƐƚĄƌĞůĂĐŝŽŶĂĚĂĐŽŵŽƐĞŶƚĞƐŝŶƚƌĂŵƵŶĚĂŶŽƐ͕ĞŶƋƵĂŶƚŽŶŽƚĞŵŽƌŽŵĞĚŽĠĚŽƐĞŶƚĞƐ
ŝŶƚƌĂŵƵŶĚĂŶŽƐ͕ĐŽŵŽĂƐƉĞƐƐŽĂƐŽƵĂƐĐŽŝƐĂƐĚŽŵƵŶĚŽƋƵĞƐƵƌŐĞŵĐŽŵŽĂŵĞĂĕĂĚŽ-
ƌĂƐĞ͕ĐŽŵŝƐƐŽ͕ŽƚĞŵĞƌŽƐŽĮĐĂƉƌĞƐŽƉŽƌĂƋƵŝůŽƋƵĞŽĂŵĞĚƌŽŶƚĂ͗͞ŽƚĞŵŽƌĠĂŶŐƷƐƟĂ

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
Maria Margarida Gonçalves Diniz | Adrícia Gonçalves Diniz | Jonatan Costa Gomes | Virgínia Lima dos Santos Levy

ŝŵƉƌſƉƌŝĂ͕ĞŶƚƌĞŐƵĞăĚĞĐĂĚġŶĐŝĂĚŽ͚ŵƵŶĚŽ͛Ğ͕ĐŽŵŽƚĂů͕ĂŶŐƷƐƟĂŶĞůĂŵĞƐŵĂǀĞůĂĚĂ͟
&&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ

;,/''Z͕ϭϵϴϴ͕Ɖ͘ϮϱϰͿ͘ƐĞŶƐĂĕĆŽĚĞĂŶŐƷƐƟĂ͕ƉŽƌƚĂŶƚŽ͕ŶĞƐƚĞĐŽŶƚĞdžƚŽ͕ĠĐŽŵƵŵ͕
mesmo que traduzida em temor.
ŝĂŶƚĞĚĞƐƚĞƐƚĞŵŽƌĞƐ͕ƵŵĂƉŽƐƐŝďŝůŝĚĂĚĞ͕ƐĞŐƵŶĚŽDŽƌĞŝƌĂĞƚĂů͘;ϮϬϭϬͿ͕ĠĂĐŽŶƟŶƵŝ-
ĚĂĚĞĚŽƐĞŐƌĞĚŽĚĂĚŽĞŶĕĂ͕ƋƵĞƉŽƐƐƵŝƵŵĂĞƐƚƌĞŝƚĂƌĞůĂĕĆŽĐŽŵŽŵĞĚŽĚĞƐĞƌŵŽƌĂůŵĞŶƚĞ
ƌĞũĞŝƚĂĚŽ͘ŵŵƵŝƚŽƐĐĂƐŽƐ͕ĂŽƌĞǀĞůĂƌŽĚŝĂŐŶſƐƟĐŽƉŽƐŝƟǀŽƉĂƌĂ,/sͬ/^͕ŶĆŽŶĞĐĞƐƐĂƌŝĂ-
ŵĞŶƚĞĂƌĞĂĕĆŽƐĞƌĄĚĞĂƉŽŝŽĂŽĐŽŵƵŶŝĐĂŶƚĞ͕ƐƵƉŽƌƚĞĞŵŽĐŝŽŶĂůŽƵĐŽŵƉƌĞĞŶƐĆŽ͘ƌŽƟŶĂ
ĚŽƚƌĂƚĂŵĞŶƚŽĞĂƐŵƵĚĂŶĕĂƐŶŽĞƐƟůŽĚĞǀŝĚĂƉŽĚĞŵĚĞŶƵŶĐŝĂƌĂƉƌĞƐĞŶĕĂĚĂĚŽĞŶĕĂ͕Ž
ƋƵĞ ƚŽƌŶĂ ĂŝŶĚĂ ŵĂŝƐ ƉĞŶŽƐĂ Ă ƐƵƐƚĞŶƚĂĕĆŽ ĚĞƐƐĞ ƐĞŐƌĞĚŽ͘ >ŽŐŽ͕ Ž ƐŽƌŽƉŽƐŝƟǀŽ ƚĞŶƚĂ ƐĞ
ŵĂŶƚĞƌĞŵƐĞŐƌĞĚŽƉĂƌĂĞǀŝƚĂƌŽƐŽĨƌŝŵĞŶƚŽ͕ŵĂƐƐŽĨƌĞƉŽƌƉƌŽƐƐĞŐƵŝƌĐŽŵŽƐĞŐƌĞĚŽ͘
DƵŝƚĂƐǀĞnjĞƐ͕ŽĞƵĐŽŵŽŝĚĞŶƟĚĂĚĞƐĞĨƵŶĚĞĞƐĞĞƐŐŽƚĂŶŽƐĞƌͲƐŽĐŝĂů͘ZŝďĞŝƌŽĞZŽŶ-
ĐĂƚĞ;ϮϬϭϮͿĞƐĐůĂƌĞĐĞŵĚŽŝƐĐŽŶĐĞŝƚŽƐĚĞĞdžƚƌĞŵĂƌĞůĞǀąŶĐŝĂŶĂŽďƌĂĚĞ,ĞŝĚĞŐŐĞƌƋƵĞ
ƉŽƐƐƵĞŵƵŵĂĐĞƌƚĂƌĞůĂĕĆŽĐŽŵĞƐƚĂƉƌĞŵŝƐƐĂ͗ĂĂƵƚĞŶƟĐŝĚĂĚĞĞĂŝŶĂƵƚĞŶƟĐŝĚĂĚĞ͘
͞ĂƵƚĞŶƟĐŝĚĂĚĞĚŽƐĞƌ͟ƌĞĨĞƌĞͲƐĞĂŽŵŽŵĞŶƚŽĞŵƋƵĞĂƉĞƐƐŽĂĐŽŶƐĞŐƵŝƵ͕ŵĞĚŝĂŶƚĞƵŵĂ
ŝŶǀĞƐƟŐĂĕĆŽŝŶƚĞƌŶĂ͕ŝĚĞŶƟĮĐĂƌƐƵĂŵĂŶĞŝƌĂŽƌŝŐŝŶĂůĚĞƐĞƌĞŽďƚĞǀĞĂĐŽŵƉƌĞĞŶƐĆŽĚŽƐ
ŵŽĚŽƐĚĞĂŐŝƌĞƉĞŶƐĂƌƋƵĞůŚĞƚƌĂnjĞŵŽƚĠƌŵŝŶŽĚĞŝŶĐƀŵŽĚŽƐĞĂŶŐƷƐƟĂƐĚŝĂŶƚĞĚĂǀŝĚĂ
ĞĚĂƐŽƵƚƌĂƐƉĞƐƐŽĂƐ͘dŽĚĂǀŝĂ͕Ă͞ŝŶĂƵƚĞŶƟĐŝĚĂĚĞĚŽƐĞƌ͟ŶĆŽƐŝŐŶŝĮĐĂƵŵ͞ƐĞƌ͟ĨĂůƐŽ͕ŵĂƐ
Ɛŝŵ͕ĂƋƵĞůĞƋƵĞĂŝŶĚĂŶĆŽƚŽŵŽƵĐŽŶƐĐŝġŶĐŝĂƐŽďƌĞƐŝŵĞƐŵŽ͕ŶĆŽĚŝƐƟŶŐƵŝŶĚŽŽƐŵŽĚŽƐ
ĚĞƐĞƌƋƵĞůŚĞƐĆŽƉƌſƉƌŝŽƐĚĂƋƵĞůĞƐƋƵĞƉŽƐƐƵŝĚĞǀŝĚŽĂƐƵĂƐĞdžƉĞƌŝġŶĐŝĂƐĚĞǀŝĚĂ͘
KĚŝĂŐŶſƐƟĐŽĚĂƐŽƌŽƉŽƐŝƟǀŝĚĂĚĞ͕ĞŵďŽƌĂĐŽůŽƋƵĞŽƐƵũĞŝƚŽĚŝĂŶƚĞĚŽŵĞĚŽĚĂƌĞ-
50 ũĞŝĕĆŽĚĞĨĂŵŝůŝĂƌĞƐ͕ĐƀŶũƵŐĞƐ͕ĂŵŝŐŽƐ͕ĞĚĞƉĞŶƐĂŵĞŶƚŽƐĚĞƵŵĂĐŚĞŐĂĚĂŵĂŝƐƌĄƉŝĚĂĚĂ
ƐƵĂƉƌſƉƌŝĂŵŽƌƚĞ͕ŶĆŽŝŵƉĞĚĞƋƵĞĞƐƚĞƐƵũĞŝƚŽĞŶĐŽŶƚƌĞŽƵĐƌŝĞƌĞĐƵƌƐŽƐƉĂƌĂƌĞƐƐŝŐŶŝĮĐĂƌ
ĞƐƐĞĚŝĂŐŶſƐƟĐŽĞŶĆŽƉĂƌĂůŝƐĂƌĂƐƵĂǀŝĚĂĂƉſƐŽƌĞƐƵůƚĂĚŽĚŽĞdžĂŵĞ͗͞KƚĞŵƉŽƐĞƌĞĐŽ-
ŵĞĕĂ͗ŽŶƚĞŵ͕ŚŽũĞ͕ĂŵĂŶŚĆ͕ĞƐƐĞƌŝƚŵŽĐşĐůŝĐŽ͕ĞƐƐĂĨŽƌŵĂĐŽŶƐƚĂŶƚĞƉŽĚĞŶŽƐĚĂƌĂŝůƵƐĆŽ
ĚĞƉŽƐƐƵşͲůŽƉŽƌŝŶƚĞŝƌŽĚĞƵŵĂƐſǀĞnj͕ĂƐƐŝŵĐŽŵŽŽũĂƚŽĚΖĄŐƵĂŶŽƐĚĄƵŵƐĞŶƟŵĞŶƚŽĚĞ
ĞƚĞƌŶŝĚĂĚĞ͟;DZ>hͲWKEdz͕ϭϵϵϵ͕Ɖ͘ϱϲϳͿ͘
ƐƐŝŵ͕ƐĞŵƉƌĞŚĄƚĞŵƉŽƉĂƌĂƌĞĐŽŵĞĕŽƐ͕ĞƐĆŽĂƐŶŽƐƐĂƐĞƐĐŽůŚĂƐƌĞƐƉŽŶƐĄǀĞŝƐƉŽƌ
ƉĞƌŵŝƟƌĂĐŽŶƟŶƵŝĚĂĚĞĚŽŇƵdžŽƋƵĞĨŽƌŵĂŵĞƐƐĞΗũĂƚŽĚ͛ĄŐƵĂΗ͘WŽĚĞŵŽƐĐŽŵƉƌĞĞŶĚĞƌ
ƋƵĞ͕ĂŽƐƉŽƵĐŽƐ͕ŽƋƵĞĚĞĐĞƌƚĂĨŽƌŵĂƉŽĚĞƌŝĂĐĂƌĂĐƚĞƌŝnjĂƌͲƐĞĐŽŵŽƵŵŐƌĂǀĞƉƌŽďůĞŵĂĚĞ
ĚĞƐĞƐƚƌƵƚƵƌĂĕĆŽĚŽƐƵũĞŝƚŽ͕ƉŽĚĞƐĞĐŽŶƐƟƚƵŝƌĐŽŵŽƵŵƌĞĐƵƌƐŽƉĂƌĂŽƐƵũĞŝƚŽƌĞƐƐŝŐŶŝĮĐĂƌ
ŽĚŝĂŐŶſƐƟĐŽ͕ĞĨĂnjĞƌƵŵĂĂŶĄůŝƐĞŵĂŝƐƉƌŽĨƵŶĚĂĚŽƐĞƵƚĞŵƉŽĞĚĞĐŽŵŽĞůĞƉŽĚĞƐĞƌ
vivido da melhor maneira possível.
Perucchi ĞƚĂů͘;ϮϬϭϭͿƐĂůŝĞŶƚĂŵƋƵĞŽƐƉƌŽĮƐƐŝŽŶĂŝƐĚĂƉƐŝĐŽůŽŐŝĂƋƵĞĚĞƐĞŶǀŽůǀĞŵƵŵ
ƚƌĂďĂůŚŽǀŽůƚĂĚŽƉĂƌĂĂƉŽƉƵůĂĕĆŽƋƵĞǀŝǀĞĐŽŵ,/sͬ/^ĞƐĞƵƐĨĂŵŝůŝĂƌĞƐƉŽƐƐƵĞŵƵŵĂ
ŐƌĂŶĚĞŝŵƉŽƌƚąŶĐŝĂŶŽƋƵĞĚŝnjƌĞƐƉĞŝƚŽăƉƌŽŵŽĕĆŽĚŽƐĚŝƌĞŝƚŽƐŚƵŵĂŶŽƐ͕ăŝĚĞŶƟĮĐĂĕĆŽ
ĚĞǀƵůŶĞƌĂďŝůŝĚĂĚĞƐĞ͕ĞƐƉĞĐŝĂůŵĞŶƚĞ͕ĂŽŽůŚĂƌ͕ŶŽƋƵĞĐŽŶĐĞƌŶĞăƐƵďũĞƟǀŝĚĂĚĞĚŽƐƵũĞŝƚŽ
ƋƵĞǀŝǀĞĐŽŵŽ,/sͬ/^ĞŵƵŵŵĞŝŽƐŽĐŝĂůƉƌĞĐŽŶĐĞŝƚƵŽƐŽ͕ĐŽŵƉƌŽďůĞŵĂƐĚĞĂĐĞƐƐŽĂŽƐ
ĚŝƌĞŝƚŽƐĞĞdžĞƌĐşĐŝŽĚĂĐŝĚĂĚĂŶŝĂ͘ĞƐƐĂĨŽƌŵĂ͕ĂŝŶƐĞƌĕĆŽĚĞƐƚĞƐƉƌŽĮƐƐŝŽŶĂŝƐŶŽĐĂŵƉŽĚĂ
ƐĂƷĚĞŶĆŽĚĞǀĞĮĐĂƌƌĞƐƚƌŝƚĂĂŽąŵďŝƚŽŚŽƐƉŝƚĂůĂƌŽƵĚŽƐƐĞƌǀŝĕŽƐĞƐƉĞĐŝĂůŝnjĂĚŽƐĚĞ^ĂƷĚĞ
Mental. Pois deve também contemplar uma inserção no sistema de saúde brasileiro e seus
ƉƌŽŐƌĂŵĂƐ͕ĂƐƉĞĐƚŽƐĞƉŝĚĞŵŝŽůſŐŝĐŽƐ͕ĂƐƐŝŵĐŽŵŽŶŽĐŽŶŚĞĐŝŵĞŶƚŽĚĞƚĞŵĂƐĞƐƉĞĐşĮĐŽƐ

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
ƉƐŝĐŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂĞdžŝƐƚĞŶĐŝĂůŶŽƐƵƉŽƌƚĞăƐĂƷĚĞŵĞŶƚĂůĚĞƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^

ƌĞůĂĐŝŽŶĂĚŽƐĂŽ,/sͬ/^͕ŽĐŽŶƚĞdžƚŽŶŽƋƵĂůĞůĞƐĞŝŶƐĞƌĞ͕ĂŵŝůŝƚąŶĐŝĂĚĂƐKE'Ɛͬ/^͕ĨĂƚŽ-
ƌĞƐďŝŽůſŐŝĐŽƐĚĂŝŶĨĞĐĕĆŽĞĂƐǀĂƌŝĂĚĂƐĐŽŶĐĞƉĕƁĞƐƐŽĐŝĂŝƐƋƵĞĂĞŶǀŽůǀĞŵ͘
KŽŶƐĞůŚŽ&ĞĚĞƌĂůĚĞWƐŝĐŽůŽŐŝĂ;ϮϬϭϵͿĞǀŝĚĞŶĐŝĂƋƵĞ͕ŶĂĨŽƌŵĂĕĆŽĞĐĂƉĂĐŝƚĂĕĆŽ
ƉĂƌĂĂĂƚƵĂĕĆŽĐŽŵ/^dƐ͕,/sĞ/^͕ĠĨƵŶĚĂŵĞŶƚĂůŽĚŽŵşŶŝŽĚĂƐŵĂŝƐĚŝǀĞƌƐĂƐŵŽĚĂůŝ-
ĚĂĚĞƐŽƵƉŽƐƐŝďŝůŝĚĂĚĞƐĚĞĂƐƐŝƐƚġŶĐŝĂƉƐŝĐŽůſŐŝĐĂ͕ĐŽŵŽ͕ƉŽƌĞdžĞŵƉůŽ͕ĂŽĨĞƌƚĂĚĞĂĐŽůŚŝ-
ŵĞŶƚŽŝŶĚŝǀŝĚƵĂů͕ĨĂŵŝůŝĂƌĞŐƌƵƉĂů͕ƉƐŝĐŽƚĞƌĂƉŝĂƐƚĂŶƚŽŝŶĚŝǀŝĚƵĂŝƐƋƵĂŶƚŽŐƌƵƉĂŝƐ͕ĂůĠŵ
ĚĞŽĮĐŝŶĂƐƚĞƌĂƉġƵƟĐĂƐ͕ŐƌƵƉŽƐĚĞƐĂůĂĚĞĞƐƉĞƌĂĞĚĞĂĚĞƐĆŽ͕ĞŶƚƌĞŽƵƚƌĂƐĨĞƌƌĂŵĞŶƚĂƐ͘
WĂƌĂ^ĂŶƚŽƐĞ^Ą;ϮϬϭϯͿ͕ŽĐƵŝĚĂĚŽƉƐŝĐŽůſŐŝĐŽĂƉĂƌƟƌĚĂĐŽŵƉƌĞĞŶƐĆŽĨĞŶŽŵĞŶŽůſŐŝ-
ĐŽͲĞdžŝƐƚĞŶĐŝĂůĐŽŶƚĞŵƉůĂŽƐƵũĞŝƚŽĞŵƚŽĚĂƐĂƐƐƵĂƐĚŝŵĞŶƐƁĞƐĞdžŝƐƚĞŶĐŝĂŝƐ͘ŽŵŝƐƐŽ͕ƐŽď
ĞƐƚĂƉĞƌƐƉĞĐƟǀĂ͕ŽĐƵŝĚĂĚŽƐƵƌŐĞĐŽŵŽƚĞŵĄƟĐĂĞƐƐĞŶĐŝĂůŵĞŶƚĞĞƐƚƌƵƚƵƌĂĚĂƉŽƌŵĞŝŽĚŽ
ƋƵĞƐƟŽŶĂŵĞŶƚŽĂĐĞƌĐĂĚŽƐĞŶƟĚŽĚĂĞdžŝƐƚġŶĐŝĂĐŽƟĚŝĂŶĂ͕ĚĂƐĞdžƉĞƌŝġŶĐŝĂƐĚĞƐŽĨƌŝŵĞŶƚŽ͕
assim como de suas possibilidades de remodelações e transformações.

ŽŶƐŝĚĞƌĂĕƁĞƐĮŶĂŝƐ
ĐŽŵƉƌĞĞŶƐĆŽĚŽƐŽĨƌŝŵĞŶƚŽƉƐşƋƵŝĐŽǀŝǀĞŶĐŝĂĚŽƉĞůĂƐƉĞƐƐŽĂƐĐŽŵŽĚŝĂŐŶſƐƟĐŽ
ƐŽƌŽƉŽƐŝƟǀŽĞŽƐŵƵŝƚŽƐƉĞƌĐĂůĕŽƐĚĞĐŽƌƌĞŶƚĞƐĚĞƐƐĂƐŝƚƵĂĕĆŽĨŽƌĂŵĂƐƋƵĞƐƚƁĞƐĨƵŶĚĂ-
ŵĞŶƚĂŝƐƉĂƌĂĂƉƌŽĚƵĕĆŽĚĞƐƚĞĞƐƚƵĚŽ͘ŝĂŶƚĞĚŝƐƐŽ͕ĨŽŝƉŽƐƐşǀĞůŶŽƚĂƌŽƋƵĆŽŶĞĐĞƐƐĄƌŝĂ
ĠĂĞdžŝƐƚġŶĐŝĂĚĞƵŵĂƌĞĚĞĚĞƐƵƉŽƌƚĞĨĂŵŝůŝĂƌ͕ƐŽĐŝĂůĞƉƐŝĐŽůſŐŝĐĂĐŽŵŽĐŽŶƚƌŝďƵŝĕĆŽƉŽ-
ƐŝƟǀĂŶĂƚĆŽŝŵƉƌĞƐĐŝŶĚşǀĞůĂĚĞƐĆŽĂŽƚƌĂƚĂŵĞŶƚŽŵĞĚŝĐĂŵĞŶƚŽƐŽƉŽƌŵĞŝŽĚĂdĞƌĂƉŝĂ
ŶƟƌƌĞƚƌŽǀŝƌĂů;dZsͿ͘
51
ĞƐƟŐŵĂƟnjĂĕĆŽƐŽĐŝĂůĞĂŝŐŶŽƌąŶĐŝĂƌĞůĂĐŝŽŶĂĚĂăƐŝŶĨŽƌŵĂĕƁĞƐƐŽďƌĞŽ,/sͬ/^
ainda se mostram como grande empecilho para favorecer uma melhor qualidade de vida
ĞĂĂĚĞƐĆŽĂŽƚƌĂƚĂŵĞŶƚŽŵĞĚŝĐĂŵĞŶƚŽƐŽ͘DƵŝƚĂƐƉĞƐƐŽĂƐƚĞŵĞŵƌĞǀĞůĂƌƐĞƵĚŝĂŐŶſƐƟ-
ĐŽĞ͕ĞŵĐĞƌƚŽƐĐĂƐŽƐ͕ŽƉƚĂŵƉŽƌŶĆŽĨĂnjĞƌƵƐŽĚŽƐŵĞĚŝĐĂŵĞŶƚŽƐ͕ĐŽŵŵĞĚŽĚĞƚĞƌƐƵĂ
ƐŽƌŽƉŽƐŝƟǀŝĚĂĚĞĚĞƐĐŽďĞƌƚĂ͘EĞƐƐĞƐĞŶƟĚŽ͕ĠĞƐƐĞŶĐŝĂůƋƵĞĂƉƌĞǀĞŶĕĆŽĞŽƚƌĂƚĂŵĞŶƚŽ
ĚŽ,/sͬ/^ƐĞũĂŵĚŝƌĞĐŝŽŶĂĚŽƐŶĆŽƐŽŵĞŶƚĞăƐĄƌĞĂƐŵĠĚŝĐĂƐ͕ŵĂƐĞŶĐĂƌĂĚĂĐŽŵŽƵŵ
ĨĞŶƀŵĞŶŽƉƐŝĐŽƐƐŽĐŝĂů͘ŽŵŽƚĂů͕ŶĞĐĞƐƐŝƚĂĚĞŵĞĚŝĚĂƐĚĞĐƵŝĚĂĚŽƋƵĞƐĞũĂŵƚƌĂŶƐǀĞƌ-
ƐĂŝƐ͕ĞŶǀŽůǀĞŶĚŽŽƐĂƐƉĞĐƚŽƐƐŽĐŝĂŝƐ͕ŽĐĂŵƉŽĚĂƐĂƷĚĞ͕ĂƐƐŝŵĐŽŵŽĨĂƚŽƌĞƐƉŽůşƟĐŽƐ͕ &&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ
educacionais e culturais.
ƉƐŝĐŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂĞdžŝƐƚĞŶĐŝĂůƉŽĚĞƚƌĂnjĞƌƌĞůĞǀĂŶƚĞƐĐŽŶƚƌŝďƵŝĕƁĞƐŶŽƋƵĞ
ĐŽŶĐĞƌŶĞĂŽĐƵŝĚĂĚŽĞŵƐĂƷĚĞŵĞŶƚĂů͕ĂŽƉĂƐƐŽĞŵƋƵĞĞŶdžĞƌŐĂŽƐƐƵũĞŝƚŽƐĞŵƚŽĚĂƐƵĂ
ĚŝŵĞŶƐĆŽĞdžŝƐƚĞŶĐŝĂů͘ĞƐƐĂĨŽƌŵĂ͕ĂƐƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^ƉŽĚĞŵƐĞƌĐŽŵ-
ƉƌĞĞŶĚŝĚĂƐŶŽƐĞƵŵƵŶĚŽ͕ĚŽƋƵĂůĂĚŽĞŶĕĂĨĂnjƉĂƌƚĞ͕ŽƵƐĞũĂ͕ĐŽŵŽĞůĂƐƐĞƐŝƚƵĂŵŶĞƐƐĞ
ŵƵŶĚŽ͕ĐŽŵŽǀĞĞŵƐƵĂƐƉŽƐƐŝďŝůŝĚĂĚĞƐ͕ƋƵĂůŽƐŝŐŶŝĮĐĂĚŽĚĞƐƐĂĞŶĨĞƌŵŝĚĂĚĞĞŵƐƵĂĞdžŝƐ-
ƚġŶĐŝĂ͕ƉĂƌĂ͕ĞŶƚĆŽ͕ĐŽŶƐĞŐƵŝƌĞŵĐŽŶǀŝǀĞƌĚĂŵĞůŚŽƌĨŽƌŵĂĐŽŵŽ,/sͬ/^͘
ƐƉƌŽƉŽƐƚĂƐĚĞƉŽůşƟĐĂƐƉƷďůŝĐĂƐĚĞǀĞŵŝƌĂůĠŵĚĂŝŶĨŽƌŵĂĕĆŽƐŽďƌĞŵĞĐĂŶŝƐŵŽƐĚĞ
ƉƌĞǀĞŶĕĆŽĚŽĐŽŶƚĄŐŝŽĞƐŽďƌĞĂĂĚĞƐĆŽĂŽƚƌĂƚĂŵĞŶƚŽĚŽ,/sͬ/^͕ŶĞĐĞƐƐŝƚĂŶĚŽƐĞŐƵŝƌĂ
ůſŐŝĐĂĚĞƉƌŽŵŽĕĆŽĚĂƐĂƷĚĞ͕ƐĞŶĚŽĨƵŶĚĂŵĞŶƚĂůĂŽĨĞƌƚĂĚĞƵŵƐƵƉŽƌƚĞƉƐŝĐŽůſŐŝĐŽŵĂŝƐ
ĂŵƉůŽ͕ǀŽůƚĂĚŽƚĂŶƚŽƉĂƌĂŽƐƐƵũĞŝƚŽƐƐŽƌŽƉŽƐŝƟǀŽƐĐŽŵŽƉĂƌĂƐĞƵƐĨĂŵŝůŝĂƌĞƐ͘KƵƚƌŽƉŽŶƚŽ
ĚĞƐƵŵĂƌĞůĞǀąŶĐŝĂĠĂĞĨĞƟǀĂĕĆŽĚĞƵŵĂƉŽůşƟĐĂĞĚƵĐĂĐŝŽŶĂůƋƵĞŶĆŽƚƌĂƚĞĂĐĂƵƐĂĚĞƐƐĂ

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
Maria Margarida Gonçalves Diniz | Adrícia Gonçalves Diniz | Jonatan Costa Gomes | Virgínia Lima dos Santos Levy

ĚŽĞŶĕĂĞdžĐůƵƐŝǀĂŵĞŶƚĞĐŽŵŽƵŵĂƌĞƐƉŽŶƐĂďŝůŝĚĂĚĞŝŶĚŝǀŝĚƵĂů͕ƵŵĂǀĞnjƋƵĞĞdžŝƐƚĞŵŝŶƷ-
&&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ

ŵĞƌŽƐĨĂƚŽƌĞƐƐŽĐŝĂŝƐƋƵĞŽĐĂƐŝŽŶĂŵĂĨĂůƚĂĚĞĐŽŶƐĐŝĞŶƟnjĂĕĆŽĞŽĂƵŵĞŶƚŽĚĂƉƌĞǀĂůġŶĐŝĂ
ĚŽ,/sͬ/^͘

Referências
Z'͕dĂƟĂŶĂĞŶĞǀŝĚĞƐDĂŐĂůŚĆĞƐ͖&Z/E,͕DĂƌĐŝĂŶĂ'ŽŶĕĂůǀĞƐ͘,ĞŝĚĞŐŐĞƌ͗ĞŵďƵƐ-
ĐĂĚĞƐĞŶƟĚŽƉĂƌĂĂĞdžŝƐƚġŶĐŝĂŚƵŵĂŶĂ͘ZĞǀŝƐƚĂĚĂďŽƌĚĂŐĞŵ'ĞƐƚĄůƟĐĂ͗Phenomenolo-
ŐŝĐĂů^ƚƵĚŝĞƐ͕ǀ͘Ϯϯ͕Ŷ͘ϭ͕Ɖ͘ϲϱͲϳϯ͕ϮϬϭϳ͘
BRASIL. ŽůĞƟŵƉŝĚĞŵŝŽůſŐŝĐŽŝĚƐĞ^d͘DŝŶŝƐƚĠƌŝŽĚĂ^ĂƷĚĞ͘ƌĂƐşůŝĂ͕ŶŽ//͕ϭ͕ĚĞnj͘ϮϬϭϯ͘
BRASIL. Ministério da Saúde. ĞƉĂƌƚĂŵĞŶƚŽĚĞ^dͲŝĚƐͲ,ĞƉĂƟƚĞƐsŝƌĂŝƐ͘ŝƐƉŽŶşǀĞůĞŵ͗
ŚƩƉ͗ͬͬǁǁǁ͘ĂŝĚƐ͘ŐŽǀ͘ďƌͬƉĂŐŝŶĂͬŽƋƵĞͲĞͲŚŝǀ͘ĐĞƐƐŽĞŵ͗ϮϭĚĞĂŐŽ͘ϮϬϭϵ͘
Z^/>͘WƌĞƐŝĚġŶĐŝĂĚĂZĞƉƷďůŝĐĂ͘>ĞŝŶΣϵ͘ϯϭϯ͕ĚĞϭϯĚĞŶŽǀĞŵďƌŽĚĞϭϵϵϲ͘ŝƐƉƁĞƐŽďƌĞ
a distribuição gratuita de medicamentos aos portadores do HIV e doentes de Aids. Diário
KĮĐŝĂůĚĂhŶŝĆŽ͕ƌĂƐşůŝĂ͕&͕ϭϰŶŽǀ͘ϭϵϵϲ͘
>sdd/͕WƌŝƐůĂmĐŬĞƌĞƚĂů͘EşǀĞŝƐĚĞĂŶƐŝĞĚĂĚĞ͕ĞƐƚƌĞƐƐĞƉĞƌĐĞďŝĚŽĞƐƵƉŽƌƚĞƐŽĐŝĂůĞŵ
ƉĞƐƐŽĂƐƋƵĞǀŝǀĞŵĐŽŵ,/sͬŝĚƐ͘WƐŝĐŽůŽŐŝĂ͗dĞŽƌŝĂĞWĞƐƋƵŝƐĂ͕ǀ͘ϯϮ͕Ŷ͘ϰ͕ϮϬϭϲ͘
ZWKWʹEdZKZ&ZE/dE/DW^/K>K'/WK>1d/^Wj>/^͘ZĞĨĞ-
ƌġŶĐŝĂƐƚĠĐŶŝĐĂƐƉĂƌĂĂƚƵĂĕĆŽĚĞƉƐŝĐſůŽŐĂƐ;ŽƐͿŶŽƐWƌŽŐƌĂŵĂƐĚĞ/^dͬ,/sͬŝĚƐ͘ŽŶƐĞůŚŽ
&ĞĚĞƌĂůĚĞWƐŝĐŽůŽŐŝĂ;&WͿ͘ƌĂƐşůŝĂ͕&͘ϮϬϬϴ͕Ɖ͘ϭϲͲϳϴ͘ŝƐƉŽŶşǀĞůĞŵ͗ŚƩƉƐ͗ͬͬƐŝƚĞ͘ĐĨƉ͘ŽƌŐ͘
ďƌͬǁƉͲĐŽŶƚĞŶƚͬƵƉůŽĂĚƐͬϮϬϭϵͬϬϳͬZ&ZE/ͲdE/Ͳ/^dͲ,/sͲ/^ͲsĞƌƐĆŽͲŽŶƐƵůƚĂ-
52
ͲWƷďůŝĐĂ͘ƉĚĨ͘ĐĞƐƐŽĞŵ͗ϱƐĞƚ͘ϮϬϭϵ͘
,>/͕ĂƌŵĞŶ͖ZZ/Z͕ƌĂƵƌŝŽ͖^d/>,K͕ƵĐůŝĚĞƐLJƌĞƐ͘/^ŶŽƌĂƐŝů͗ƐŝƚƵĂĕĆŽ
atual e tendências. ŽůĞƟŵƉŝĚĞŵŝŽůſŐŝĐŽ/^͕ǀ͘ϭϯ͕Ŷ͘ϭ͕Ɖ͘ϯͲϭϯ͕ϮϬϬϬ͘
&Khh>d͕DŝĐŚĞů͘EĂƐĐŝŵĞŶƚŽĚĂďŝŽƉŽůşƟĐĂ͘^ĆŽWĂƵůŽ͗DĂƌƟŶƐ&ŽŶƚĞƐ͕ϮϬϬϴ͘
'K&&DE͕ƌǀŝŶ͘ƐƟŐŵĂ͗ŶŽƚĂƐƐŽďƌĞĂŵĂŶŝƉƵůĂĕĆŽĚĂŝĚĞŶƟĚĂĚĞĚĞƚĞƌŝŽƌĂĚĂ͘ZŝŽĚĞ
:ĂŶĞŝƌŽ͗:ŽƌŐĞĂŚĂƌ͕ϭϵϳϱ͘
,/''Z͕DĂƌƟŶ͘Ser e tempo͘WĞƚƌſƉŽůŝƐ͗sŽnjĞƐ͕ϭϵϴϴ͘
,/''Z͘DĂƌƟŶ͘Ser e tempo͘ĂŵƉŝŶĂƐ͗ĚŝƚŽƌĂĚĂhŶŝĐĂŵƉ͗WĞƚƌſƉŽůŝƐ͗sŽnjĞƐ͕ϮϬϭϮ͘
</Z<'Z͕^ƂƌĞŶĂďLJĞ͘KĚĞƐĞƐƉĞƌŽŚƵŵĂŶŽ͗ĂĚŽĞŶĕĂĂƚĠĂŵŽƌƚĞ͘ϯ͘ĞĚ͘WŽƌƚŽ͗
dĂǀĂƌĞƐDĂƌƟŶƐ͕ϭϵϱϮ͘
>'^͕^ƀŶŝĂZĞŐŝŶĂŽƌƌġĂĞƚĂů͘ĞƐĂĮŽƐƉĂƌĂŽĞŶĨƌĞŶƚĂŵĞŶƚŽĂŽ,/sͬ/^ĞŶƚƌĞŽƐŚŽ-
mossexuais negros. ŶĐŽŶƚƌŽ͗ZĞǀŝƐƚĂĚĞWƐŝĐŽůŽŐŝĂ͕ǀ͘ϭϳ͕Ŷ͘Ϯϳ͕ϮϬϭϱ͘
>/D͕,ĞůĞŶĂDĂƌŝĂDĞĚĞŝƌŽƐ͘ĚĞƐĆŽĂŽƚƌĂƚĂŵĞŶƚŽĚĞ,/sͬ/^ƉŽƌƉĂĐŝĞŶƚĞƐĐŽŵ/^͕ƚƵďĞƌͲ
ĐƵůŽƐĞĞƵƐƵĄƌŝŽƐĚĞĚƌŽŐĂƐ͗ƐƵďƐşĚŝŽƐƉĂƌĂƉƌŽĮƐƐŝŽŶĂŝƐĚĞƐĂƷĚĞĞĞĚƵĐĂĕĆŽ͘ϭǐĞĚ͘ƵƌŝƟďĂ͗ϮϬϭϮ͘
>KK͕tĂƌůŝŶŐƚŽŶ͖W/DEd>͕ĚĞůŵĂ͘WŽƚġŶĐŝĂĞǀƵůŶĞƌĂďŝůŝĚĂĚĞƐŵĂƐĐƵůŝŶĂƐŶŽĐĂŵƉŽĚŽ
,/sͬ/^͗ĂŝŶƚĞƌǀĞŶĕĆŽƉƐŝĐŽƚĞƌĂƉġƵƟĐĂ͘ZĞǀ͘Eh&E͕^ĆŽWĂƵůŽ͕ǀ͘ϰ͕Ŷ͘ϭ͕Ɖ͘ϴϴͲϭϬϭ͕ũƵŶ͘ϮϬϭϮ͘
D/͕ƌŝĐĂĂƚĂƌŝŶĞƚĂŝĚĞ͖Z/^:hE/KZ͕>ĞĂŶĚƌŽWĂƐƐĂƌŝŶŚŽ͘DŽĚŽƐĚĞĞŶĨƌĞŶƚĂŵĞŶƚŽ
ĚŽ,/sͬ/^͗ĚŝƌĞŝƚŽƐŚƵŵĂŶŽƐ͕ǀƵůŶĞƌĂďŝůŝĚĂĚĞƐĞĂƐƐŝƐƚġŶĐŝĂăƐĂƷĚĞ͘ZĞǀ͘Eh&E͕ĞůĠŵ͕
ǀ͘ϭϭ͕Ŷ͘ϭ͕Ɖ͘ϭϳϴͲϭϵϯ͕Ăďƌ͘ϮϬϭϵ͘
DZ>hͲWKEdz͕DĂƵƌŝĐĞ͘&ĞŶŽŵĞŶŽůŽŐŝĂĚĂƉĞƌĐĞƉĕĆŽ͘^ĆŽWĂƵůŽ͗DĂƌƟŶƐ&ŽŶƚĞƐ͕ϭϵϵϵ͘

>hDE͕ZĞĐŝĨĞ͕ǀ͘Ϯϵ͕Ŷ͘ϭ͕Ɖ͘ϰϯͲϱϯ͕ũĂŶͬ͘ũƵŶ͘ϮϬϮϬ
ƉƐŝĐŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂĞdžŝƐƚĞŶĐŝĂůŶŽƐƵƉŽƌƚĞăƐĂƷĚĞŵĞŶƚĂůĚĞƉĞƐƐŽĂƐĂĐŽŵĞƟĚĂƐƉĞůŽ,/sͬ/^

DKZ/Z͕sŝƌŐŝŶŝĂĞƚĂů͘&ĞŶŽŵĞŶŽůŽŐŝĂĚŽĞƐƟŐŵĂĞŵ,/sͬ/^ĞŶĂĚŽĞŶĕĂŵĞŶƚĂů͘>ĂƟŶ
ŵĞƌŝĐĂŶ:ŽƵƌŶĂůŽĨ&ƵŶĚĂŵĞŶƚĂůWƐLJĐŚŽƉĂƚŚŽůŽŐLJ ͲKŶůŝŶĞ͕ǀ͘ϳ͕Ŷ͘ϭ͕Ɖ͘ϰϱͲϳϰ͕ϮϬϭϬ͘
DKZ/Z͕sŝƌŐŝŶŝĂ͖>K͕>ƵĐĂƐ͖ZK,͕DĂƌĐŝŽ͘^ŝŐŶŝĮĐĂĚŽƐĚĂĮŶŝƚƵĚĞŶŽŵƵŶĚŽǀŝǀŝĚŽ
ĚĞƉĞƐƐŽĂƐĐŽŵ,/sͬ/^͗ƵŵĞƐƚƵĚŽĨĞŶŽŵĞŶŽůſŐŝĐŽ͘ƐƚƵĚ͘ƉĞƐƋƵŝ͘ƉƐŝĐŽů͕͘ZŝŽĚĞ:ĂŶĞŝƌŽ͕
ǀ͘ϭϮ͕Ŷ͘Ϯ͕Ɖ͘ϱϱϰͲϱϳϭ͕ĂŐŽ͘ϮϬϭϮ͘ŝƐƉŽŶşǀĞůĞŵ͗ŚƩƉ͗ͬͬƉĞƉƐŝĐ͘ďǀƐĂůƵĚ͘ŽƌŐͬƐĐŝĞůŽ͘ƉŚƉ͍ƐĐƌŝƉ-
ƚсƐĐŝͺĂƌƩĞdžƚΘƉŝĚс^ϭϴϬϴϰϮϴϭϮϬϭϮϬϬϬϮϬϬϬϭϰΘůŶŐсƉƚΘŶƌŵсŝƐŽ͘ĐĞƐƐŽĞŵ͗ϬϵƐĞƚ͘ϮϬϭϵ͘
WZh,/͕:͘Ğƚ͘Ăů͘WƐŝĐŽůŽŐŝĂĞƉŽůşƟĐĂƐƉƷďůŝĐĂƐĞŵ,/sͬ/^͗ĂůŐƵŵĂƐƌĞŇĞdžƁĞƐ͘WƐŝĐŽůŽͲ
ŐŝĂĞ^ŽĐŝĞĚĂĚĞ͘ǀ͘Ϯϯ͕Ŷ͘ƐƉĞ͘ϮϱŵĂŝŽϮϬϭϭ͘
W/E,/ZK͕ůĂƌĂsŝƌŐşŶŝĂĚĞYƵĞŝƌŽnj͖D/ZK^͕EĂƚŚĂƐƐŝĂDĂƟĂƐĚĞ͘WƌĄƟĐĂƐĚĞƉƌĞǀĞŶĕĆŽĚŽ
,/sͬŝĚƐĞŵŽĚŽƐĚĞƐƵďũĞƟǀĂĕĆŽ͘WŚLJƐŝƐ͗ZĞǀŝƐƚĂĚĞ^ĂƷĚĞŽůĞƟǀĂ͕ǀ͘Ϯϯ͕Ɖ͘ϲϮϵͲϲϰϲ͕ϮϬϭϯ͘
Z//ZK͕ZĂĨĂĞůDŽŶŚŽWŝŶƚŽ͖ZKEd/͕ŶĂƌŝƐƟŶĂ<ƵŚŶWůĞƚƐĐŚ͘ŽŶĐĞŝƚŽƐĚĞ͞ƵƚĞŶƟĐŝĚĂĚĞ͟
Ğ͞/ŶĂƵƚĞŶƟĐŝĚĂĚĞ͕͟/Ŷ͗͞^ĞƌĞdĞŵƉŽ͕͟ĚĞDĂƌƟŶ,ĞŝĚĞŐŐĞƌ͘ZĞǀŝƐƚĂWƵďů/Ă͕ǀ͘ϳ͕Ŷ͘ϭ͕ϱĚĞnj͘ϮϬϭϮ͘
^͕ŵĂŶĚĂƌĂƷũŽDĂůƚĂĚĞ͖^EdK^͕ƌŝƐƟŶĂsŝĂŶŶĂDŽƌĞŝƌĂĚŽƐ͘sŝǀġŶĐŝĂĚĂ^ĞdžƵĂ-
ůŝĚĂĚĞĚĞWĞƐƐŽĂƐƋƵĞsŝǀĞŵĐŽŵ,/sͬŝĚƐ͘WƐŝĐŽů͘ĐŝĞŶĐ͘ƉƌŽĨ͕͘ƌĂƐşůŝĂ͕&͕ǀ͘ϯϴ͕Ŷ͘ϰ͕Ɖ͘
ϳϳϯͲϳϴϲ͕ŽƵƚ͘ϮϬϭϴ͘
^EdK^͕ĂŶŝĞůůĞĚĞ'ŽŝƐ͖^͕ZŽďĞƌƚŽEŽǀĂĞƐĚĞ͘ĞdžŝƐƚġŶĐŝĂĐŽŵŽΗĐƵŝĚĂĚŽΗ͗ĞůĂďŽƌĂ-
ĕƁĞƐĨĞŶŽŵĞŶŽůſŐŝĐĂƐƐŽďƌĞĂƉƐŝĐŽƚĞƌĂƉŝĂŶĂĐŽŶƚĞŵƉŽƌĂŶĞŝĚĂĚĞ͘ZĞǀ͘ĂďŽƌĚĂŐĞŵŐĞƐͲ
ƚĂůƚ͕͘'ŽŝąŶŝĂ͕ǀ͘ϭϵ͕Ŷ͘ϭ͕Ɖ͘ϱϯͲϱϵ͕ũƵů͘ϮϬϭϯ͘
^ZdZ͕:ĞĂŶͲWĂƵů͘O ser e o nada͗ĞŶƐĂŝŽĚĞŽŶƚŽůŽŐŝĂĨĞŶŽŵĞŶŽůſŐŝĐĂ͘Ϯϯ͘ĞĚ͘WĞƚƌſƉŽůŝƐ͗
ĚŝƚŽƌĂsŽnjĞƐ͕ϮϬϭϰ͘
SARTRE. Jean-Paul. YƵĞƐƚĆŽĚĞŵĠƚŽĚŽ͘ϯ͘ĞĚ͘^ĆŽWĂƵůŽ͗EŽǀĂƵůƚƵƌĂ͕ϭϵϴϳ͘;Žů͘KƐƉĞŶƐĂĚŽƌĞƐͿ
^ZdZ͘:ĞĂŶͲWĂƵů͘KĞdžŝƐƚĞŶĐŝĂůŝƐŵŽĠƵŵŚƵŵĂŶŝƐŵŽ͘/Ŷ͗ Os Pensadores.^ĆŽWĂƵůŽ͗ďƌŝů 53
ƵůƚƵƌĂů͕ϭϵϳϴ͘
^/>s͕ƌŝƐƟĂŶŽŽŵŝŶŐƵĞƐ͖D'>,^:jE/KZ͕ĂƌůŽƐůďĞƌƚŽĚĞKůŝǀĞŝƌĂ͖/E͕:Ă-
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ĕĆŽĞŝġŶĐŝĂƐ,ƵŵĂŶĂƐ͕ǀ͘ϭϴ͕Ŷ͘ϰ͕Ɖ͘ϰϱϴͲϰϲϯ͕ϮϬϭϴ͘
^/>s͕>ĞĂŶĚƌŽĠƐĂƌĚĂĞƚĂů͘/ŵƉĂĐƚŽƉƐŝĐŽƐƐŽĐŝĂůĚŽĚŝĂŐŶſƐƟĐŽĚĞ,/sͬĂŝĚƐĞŵŝĚŽƐŽƐ
atendidos em um serviço público de saúde. ZĞǀ͘ďƌĂƐ͘ŐĞƌŝĂƚƌ͘ŐĞƌŽŶƚŽů͕͘ZŝŽĚĞ:ĂŶĞŝƌŽ͕ǀ͘
ϭϴ͕Ŷ͘ϰ͕Ɖ͘ϴϮϭͲϴϯϯ͕ĚĞnj͘ϮϬϭϱ͘
^/>s͕>ĞŽŶĂƌĂDĂƌŝĂ^ŽƵnjĂĚĂ͖dsZ^͕:ĞĂŶĞ^ĂƐŬLJĂĂŵƉŽƐ͘ĨĂŵşůŝĂĐŽŵŽƌĞĚĞĚĞ &&/Zʹ&ĂĐƵůĚĂĚĞ&ƌĂƐƐŝŶĞƫĚŽZĞĐŝĨĞ
ĂƉŽŝŽăƐƉĞƐƐŽĂƐƋƵĞǀŝǀĞŵĐŽŵ,/sͬ/^͗ƵŵĂƌĞǀŝƐĆŽŶĂůŝƚĞƌĂƚƵƌĂďƌĂƐŝůĞŝƌĂ͘ŝġŶĐ͘ƐĂƷͲ
ĚĞĐŽůĞƟǀĂ͕ZŝŽĚĞ:ĂŶĞŝƌŽ͕ǀ͘ϮϬ͕Ŷ͘ϰ͕Ɖ͘ϭϭϬϵͲϭϭϭϴ͕Ăďƌ͘ϮϬϭϱ͘
^KZ^͕ZŚĂŝƐĂ'ŽŶƟũŽĞƚĂů͘ŵĞŶƐƵƌĂĕĆŽĚŽĞƐƟŐŵĂŝŶƚĞƌŶĂůŝnjĂĚŽ͗ƌĞǀŝƐĆŽƐŝƐƚĞŵĄƟĐĂ
da literatura. WƐŝĐŽů͘ĞƐƚƵĚ͕͘DĂƌŝŶŐĄ͕ǀ͘ϭϲ͕Ŷ͘ϰ͕Ɖ͘ϲϯϱͲϲϰϱ͕ĚĞnj͘ϮϬϭϭ͘
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ƐŝŐŶŝĮĐĂŶĚŽĂǀŝĚĂ͘^ĆŽWĂƵůŽ͗ĞŶƚƌŽĚĞZĞĨĞƌġŶĐŝĂĞƚƌĞŝŶĂŵĞŶƚŽ^dͬ/^͕ϮϬϬϴ͘
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ZĞĐĞďŝĚŽĞŵ͗ϯϭ͘ϭϬ͘ϮϬϭϵ
ƉƌŽǀĂĚŽĞŵ͗ϯϬ͘Ϭϰ͘ϮϬϮϬ

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