• JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
 
  Bookmark and Share
 
 
Doctoral Thesis
DOI
10.11606/T.5.2006.tde-11102006-104710
Document
Author
Full name
Gisele Joana Gobbetti
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2006
Supervisor
Committee
Cohen, Claudio (President)
Hossne, William Saad
Marin, Isabel da Silva Kahn
Oselka, Gabriel Wolf
Sa, Alvino Augusto de
Title in Portuguese
"A função da confidencialidade: bioética e incesto"
Keywords in Portuguese
Bioética
Comunicação sigilosa
Ética profissional
Incesto
Relações profissional-paciente
Abstract in Portuguese
O presente estudo pretende construir uma reflexão sobre a função da confidencialidade para os profissionais de saúde que lidam com pessoas envolvidas em casos de incesto, na tentativa de avaliar os limites éticos destas intervenções. A metodologia utilizada constituiu-se por uma reflexão teórica baseada na experiência de trabalho da autora no CEARAS, referendada pela Bioética e pela Psicanálise e ilustrada por uma pesquisa realizada com os profissionais de saúde, incluindo os médicos, enfermeiras, técnicas e auxiliares de enfermagem e assistentes sociais do Pronto-Atendimento Pediátrico do Hospital Universitário da Faculdade de Medicina da Universidade de São Paulo. Entrevistas livres de exploração sobre a possibilidade de atendimento a crianças e adolescentes com suspeitas de abuso sexual e o modo de lidar com estas questões foram realizadas com os profissionais. As entrevistas foram gravadas e transcritas para serem analisadas através do método de análise de conteúdo. O atendimento de pacientes envolvidos em situações de abuso sexual é considerado pelos profissionais de saúde como um problema de difícil abordagem. A ausência do conflito entre a quebra do segredo profissional e a manutenção do vínculo de confiança entre profissional de Saúde e paciente em situações de incesto demonstra a dificuldade de os profissionais lidarem com tais casos e discriminarem a função de um profissional de saúde, pelo incesto se tratar justamente do tabu estruturante do ser humano.
Title in English
The function of confidentiality: bioethics and incest
Keywords in English
Bioethics
Confidentiality
Ethics professional
Incest
Professional-patient relation
Abstract in English
This work intends to build up considerations about the confidentiality function for health professionals who deal with people involved in cases of incest, trying to evaluate the ethical limits of these interventions. The methodology used was a theoretical reflection based on Bioethics and Psychoanalyses and was illustrated by research with health professionals, including doctors, nurses, social workers and nurse assistants from Pediatric Emergency Room at University Hospital of São Paulo University. Free exploring interviews about the possibility of attending children and adolescents with suspects of sexual abuse and the way to deal professionally with such situation were conducted with those professionals. The interviews were recorded and transcribed for analysis through content analysis technique. The attendance of patients involved in sexual abuse situations is considered by health professionals as a difficult problem to approach. The absence of conflict between breaking professional secrecy and the maintenance of the reliance bond between the health professional and the patient on incest situations, shows the difficulties for the professionals to deal with people involved in those cases and, to discriminate the function of a health professional, by considering incest as a structuralizing taboo from the essence of human being.
 
WARNING - Viewing this document is conditioned on your acceptance of the following terms of use:
This document is only for private use for research and teaching activities. Reproduction for commercial use is forbidden. This rights cover the whole data about this document as well as its contents. Any uses or copies of this document in whole or in part must include the author's name.
GiseleJoanaGobbetti.pdf (197.47 Kbytes)
Publishing Date
2006-10-20
 
WARNING: Learn what derived works are clicking here.
All rights of the thesis/dissertation are from the authors
Centro de Informática de São Carlos
Digital Library of Theses and Dissertations of USP. Copyright © 2001-2019. All rights reserved.