A nobreza doutural da bruzundanga: Profissionais liberais e fetiche do coutoramento no Brasil

Analisa-se, a partir da obra Os Bruzundangas (1922) de Lima Barreto, o fascínio brasileiro pelo título de doutor, e a necessidade de ostentá-lo demonstrada por alguns profissionais liberais. Inicialmente, sintetiza-se a obra limabarretiana, enfatizando-se o tratamento e a sátira feita pelo autor aos doutores e à doutorice dos anos 1910. Em seguida, discute-se a construção histórica da associação entre o título e o valor social do poder e do prestígio, destacando, de um lado, a tradição lusitana do bacharelismo, e, de outro, a bacharelização promovida por D. Pedro II. Discorre-se, então, acerca das tentativas contemporâneas de apropriação e/ou manutenção do doutoramento pelos advogados, juízes, médicos e outros profissionais de saúde. Por fim, aborda-se a problemática do ponto de vista discursivo, levantando-se algumas questões linguísticas e ideológicas envolvidas.

Chemotherapy patient perception regarding communication with the healthcare staff

Purpose: To qualitatively explore the communication between healthcare professionals and oncology patients based on the perception of patients undergoing chemotherapy.Method: Qualitative and exploratory design. Participants were 14 adult patients undergoing chemotherapy at different stages of the disease. A socio-demographic and clinical data form was utilized along with semi-structured interviews. The interviews were audio-recorded, transcribed and content analysis was performed. Two independent judges evaluated the interview content in regards to emerging categories and obtained a Kappa index of 0.834.Results: Three categories emerged from the data: 1) Technical communication without emotional support, in which the information provided is composed of strictly technical information regarding the diagnosis, treatment and/or prognosis; 2) Technical communication, in which the information provided is oriented towards the technical aspects of the patient’s physical condition, while also providing psychological support for the patients’ subjective needs; and 3) Insufficient technical communication, win which there are gaps in the information provided causing confusion and suffering to the patient.Conclusions: Communication with emotional support contributes to greater satisfaction of chemotherapy patients. Practical implications: the results provide elements for the training of healthcare professionals regarding the importance of the emotional support that can be offered to cancer patients during their treatment.