[Subjectiveness and management: exploring psychosocial links on managerial and health work].
This paper presents our theoretical perspective over health management, particularly on managerial and health work. To face the complex problems related to public health services management and health care quality - important challenges of Brazilian Sanitary Reform - we study the group/inter-subjective and unconscious characteristic of organizational processes, which has important effects over health services dynamics and their quality. For this purpose, we attempt to articulate three theoretical perspectives:(1) the French Psycho sociology approach on organizations and contemporary society; (2) the psychoanalytical theory on inter-subjective and group processes; and (3) the Work Psychodynamics, which focuses the relations between pleasure and suffering in work processes. Through this research process, we explore links and mediations among psychic, inter-subjective, group and social realities that are present in health organizations, managerial work and health work. Also, limits and possibilities these mediations set to leadership, cooperation, collective projects and health care quality are identified.
Sá
Marilene de Castilho
Mde C
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, 21041-900. marilene@ensp.fiocruz.br
Azevedo
Creuza da Silva
Cda S
D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration*; D011584:Psychology