title: [Therapeutic itineraries of individuals with symptoms of anorexia and bulimia].
abstract: The scope of this study is to identify and contextualize aspects of the therapeutic itineraries of patients treated at a university medical clinic specialized in nervous anorexia and bulimia. For this purpose, an attempt was made to reconstitute the succession of events triggered in 20 respondents and their families with the classification of anorexia and bulimia as "health problems." The narratives were analyzed in order to link the individual experiences and the social context of their occurrence (organization of health services, characteristics of treatment and medical knowledge and characteristics of contemporary subjectivity), in light of the theoretical studies of Public Health and Psychoanalysis. Data analysis revealed that these itineraries arise from connections and disconnections between two distinct approaches: one that organizes the management of patients and the other governing the conduct of health institutions and families. If the latter presuppose a quest for health, this is not what primarily concerns the individuals in question. Their refusal to moderate their own eating disorders is notable on their itineraries, and indicates the functionality of those practices. Such practices play a part in the reconstruction of their self-images.
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais. Av. Prof. Alfredo Balena 190, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil. bernadetec59@gmail.com.
authors.forename: Maria Bernadete de
authors.initials: MB
authors.lastname: Carvalho
authors.affiliation: Faculdade de Medicina, Universidade Federal de São João del-Rei. São João del-Rei MG Brasil.
authors.forename: Alexandre Costa
authors.initials: AC
authors.lastname: Val
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais. Av. Prof. Alfredo Balena 190, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil. bernadetec59@gmail.com.
authors.forename: Maria Mônica Freitas
authors.initials: MM
authors.lastname: Ribeiro
authors.affiliation: Faculdade de Ciências Humanas, Universidade FUMEC. Belo Horizonte MG Brasil.
authors.forename: Lúcia Grossi Dos
authors.initials: LG
authors.lastname: Santos
mesh_terms: D000293:Adolescent; D000328:Adult; D000855:Anorexia / Q000628:therapy*; D002032:Bulimia / Q000628:therapy*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D055815:Young Adult