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      Violência: um Velho-Novo Desafio para a Atenção à Saúde Translated title: Violence: a New Old Challenge fo r Hea lth Care

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          Abstract

          Resumo: Este artigo propoe uma reflexão sobre a violência e seu impactosobre a saúde, tomando como exemplo o caso brasileiro. Inicia-se com uma exposição sobre as dificuldades de inclusão do tema na área da saúde. Critica as versões que absolutizam o sentido da violência, considerandoa um processo a-histórico e acima das consciências e da sociedade. Numa perspectiva fustórica, busca situar o tema no campo social e da saúde, advertindo para o risco epistemológico e prático de reducionismo quando se trata esse fenômeno como uma epidemia, ou seja, como uma ·doença social. Mostra que a violência é um fenômeno muito mais complexo, que constitui um problema histórico, um termômetro social e um indicador de qualidade de vida. Inclui alguns dados gerais e chama atenção para os caminhos de possibilidade de ação setorial e intersetorial e, sobretudo, para a atuação médica.

          Translated abstract

          Abstract: This article aims to present some reflections on violence and its impact on health services and the health of the Brazilian population. lt begins with a critical commentary on perspectives that ascribe a sense of absoluteness to violence by considering it an ahistorical process, beyond conscience and society. Second, it calls attention to the epistemological and practical risk of reductionsim in the health sector, dealing with the phenomenon of violence as an epidemic, i.e., considering it a “social disease”. The author shows how the phenomenon is much more complex. Violence is a social problem, a barometer; and an indicator of quality of life. The text includes some geral data and calls attention to the possibility of sector-based and inter-sector actions, mainly for medical practice.

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          Most cited references9

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          Gender-based abuse: the global epidemic

          Lori Heise (1994)
          Gender Based violence-including rape, domestic violence, murder and sexual abuse-is a profund health problem for women across the globe. Although a significant cause of female morbidity and mortality, violence against women has only recently begun to be recognized as an issue for public health. This paper draws together existing data on the dimensions of violence against women worldwide and reviews available literature on the health consequences of abuse. It argues that the health sector has an important role to play in combatting violence against women through increased research, screening and referral of victims, and behavioral interventions. Any strategy to confrnt violence must address the root causes of abuse in addition to meeting the immediate needs of victims. This means challenging the social attitudes and beliefs that undergird men's violence and renegotiating the balance of power between women and men at all levels of society.
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            O novo paradigma da violência

            O autor procura redimensionar o conceito de violência dentro do atual estado de globalização mundial. Crise internacional, narcotráfico, derrocada do bloco socialista no leste europeu, políticas assistenciais de organismos internacionais, conceitos de desenvolvimento e de subdesenvolvimento, terrorismo, sectarismo político e religioso, novas conceituações culturais e sociais são temas trabalhados pelo autor com vistas ao estabelecimento de um novo paradigma da violência.
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              Feedbacks in Economic and Demographic Transition

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                Author and article information

                Journal
                rbem
                Revista Brasileira de Educação Médica
                Rev. bras. educ. med.
                Associação Brasileira de Educação Médica (Brasília, DF, Brazil )
                0100-5502
                1981-5271
                April 2005
                : 29
                : 1
                : 55-63
                Affiliations
                [1] Rio de Janeiro Rio de Janeiro orgnameFundação Oswaldo Cruz orgdiv1Escola Nacional de Saúde Pública orgdiv2Ministério da Saúde Brazil
                Article
                S0100-55022005000100055 S0100-5502(05)02900100055
                10.1590/1981-5271v29.1-009
                a1a0da47-4d03-40f4-9695-99fbb63f4e46

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 08 December 2004
                : 05 August 2004
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 21, Pages: 9
                Product

                SciELO Brazil

                Self URI: Texto completo somente em PDF (PT)
                Categories
                Ensaio

                Violence,Health,Intersectorial Action,Violência,Saúde,Ação Intersotorial

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