Construção do conceito social de intervenção terapêutica ortóptica : o ortoptista como agente informal da educação

Abstract

This study presents an interdisciplinary relationship between Education and Health, focused in Orthoptics that deals with visual rehabilitation, in order to outline the emergence of heterogeneous modes of seeing coexisting in the different human subjects of education and proposing an Inclusive and Social Orthoptic Therapeutic Intervention Concept, considering the orthoptist as an informal agent of education, contributing to the development of plural social subjects able to produce knowledge inside and outside the hegemonic cultural viewpoints. The theoretical framework is based on Social Interactionism backgrounds and the important accounts of Vygotsky, Piaget, Luria, Morin, Ribeiro, Hall, Hubel, Foucault, Bear et cols., Von Noorden, Senna, Glat , Goffman, and others, dealing with contemporary social questions like social anthropological and cognitive plurality of the brazilian subjects, the literacy concept as an individual and socio-historical cognitive development process, the neurosciences and interdisciplinary basis to understand the human complexity, specially focused on Education and Orthoptics. The inclusive therapeutic orthoptic practice and the orthoptic clinical profile were investigated on six orthoptic clinics in Rio de Janeiro. The study showed exclusionist tendencies in the orthoptic work by presenting significant differences between public and private health clinics as well as in terms of socioeconomic basis, revealing an increased biological dimension in the public orthoptic services and an increased bio-psycho-social dimension in those private orthoptic services located in regions with better socioeconomic conditions. The research concluded that the orthoptist should struggle for the universalization on inclusive orthoptic practice, redefining a new orthoptist status as an informal agent of Education.