A comunicação na prática homeopática: como a racionalidade homeopática se expressa na comunicação entre médico e paciente?

Abstract

The predominance of informative and normative communication is observed in the current context of medical practice in Brazil. This practice relies on Biomedical Model focus on disease and organ damage, with little emphasis on dialogue and understanding of the patient on the health-illness care, which in many cases contributes to the social medicalization, the medical specialization and fragmentation of care, negatively affecting the quality of the doctor-patient relationship on promoting patient autonomy and the solving of health actions. In contrast, a patient-centered medical practice that enhances understanding of their interpretation of health-disease favors a holistic care and a greater effectiveness of actions. This exploratory research, predominantly qualitative with quantitative component investigates the communicative practices in the doctor-patient relationship in homeopathic consultation, is guided by vitalist paradigm. Looking broadly at the patient and the illness, homeopathic practice provides the means to understand the personal connections between patient and physician to improve the effectiveness of their work. This medical specialty offered since 1988 by SUS, and since 2006, included in PNPIC, requires narrative competence to practice their semiotics. Eight inquiries were first recorded performed in a clinic-school by experienced doctors, transcribed and submitted to content analysis, allowing to analyze how the foundations of homeopathic rationality can contribute to the health care. The results are organized into categories shifts: Topics Control, Health-Disease-Cares Concept, Therapeutic Itineraries, Scientific Ethos and Life Ethos, Empathic Capacity (attitudes of support, legitimacy and politeness) and The Role of the Physician. It is observed that the communication established in this type of health practice advances in the construction of an integral care and can contribute to the better resolution of care in that it minimizes the dichotomy between mental and somatic, individual and social.