Universidade de Fortaleza, Fortaleza, Brasil.
Universidad Rey Juan Carlos, Madrid, España.
Cad Saude Publica. 2020 Feb 10;36Suppl 1(Suppl 1):e00038219. doi: 10.1590/0102-311X00038219. eCollection 2020.
This article sought to understand objection of conscience based on an analysis of the ideological formations that permeate access to legal abortion in cases of sexual violence in the perspective of workers and managers who work at reference centers. It is a qualitative research with semi-structured interviews of 20 workers (six of whom were also managers) of these services. The study used discourse analysis. Results show that objection of conscience emerged as a central discursive element. The contextualized analysis of the discourses showed an instrumentalization of the prerogative according to ideological reasons, flowing toward the organization of the following categories: the instrumentalization of objection of conscience and the disarticulation of the network; and instrumentalization of the objection of conscience in order to surveil and punish. We conclude that objection of conscience as discursive formation was re-signified so as to compose a complex and refined system of internal sabotage - both conscious and unconscious - of the health care services for women victims of sexual violence, despite the existing legal framework and advancements.
本文旨在从工作人员和管理者的角度出发，通过对性侵案件中合法堕胎准入的思想形成进行分析，理解基于良心的反对意见。这是一项定性研究，对 20 名服务中心的工作人员（其中 6 名也是管理人员）进行了半结构化访谈。研究采用了话语分析。结果表明，基于良心的反对意见是一个核心话语要素。对这些话语的情境化分析表明，根据意识形态原因，对特权进行了工具化处理，形成了以下几类：对良心反对的工具化和网络的脱节；以及为了监督和惩罚而对良心反对的工具化。我们得出结论，基于良心的反对意见作为话语形成，重新被赋予了意义，以便对妇女性暴力受害者的医疗服务进行复杂而精细的内部破坏——既有有意识的，也有无意识的——尽管存在现有法律框架和进展。
