Alves P C, Souza I M, Moura M A, Cunha L A
Núcleo de Estudos em Ciências Sociais e Saúde, Faculdade de Filosofia e Ciências Humanas, Universidade Federal da Bahia, Estrada de São Lázaro, 197, Federação, Salvador, BA, 40210-730, Brasil.
Cad Saude Publica. 1998;14 Suppl 2:79-90.
Using a semiotic and hermeneutical approach, the present paper discusses various theoretical elements in the analysis of popular views of schistosomiasis. Based on field work conducted in the State of Bahia, the authors identify two main processes in the construction of meaning related to schistosomiasis and show that depending on the social context of experience the disease may have a primary or secondary meaning for the populations affected by it. The first level of meaning refers to bodily experiences and is shared intersubjectively, whereas the second type is built on the discourse of health professionals. In the latter case, the popular view of the illness is directly linked to discourses and actions previously established by health programs designed for the control of the disease.
本文运用符号学和诠释学方法，探讨了分析血吸虫病大众观念时的各种理论要素。基于在巴伊亚州开展的实地研究，作者识别出与血吸虫病相关的意义建构中的两个主要过程，并表明根据经验的社会背景，该疾病对于受其影响的人群可能具有首要或次要意义。第一层意义涉及身体体验且为主体间共享，而第二层意义则建立在卫生专业人员的话语之上。在后一种情况下，大众对疾病的看法与先前为疾病控制设计的卫生项目所确立的话语和行动直接相关。
