Banca de QUALIFICAÇÃO: FELIPE CAZEIRO DA SILVA

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : FELIPE CAZEIRO DA SILVA
DATE: 17/04/2023
TIME: 14:00
LOCAL: UFRN Labpsi 622 - https://meet.google.com/zkv-gtut-ryt
TITLE:

NARRATIVES OF DAILY LIFE IN THE USE OF ANTIRETROVIRALS FOR HIV: FROM THE BIOMEDICALIZED BODY TO THE SOCIAL ACTOR OF THE EXPERIENCE

KEY WORDS:

Antiretrovirals, Critical discourse analysis, HIV/AIDS

PAGES: 100
BIG AREA: Ciências Humanas
AREA: Psicologia
SUMMARY:

Since the 1980s until today we have been facing a terrible pandemic of a virus (HIV/AIDS), becoming a major public health problem worldwide. Since the initial milestone of the well-known 'epidemic of the 80s', Brazil has registered approximately 1 million 88 thousand 536 until 2022. Due to the rapid progression of the disease, the social panic generated by the idea of a plague, of incurability and death, as well as the absence of treatment, the start was set for the mobilization of different efforts to reach, if not a cure, then a possible intervention that could control or neutralize the infectious cycle of this virus. Thus, the drug zidovudine (AZT) appeared in 1987, raising therapeutic hope and research related to antiretroviral drugs (ARVs). This emergence marked the opening for new research into HIV treatment and responses. These researches were particularly focused on clinical and biological contexts, to test the safety and efficacy of these antiretroviral drugs, often leaving aside other aspects such as the adverse events of medication use such as psychological, social, and personal effects. ARVs are drugs used for the treatment of infections caused by retroviruses and for the prophylaxis of opportunistic diseases such as pneumocystosis, tuberculosis, and hepatitis C, among others. The use of this therapy has been determining a deep reformulation in the clinical practice and epidemiology of HIV infection, both in the processes of virus control and replication, and in the prevention policies with PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis). The need arises, then, to develop studies in various sectors on the use of these antiretroviral drugs not only focused on clinical and biological investigations, but also psychosocial and of interest in understanding the ways of negotiation of this continuous use by its users and adaptation to their lives. Based on this, this thesis presents a set of studies around the investigation of narratives about HIV/AIDS and daily use of antiretroviral drugs from the perspective of users of these drugs, whether for treatment or prevention. It also seeks to understand their meanings, difficulties, implications, negotiations, and prescriptions experienced with HAART/TARV in contemporaneity, allowing to investigate their adverse events that are not only physiological, but also external and sociopolitical when they carry a coloniality that is maintained over the years. In order to carry out the first study, we sought, through a Narrative Literature Review (NLR), to investigate the colonial matrix of HIV/AIDS, the crossings of scientific, legal, criminalizing and moral media narratives that manufacture the disciplining and normalizing of genders and sexualities in the field of sexual practices through axes of power and, consequently, contribute to racial supremacy arising from the invention of the idea of race. This was done using the methodology of Critical Discourse Analysis to problematize some legal, media, and scientific discourses. The second work, carried out through a case study with a user living with HIV followed by the author of this thesis in SAE (Recife-PE), demonstrates the impacts of the diagnosis and the psychosocial aspects mobilized in a black man. The social imaginary of AIDS discussed in the previous work is the background for the subjectivity of this user who, when facing difficulties with the diagnosis and adverse effects of medication, points out mental health issues that are not only individual, but collective. Finally, the last study, the heart of this thesis, is a qualitative research using a questionnaire and interviews with 12 gay men, 6 of whom use ARVs for HIV treatment and 6 who use ARVs for prevention (PrEP) in the Specialized Care Service (SAE), located in the Gouveia de Barros Polyclinic in Recife-PE. In this study, we seek to show how the psychosocial aspects involving the use of antiretroviral medication for HIV/AIDS crosses the user's experience in this field, seeking to examine what brings together and what differentiates those who use ARVs for treatment from those who use them for prevention. In this sense, we seek to recognize the discursive clashes between the biomedical/pharmacological/psychological/life knowledge, i.e., the determinations of the pharmaceutical industry and medicine, and the experiences built during the use of ARVs (production of strategies, forms of use, effects, among other issues) by the participants. Finally, these studies expose both the macro and sociopolitical issues that involve the field of HIV/AIDS and its alleged coloniality, and also highlight polysemic and singular narratives concerning the dynamics of treatment, the constitution of the self as people living with HIV, and the production of resistance and acceptance developed for a life with better health and quality.

COMMITTEE MEMBERS:
Presidente - 1744558 - JADER FERREIRA LEITE
Externa à Instituição - KÁTIA BONES ROCHA - UAM
Externo à Instituição - LUCAS PEREIRA DE MELO - USP