People on records

bureaucracy and health-illness process

Abstract

This paper analyzes the complex administrative relationships in a Rehabilitation Center for Work. In such a place people turn into patients, and pain into medical cases. At the root of this procedure, there are various mechanisms of social representation of people through administrative files that build people through the portrait undertaken by an analyst of the worker's illness situation. It was found that the so-called causal nexus between illness and working conditions performed by the doctor at the Center is deeply related to the representations graphed in the files. It is guided by notions such as autonomy and independence, both values ​​of the ideology of individualism. In this way, work, body and pain portrayed in the files respond not only to the objective record of narrated situations, but, above all, they are informed by broader frames such as university, religious and worldviews. Furthermore, it was noticed that the diagnosis is undertaken by different social agents, at different scales that, when filling out the forms, build frames through which the clinical "case" becomes intelligible. Therefore, I am interested in pursuing the process of social production of patients through representations in medical records, reports, certificates and other documents.