O AGENTE DE SAÚDE E O PACIENTE ESPECIAL: EXAMINANDO O JOGO DIALÓGICO ENTRE O PROFISSIONAL DE ODONTOLOGIA E SUJEITOS COM DEFICIÊNCIA MENTAL
HELTH AGENT AND PATIENT WITH SPECIAL NEEDS: EXAMINING THE DIALOGUE BETWEEN THE DENTIST AND THE MENTAL DEFICIENT SUBJECTS
Emília Carvalho Leitão BIATO; Maria Cecília Rafael de GÓES
ABSTRACT: The present study investigates the work of a dentist in the context of an institution for special education. The objective was to characterize the communication of this professional during treatment sessions and educational activities with children and adolescents who have mental deficiency. By focusing on the dialogues established in various situations, we attempted to configure the place that the dentist occupies in the interlocutions and the strategies that he uses for the purposes of attending and educating. The findings suggest that, during the treatment, mainly when there is need to obtain cooperation, his communication is appropriated in regard to several aspects of the relationship with the special patient. However, during educational activities, his availability to listen to and to maintain a dialogue is limited. He generally does not allow the interlocutor to manifest himself, and tends to hold the “command” of the dialogues. His utterances are centered on informing (what reflects a view of the teaching-learning process as transmission-reception), restricting the interlocutions to themes directly linked to mouth health (what reduces the opportunities to improve his knowledge about the patients-learners and the meanings that they are elaborating).
KEYWORDS: patients with special needs; mental deficiency; health agents, communicative processes.
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