Objectives. Class-based dehumanization in health is poorly investigated. Beliefs about social class are often shared across cultures, with people of lower socio-economic status (SES) being typically dehumanized. This study specifically examined how nurses' perceptions of pain patients' SES were associated with (more or less) dehumanizing inferences about their pain and different treatment recommendations.Design. Sequential mixed methods including Similitude Analysis (statistical analysis of qualitative data) and a Thematic Analysis. Fifty female nurses watched short videos of two white women of different SES (low vs. middle) and similar levels of pain behaviours. Afterwards, nurses were asked to complete (1) a Free Association Task (associating characteristics and a profession to the women) and (2) a Story-Completion Task (writing a story describing women's lives, pain, and recommending treatments). Data were analysed with Similitude and Thematic Analysis.Results. The women's SES was recognized, linked to distinct professions, and associated with distinct inferences. The middle-SES woman was depicted with both Uniquely Human (e.g., autonomous) and Human Nature (e.g., communicative) traits, positive future prospects, and competence to self-manage pain. The low-SES woman was associated with Human Nature traits (hard-working) but denied Uniquely Human traits associated with competence; she was imagined as passive towards pain, with poor future prospects and referred to psychoeducation.Conclusion. Findings reveal the role of class-based cultural belief systems in pain care, showing how nurses' recognition of low SES is associated with dehumanizing inferences and recommendations, which may contribute to reproducing pain care disparities. Theoretical implications of these findings for social and health psychology are drawn.

Educational strategies linked to social interaction processes, to subjectivity and to the patient context are needed to reduce the rates of discontinuation of tuberculosis treatment, relapses and multi-drug resistance. The evaluations point to new challenges that must be faced to achieve the Millennium Development Goals.

This study's interest relies on adolescents' social representations of unprotected sex, more precisely on the relationship between the attitude towards the preservative and the reason attribution for its non use. 1386 secondary school students took part in the study, in the Brazilian cities of Florianópolis, Itajaí and Balneário Camboriú. In order to verify reasons attributed by the students, we focused on the sample that had sexual experiences without using the condom during last year. Data was analyzed with software ALCESTE, which showed three different classes of explanations for the non use of the preservative: the moment of the intercourse (unpredictable and incontrollable), trust in the partner and the option of the contraceptive pill, instead of the preservatives, in avoiding pregnancy. The students' attitudes towards the preservative are less favourable among those who maintain sexual intercourse with known people. The results revealed two representations of AIDS: one of trust in the partner and another of the experience with sex and the preservative -the first one gives sense to the adolescents' experiences with known sexual partners and the second, with less known sexual partners.

Objective: to relate the social representations of health professionals and people with tuberculosis with treatment abandonment.Method: a descriptive and exploratory study with qualitative approach. Twelve health professionals and eight patients participated from Health Centers in Lima, Peru. Data were collected, between June and July 2012, through semi-structured interviews, analyzed according to content analysis technique.Results: similar content emerged from the analysis of the categories representations of both actors. They present similar aspects such as the treatment of tuberculosis generates suffering, tuberculosis is contagious and causes distancing and isolation, and the lack of knowledge generates treatment abandonment. These representations interfere with the conduct of care and adherence of tuberculosis treatment. Conclusion:there is need for education strategies in a psychosocial approach, considering the multidimensionality of treatment adherence, contributing to the reduction of treatment abandonment rates and the tuberculosis transmission chain. DESCRITOPRS: Treatment refusal. Nursing. Tuberculosis. A RELAÇÃO DAS REPRESENTAÇÕES SOCIAIS DOS PROFISSIONAIS DA SAÚDE E DAS PESSOAS COM TUBERCULOSE COM O ABANDONO DO TRATAMENTO RESUMOObjetivo: relacionar as representações sociais dos profissionais de saúde e das pessoas com tuberculose com o abandono de tratamento.Método: estudo exploratório-descritivo com abordagem qualitativa. Participaram 12 profissionais de saúde e oito pacientes de centros de saúde de Lima, Peru. Os dados foram coletados, entre junho e julho de 2012, mediante entrevistas semiestruturadas e analisados conforme a técnica de análise de conteúdo.Resultados: da análise das categorias, emergiram representações de ambos os atores. Elas apresentam aspectos semelhantes, tais como: o tratamento da tuberculose gera sofrimento; a tuberculoses é contagiosa e afasta as pessoas; a falta de conhecimento gera abandono de tratamento. Essas representações interferem no comportamento relacionado ao cuidado e à adesão ao tratamento da tuberculose.Conclusão: há necessidade de desenvolver estratégias de educação psicossocial, considerando a multidimensionalidade da adesão ao tratamento, para a diminuição das taxas de abandono e da cadeia de transmissão da tuberculose. DESCRITORES:Recusa do paciente ao tratamento. Enfermagem. Tuberculose.http://dx.doi.org/10.1590/0104-07072017005650015Texto Contexto Enferm, 2017; 26(1):e5650015Chirinos NEC, Meirelles BHS, Bousfield ABS 2/8 RELACIÓN ENTRE LAS REPRESENTACIONES SOCIALES DE PROFESIONALES DE LA SALUD Y DE LAS PERSONAS CON TUBERCULOSIS EN EL ABANDONO DE TRATAMIENTO RESUMENObjetivo: relacionar las representaciones sociales de los profesionales de la salud y las personas con tuberculosis en el abandono del tratamiento.Método: estudio descriptivo, exploratorio y cualitativo. Participaron doce profisionales de la salud y ocho pacientes de centros de salud de Lima, Perú. Los datos fueron recolectados, entre junio y julio de 2012, mediante entrevistas semiestr...

Objetiva-se descrever as representações sociais (RS) e o processo de categorização social referentes à obesidade, a partir de uma abordagem qualitativa. Realizou-se entrevista semi-diretiva com 20 homens e 20 mulheres, com e sem excesso de peso e aplicou-se uma escala de silhuetas para avaliar a autoimagem. O processamento dos dados envolveu estatística descritivas e relacionais, com o auxílio SPSS e análise de conteúdo temático-categorial com o auxílio do software ATLAS TI, com elaboração de categorias emergentes a partir dos dados e em organização destas em eixos temáticos. Os resultados revelam que a diferente constituição corporal reflete em distintas representações e satisfação relativas ao corpo. A RS relativa à obesidade se organiza em três dimensões: origem, caracterização e consequências, constituindo uma teoria de senso comum sobre o fenômeno em questão. A forte pressão normativa contribui para a emergência de uma RS excessivamente estereotipada. Como consequência, ainda que sejam salientes os riscos de saúde atrelados ao excesso de peso corporal, a tendência é uma não identificação com essa condição, que contribui ao aumento de peso na população.