Objective:To investigate the concept understood by Family Healthcare Strategy (ESF) professionals of knowledge, education and subjects participating in learning activities. Method: Qualitative study carried out with the ESF professionals with university degree, members of the healthcare staff who undertook educational health group activities at Basic Healthcare Units (UBS) in Belo Horizonte. The following triangulation techniques were used: participant observation, photos and field notes; interviews with professionals; and document analysis. Results: We identified three interaction patterns that are different from each other. Firstly, the professional questions, listens and provides information to users, trusting in the transmission of knowledge; secondly, the professional questions and listens, trusting that users can learn from each other; thirdly, the professional questions, listens, discusses and produces knowledge with users, both teaching and learning from each other. Conclusion: There are educational practices that include unique methods capable of creating a militant space for citizenship engagement.

By permitting that the adolescents take risks on new ways, the Game allows them to become creative and active in the production of senses, in the creation of their discourses and in the ways of thinking, feeling and acting in the sexuality field.

Analisa-se o uso da noção de subjetividade no campo da saúde coletiva associada às condições históricas e institucionais que o demandaram. A busca em periódicos específicos da área e livros de referência constituiu-se como estratégia metodológica central. Identificamos três funções no uso do conceito de subjetividade, associando-as primariamente às suas variáveis externas (trajetória do movimento sanitário e institucionalização do SUS), e secundariamente às variáveis internas (lógica do campo teórico-conceitual). As funções identificadas discutem a subjetividade (1) como elemento para se pensar a ação social de sujeitos políticos engajados no projeto da Reforma Sanitária; (2) como estratégia de problematizar o cuidado e a gestão como práticas intersubjetivas; (3) como substrato para a produção de autonomia nos indivíduos e coletivos. Em suas variáveis externas, as três funções se estabelecem como processos de construção de estratégias micro e macropolíticas em prol da consolidação do SUS.

This study aimed to analyze the narratives of health professionals working in a Emergency Care Unit that deal with decision making in situations of scarce resources. An exploratory research, of a qualitative nature, was carried out through a narrative interview technique with 25 professionals. Three categories emerged from the study: Decision making in the face of scarce resources; Ethical conflicts; Academic p reparation for confrontation and the sentimental framework. Prioritization of patients is a reality in this health service. The prevalent problems are the scarcity of materials and medicines and the lack of human resources. The discourse preached the lack of ethical preparation of the academy for decision making. Most of the interviewees believe that they had little preparation to face the reality of the service. Some interviewees showed feelings of regret, impotence, insecurity, desire to abandon service, anguish and personal conflicts in the face of the wear and tear caused by the situation. It is necessary to invest in constant dialogues, health education and awareness-raising strategies in order to contribute to consensual actions that best subsidize dec ision-making in situations of scarce resources and that favor equitable health care in order to maximize benefits and reorient processes job.

This article reports the experience preparing a morbidly obese group to undergo bariatric surgery in a private healthcare plan in Brazil. The method used was based on assumptions of the operative groups by Pichon-Rivière (1998) and in psychoanalysis. The results have been satisfactory indicating that the multidisciplinary model, organized by the perspective of the operating group, is a viable alternative to intervention with morbidly obese patients.