La no-maternidad en México. El rol del género y la desigualdad socioeconómica

a no-maternidad en México se perfila como un complejo fenómeno distinto al de las sociedades industrializadas y altamente urbanizadas en las que ha sido fundamentalmente estudiada. Las desiguales condiciones en la que esta se lleva a cabo aluden a una diversidad de experiencias que requieren ser documentadas. Este estudio busca contribuir al conocimiento de la no-maternidad en México, explorando, a partir de fuentes secundarias y análisis descriptivos, sus aspectos sociales y económicos más relevantes. Los resultados ratifican que la no-maternidad ocurre bajo diferentes contextos socioeconómicos, que llegan a ser incluso antagónicos. La no unión conyugal se presenta como un aspecto importante de la nomaternidad que, al no haberse asociado con índices migratorios, muestra que en México las mujeres que no son madres tampoco son esposas, sugiriendo con ello, una doble transgresión al modelo hegemónico del ser mujer, al tiempo que revela una realidad hasta ahora poco visible de las mujeres no madres y no esposas: la de las mujeres con limitaciones físicas.

he non-maternity in Mexico is emerging as a complex phenomenon different from the highly urbanized and industrialized societies in which primarily has been studied. The unequal conditions in which it takes place refer to a variety of experiences that need to be documented. This study seeks to contribute to the knowledge of non-maternity in Mexico, exploring, from secondary sources and descriptive analysis, its most important social and economic aspects. The results confirm that non-maternity occurs under different socioeconomic contexts, that become even antagonistic. Non-marital union was presented as an important aspect of non-maternity that, not having been associated with migration rates, shows that in Mexico women who are not mothers neither are wives, thereby suggesting a double transgression of the hegemonic model of womanhood, while it is revealing a reality hitherto little visible of women who are neither mothers nor wives: the women with physical limitations to work.

Encontros e desencontros na inclusão escolar de alunos deficientes físicos: uma visão a partir da promoção da saúde / Convergences and Divergences in school inclusion of physical disabled students: a Health Promotion perspective

A história que permeia a deficiência está imbuída de significações ligadas a preconceito e exclusão que se fazem presentes na atualidade e dificultam que as mudanças políticas sejam transpostas para as atitudes sociais. Assim, crianças deficientes vivenciam dependência a terceiros, inclusão escolar prejudicada, discriminação, sentimento de incapacidade, e vulnerabilidade frente a falta de disposição de serviços públicos efetivos. Esse estudo pretendeu articular saúde e educação como aspectos indissociáveis da vida humana, e o objetivo foi compreender os processos de significação relacionados à inserção de escolares deficientes físicos na educação básica, a partir dos princípios da política de promoção da saúde. Trata-se de um estudo de abordagem qualitativa, fundamentado na abordagem histórico-cultural, no qual utilizamos entrevistas semiestruturadas, observação participante e diário de campo como recursos metodológicos. O trabalho de campo teve início após as devidas autorizações do Comitê de Ética em Pesquisa com Seres Humanos e durou aproximadamente um ano. Ao final, quatro crianças, suas quatro mães e oito professores aceitaram participar da pesquisa, totalizando 16 sujeitos entrevistados e quatro contextos escolares observados. A análise temática indutiva proposta por Braun e Clarke (2007) foi empregada, sendo respeitado o percurso indicado por estas autoras. A construção dos dados acarretou na caracterização detalhada dos participantes e seus contextos socioculturais, bem como na produção de três temas, a saber: 1) Significações do conceito de deficiência e de deficiência física no processo de inclusão escolar; 2) Cadeira de rodas, dois lados da mesma moeda e 3) Escola inclusiva e promoção de saúde: uma perspectiva do modelo social da deficiência. Em suma, este estudo foi eficaz em alcançar seus objetivos propostos, apresentando importantes significações envolvidas no processo de inclusão do aluno deficiente físico. Esperamos que este trabalho contribua para a prática junto a estes escolares e inspire pesquisadores a investigarem a articulação da Educação Inclusiva com a Promoção da Saúde em seus diferentes estados, países e contextos, auxiliando profissionais que atuam na prática escolar e de saúde a lidarem com a temática

The history that permeates disability is imbued with meanings linked to prejudice and exclusion that are present today, making it difficult for political changes to be transposed into social attitudes. Disabled children may experience dependence on others, affected school inclusion, discrimination, feeling of incapacity, and vulnerability due to the lack provision of effective public services. This study intended to articulate health and education as inseparable aspects of human life. Our aim was to comprehend the signification processes related to the school inclusion of disabled children in basic education, based on the principles of the politics of health promotion. It is a qualitative study, based on the historical-cultural approach. Semi-structured interviews, participant observation and field diary was used as methodological resources. The field work lasted approximately one year, and began after the authorizations of the Ethics Committee in Human Research. In the end, four children, their mothers and eight teachers accepted to participate, totaling 16 subjects interviewed and four school contexts observed. The inductive thematic analysis proposed by Braun and Clarke (2007) was employed, respecting the paths indicated by these authors. Data construction entailed the detailed participants characterization and their socio-cultural contexts, as well as the production of three themes, namely: 1) Significance of the concept of disability and physical disability in the school inclusion process; 2) Wheelchair, two sides of the same coin; 3) Inclusive School and Health Promotion: a perspective of the social model of disability. That pointing out that health promoters are also promoters of Inclusive Education. In short, this study was effective in achieving its proposed objectives, presenting important meanings involved in the process of disabled student's inclusion. We hope that this work will contribute to the practice among these students and will inspire researchers to investigate the articulation between Inclusive Education and Health Promotion in their different states, countries and contexts, helping professionals who act in school and health to deal with this issue

O saber-fazer do cuidador familiar da pessoa com deficiência física: um estudo no pré e trans-reabilitação / The knowledge - the doings of the family caretaker of the disabled person: a study before and during the rehabilitation

Trata-se de um estudo descritivo sobre o saber-fazer do cuidador familiar da pessoa com deficiência física no pré e trans-reabilitação, que teve por objetivos caracterizar o cuidador familiar principal, o cuidar desenvolvido anterior ao programa de reabilitação e, o cuidar após três meses de orientação e/ou treinamento fornecidos pelos profissionais de saúde em reabilitação para a continuidade do cuidado domiciliário. A amostra constituiu-se de dez cuidadores familiares principais, no qual verificou-se o predomínio de mulheres mães como cuidadoras. Os cuidados realizados estão diretamente relacionados às incapacidades apresentadas segundo Escala MIF. Quanto menor a pontuação da pessoa com deficiência na Escala MIF, maior é a sua dependência do cuidador. As orientações e treinamentos fornecidos ao cuidador e ao portador de deficiência durante o programa de reabilitação, estão relacionados a autonomia de decisão da pessoa portadora de deficiência e qualidade de vida do cuidador familiar principal

This is a descriptive study about the "knowledge" the family caretaker family doings' who looks after the disabled person before and during the rehabilitation. The purpose of the work is characterize the main family caretaker and the care developed before the rehabilitation program, wich takes three months of orientation and training given by healthy professionals with the purpose of a continuing rehabilitation care at home. The sample was formed by ten main family whose caretakers were detected to be women mothers. The carried out cares are directly related to the incapacities presented according to the Scale FIM. The smaller person's ponctuation with disability in the Scale FIM, the more dependent they are of the caretaker. The instructions and trainings given to the caretaker and to the disable during the rehabilitaion program, are related to the autonomy and decision of this person and the life quality of the head family caretaker

Stress and Adaptation in Family with Physical Disabled Children / 간호학회지

The purpose of this study was to describe the relationship between family stress and adaptation in families with a disabled child through literature review using McCubbin's Double ABCX family crisis framework. The literature review focused on (1) family stress and factors affecting family stress, (2) the critical individual, familial and social resources which families acquire and employ over time in managing crisis situation, (3) the changes in definition and meaning families develop in an effort to make sense out of their predicament, (4) the coping strategies families employ, and (5) the range of outcomes of these family efforts The results showed that families reported financial difficulties and the burden of care-giving demands as major family stressors. Siblings of disabled children manifested depressive symptoms and social isolation, but was not consistent study results. The parents' views of the cause of the disabling condition fundamentally affected their behavior toward their disabled child. Especially, the fathers' views of the child's characteristics made the greatest contribution to positive changes in the mothers' perceptions. The term perceived social support refers to the cognitive appraisal by individuals that they are cared for and valued, that significant others are available to them if needed, and that they are satisfied with their interpersonal relationships. The perceived social support was more protective than social support source, network size and network density. Parental adaptation was found to be related to the child's communication competence rather than family coping strategies proposed by Lazarus and Folkman. One study results showed that there was no difference in depressive symptoms and physical health between mothers with a disabled child and those without all though mothers with a disabled child had negative attitudes and perceived themselves as having significantly less social support and lower family functioning. But a longitudinal study revealed decreases in the negative impact of the child and increases in sibling and overall family adaptation.