O que sabemos sobre a automedicação com drogas psicoativas? Uma leitura do neuro-aprimoramento
DOI:
https://doi.org/10.35319/ajayu.211109Palavras-chave:
Automedicação , medicalização, neuroaprimoramento, automedicalização, psicofármacoResumo
Este trabalho é proposto como um marco conceitual que busca contribuir para a compreensão e investigação do problema da automedicação com drogas psicoativas, em particular, o caso do neuroenhancement. Esse fenômeno envolve vários problemas, categorias e arestas que o impedem de ser reduzido a qualquer análise particular. A análise a partir da medicalização e do controle social é uma contribuição, mas revela-se insuficiente para compreender a heterogeneidade desse fenômeno. Por outro lado, as análises a partir da discussão moral sobre o uso não médico de tecnologias médicas, igualmente, que, sob a ótica do risco, escapam à contingência do uso de psicofármacos por conta própria. Particularmente a prática do neuroestimulante, na perspectiva do uso, mostra como os dilemas morais são superados por uma abordagem pragmática na escolha do recurso à droga, do ponto de vista teórico, problematiza como os conceitos de automedicação e medicalização podem ser colocados em tensão, razão pela qual será tomado como modelo de prática automedicada, para o desenvolvimento deste trabalho.
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Barad, K. (1996). Meeting the universe halfway: realism and social constructivism without contradiction". L. H. Nelson (eds) Feminism, science, and the Philosphy of Science, 161-194. Kluwen.
Bard, I., Gaskell G. & Allansdottir, A. (2018). Bottom Up Ethics - Neuroenhancement in Education and Employment. Neuroethics 11, 309–322 (2018). https://doi.org/10.1007/s12152-018-9366-7.
Barrera-Herrera, A. & San Martín, Y. (2021). Prevalencia de Sintomatología de Salud Mental y Hábitos de Salud en una Muestra de Universitarios Chilenos. Psykhe, 30(1). https://doi.org/10.7764/psykhe.2019.21813
Béhague, DP. (2013) “Unconventional Psychiatric Medico-Politicization: The Making and Unmaking of Behavioural Disorders in Pelotas, Brazil” In Troubling Natural Categories: Engaging the Medical Anthropology of Margaret Lock. Naomi Adelson and Pam Wakewich, McGill-Queen’s University Press.
Bianchi, Eugenia. (2018). Saberes, fármacos y diagnósticos. Un panorama sobre producciones recientes en torno a la farmacologización de la sociedad. https://doi.org/10.26864/pcs.v8.n2.11
Boric, N. (2020). Formas de sujeción en el uso crónico de benzodiacepinas en pacientes atendidos en contextos de salud pública Consideraciones psicoanalíticas sobre un objeto difuso [Tesis Magister en Psicología Clínica de Adultos, Universidad de Chile]. http://repositorio.uchile.cl/handle/2250/178599
Collin, J., & Otero, M. (2006). Le médicament au coeur de la socialité contemporaine. Presses de l'Université du Québec.
Conrad. (2013). Medicalization: Changing Contours, Characteristics, and Contexts. In Medical Sociology on the Move (pp. 195–214). Springer Netherlands. https://doi.org/10.1007/978-94-007-6193-3_10
Droguett, N., Vidal C., Medina B. & Hoffmeister L. (2019). Factores asociados al consumo de psicofármacos sin receta en Chile: estudio descriptivo basado en la Encuesta Nacional de Consumo de Drogas en Población General.Medwave, 19(6): 7670 https://doi.org/10.5867/medwave.2019.06.7670
Ehrenberg A. (2020). The mechanics of passions. Brain, behaviour, and society. McGill-Queen’s University Press.
Escobar-Salinas, Jorge & Rios, Carlos. (2017). Automedicación en adultos de 11 ciudades de Latinoamérica, 2015-2016: estudio multicéntrico. CIMEL. 22. 2017. https://oaji.net/articles/2017/6297-1531095800.pdf
European Monitoring Centre for Drugs and Drug Addiction (2020), Impact of COVID-19 on patterns of drug use and drug-related harms in Europe. EMCDDA.
Fainzag. S. (2012). L’automédication ou les mirages de l’autonomie. Paris, Presses universitaires de France. https://doi.org/10.3917/puf.fain.2012.01
Fainzang, S. (2011) From self-diagnosis to self-medication : constructing and identifying symptoms. S. Fainzang; C. Haxaire. Of Bodies and Symptoms. Anthropological Perspectives on their Social and Medical Treatment, URV Publicacions, pp.39-58, 2011. ⟨hal-03707502⟩
Fainzag, S. (2013) The Other Side of Medicalization: Self-Medicalization and Self-Medication. Cult Med Psychiatry 37:488-504. https://doi.org/10.1007/s11013-013-9330-2
Fritsch, R., Galleguillos, T., Gaete, J. & Araya B, (2004). Consumo de psicofármacos en la población general del Gran Santiago, Chile. Revista de psiquiatría clínica, 41(2), 15-24.
Forlini, C. Schildmann, J. Roser, P. Beranek, R & Vollmann, J. (2014). Knowledge, Experiences and Views of German University Students Toward Neuroenhancement: An Empirical- Ethical Analysis. Neuroethics. 8. 1-10. https://doi.org/10.1007/s12152-014-9218-z.
Foucault, M. (2006). Seguridad, territorio, población. FCE.
Hacking, Ian. (2004). Between Michel Foucault and Erving Goffman: Between Discourse in the Abstract and Face-to-Face Interaction. Economy and Society. 33. 277-302. https://doi.org/10.1080/0308514042000225671
Illich, I. (1975). Ne´me´sis me´dicale. L’expropriation de la sante´. Seuil.
Jenkins, H. (2013), Pharmaceutical Self: The Global Shaping of Experience in an Age of Psychopharmacology. Transcultural Psychiatry ;50(4):599-604. https://doi.org/10.1177/1363461513504858
Kitanaka J. (2011). Depression in Japan: Psychiatric cures for a society in distress. Princeton Uniersity Press.
Lemieux, C. (2018). La sociologie pragmatique. La Découverte.
Moncrieff, J. (2020). Not in our Brains: On the Complex Relationship Between Biology and Behavior. Philosophy, Psychiatry, & Psychology 27(3), 321-323. https://doi.org/10.1353/ppp.2020.0039.
National Institute on Drug Abuse. (2012). Principles of Drug Addiction Treatment. A research- Based Guide (3rd ed.). NIH Publication.
Organización Mundial de la Salud. (2002) Perspectivas políticas sobre medicamentos de la OMS— Promoción del uso racional de medicamentos: componentes centrales. Ginebra. Disponible en URL: https://apps.who.int/iris/bitstream/handle/10665/67532/WHO_EDM_2002.3_spa.pdf (último acceso marzo 2015)
Pharmaceutical Group of European Union (2018) The effects of deregulation of distribution channels for non-prescription medicines in Europe. Disponible en https://www.pgeu.eu/wp-content/uploads/2019/07/180516E-PGEU-Position-Paper-on-the-effects-of-deregulation-of-NPMs-distribution-channels.pdf (Mayo; 2018)
Petryna A., Lakoff A. & Kleinman A. (2006). Global pharmaceuticals: ethics, markets, practices. Duke University Press.
Reyes, P, Jiménez, A. Cottet, P. & Jauregui, G. (2019). Rethinking medicalization: discursive positions of children and their caregivers on the diagnosis and treatment of ADHD in Chile. Saúde e Sociedade [online]. 2019, v. 28, n. 1 [Accedido 11 Enero 2023], pp. 40-54. Disponible en: https://doi.org/10.1590/S0104-12902019181141
Romero, M., Santander, J., Hitschfeld, M., Labbé, M. & Zamora, V. (2009). Consumo de tabaco y alcohol entre los estudiantes de medicina de la Pontificia Universidad Católica de Chile. Revista médica de Chile, 137(3), 361-368. https://doi.org/10.4067/S0034-98872009000300006
Rojas, S. & Vrecko, S. (2017). Pharmaceutical entanglements: an analysis of the multiple determinants of ADHD medication effects in a Chilean school. International Journal of Qualitative Studies on Health and Well-Being. 12. 1-10. https://doi.org/10.1080/17482631.2017.1298268.
Rojas, S. (2019). Medicalisation in neoliberal contexts: imagining other futures in schools. Práxis Educacional, [S. l.], v. 15, n. 36, p. 265-284, 2019. DOI: 10.22481/praxisedu.v15i36.5886. Disponível em: https://periodicos2.uesb.br/index.php/praxis/article/view/5886. Acesso em: 11 jan. 2023.
Rose, N. & Abi-Rached, J. (2013). Neuro: The New Brain Sciences and the Management of the Mind. http://doi.org/10.1590/1807-57622015.0169
Rose, N. (2020). Nuestro futuro psiquiátrico. Editorial Morata.
Singh, I., & Kelleher, K.J. (2010). Neuroenhancement in young people: Proposal for research, policy, and clinical management. Ajob Neuroscience 1 (1): 3–16. https://doi.org/10.1080/21507740903508591
Singh I, Kendall T, Taylor C, Mears A, Hollis C, Batty & M, Keenan S. (2010) Young People's Experience of ADHD and Stimulant Medication: A Qualitative Study for the NICE Guideline. Child Adolesc Ment Health. Nov;15(4):186-192. https://doi.org/10.1111/j.1475-3588.2010.00565.x. PMID: 32847199.
Singh I. Bard I. & Jackson J. (2014). Robust Resilience and Substantial Interest: A Survey of Pharmacological Cognitive Enhancement among University Students in the UK and Ireland. PLoS ONE 9(10): e105969. https://doi.org/10.1371/journal.pone.0105969
Smith ME & Farah MJ. Are prescription stimulants "smart pills"? The epidemiology and cognitive neuroscience of prescription stimulant use by normal healthy individuals. Psychol Bull. 2011 Sep;137(5):717-41. https://doi.org/10.1037/a0023825. PMID: 21859174; PMCID: PMC3591814.
Vargo, EJ & Petróczi A. (2016). "It Was Me on a Good Day": Exploring the Smart Drug Use Phenomenon in England. Front Psychol, 7, 779. https://doi.org/10.3389/fpsyg.2016.00779
Vidal, F & Ortega, F. (2021). ¿Somos nuestro cerebro? La construcción del sujeto cerebral. Alianza Editorial.
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