Représentations des risques et pratiques de soins en milieu carcéral : le cas du VIH et de la tuberculose dans les prisons de Rio de Janeiro

V. Diuana, G. AMADO, B. Larouze, D. Lhuilier, A. Sanchez

Bulletin de Psychologie

January-February 2008, vol. 61, n°1, pp.7-16

Departments: Management & Human Resources

Title: Risks representations and health care practices in prisons: the AIDS and tuberculosis case within prisons in Rio de JaneiroAbstract : This paper presents a qualitative research conducted within five prisons in Rio de Janeiro, aiming at understanding the nature of risks representations and health care practices in jails. The question of aids and tuberculosis (specially important in the State of Rio) helped clarifying, at the level of social representations, the existence of a certain distance ' and its specific expressions ' among the various social actors ' prisoners, doctors, nurses, guards ' a distance in the service of maintaining identities and respecting the norms of the social categories. If the fear of being infected is linked to the reality of the health care situation in prisons, as well as to the conditions of imprisonment and work, it also reveals a fragilisation of identities associated to jamming of the distinction me / not me, subject / object, through the symbolic power of the figurative meanings of the blemish with threatened the boundaries of the body, the physical as well as the social body. If we accept the idea of an homology between the organization of social relationships and that of the believes and representations, the importance of the contamination problematic in prison would develop itself on the ground of an alteration even of jamming of a symbolic order, i.e. what creates links and laws.