PMID: 20640254Aug 5, 2010Paper

Imaginary dimension and intersubjectivity in public health organizations: implications to managerial work and organizational change

Ciência & saúde coletiva
Creuza da Silva Azevedo

Abstract

This paper deals with organization management in a new perspective, stressing the micro-social aspects and the role of individuals in the process of implementing change in public health organizations such as hospitals. Following the paths of French psychosociology, the article approaches the imaginary, intersubjective and collective dimensions of these organizations, highlighting the ways hospitals' directors and employees engage themselves in a struggle for power, affiliation and recognition. An essentially interactive and intersubjective activity, management is examined in the light of psychoanalysis's leadership function. It seems crucial to take into account the directors' potential structuring role in order to understand the organizational changing processes. Nevertheless, the mounting crisis in Rio de Janeiro public health services does not favor change and the building of personal bonds, but disruption, dismantle of institutional affiliations. In this scenario, the management structuring function and the director's social and psychological mediating role lose ground.

References

Mar 23, 2002·Cadernos de saúde pública·Creuza da Silva AzevedoMarilene de Castilho Sá
May 21, 2005·Cadernos de saúde pública·Luiz Carlos de Oliveira Cecílio
Sep 25, 2007·Cadernos de saúde pública·Creuza da Silva AzevedoTereza Cristina Carreteiro

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Citations

Oct 16, 2015·Ciência & saúde coletiva·Atila Mendes da SilvaLilian Miranda
Sep 22, 2012·Ciência & saúde coletiva·Elisangela da Costa Lima-DellamoraClaudia Garcia Serpa Osorio-de-Castro
Aug 31, 2010·Ciência & saúde coletiva·Marilene de Castilho Sá, Creuza da Silva Azevedo

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