Paiva V. Sem mágicas soluções: a prevenção e o cuidado em HIV/AIDS e o processo de emancipação psicosocial. [Without magical solutions: prevention and care in HIV/AIDS and the process of psychosocial emancipation.] Interface – Comunicação, Saúde, Educação [Interface – Communication, Health, Education] (Batucatu,Brazil) 2002 August; 6(11):25-38.

Objectives:To analyze the psychosocial sphere and the notion of vulnerability with regard to the prevention of new HIV infections and the organization of care for those with the infection.

Methodology:Analytical and interpretive.

Results:Reflection on actions to promote continuity in medicine-based therapies and the use of contraceptives suggests that the prevention of HIV should go beyond models for citizens who are “HIV negative,” to achieve greater depth in the prevention-care continuum. Accumulated evidence in cultural analysis and psychosocial research can assist in planning prevention programs and in organizing care for HIV carriers. These efforts, for example, should include notions about the oppressiveness of constructing two poles of gender, masculine and feminine. It is also important to overcome the notion of “individual-consumer” (of services, educational programs, contraceptives and prescribed medications, behaviors and safe practices, etc.), and to promote renewed actions for prevention and care.

The author develops a concept of “individual subject and citizen” as co-participant in psycho-educational spheres whose objective is psychosocial emancipation. This orientation can enhance the quality of lifewith HIV and AIDS. This type of proposal should include “all” Brazilians, according to the sociocultural context of men and women, seropositive and negative.

Conclusions:A politicized, emancipatory process creates challenges, because the art of politics is the art of negotiation and depends on patience over time.

Copyright 2007 University of New Mexico