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Creative work and health care: a discussion based on the concepts of slavery and freedom

This article discusses the process of subjectivation in the labor and care process, and refers to the idea of subjectivity in Spinoza. The worker operates in freedom if he manages to control affectus, thus opening himself up to creative work. If one acts captured by capitalistic, moral or scientific lines, one acts according to these logics, and therefore in servitude. We conclude that it is difficult to have a work process that operates only by servitude or freedom. Of these two possibilities, a variation defined by the struggle between the forces at play was found most likely, one in which different degrees of freedom are imposed on the Work process. Creative Work is visible in the micro dimension of health work in spaces circumscribed by the work process, in different formats and intensities. Through it one can create diversions, innovations to the established pattern of care, thus conducting creative therapeutic projects, expression of freedom.

Work in Health; Care; Micropolitics; Subjectivity


Faculdade de Saúde Pública, Universidade de São Paulo. Associação Paulista de Saúde Pública. Av. dr. Arnaldo, 715, Prédio da Biblioteca, 2º andar sala 2, 01246-904 São Paulo - SP - Brasil, Tel./Fax: +55 11 3061-7880 - São Paulo - SP - Brazil
E-mail: saudesoc@usp.br