HIV: A REALITY GENERATED BY THE “DIALOGICAL MEETING” BETWEEN SELF-DESCRIPTION AND SELF-NARRATIONS: AN EXAMPLE OF HEALTH PROMOTION INTERVENTION AND ITS EFFICACY EVALUATION Tommaso Bertinotti, Massimo Alemanno, Gian Piero Turchi University of Padova, Dipartimento di Psicologia Generale – ITALY RESULTS OF THE EFFICACY EVALUATION OF THE HEALTH PROMOTION INTERVENTION 1) THE RESEARCH ABOUT THE “HIV” DISCURSIVE CONSTRUCTION HIGHLIGHTED HOW A PATHOLOGY INSURANCE – MEDICAL FIELD – MAY REPRESENT AN OCCASION TO GENERATE BIOGRAPHY BASED ON HILLINESS (I’M AFRAID TO DIE TOMORROW) – HEATH PSYCHOLOGY FIELD-. 2) THE EFFICACY EVALUATION SHOWED THAT THE TRANSFORMATION OF THE DISCURSIVE PRACTICES THAT BUILT THE “HILLINESS” REALITY IS AN EFFICACY WAY TO RECONFIGURE THE ILLNESS AS BIOGRAPHIC EVENT INSTEAD OF SOMETHING THAT PERVADE THE PERSON. AS WE CAN SEE AT T1 THE DISCURSIVE PRODUCTIONS CONFIGURE THE HIV AS A “DAILY NORMALITY’, ON THE CONTRARY AT T0 HIV WAS CONSIDERED AS AN CENTRAL ASPECT OF THE BIOGRAPHY. 3) PARTICIPANTS AFTER THE HEALTH PROMOTION INTERVENTION DESCRIBE THEMSELVES USING DISCURSIVE ELEMENTS THAT ANYONE COULD USE  THERE IS NOT THE “EXCEPTIONAL” BIOGRAPHY 4)AN INTERVENTION THAT USE DISCOURSE AND WAY OF CONSTRUCTION OF THE REALITY AS TRANSFORMATION OBJECT GIVES IN AN EFFICACIOUS WAY TO THE HIV AFFECTED PERSON COMPETENCES TO MÉNAGE OF THE PROCESSES THAT BUILT THEIR OWN BIOGRAPHY 5) HEALTH IS A CONSTRUCT DISCURSIVELY GENERATED (HEALTH INTERVENTION), SO EXISTS ALSO WHERE THERE IS NOT OR CAN NOT EXITS SANITY (SANITY INTERVENTION) CONCLUSIONS OF THE EFFICACY EVALUATION RESEARCH HEALTH PROMOTION INTERVENCTION WITH HIV-POSITIVE PEOPLE IDENTITY = built by the dialogical meeting between definitions that the persons give about their self and the definitions given by others into relation drawing from the "reservoir" of all possible discourses that on a person it can be done THEORETICAL GENERAL ASPECTS: NARRATIVISTIC PARADIGM (Turchi G.P. et all, 2004) TEORY OF THE DIALOGICAL IDENTITY COMMENT TO RESULTS (PRESENT) BEFORE THE INTERVENTION THE SITUATION OF THE PERSON “AFFECTED” IS DESCRIBED IN ABSOLUTISTIC AND EXCEPTIONAL TERMS: SO IT’S CONFIGURED AS ‘SOMETHING FACTUAL’, AS A CONDITION TO SUFFER AND UNCHANGEABLE IN A PRESENT PERSPECTIVE IT’S POSSIBLE TO DETECT ONLY A COMMON REPERTOIRE AT T 0 AND T 1 : THE CHANGE AS POSSIBILITY TO MANAGE A SITUATION NOT ONLY DEPENDENT BY THE HIV SITUATION (‘RELATIVISM REPERTOIRE’) BUT IT’S ALSO CONFIGURED IN TERMS OF “DAILY NORMALITY” (‘DAILY REPERTOIRE’) COMMENT TO RESULTS (FUTURE) AT T0 REALITY IS FIXED AND BLOCKED AT ”TODAY”, WHILE “TOMORROW” IS CONSTRUCTED AS A REPETITION OF THE PRESENT CONFIGURATION. AT T1 THE DEVELOPMENT/CHANGE DIMENSION IS AGAIN CONSIDERED. THE FUTURE RETURN TO BE A DISCURSIVE DIMENSION OF THE BIOGRAPHY AND ASSUMES THE ‘UNCERTAINITY’ AND THE ‘DYNAMISM’, AGAINST THE STATICITY AND IMMUTABILITY BEFORE CONFIGURED. IN THIS CHANGE ARE COMPREHENDED ALSO THOSE WHO ARE NOT ‘HIV AFFECTED’ (‘POSSIBILITY’ AND ‘REFINEMENT’ REPERTOIRES). COMMENT TO RESULTS (PAST) AT T0 THE DISCURSIVE ELEMENT “HIV” IS INSERTED IN THE SELF DESCRIPTIONS OF THE PARTICIPANTS IN A PERVASIVELY WAY: THE AFFECTION IS TOTALISING AND PERVADING ELEMENT OF ALL THE PERSON’S BIOGRAPHY AT THE END PF THE TRAINING PERSONS ARE ABLE TO DETECT ALSO MOMENT IN WHICH HIV IS NOT CONSIDERED THEORETICAL ASPECTS IN THE CIRCLE OF THE HIV HIV SANITARY IMPLICATIONS THAT THE HIV VIRUS HAS ON THE ORGANISM MEDICAL ASPECTS SANITY PSYCHOLOGICAL ASPECTS CONSTRUCTION OF A SELF-DESCRIPTION AS A “HIV-POSITIVE” + SOCIAL IMPLICATIONS HEALTH DIFERENCE BETWEEN SANITY AND HEALTH: SANITARY INFORMATIONS DO NOT CONSENT THE ACCESS TO THE MODALITIES WITH WHOM “HIV- POSITIVE” PERSON REACHES TO HIS SELF-CONSTRUCTION, OR TO HIS BIOGRAPHY (PSICOLOGY OF HEALTH) AIMS OF INTERVENTION BEARING UPON THE KNOWLEDGE MODALITIES USED BY PARTECIPANTS TO GENERATE SHAPES OF REALITY NON STRUTTURATE ON THE DISCURSIVE ELEMENT OF THE “DISEASE”, AND SO SUBSTAINED BY DISCURSIVE PRACTICES NOT ESCLUSIVE OF THE BIOGRAPHY “ HIV-POSITIVE PERSON”; 2)DEVELOPING IN THE PARTECIPANTS COMPETENCES RESPECT THE READING OF THE DISCURSIVE PROCESSES OF REALITY CONSTRUCTION OF THE “BIOGRAPHICAL CAREER”, MAKE GREAT NUMBER TO THE PARTECIPANTS THE MODALITIES WITH WHOM THEY BUILT DISCURSIVELY THEIR OWN BIOGRAPHY IN TERMS OF DISEASE VS. HEALTH TOOL OF INTERVENTION FORTNIGHTLY MEETINGS WITH THE PARTICIPANTS CONNECTED TO THIS POSTER YOU CAN FIND: IN THE SECTION DIALOGICAL MODEL: -The dialogical identity as a discoursive configuration: which scientific foundation? -Methodological exactness: methodology of research in the discoursive science circle IN THE SECTION DIALOGICAL HEALTH PSYCOLOGY: - The generation’s process of a dialogical identity of the user different from sick’s identity: oikos project EFFICACY EVALUATION OF THE HEALTH PROMOTION INTERVENTION WITH “HIV-POSITIVE” PEOLPE NOTICE HOW MUCH OF INTERVENTION’S OBJECTIVES HAS BEEN REACHED IN TERMS OF RESULTS AD HOC QUESTIONNAIRE SOMMINISTRATO AFTER (TIME T0) AND BEFORE (TIME T1) INTERVENTION CONSTITUTED BY THE FOLLOWING OPEN QUESTIONS: 1. HOW I DESCRIBE MYSELF “TODAYI” THAT I KNOW OF MY PATOLOGY? 2.HOW I HAVE DESCRIBED MYSELF “YESTERDAY”, BEFORE BEEIG INFORMED ON THE PATOLOGY? 3. HOW I WILL DESCRIBE MYSELF “TOMORROW”? METHODOLOGY (M.A.D,I.T.)AIM OF THE EFFICACY EVALUATION TOOL OF THE EFFICACY EVALUATION 1)GATHERING OF THE TEXTS PRODUCED BY THE INTERVENTION PARTICIPANTS 2) TEXTUAL ANALYSIS 3) INDIVIDUATION OF THE DISCOURSIVE REPERTOIRES 4) COMPARISON BETWEEN DISCOURSIVE REPERTOIRES AT T0 (BEFORE INTERVENTION) AND AT T1 (AFTER INTERVENTION)