Itinerários terapêuticos de pessoas trans: como se dá a busca pelo cuidado?

Abstract

Trans people suffer different forms of exclusion, in order to be out of current social model, whose logic is that of legitimacy only to individuals who have a continuity between sex, gender and desire. In this context, only certain bodies enjoy the status of subjects, and all people that escape this binary structure remains in the place of rejection. The objective of this research was to trace the Therapeutic Itineraries of trans individuals in their search for health care, through the narratives of people who use the service of the Trans Anyky Lima Ambulatory, at Eduardo de Menezes Hospital, in Minas Gerais. For this, 3 people who were being followed up at the reference service were interviewed. I used the narratives in order to understand the Therapeutic Itineraries, to understand how care is produced, using both formal and informal devices. In addition, experiences in the field were brought up for discussion. The analysis was made from the search for points of convergence between the narratives. The studies of Social Sciences and Collective Health were the theoretical basis. In relation to formal services, the narratives show us several barriers to access, such as the authorization of “not knowing”, the bureaucratization of flows, prejudice and poor quality of care, indicating how institutional violence is present in the daily lives of health services. As alternatives to these obstacles, I saw the creation of their own network based on the social, the destabilization of pre-established flows and the search for a specialized service as a way to supply the network's needs, among others. Therefore, the search for care becomes a struggle for recognition in a segregating discourse. Trans people continue to denounce, with their existences, a whole device of production of knowledge and power over which bodies are considered intelligible and which are not. Public policies to change this scenario cannot include these experiences in historically pathological models. An ethical and effective transformation is only possible if there is a discursive change.