Consonâncias e dissonâncias da cisnormatividade : provocações para a formação em saúde.

Abstract

This dissertation aims to discuss how the encounter between health practices and transexualities, travestilities and transgenderities raises questions for training in the field of health, taking into account the matrix of intelligibility of genders and the production of the category of the "human" in such terms, which co-produce and are co-produced by medical-psi knowledge. It is thus located at a paradoxical intersection between visibility and invisibility. On the one hand, gaps are identified in health training processes in relation to gender and sexuality as subjects, the health of travestis and trans people, as well as these persons' knowledge production. That being said, if there is, on the one hand, invisibility or denial of the status of subjects of rights to travestis and trans people, this is not due to the health field "forgetting" they exist. These are hypervisible bodies to the extent that they are regulated and normalized by medical-psi knowledge, while cisgenderity acts as a point of reference that supports pathological conceptions and nosological categories around travesti and trans identities. Although such fields of knowledge don't have a unified epistemological basis, they are inextricably connected by the assumption of universality of the cis-heterosexual subject. This research adopted Deleuze-Guattarian cartography as a theoretical-methodological tool. In this direction, the field was articulated through the movements of AMBITRANS (Multiprofessional Health Attention Center for the LGBTTQIA+ Population), an extension project at the University of Santa Cruz do Sul (UNISC). This cartography followed issues that are relevant for health training, in relation to this field's practices and knowledge regarding travestilities, transexualities and transgenderities. As for the health practices discussed in this dissertation, they are anchored in cisnormativity in different ways, without being explicitly linked to nosological classifications. A common thread that links them and makes them consonant is the attribution of a temporality marked by the convergence between gender identity and expression in a linear development. On the other hand, there are sparse movements of dissonance that create resistance against the tutelage of trans people and travestis by the medical-psi domain.