RESIGNIFICATION OF PARADIGMS: HEALTH POLICIES AND SUS TRANSEXUALIZATION PROCESS

Abstract

The present text is located, in theoretical-methodological terms, in the Field of Public Health, constituting a critical-epistemological reflection on the progressive deconstruction of the exclusively biomedical paradigm, in public policies related to the transsexualization process in the Unified Health System (SUS) from Brazil. Discusses the importance of changing paradigms in this perspective on sexuality and expanding health actions, as challenges to be faced in meeting the health needs of transgender and transvestite people, particularly in view of the concepts that guide public health policies in the SUS. It is anchored in a critical-interpretive reflection on sexuality (and transsexuality), using contemporary authors representative of the theme as a theoretical-discursive reference. It argues that paradigm shifts regarding sexuality and their implementation in SUS public policies contribute decisively to the redefinition of health practices and to the inclusive process of depathologizing this complex social phenomenon. It concludes by considering that the implementation and structuring of a health policy aimed at responding to the demands of the trans population still faces many challenges in ensuring equity, access to services, as well as visibility and respect for these people; emphasizes that overcoming or deconstructing discriminatory or reductionist paradigms regarding human sexuality is essential for achieving a public policy within the ethical frameworks of respect for differences and the human rights of Brazilian citizens..