InvisibiInvisibility of trans people in Brazilian medical and psychological educationlity of Trans People in Brazilian Medical and Psychological Education: a brief review

a brief review

Abstract

Medicalization is understood as a pathologization of several factors, which are part of human experiences and commonly transit through the biological and subjective spheres. Medication, on the other hand, is part of this issue because nosological classifications end up feeding a chain of discourses that lead to the pharmacologization process (of feelings, ways of being, interactions and bodies). Sexuality was one of the areas that most suffered from this process and, for decades, subjects who experienced “dissidence” in their bodies were incorporated into the Manuals of Medical Classifications, which pointed out their characteristics in terms of deviations or disorders, a fact which has undergone late changes. In the case of homosexuality, it was only in 1990 that the World Health Organization recognized that it was necessary to remove it from the ICD, while transsexuality only went through the same in 2018. However, professional practice does not always follow the regulations or Council Resolutions and, for sometimes, the latter do not even pass through the classrooms of undergraduate courses. With the aim of knowing which discourses are supported and how care for transgender people has been addressed in the curricula and classrooms of undergraduate courses in Medicine and Psychology in Brazil, an integrative review was carried out in the VHL, Oasis and PubMed databases, resulting in 13 articles, which were worked on based on thematic analysis and explained based on the “root literature”. It was concluded that in the courses that were most responsible for the pathologization of these subjects, the ones most focused on biological fields are also the most difficult to break with conservative, biologicist, elitist and cisnormative discourses. The discourses establish, name and exercise control functions, they are the discourses that prevent the arrival of certain themes in academic spaces, but, on the other hand, it is expected that the power of the discourses of minorities, which still occurs outside the classrooms, soon materializes in a construction that breaks with the walls and builds bridges, given the growing demands of those who need attention and comprehensive assistance.