Cenários da assistência à saúde integral de crianças e adolescentes de um ambulatório transexualizador, sob a perspectiva do terapeuta ocupacional

Abstract

The process of transition between life cycles involves changes and adaptations in everyday life. When it comes to children and adolescents experiencing gender incongruence, the experiences, feelings and challenges are more intensified, intensified, affecting well-being and quality of life. Transsexuality goes beyond aspects such as name, clothing and documents, and access to care and experiences without the imposition of gender norms is a right, adopting a depathologizing approach. This work aims to expand knowledge about the transsexualizing process in transgender children and adolescents, as well as analyzing the occupational demands related to this process, according to the aspects of the domain of the Occupational Therapy Practice Framework document. The research seeks to give visibility and paths of care to this population, addressing the dilemmas generated by the lack of clarity in the legislation. The construction of the study is characterized as being of a qualitative-quantitative, exploratory and retrospective approach, which implies an analysis of the affected occupations revealing that all eight occupations pointed out in the AOTA document are impaired. This shows that there is a misalignment between the resolutions of the professional bodies and that the construction of gender identity is a complex process; however, with the support of Occupational Therapy, it can become more welcoming, promoting a healthy and respectful process.