Márcia Arán

Transexualidade e saúde pública no Brasil

The article aims to discuss transsexuality in the context of the Brazilian public health policies. Firstly, it questions the necessity of the diagnosis of Gender Identity Disorder as a condition of access to treatment in the public health service, searching to understand the historical construction of transsexuality as a pathological phenomenon. After that, it analyzes the debate on public health policies for transsexuals, considering the process of legalization of the reassignment surgery in the country, the resolutions of the Federal Council of Medicine and the constitution of representative forums of the Health Ministry, as well as professionals of the area and representatives of the social movement. Finally, considering the references available that emphasizes the critics on the analysis of transsexuality as a pathological phenomenon in the areas of the Public Health and Social Sciences, it intends to emphasize the importance of understanding the diversity of subjectivitys forms and genders construction considering transsexuality. In this context, it discusses the question of transsexuals autonomy and suggests public policies that, even following an assistance protocol, do not have as its only therapeutical reference the accomplishment of the diagnosis and the reassignment surgery.

Do diagnóstico de transtorno de identidade de gênero às redescrições da experiência da transexualidade: uma reflexão sobre gênero, tecnologia e saúde

Tendo como referencia um estudo sobre as praticas de saude dos principais servicos que prestam assistencia a usuarios(as) transexuais no Brasil, este artigo discute os desafios para a gestao de politicas publicas para essa populacao, particularmente, a necessidade do diagnostico de Transtorno de Identidade de Genero como condicao de acesso. Para iluminar o debate, realiza-se uma reflexao sobre genero, tecnologia e saude a partir das contribuicoes de Bernice Hausman e Joanne Meyerowitz sobre a constituicao do fenomeno da transexualidade na metade do seculo passado. Destaca-se a importância da analise dos avancos da tecnologia medica e da influencia da revolucao dos costumes na problematizacao da imutabilidade do sexo e na construcao da categoria de genero como condicao para compreender o motivo pelo qual a regulamentacao do acesso a saude para a modificacao das caracteristicas corporais do sexo ficou associada a definicao da condicao transexual. Por ultimo, discute-se que se inicialmente a institucionalizacao da assistencia a transexuais no Brasil esteve associada ao modelo estritamente biomedico, a nocao de saude integral deve promover uma abertura para as redescricoes da experiencia transexual numa articulacao permanente entre os saberes biopoliticos dominantes e uma multiplicidade de saberes locais e minoritarios.

Subversões do desejo: sobre gênero e subjetividade em Judith Butler

From Judith Butlers suggestion that gender is a norm, that is, a historical and contingent social construction, this work intends a critical analysis of the concepts of identification and sexuation in psychoanalysis, derived from a structuralist conception of the subject and the sexual difference. We start from the principle that even if gender and subjectivation are reiterations of the sexual norm, in the instability itself of the repetition of the same it is possible to glimpse the positivity of the subjectivation as resistance, singularity and production of difference.

A psicanálise e o dispositivo diferença sexual

Before the new cartography of gender relationships and sexualities in contemporary culture, we intend to discuss in which way psychoanalysis presents itself as one of the devices of sexuality as conceived by Foucault, which tries to reinstate the traditional model of sexual difference trough the reiteration of the heterosexual norm of male domination. Furthermore, we inquire how psychoanalysis can remain a critical theory and a clinical practice that allow a productive relationship with the new configurations of gender, which disclose the conception of new forms of subjectivity. With this aim, we will analyze the psychoanalytical debate on (1) the displacements of feminine and the positiveness of femininity; (2) the homosexual marriage and the homoparentality; and (3) the clinics of transsexuality

El lugar de la experiencia afectiva en la génesis de los procesos de subjetivación

Given the importance and the relevance of the affects in the genesis of the subjectivation processes, this article has as its central objective to discuss the theses formulated by Daniel Stern, author who has focused, in recent years, detailed comments on the primary processes of subjectivation of the infant, giving a special attention to the subject of the affective experience. Starting from a localization of the affects in his theory, we discuss the temporal form of feelings in the context of the interpersonal relations, to discuss then two of the main concepts formulated by him: vitality affects and the affective attunement. Throughout this discussion other relevant subjects will also be contemplated, such as the notions of affective interaction, empathy and emotional communication.

O lugar da experiência afetiva na gênese dos processos de subjetivação

Given the importance and the relevance of the affects in the genesis of the subjectivation processes, this article has as its central objective to discuss the theses formulated by Daniel Stern, author who has focused, in recent years, detailed comments on the primary processes of subjectivation of the infant, giving a special attention to the subject of the affective experience. Starting from a localization of the affects in his theory, we discuss the temporal form of feelings in the context of the interpersonal relations, to discuss then two of the main concepts formulated by him: vitality affects and the affective attunement. Throughout this discussion other relevant subjects will also be contemplated, such as the notions of affective interaction, empathy and emotional communication.

The place of the affective experience in the genesis of the subjectivation processes

Given the importance and the relevance of the affects in the genesis of the subjectivation processes, this article has as its central objective to discuss the theses formulated by Daniel Stern, author who has focused, in recent years, detailed comments on the primary processes of subjectivation of the infant, giving a special attention to the subject of the affective experience. Starting from a localization of the affects in his theory, we discuss the temporal form of feelings in the context of the interpersonal relations, to discuss then two of the main concepts formulated by him: vitality affects and the affective attunement. Throughout this discussion other relevant subjects will also be contemplated, such as the notions of affective interaction, empathy and emotional communication.

Afeto, intensidade e confiança na experiência analítica: algumas considerações sobre a heterodoxia clínica de S. Ferenczi

This article aims at studying the currentness of the contributions of Sandor Ferenczis thought in the building of the psychoanalytical experience. To begin with, the affection and intensity concepts as described in his work will be put into discussion and, subsequently, some issues he raised concerning the analysts place as well as the analysts confidence and frankness in the analytical apparatus will be examined in detail. Such issues have been intensified in Ferenczis late methodology, known as mutual analysis.