Diálogos (im)possíveis?: narrativas no cotidiano de um ambulatório TT da Paraíba no tempo presente

Abstract

The systems that organize the world operate under colonial logics that regulate our way of being and participating in society based on rules that dominate bodies and produce truths about them. Among these are gender-nonconforming individuals who are entitled to specific care, especially when it comes to accessing health services for the gender affirmation process (known as the Reassignment Process in the Unified Health System). In this context, this study aims to identify the individual and collective trajectories of gender nonconforming individuals during the COVID-19 pandemic and the present, anchored in the transfeminist and decolonial theoretical and political framework. The methodological resource is the Clube dos Saberes (Cavalcanti and Sander, 2019; Assumpção, Prediger, Disconsi, and Gomes, 2017), and semi-structured interviews, based on the conversational researcher approach (Spink, 2003; 2008), and field diaries (Nascimento and Lemos, 2020) as analytical tools. Thus, this research demonstrated that the Comprehensive Health Clinic for Transsexuals and Transvestites (TT) studied here is a paradoxical space of fundamental achievement resulting from the historical struggles of trans social movements, but also a locus of reproduction of biomedical and cisheteronormative norms. The analysis demonstrated that the "possible dialogues" in the daily life of the service are tensioned by power structures that question bodies, identities and practices, revealing fissures between the pathologizing institutional logic (anchored in ordinances that instrumentalize the ICD and medical resolutions that pathologize trans identities) and the demands for self-determination of users, who resignify the space through resistance strategies.