Tonalidades de experiências de dissidentes de sexualidade e de gênero e experimentações do cuidado em saúde mental na atenção psicossocial: cartografia bicha

Abstract

This study aims to map the shades of experiences of dissident subjects of sexualities and genders and the interpellations and/or questions they pose for the production of mental health care in Psychosocial Care Centers (CAPS) in the city of Natal-RN. The research participants are 14 people who self-declare as belonging to the LGBTQIA+ community and 61 CAPS workers and interns.Group research-intervention devices were used, namely the Psychosocial Support Group for the LGBTQIA+ Population and the Experimentation Workshops with CAPS workers. The analyzers produced with the Psychosocial Support Group concern family dynamics, situations of violence experienced, the exercise of religiosity/spirituality and the fluidity of identities. In the work with the workshops, the analyzers indicate the nonidentification of sexual orientation and gender identity as effects of cisheteronormativity, the invisibilization of LGTBQIA+ people in CAPS, the paradoxical character of the LGBT+ Health Policy, which, although implemented, has not been properly implemented in terms of management and health care practices, the processes of pathologization in the daily life of CAPS and the ethical-political dimension of mental health care in the face of otherness.Thus, the effects of cisheteronormativity on the capture of subjectivities and mental health care were mapped, as well as the lines of escape that are expressed in more singular and situated attitudes, gestures and care practices, while experiments of antimanicomial and intersectional care with dissident subjects and permanent health education on the mental health of the LGTBQIA+ population with Psychosocial Care teams were produced. It is concluded that mental health care needs to incorporate the ethical-political attitude of toning, making visible and expressing the multiple experiences of sexualities and genders, including those of health professionals.