Depression, Self-Esteem, and Resilience and its Relationship with Psychological Features of Sexuality among Transgender Men and Women from Brazil.

This cross-sectional study investigated whether depression, self-esteem, and resilience (mental health indicators) are associated with some psychological features of sexuality (sexual fear, sexual anxiety, sexual dissatisfaction, and sexual body image worries) in a sample of 462 transgender men and women from Brazil. Pearson's correlations were performed between all continuous variables in the study. Those that were significantly associated with the psychological features of sexuality in previous analyses were tested as independent variables in multiple linear regression models. Sexual fear, sexual anxiety, sexual dissatisfaction, and sexual body image worries were negatively related to self-esteem and resilience, while positively related to depression. Higher levels of depression were associated with sexual fear, while higher levels of depression and lower self-esteem were associated with sexual anxiety. In addition, higher levels of depression and lower levels of resilience were associated with sexual dissatisfaction. Depression and resilience were associated with the composite score of sexual dissatisfaction and sexual anxiety. Our results suggest that negative mental health indicators may impair the sexual life of transgender individuals. Clinical interventions should be developed and tested to address the psychological features of sexuality.

HIV-Related Healthcare Needs and Access Barriers for Brazilian Transgender and Gender Diverse People.

The aim of this study is to investigate HIV-related healthcare needs and access barriers for Brazilian transgender and gender diverse people. Data were collected from gender identity clinics and the questionnaire was also made available on the Internet. Out of the 543 participants-62.1% (n = 337) transgender women, 28.7 (n = 156) transgender men and 9.2% (n = 50) gender diverse people, 63.7% had been tested at least once in their lives. The prevalence of self-reported HIV-positive status among transgender women was 16.5%, of which 92.0% reported having a physician with whom they regularly consulted about HIV, whereas none of the transgender men or gender diverse people reported HIV-positive status. In addition, 8.2% of transgender men and 12.5% of gender diverse people did not know their serological status. Finally, 71.0% of the participants were unfamiliar with post-exposure prophylaxis. The study discusses the need for adequate behavior-oriented HIV health policies and training of healthcare professionals regarding the needs of Brazilian transgender and gender diverse people.

Population-based HIV prevalence and associated factors in male-to-female transsexuals from Southern Brazil.

This study assessed HIV prevalence and associated factors in 284 male-to-female transsexuals from southern Brazil. Seroprevalence was 25 %. Seroprevalence was higher and associated with older age, residence in the metropolitan area, history of diagnosis of other STDs, and reported history of sex work. The year of diagnosis showed no significant relationship with the prevalence of HIV nor the fact of being in a stable relationship, a history of drug use, years of education, and race/ethnicity. The odds of HIV infection compared with the general Brazilian population was 55.55 (95 % CI 38.39-80.39). Changes in the views of the vulnerable groups to HIV/AIDS in Brazil and efforts in the construction of strategies of prevention and in the guarantee of human rights are required.

Homophobia or sexism? A systematic review of prejudice against nonheterosexual orientation in Brazil.

Since it was coined in the 1970s, in the United States, the term "homophobia" has been invoked to define the prejudice against nonheterosexual orientation. Besides the US, the phenomenon has been detected in many contemporary societies, including Brazil. Prejudice against nonheterosexual orientation is strongly associated with the historical and social contexts in which it is embedded, which means that the term should not be used without a clear definition of its local specificities. This applies to the recent debate around homophobia in the Brazilian context. In an attempt to identify existing studies of prejudice against nonheterosexual orientations in Brazil, a systematic review was conducted in SciELO indexes, PubMed, PsycINFO, SCOPUS, and Web of Science. The articles were collected using the keyword "homophobia" and related terms, and "Brazil", in the languages of the databases. The search returned 355 articles. Of these, 247 were removed because they were duplicates. The abstracts of 109 studies published between 1973 and 2011were analyzed. Thirty-one articles were identified as relevant. The reviewed studies indicate that prejudice against nonheterosexual orientations is an evident and widespread phenomenon that is prevalent in various populations and contexts. Nevertheless, prejudice in Brazil is not homogeneous, and particular attention is necessary to the inequality of gender relations (sexism) and prejudice against gender nonconformity, which seem to explain, if not cause, most of the prejudice against nonheterosexual orientations. Although theoretically there is a clear distinction between sexual orientation and gender expression, from the standpoint of manifestation of prejudice that distinction seems to be more tenuous.

Impact of minority stress in depressive symptoms, suicide ideation and suicide attempt in trans persons / Impacto do estresse de minoria em sintomas depressivos, ideação suicida e tentativa de suicídio em pessoas trans.

Minority stress comprehends the relationship between prejudice (perceived, anticipated and internalized) and mental health in people belonging to minority groups, as well as protective factors for stressors. This study evaluated the prevalence of depressive symptoms, suicidal ideation and attempted suicide in Brazilian trans people, and it`s relationship with minority stress, passability, social support and trans identity support. 378 people participated through a questionnaire answered online and in the hospital services they attended. Of these, 67.20% had depressive symptoms, 67.72% suicidal ideation and 43.12% attempted suicide. Three Poisson regression analyzes were performed in two steps, according to the outcomes. In the three outcomes there was a positive association with internalized prejudice and a negative association with social support, which were the only associations in the suicide attempt. Depressive symptoms and suicidal ideation were also positively associated with anticipated prejudice and negatively passability and support for trans identity. The vulnerability of transgender people to negative mental health outcomes and the importance of addressing prejudice on an individual and social level, as well as promoting social support and transgender identity support are perceived.

O estresse de minoria aborda a relação entre preconceito (percebido, antecipado e internalizado) e saúde mental em pessoas pertencentes a grupos minoritários, assim como fatores de proteção aos estressores. Este trabalho avaliou a prevalência de sintomas depressivos, ideação suicida e tentativa de suicídio em pessoas trans brasileiras, e sua relação com estresse de minoria, passabilidade, apoio social e apoio à identidade trans. Participaram 378 pessoas, por meio de questionário respondidos on-line e nos serviços hospitalares a que frequentavam. Desses, 67,20% apresentaram sintomas depressivos, 67,72% ideação suicida e 43,12% tentativa de suicídio. Foram realizadas três análises de regressão de Poisson, em dois passos, conforme os desfechos. Nos três desfechos houve associação positiva com o preconceito internalizado e negativa com o apoio social, sendo essas as únicas associações na tentativa de suicídio. Nos sintomas depressivos e na ideação suicida, também se associou positivamente o preconceito antecipado e negativamente a passabilidade e o apoio à identidade trans. Percebe-se a vulnerabilidade das pessoas trans para os desfechos negativos de saúde mental e a importância de enfrentar o preconceito em nível individual e social, assim como promover o apoio social e à identidade trans.

Produzindo um currículo escolar para diversidade sexual e de gênero em um instituto federal / Producing a school curriculum for sexual and gender diversity in a federal institute / Elaboración de un currículo escolar para la diversidad sexual y de género en un instituto federal

Resumo: Esta pesquisa objetiva evidenciar como é produzido um currículo escolar que valorize a diversidade sexual e de gênero em um instituto federal. Para tanto, utiliza-se o conceito de trajetórias de vida como disparador teórico, metodológico e político dos objetivos desta pesquisa. Foram entrevistados 16 sujeitos que têm sua trajetória profissional marcada por ocuparem, em algum momento, uma representação dentro dos Núcleos de Gênero e Diversidade Sexual do Instituto Federal Sul-rio-grandense. A análise do material de pesquisa permite evidenciar que esses núcleos articulam processos políticos para a movimentação de diferentes mecanismos pedagógicos em prol do questionamento e/ou da manutenção de redes de sentidos sobre a diversidade. Por fim, compreende-se que esses núcleos operam espaços de abertura e fortalecimento político-pedagógico dos debates de gênero e de sexualidade nos institutos federais.

Resumen: Esta investigación tiene como objetivo resaltar cómo se produce en un instituto federal un currículo escolar que valora la diversidad sexual y de género. Para ello, se utiliza el concepto de trayectorias de vida como detonante teórico, metodológico y político de los objetivos de esta investigación. Fueron entrevistados 16 sujetos cuya trayectoria profesional estuvo marcada por haber sido, en algún momento, representante dentro de los Centros de Género y Diversidad Sexual del Instituto Federal de Rio Grande do Sul. El análisis del material de investigación muestra que estos centros articulan procesos políticos para el movimiento de diferentes mecanismos pedagógicos a favor de cuestionar y/o mantener redes de significados sobre la diversidad. Finalmente, se entiende que estos centros operan espacios para abrir y fortalecer debates político-pedagógicos sobre género y sexualidad en los institutos federales.

Abstract: This research aims to highlight how a school curriculum that values sexual and gender diversity is produced in a federal institute. To this end, the concept of life trajectories is used as a theoretical, methodological and political trigger for the objectives of this research. 16 subjects were interviewed whose professional trajectory were marked by having, at some point in their lives, been a representative within the Gender and Sexual Diversity Centers of the Federal Institute of Rio Grande do Sul. The analysis of the research material concludes that these centers articulate political processes towards the development of different pedagogical mechanisms in favor of questioning and/or maintaining networks of meanings about diversity. Finally, it is understood that the Gender and Sexual Diversity Centers operate spaces for opening and strengthening political-pedagogical debates on gender and sexuality in federal institutes in general.

A Família Está em Chamas(?): Razão de Estado, Conservadorismo e (Reconhecimento à) Diferença / The Family Is Burning(?): Reason of State, Conservatism and (Acknowledgment of) Differences / (¿) La Familia Está en Llamas(?): Razón de Estado, Conservadurismo y (Reconocimiento à la) Diferencia

A ascensão de governos neoliberais e de movimentos ultraconservadores vem reforçando a heterocisnormatividade e o racismo, produzindo desigualdade e infligindo ainda mais sofrimento e riscos letais às minorias. Conjurando imposição de regimes de austeridade, limites da presença do Estado e esvaziamento da propriedade social à autorresponsabilização pela gestão da própria vida e saúde, a questão da diferença passou a ser forjada como ponto de instabilidade e ameaça a tais propósitos e pressupostos político-econômicos. Uma das consequências é a ampla circulação de discursos de ódio e desprezo pela diversidade. Este trabalho buscou, assim, compreender como então se estabelecem intersecções enunciativas entre marcadores de diferença e a racionalidade liberal na economia e conservadora nos costumes, tomando como foco a (des)articulação em torno da precarização de parentalidades e conjugalidades diversas. Os resultados desta investigação apontam que, quanto maior a densidade democrática de uma sociedade ou relação sociocultural, maiores as possibilidades de afirmação positiva da alteridade e diferença, bases importantes para a produção da saúde e da cidadania (racial, sexual, de gênero e ambiental).

The rise of neo-liberal governments and ultra-conservative movements has been reinforcing cisheteronormativity and racism, thus generating inequalities and inflicting even more lethal risks and suffering upon minorities. Conjuring the imposition of austerity regimes, limitations on State action and the emptying of social property in favor of self-responsibility for managing one's own life and health, the issue of differences started being forged as a point of instability and threat to such political and economic premises and purposes. One of the consequences is the widespread circulation of discourses filled with hate and contempt for diversity. This study aimed to understand how discourse intersections are established between markers of difference and the liberal rationale in terms of economy and the conservative rationale in terms of customs, focusing on the (dis)articulation surrounding the precariousness of diverse parenthood and conjugalities. The results of this study point out that the larger democratic density of a given society or sociocultural relationship, the greater the possibilities of positively affirming otherness and difference, which are important foundations for health care, and citizen (racial, sexual, gender and environmental) rights.

La ascensión de gobiernos neoliberales y de movimientos ultraconservadores viene reforzando la heterocisnormatividad y el racismo, produciendo desigualdad e imponiendo aún más sufrimiento y riesgos letales a las minorías. Invocando imposición de regímenes de austeridad, límites a la presencia del Estado y el vaciamiento de la propiedad social a la auto-responsabilización por la gestión de la propia vida y salud, el tema de la diferencia pasó a ser forjado como punto de instabilidad y amenaza a tales propósitos y presupuestos político-económicos. Una de las consecuencias es la amplia circulación de discursos de odio y desprecio hacia la diversidad. Este trabajo buscó comprender cómo, entonces, se establecen intersecciones enunciativas entre marcadores de diferencia y la racionalidad liberal en la economía y conservadora en las costumbres, tomando como enfoque la (des)articulación sobre la precarización de parentalidades y conjugalidades diversas. Los resultados de esta investigación apuntan a que cuánto más grande la densidad democrática de una sociedad o relación sociocultural, mayores posibilidades de afirmación positiva de la alteridad y la diferencia, bases importantes para la producción de la salud y de la ciudadanía (racial, sexual, de género y ambiental).

[Expressions of sexuality and gender at the interface between crime and madness: moralizing conceptions in the treatment of the "criminally insane" patient]. / Expressões da sexualidade e de gênero na injunção crime-loucura: engendramentos moralizantes no tratamento do paciente judiciário.

This article aims to analyze how expressions of sexuality and gender emerge in the legal proceedings that determine the fate of individuals at the interface between crime and madness. The text explores the criminal proceedings against persons in mental distress that have committed crimes, or so-called "criminally insane" patients, and who are subject to security measures. Using genealogy as the methodological approach, the article analyzes the conditions underlying the source and emergence of the "abnormal", a figure produced and scrutinized by forensic medical discourse. Six court briefs were analyzed, focusing especially on the psychiatric reports pertaining to non-heterosexual and/or non-cisgender persons that were subjected to security measures. Analysis of the textual corpus indicates that the theoretical and conceptual basis for the assumptions in the security measures focuses on the forensic psychiatric report. The analysis of the forensic medical discourse points to a moral judgment of the expressions of sexuality and gender in the criminally insane patient, considered "deviant". Finally, the article signals alternatives for the production of new treatment modalities for the criminally insane patient, seeking to supplant the presumption of danger to society as a purportedly scientific concept, reviewing non-imputability as a legal device that violates the inalienable rights of individuals at the interface between crime and madness.

Este artigo tem por objetivo analisar a forma como as expressões da sexualidade e de gênero emergem nos trâmites judiciais que definem os destinos dos sujeitos na injunção crime-loucura. Para isso, explora os processos penais referentes às pessoas em sofrimento mental que cometeram crimes, os chamados pacientes judiciários, que recebem uma medida de segurança. Utilizando-se da genealogia como aporte metodológico, adentra-se nas condições de proveniência e de emergência do "anormal", figura produzida e esquadrinhada pelo discurso médico-jurídico. Foram analisadas seis peças judiciais, focando principalmente os laudos psiquiátricos de pessoas não heterossexuais e/ou não cisgêneras que receberam uma medida de segurança. A análise do córpus indica que a base teórico-conceitual na qual se sustentam os pressupostos da medida de segurança se concentra no laudo psiquiátrico. A análise do discurso médico-jurídico aponta para uma valoração moral das expressões da sexualidade e de gênero do paciente judiciário considerado "desviante". Por fim, sinalizam-se alternativas de produção de novos modelos de tratamento para o paciente judiciário, que buscam superar a ficção da presunção de periculosidade como base pretensamente científica, revisando a inimputabilidade como dispositivo jurídico que viola direitos inalienáveis dos sujeitos na injunção crime-loucura.

El objetivo de este trabajo ha sido analizar la forma en la que surgen expresiones de sexualidad y género en procedimientos judiciales, que definen las sentencias a sujetos durante los trámites judiciales relacionados con casos de crimen-locura. Para tal fin, investiga procesos penales en relación con personas que padecen enfermedades mentales y que cometieron crímenes, denominados pacientes judiciales, a quienes se les otorgan medidas de seguridad. Utilizando la genealogía como aporte metodológico, se adentra en las condiciones de procedencia y emergencia de lo "anormal", figura creada y escudriñada dentro del discurso médico-jurídico. Se analizaron seis autos judiciales, centrándose principalmente en los dictámenes psiquiátricos de personas no heterosexuales y/o no cisgénero, a quienes se les otorgó medidas de seguridad. El análisis del corpus indica que la base teórico-conceptual, en la que se basan los presupuestos de las medidas de seguridad, se concentra en el dictamen psiquiátrico. El análisis del discurso médico-jurídico apunta a una valoración moral de las expresiones de la sexualidad y de género del paciente judicial, considerado como "desviado". Finalmente, se señalan alternativas para la producción de nuevos modelos de tratamiento en el caso del paciente judicial, que buscan superar la ficción de la presunción de peligrosidad, como base presuntamente científica, revisando la inimputabilidad como dispositivo jurídico que viola derechos inalienables de los individuos en los procedimientos judiciales relacionados con casos de crimen-locura.

Validade e fidedignidade de um protocolo para avaliar o estresse de minoria em pessoas trans e diversidade de gênero / Validity and fidedignity of a protocol to evaluate minority stress in trans and gender people

O modelo do Estresse de Minoria (EM) propõe uma explicação de como estressores relacionados ao preconceito levam pessoas lésbicas, gays e bissexuais (LGB) a terem piores desfechos negativos de saúde mental do que pessoas heterossexuais. Os componentes básicos do EM são o preconceito internalizado, preconceito antecipado e preconceito experienciado. O modelo do EM foi desenvolvido primeiramente no campo da sexualidade e hoje tem sido também aplicado no contexto da diversidade de gênero. Ainda não há instrumentos adaptados para sua avaliação no contexto da diversidade de gênero no Brasil. Para esse fim, este estudo objetiva a adaptação transcultural e a investigação de evidências de validade para o contexto brasileiro do "Protocolo para Avaliação do EM em pessoas trans e diversidade de gênero" (PEM-TD-BR). Participaram 455 indivíduos cuja identidade de gênero discordava daquela designada ao nascimento. As análises fatoriais exploratórias e confirmatórias sugerem a estrutura de três fatores do PEM-TD-BR como a mais adequada, fornecendo evidências de validade e fidedignidade para o protocolo no contexto brasileiro.

The Minority Stress (MS) model explains how prejudice-related stressors lead lesbian, gay, and bisexual people (LGB) to have worse negative mental health outcomes compared to heterosexuals. The basic components of MS are internalized prejudice, anticipated prejudice, and experienced prejudice. MS model was first developed in the field of sexuality and is now also applied in the context of gender diversity. There are still no adapted tools for its assessment in the context of gender diversity in Brazil. To this end, this study aims at the cross-cultural adaptation and production of validity evidence for the Brazilian context of a protocol for the "assessment of MS in transgender and gender diverse people" (PEM-TD-BR). It included 455 participants whose current gender identity disagreed with that assigned at birth. Exploratory and confirmatory factor analyzes suggest the three-factor structure of the PEM-TD-BR as the most appropriate and provide evidence for the validity and reliability for the protocol in the Brazilian context.

Healthcare Needs of and Access Barriers for Brazilian Transgender and Gender Diverse People.

Transgender and gender diverse people (TGD) have specific healthcare needs and struggles with access barriers that should be addressed by public health systems. Our study aimed to address this topic in the Brazilian context. A hospital and web-based cross-sectional survey built with input from the medical and transgender communities was developed to assess TGD healthcare needs of and access barriers in two Brazilian states. Although services that assist this population have existed in Brazil since the 1990s, TGD have difficulty accessing these services due to discrimination, lack of information and a policy design that does not meet the needs of TGD. A history of discrimination was associated with a 6.72-fold increase in the frequency of health service avoidance [95% CI (4.5, 10.1)]. This article discusses the urgent necessity for adequate health policies and for the training of professionals regarding the needs of Brazilian TGD.

Corrigendum to: "Effectiveness of a multidimensional web-based intervention program to change Brazilian health practitioners' attitudes toward the lesbian, gay, bisexual and transgender population".

Corrigendum to: J Health Psychol DOI 10.1177/1359105316628748 Unfortunately, the online published article has an error in one of the analyses. On page 365, fifth paragraph, the corrected statistical report is (Δ 1.66, 95% CI [3.32, .01], t (305) = -1.98, p<.05), not (Δ 1.66, 95% CI [3.32, .01], t (305) = -1.66, p <.05). In spite of this correction, there is no change in the direction of the test and therefore in the interpretation of this result.

Os usos do abuso sexual / Los usos del abuso sexual / The uses of sexual abuse

Resumo Este artigo analisa as narrativas de mulheres e homens; mães e pais; cuidadoras e cuidadores de crianças e adolescentes envolvidos em denúncias de abuso sexual, na condição de vítimas, e que foram, por essa razão, inseridas/os no sistema de garantia de direitos, objetivando demonstrar o que pensam, que enunciados utilizam para falar sobre o abuso sexual e os sentidos atribuídos à sua inserção na rede de atendimentos. Para auxiliar a operar teoricamente utilizou-se a noção de biopolítica, enquanto uma forma de governo e uma tecnologia do poder de Foucault, associada às ideias de um governo pela psicologia de Castel e à retórica do trauma de Fassin. A partir da análise, é possível descrever como o abuso se torna a forma de legitimação maior para que se possa acessar a proteção do Estado e como as formas de governar capturam a todos/as e balizam as narrativas em sutis esferas.

Resumen Este artículo analiza las narrativas de mujeres y hombres, madres y padres, cuidadores de niñas, niños y adolescentes involucrados en denuncias de abuso sexual, como víctimas, y que fueron, por eso, insertados en el sistema de garantía de derechos, con el objetivo de demostrar lo que piensan, qué declaraciones utilizan para hablar sobre el abuso sexual y los significados atribuidos a su inserción en la red de asistencia. Para ayudar a operar teóricamente, se utilizó la noción de biopolítica, como una forma de gobierno y una tecnología de poder de Foucault, asociada a las ideas de un gobierno de la psicología de Castel y la retórica del trauma de Fassin. A partir del análisis es posible describir cómo el abuso se convierte en la forma de mayor legitimación para que se pueda acceder a la protección del Estado y cómo las formas de gobernar capturan a todas y todos y marcan las narrativas en esferas sutiles.

Abstract This article analyzes the narratives of men and women; mothers and fathers and caretakers of children and adolescents involved in sexual abuse allegations, as victims, and that, for that reason, they have been inserted in the Rights Guarantee System, aiming to demonstrate what they think, what statements they use to talk about sexual abuse and the meanings attributed to their insertion in the care network. To facilitate the theoretical comprehension, the notion of Biopolitics was used as a type of government and one of Foucault's technologies of power, also linked to the ideas of a government for Castel's psychology and to Fassin's rhetoric of trauma. From the analysis it is possible to describe how the abuse becomes the major way of legitimizing in order to access the government protection, and how the forms of government capture all people and support the narratives in subtle ways.

Psicologia e internacionalização: notas críticas para pensar hierarquias Norte-Sul / Psychology and Internationalization: critical notes for thinking North-South hierarchies / Psychologie et internationalisation: notes critiques pour penser les hiérarchies Nord-Sud / Psicología e internacionalización: notas críticas para pensar en jerarquías Norte-Sur

Resumo O objetivo deste artigo é promover o debate sobre as políticas de internacionalização, levando em conta as diferentes psicologias presentes no Brasil e no mundo e a relação que se estabelece entre os conhecimentos produzidos nos países do norte e os produzidos nos países do sul. Destaca-se nesse debate os elementos críticos sobre as assimetrias Norte-Sul na política de internacionalização. Para tanto, recorremos à contribuição de leituras pós-coloniais e descoloniais.

Abstract This article debates on Internationalization Policies, taking into account the different psychologies present in Brazil and worldwide and the relation established between the knowledge produced in the countries of the North and in the countries of the South. This debate focuses on the critical elements about North-South asymmetries in Internationalization Policy. For that, we seek support on the contributions of postcolonial and decolonial theories.

Résumé Cet article vise à promouvoir le débat sur les politiques d'internationalisation, en prenant compte les différentes psychologies présentes au Brésil et dans le monde, ainsi que la relation qui s'établit entre les savoirs produits dans les pays du Nord et ceux produits dans les pays du Sud. À l'intérieur de ce débat, les éléments critiques des asymétries Nord-Sud dans la politique d'internationalisation sont mis en relief. À cet effet, nous profitons de l'apport des lectures post-coloniales et décoloniales.

Resumen El objetivo de este artículo es promover el debate sobre las políticas de internacionalización, teniendo en cuenta las diferentes psicologías presentes en Brasil y en el mundo y la relación que se establece entre el conocimiento producido en los países del Norte y en los países del Sur. Se destacan en este debate los planteamientos críticos sobre las asimetrías Norte-Sur en la política de internacionalización. Para eso, recurrimos a la contribución de las lecturas poscoloniales y decoloniales.

Homens entre saúde e segurança pública: a violência nos hospitais de trauma / Les hommes entre la santé et la sécurité publique: la violence dans les hôpitaux de traumatologie / Hombres entre la salud y la seguridad pública: violencia en hospitales de trauma / Men between health and public safety: violence in trauma hospitals

Resumo Em pesquisa de perspectiva etnográfica realizada em dois hospitais de trauma no município de Porto Alegre (RS), buscamos explicitar as convergências e divergências na intersecção entre práticas de saúde e de segurança pública voltadas aos homens vítimas de conflitos violentos. Analisaram-se as narrativas de múltiplos atores sociais (profissionais do campo da segurança pública e da saúde), bem como os fluxos de atendimento desses usuários de saúde e seus familiares. Os operadores conceituais centrais são inspirados nos estudos sobre tecnologias de poder (Michel Foucault, Giorgio Agamben), economia moral (Didier Fassin), masculinidades e violência. Concluímos que o hospital está firmemente articulado ao dispositivo da segurança pública por meio de práticas discursivas que fomentam a produção de masculinidades criminalizadas.

Résumé Une recherche basée sur une perspective ethnographique a été menée dans deux hôpitaux de traumatologie de la ville de Porto Alegre / RS, nous avons cherché à décrire les convergences et divergences à l'intersection des pratiques de santé et de sécurité publique à l'encontre des hommes victimes de conflits violents. Des récits de plusieurs acteurs sociaux (professionnels de la sécurité publique et de la santé) ont été analysés, ainsi que les differents chemins utilisés par ces hommes et de leurs familles à la recherche de soins. Les opérateurs conceptuels centraux s'inspirent des études sur les technologies de pouvoir (Michel Foucault, Giorgio Agamben), l'économie morale (Didier Fassin) et les masculinités et la violence (Waldemir Rosa). Nous concluons que l'hôpital est solidement lié au système de sécurité publique par des pratiques discursives qui encouragent la production de masculinités criminalisées.

Resumen En una investigación desde una perspectiva etnográfica realizada en dos hospitales traumatológicos de la ciudad de Porto Alegre / RS, se buscó explicar las convergencias y divergencias en la intersección entre prácticas de salud y seguridad pública dirigidas a hombres víctimas de conflictos violentos. Se analizaran narrativas de múltiples actores sociales (profesionales del ámbito de la seguridad pública y la salud), así como los flujos de atención de estos usuarios de la salud y sus familias. Los operadores conceptuales centrales se inspiran en estudios sobre tecnologías de poder (Michel Foucault, Giorgio Agamben), Economía moral (Didier Fassin) y masculinidades y violencia (Waldemir Rosa). Concluimos que el hospital está firmemente vinculado al sistema de seguridad pública a través de prácticas discursivas que incentivan la producción de masculinidades criminalizadas.

Abstract A research using ethnographic perspective was carried out in two trauma hospitals in the city of Porto Alegre (RS). We sought to describe the convergences and divergences of practices in the intersection between health and public safety fields regarding men injured in violent conflicts. Multiple social actors' narratives (professionals in the field of public security and health) were analysed, as well as the multiple paths of patients and their families in the search for health care. The central conceptual operators are inspired by studies on power technologies (Michel Foucault, Giorgio Agamben), Moral economics (Didier Fassin) and masculinities and violence (Waldemir Rosa). We conclude that the hospital system is firmly linked to the public security system through discursive practices that encourage the production of criminalized masculinities.

The Production of the Sexual Difference in Physical Education: Problematizing Naturalizations / A Produção da Diferença Sexual na Educação Física: problematizando naturalizações

Abstract Researches that describe the anatomy and physiology of human movement have aimed to produce knowledge comparing women's and men's physical capacities, concerned with specifying and describing "sex differences." One of the consequences of this kind of research is that it influences teaching processes in human motion disciplines for physical educators, producing gender-marked bodies. This article uses Foucauldian discourse analysis to question how the production of sex differences is present in scientific studies dedicated to studying athletic performance that propose comparisons between sexes in strength performance. Through this analysis, we aim to describe and analyse how the epistemologies of sex and gender involved in these productions reinforce naturalised ideas of what it means to be a man and a woman, as well as question the social intelligibility of body/gender/sexuality that regulates sex/gender in our culture and in science.

Resumo Pesquisas que descrevem a anatomia e fisiologia do movimento humano têm objetivado produzir comparações entre capacidades físicas de homens e mulheres, para especificar e descrever "diferenças sexuais". Uma das consequências desse tipo de pesquisa é sua influência em pedagogias de ensino utilizadas por profissionais da educação física, produzindo a materialidade do gênero nos corpos. Esse artigo utiliza análise do discurso Foucaultiana para interrogar como a produção de diferenças sexuais ocorre em artigos científicos dedicados ao estudo de desempenho físico que comparam os sexos em relação à força. Através dessa análise, objetivamos descrever e analisar como epistemologias de sexo/gênero estão envolvidas nessa produção de forma a reiterar ideias naturalizadas do que significa ser homem e ser mulher, assim como também questionar a inteligibilidade de corpo/gênero/sexualidade que regula a materialização do sexo/gênero na cultura e na ciência.

Validation Study of the Revised Version of the Scale of Prejudice Against Sexual and Gender Diversity in Brazil.

In Brazil, there is a deficit of culturally adapted tools to assess prejudice against sexual and gender diversity with empirically demonstrable validity and reliability. Prejudice against non-heterosexual orientations is a strong problem within Brazilian culture and is particularly related to nonnormative expressions of gender. To address these issues, a scale was created. The objective of this article is to validate the revised version of this instrument developed for the specificities of Brazilian culture and establish its reliability. The revised version of Scale of Prejudice Against Sexual and Gender Diversity (PASGD) was completed by 8,184 undergraduate students from southern Brazil. Analysis was conducted using the item response theory (IRT) model for rating scale data, criterion validity, and confirmatory factor analysis (CFA). The scale showed good validity and reliability. The results indicate that the PASGD is a useful tool for assessing prejudice in the Brazilian context, adapted for the local Brazilian reality.

Follow-up of psychological outcomes of interventions in patients diagnosed with disorders of sexual development: A systematic review.

The objective of this study was to perform a systematic review of articles that followed up the psychological outcomes of interventions in patients with disorders of sexual development. The analysis focused on the methodological quality of the studies and the assumptions on the evaluation of the intervention outcomes. The review signaled the need for better consideration about the complexity of intersexuality and for a shift from the anatomical/functional/aesthetic to the subjective outcomes related to patient's quality of life. Furthermore, it is suggested that the interventions should be better investigated, given the lack of evidence for the necessity of early procedures.

Impacto do estresse de minoria em sintomas depressivos, ideação suicida e tentativa de suicídio em pessoas trans / Impact of minority stress in depressive symptoms, suicide idea and try suicide in trans

Resumo O estresse de minoria aborda a relação entre preconceito (percebido, antecipado e internalizado) e saúde mental em pessoas pertencentes a grupos minoritários, assim como fatores de proteção aos estressores. Este trabalho avaliou a prevalência de sintomas depressivos, ideação suicida e tentativa de suicídio em pessoas trans brasileiras, e sua relação com estresse de minoria, passabilidade, apoio social e apoio à identidade trans. Participaram 378 pessoas, por meio de questionário respondidos on-line e nos serviços hospitalares a que frequentavam. Desses, 67,20% apresentaram sintomas depressivos, 67,72% ideação suicida e 43,12% tentativa de suicídio. Foram realizadas três análises de regressão de Poisson, em dois passos, conforme os desfechos. Nos três desfechos houve associação positiva com o preconceito internalizado e negativa com o apoio social, sendo essas as únicas associações na tentativa de suicídio. Nos sintomas depressivos e na ideação suicida, também se associou positivamente o preconceito antecipado e negativamente a passabilidade e o apoio à identidade trans. Percebe-se a vulnerabilidade das pessoas trans para os desfechos negativos de saúde mental e a importância de enfrentar o preconceito em nível individual e social, assim como promover o apoio social e à identidade trans.

Abstract Minority stress comprehends the relationship between prejudice (perceived, anticipated and internalized) and mental health in people belonging to minority groups, as well as protective factors for stressors. This study evaluated the prevalence of depressive symptoms, suicidal ideation and attempted suicide in Brazilian trans people, and it`s relationship with minority stress, passability, social support and trans identity support. 378 people participated through a questionnaire answered online and in the hospital services they attended. Of these, 67.20% had depressive symptoms, 67.72% suicidal ideation and 43.12% attempted suicide. Three Poisson regression analyzes were performed in two steps, according to the outcomes. In the three outcomes there was a positive association with internalized prejudice and a negative association with social support, which were the only associations in the suicide attempt. Depressive symptoms and suicidal ideation were also positively associated with anticipated prejudice and negatively passability and support for trans identity. The vulnerability of transgender people to negative mental health outcomes and the importance of addressing prejudice on an individual and social level, as well as promoting social support and transgender identity support are perceived.

Effectiveness of a multidimensional web-based intervention program to change Brazilian health practitioners' attitudes toward the lesbian, gay, bisexual and transgender population.

The objective of this study was to assess the effectiveness of a multidimensional (educational, affective and behavioural) web-based intervention to change healthcare practitioners' attitudes toward lesbian, gay, bisexual and transgender population. It aimed to measure gender and sexual (GenSex) prejudice pre- and post-intervention in relation to sociodemographic characteristics. A total of 307 health practitioners from southern Brazil enrolled and completed the follow-up assessment. The intervention had significant effects, varying across traditionally high prejudiced groups. State- and street-level continuous prejudice reduction policies are suggested.

[Fragments of a health work genealogy: genealogy as a research technique]. / Fragmentos de uma genealogia do trabalho em saúde: a genealogia como ferramenta de pesquisa.

The article aims to explore the influence of health work in subjectification processes. The notion of history commonly used in health-related scientific output is based on an evolutionist and developmental logic. As a counterpoint, the genealogical approach used in this article and based on Michel Foucault highlights the notions of discontinuity, event, and the production of truth as tools to rethink the ethical and political implications involved in the production of knowledge, practices, and subjects. To illustrate these aspects we sketch a health work genealogy, specifically in the field of mental health and HIV/AIDS work.