ABSTRACT
To evaluate aerobic capacity, strength and other physiological, nutritional, and psychological variables which may influence the performance of transgender women (TW) athletes and compare them to cisgender women (CW) and cisgender men (CM) athletes, as well as changes in TW performance over the course of a year. Prospective cohort study including three groups: TW, CW and CM volleyball athletes. Subjects will be comprehensively assessed at two different moments: baseline and after 6-12 months of adequate hormonal therapy. Evaluation will comprise clinical, medical, nutritional and psychological interviews, incremental treadmill cardiopulmonary exercise testing, hand grip strength test, vertical jump test, analysis of sleep quality (Pittsburgh Sleep Quality Index), hormonal profile, echocardiogram, analysis of resting energy expenditure, assessment of bone mass and body composition through dual-energy X-ray absorptiometry scans, and untargeted metabolomic analysis. CW and CM matched by age, body mass index and level of physical activity will undergo a similar evaluation. The assessment of the strength, aerobic capacity, haematological, nutritional and psychological status of TW using gold-standard tests will contribute to understanding the impact of oestrogen therapy on the exercise performance of these athletes and how they compare with CW and CM.
ABSTRACT
Este artigo trata de um estudo de caso de paciente atendido em um serviço de saúde do município de São Paulo (SP). Considerando que o referencial teórico psicanalítico orientou a prática clínica do processo, abordou-se a psicose em termos de estrutura clínica de linguagem, contrariamente à noção de déficit das funções psíquicas. A partir de Freud e Lacan, e suas contribuições ao estudo das psicoses, buscou-se entender quais situações, contextos e elementos intrapsíquicos se associavam à produção dos fenômenos psicóticos, seus efeitos e sua função para o sujeito, em especial no que tange à alucinação. A partir do fragmento do caso clínico, chegou-se à conclusão de que a alucinação fomenta a produção de um discurso singular, tendo uma lógica própria que se engendra a partir da experiência enigmática da psicose, sendo capaz de conduzir o sujeito à estabilização.(AU)
It is a case study of a patient attended at a health service in the city of São Paulo (SP). Considering that the psychoanalytic theoretical framework guided the clinical practice of the process, the psychosis was approached in terms of a clinical structure of language, contrary to the notion of psychic functions deficit. Beginning from Freud and Lacan, and their contributions in the study of psychoses, an understanding of which situations, contexts and intrapsychic elements were associated with the production of psychotic phenomena was sought, as well as their effects and their function in relation to the subject, particularly with regard to hallucination. From the clinical case fragment, it was concluded that the hallucination fosters production of a singular discourse, with its own logic generated from the enigmatic experience of psychosis, and capable of leading the subject to stabilization.(AU)
