Approaching sexuality in LGBTQIAP + patients with cancer: scoping review.

BACKGROUND: When individuals in the SGM group are diagnosed with cancer and undergo treatment, they experience changes in physical, mental, sexual and spiritual dimensions, which can negatively impact sexual desire, as well as satisfaction and sexual health as a whole. This study aims to examine the existing scientific literature on how healthcare professionals approach sexuality in cancer patients who belong to the SGM group. The SGM group is particularly vulnerable, and the challenges they face in terms of psychosocial and emotional health are further exacerbated by the oncological treatment they receive. Therefore, specialized attention and support are necessary to address their unique needs. METHOD: To conduct this study, a scoping review was performed following the guidelines established by the Joanna Briggs Institute. By synthesizing the available evidence, this study aims to provide insights and recommendations for healthcare professionals to improve the care and support provided to SGM individuals with cancer. Guiding question: "how do health professionals approach sexuality in cancer patients in a minority group?". The search was carried out in PubMed, Science Direct, Scopus, Web of Science, Virtual Health Library, Embase databases and Google Scholar in addition. Specific criteria were used for Evidence source selection, Data mapping, assurance, analysis, and presentation. RESULTS: Fourteen publications were included in this review for the final synthesis, which indicated that the approach to the sexuality of sexual and gender minority groups is based on research whose character is limited in terms of producing care and health care that is congruent in gender and sexuality. The analysis of scientific articles showed that one of the biggest challenges and priorities of health services today is to reduce disparities and promote equity in health for SGM people. CONCLUSIONS: This study reveals a significant gap in addressing the sexuality of SGM groups within cancer care. Inadequate research impedes the provision of consistent and inclusive care for SGM individuals, which has a negative impact on their overall wellbeing. Reducing disparities and promoting healthcare equity for SGM individuals must be a top priority for health services.

A família de crianças transexuais: o que a literatura científica tem a dizer? / The transsexual children's family: what is the scientific literature has to say about it?

A transexualidade é uma temática contemporânea que instiga diálogos multidisciplinares a fim de compreender e promover cuidado em nível educacional e de saúde à população em trânsito de gênero e sexo. Os sujeitos transexuais são caracterizados como uma população de risco ao desenvolvimento de psicopatologias, não por sua condição de identidade de gênero, mas pela influência de fatores interpessoais e sociais como estresse, ambiente hostil e negligência familiar. A família merece atenção por ser considerada uma instituição que pode garantir importantes funções protetoras ao desenvolvimento físico e psicológico das crianças que não se identificam ou pouco se identificam com o gênero lhes atribuído no nascimento. Este artigo pretende apresentar, por meio de uma revisão integrativa da literatura internacional, o perfil das pesquisas acerca das famílias de crianças transexuais. A família, enquanto uma instituição de zelo e cuidado deve proteger e preparar a criança transexual para enfrentar os riscos e pré-conceitos de uma sociedade majoritariamente binária.(AU)

Transsexuality is a contemporary theme that instigates multidisciplinary dialogues in order to understand and promote care at the educational and health level to the population in transit of gender and sex. Transsexual people are characterized as a population at risk for the development of psychopathologies, not because of their gender identity status, but because of the influence of interpersonal and social factors such as stress, hostile environment and family neglect. The family deserves attention because it is considered an institution that can guarantee important protective functions for the physical and psychological development of the children who do not identify or poorly identify with the gender attributed to them at birth. This article aims to present, through an integrative review of the literature, the profile of international research on families with transsexual children. The family, while an institution of care and care, must protect and prepare the transsexual child to face the risks and preconceptions of a mostly binary society.(AU)

SAÚDE MENTAL, ATENÇÃO PSICOSSOCIAL E PSICANÁLISE: UMA PRÁTICA DE CUIDADO / MENTAL HEALTH, PSYCHOSOCIAL CARE AND PSICHOANALISIS: ONE HEALTHCARE PRACTICE

Este trabalho tem como objetivo discutir o entrelaçamento possível entre o manejo clínico psicanalítico e as esferas políticas e psicossociais no tratamento de enfermidades psíquicas graves. Através da apresentação de uma experiência clínica de orientação psicanalítica inserida em um equipamento de Saúde Mental, apresenta-se um modo de trabalho sensível ao desenvolvimento individual, técnico e teórico de uma prática profissional subjetiva amparada pela clínica psicanalítica e pelas articulações de manejo referenciado às políticas públicas em Atenção Psicossocial. A partir dessa estratégia de atuação em Saúde Mental, atenta aos vínculos terapêuticos disponíveis em nível multidisciplinar e uma colhimento biopsicossocial do sofrimento psíquico, foi possível discutir horizontes na atenção integral ao usuário dos serviços da Rede de Saúde Mental e Atenção Psicossocial. (AU)

This work aims to discuss the possible interweaving between psychoanalytic clinical management and the political and psychosocial spheres in the treatment of severe psychic illnesses. Through the presentation of a clinical experience of psychoanalytic orientation inserted in a Mental Health equipment, a work mode is presented sensitive to the individual, technical and theoretical development of a subjective professional practice supported by the psychoanalytic clinic and the articulations of management referenced to the policies In Psychosocial Care. Based on this strategy of action in Mental Health, attentive tothe therapeutic links available at a multidisciplinary level and a biopsychosocial reception of the psychic suffering, it was possible to discuss horizons in the integral attention to the user of the services of the Mental Health and Psychosocial Attention Network.(AU)