PARA ALÉM DO DIAGNÓSTICO: O OLHAR E AS POSSIBILIDADES DA ENFERMAGEM FRENTE AOS TRANSTORNOS PARAFÍLICOS

Mental health is characterized as a complex and dynamic field, permeated by clinical, ethical, cultural, and social dimensions, and often marked by stigma that hinders access to and quality of care. In this context, paraphilic disorders (PD) pose additional challenges to nursing practice, requiring qualified welcoming, active listening, and therapeutic interventions grounded in ethics and the promotion of rights. This study aims to reflect on nursing approaches and possibilities in addressing paraphilic disorders, considering their legal, ethical, and social implications in clinical practice. This is a descriptive and reflective narrative literature review conducted through the Virtual Health Library (VHL), in addition to books, technical manuals, and legislation relevant to the fields of mental health, psychiatry, law, psychology, and nursing practice. The findings indicate that nurses play a central role in building therapeutic bonds, providing psychoeducation, and developing primary and secondary prevention actions, as well as acting as a key link in articulating care within the Psychosocial Care Network. A scarcity of national and international scientific publications specifically addressing nursing practice related to paraphilic disorders was identified, reinforcing the need for investment in research, continuing education, and permanent professional training. It is concluded that mental health nursing care, particularly in the context of paraphilic disorders, requires an integral, humanized, and ethical approach, grounded in the nursing process, respect for individual singularities, and acknowledgment of human sexuality, consolidating nurses as strategic agents in improving care quality and confronting stigma related to sexuality and sexual behavior.