Documental qualitative research that analyzed - from the comprehension of paradigm according to Kuhn´s proposal - how health and the sexual and reproductive rights are foreseen in Brazilian norms and laws that regulate children and adolescent rights, including those that are in conflict with the law. The contradictory paradigms, the issue of 'consent' and violence stand out as challenges for the execution of health policies. As a strategy, it is proposed that the exercise of those rights with an ethical parameter as 'care of the self', as comprehended by Foucault. Furthermore, attention should be paid to the principle of institutional incompleteness as foundation for such transformation.
Sexual and reproductive rights; Adolescent health; Public policies; Legislation as topic