Desafíos y barreras en la intervención psicosocial en violencia de género en un centro de salud

Abstract

Based on the analysis of access barriers and institutional dynamics in the care of women experiencing gender-based violence, this systematization of experiences focuses on the psychosocial intervention carried out at the Indio Guayas Health Center. The study is framed within a Critical Psychosocial Approach, applying the categories of Galtung, Bourdieu, and Maslach specifically Structural Violence, Symbolic Violence, and Occupational Burnout to provide a deeper understanding of the institutional reality. Methodologically, a qualitative study was conducted through participant observation and field diary records, reconstructing the interaction between the institution, health personnel, and users. The analysis revealed that care is compromised by a cultural organization centered on the Hegemonic Medical Model, which prioritizes biological aspects over psychosocial needs. The study argues that practices of revictimization and technical distancing function as defensive mechanisms in response to a lack of institutional support and burnout from work overload. This research offers a de-pathologizing perspective for users and a non-punitive approach for staff, suggesting the implementation of "Care for the Caregiver" strategies and the refinement of protocols to ensure integral and dignified care.