Aprendizajes del proceso de sensibilización sobre el consumo de drogas en adultos atendidos en un Centro de Salud Pública

Abstract

The present graduation work systematizes the experience of implementing a sensitization program on drug consumption, carried out with a group of adults attended at a public health center in the city of Guayaquil. The central purpose was to critically analyze the lived process in order to understand the emerging psychosocial dynamics, guided by a systematization axis that explored the tension between the cultural normalization of consumption as an adaptation mechanism and the resistance to questioning within the group space. The methodology followed Óscar Jara’s systematization approach, using a qualitative-interpretative design supported by instruments such as observation records, documentary review, and focus groups. As an intervention strategy, Rational Emotive Behavior Therapy (REBT) techniques adapted to the community context were used for belief debate. The experience showed that, although there was an initial resistance marked by institutional mistrust, the group setting facilitated a transition from the validation of consumption toward the emergence of reflective doubt, allowing the denaturalization of deeply rooted myths. Among the main learnings, it is highlighted that in vulnerable contexts, the construction of a space of psychological safety is an indispensable prerequisite for cognitive tools to gain meaning, suggesting that preventive intervention becomes relevant when it validates the subject’s reality before promoting change.