Violência contra a mulher e saúde mental: (re)pensando o cuidado às usuárias de um centro de atenção psicossocial no sertão potiguar

Abstract

The relationship between Reception in health services and the gender debate is a growing discussion in the field of Public Health. Violence against women constitutes a persistent and multiformsocial phenomenonarticulated by psychological, moral and physical facets. This recognition by workers of a Psychosocial Care Center (CAPS) should be considered as a fundamental condition for the quality of care provided. This dissertationaims to analyze the reception practices of CAPS professionals in mental health care for women in situations of violencein a city of Rio Grande do Norte.This is an action-researchwith a descriptive exploratory nature and a qualitative approach. Data were collected at two different times, namely: i) open questionnaire; ii) conversation wheel. In the first stage of data collection a printed questionnaire was given to all CAPS workers, addressing issues related to the practice of Reception for women victims of violence. These data were used to build a common narrative to set the Conversation Circle, the second moment of data collection. The results were organized from the analysis of the implications allied to the thematic content analysis. Three core meanings were created - Identification of women victims of violence, Reception reduced to the alienated technique, Permanent education and the critical knots for assisting women victims of violence. The results reveal a negative view of the care offered by the CAPS to women victims of violence. Welcoming as a praxiological strategy in human care is not carried out in a qualified manner and boils down to a checklist of questions that does not allow identifying the suffering of women victims of violence. The workers of this health facility are technically involved in relation to the care that ends in the verbal identification of violence for referrals to other facilities. The need for Permanent Education and the construction of a Line of Care to qualify the attention to women victims of violence in the CAPS who have their non-verbal complaints made invisible is notorious, which demonstrates a functional structure in the work of the team, fragile in relation to questions of gender.