Assisting refugee survivors of torture and trauma: An existential perspective.


Journal

Journal of traumatic stress
ISSN: 1573-6598
Titre abrégé: J Trauma Stress
Pays: United States
ID NLM: 8809259

Informations de publication

Date de publication:
13 Jan 2024
Historique:
revised: 30 11 2023
received: 26 08 2023
accepted: 01 12 2023
medline: 14 1 2024
pubmed: 14 1 2024
entrez: 14 1 2024
Statut: aheadofprint

Résumé

Consistent exposure to refugee narratives of trauma and torture can profoundly impact trauma therapists. This secondary analysis reanalyzed data from a narrative inquiry investigating the lived experiences of refugee trauma therapists. We aimed to explore emergent concerns through an existential lens to enrich understanding and provide additional insights into the lived experiences of these individuals. Participants in this purposive sample (N = 19) were therapists who had provided interventions to refugees for 2-34 years. Narrative construction, theory-guided data analysis, and memo writing were used to reanalyze data generated by semistructured interviews augmented by photo elicitation. The findings indicate that being forced to reevaluate familiar beliefs consequent to one's professional roles induced intense existential moments, described as "a dark night of the soul," "the paradox of life and death," "uncanny feelings of not being at home," and "a falling." Acknowledging the complexities of the field, an existential framework to assist refugee trauma therapists in metabolizing and living with the professional challenges they encounter instead of focusing on alleviating decontextualized symptoms of distress is recommended. Research to inform requirements of the space to enable refugee trauma therapists to share their concerns and facilitate transitions toward more authentic, nonevasive sense of "being-in-the-world" is suggested.

Identifiants

pubmed: 38219008
doi: 10.1002/jts.23011
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Authors. Journal of Traumatic Stress published by Wiley Periodicals LLC on behalf of International Society for Traumatic Stress Studies.

Références

Adams, M. (2019). Existential-phenomenological therapy. In E. van Deurzen, E. Craig, A. Längle, K. J. Schneider, D. Tantam, & S. du Plock (Eds.), The Wiley world handbook of existential therapy (pp. 167-180). John Wiley & Sons. https://doi.org/10.1002/9781119167198.ch9
Aho, K. (2018). Existential medicine: essays on health and illness. Rowman & Littlefield International.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Atwood, G. E. (2010). A discussion of philosophy and psychotherapy: Part 1-metaphysics. International Journal of Psychoanalytic Self Psychology, 6(1), 99-112. https://doi.org/10.1080/15551024.2011.531524
Baird, K., & Kracen, A. C. (2006). Vicarious traumatization and secondary traumatic stress: A research synthesis. Counselling Psychology Quarterly, 19(2), 181-188. https://doi.org/10.1080/09515070600811899
Bercier, M. L., & Maynard, B. R. (2015). Interventions for secondary traumatic stress with mental health workers: A systematic review. Research on Social Work Practice, 25(1), 81-89. https://doi.org/10.1177/1049731513517142
Burnett, A., & Peel, M. (2001). Asylum seekers and refugees in Britain. The health of survivors of torture and organised violence. BMJ, 322(7286), 606-609. https://doi.org/10.1136/bmj.322.7286.606
Burr, V., & Dick, P. (2017). Social constructionism. In B. Gough (Ed.) The Palgrave handbook of critical social psychology (pp. 59-80). Springer.
Charmaz, K. (2014). Constructing grounded theory (2nd ed.). SAGE.
Chiovitti, R., & Piran, N. (2003). Rigour and grounded theory research. Journal of Advanced Nursing, 44(4), 427-435. https://doi.org/10.1046/j.0309-2402.2003.02822.x
Cohn, H. W. (2002). Heidegger and the roots of existential therapy. Continuum.
Corbin, J. M., & Strauss, A. L. (2008). Basics of qualitative research techniques and procedures for developing grounded theory (3rd ed.). SAGE.
Creswell, J. W., & Miller, D. L. (2000). Determining validity in qualitative inquiry. Theory Into Practice, 39(3), 124-130. https://doi.org/10.1207/s15430421tip3903_2
Dalal, F. (2019). CBT: the cognitive behavioural tsunami: Managerialism, politics, and the corruptions of science. Routledge.
Dodds, H., & Hunter, D. J. (2022). Culture as both a risk and protective factor for vicarious traumatisation in nurses working with refugees: A literature review. Journal of Research in Nursing, 27(4), 357-371. https://doi.org/10.1177/17449871221085863
Dryden, W. L. (Ed.). (1984). Existential therapy. Harper & Row.
Fernandes, P., Buus, N., & Rhodes, P. (2022). Vicarious impacts of working with refugees and asylum seekers: An integrative review. Journal of Immigrant and Refugee Studies, Advance online publication. https://doi.org/10.1080/15562948.2022.2049949
Fernandes, P., Rhodes, P., & Buus, N. (2023). What do trauma workers experience when assisting refugee survivors of torture and trauma? A narrative inquiry. Professional Psychology: Research and Practice, 54(6), 451-460. https://doi.org/10.1037/pro0000534
Figley, C. R. (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. Psychology Press.
Glaw, X., Inder, K., Kable, A., & Hazelton, M. (2017). Visual methodologies in qualitative research: Autophotography and photo elicitation applied to mental health research. International Journal of Qualitative Methods, 16(1), Article 1609406917748215. https://doi.org/10.1177/1609406917748215
Harper, D. (2002). Talking about pictures: A case for photo elicitation. Visual Studies, 17(1), 13-26. https://doi.org/10.1080/14725860220137345
Heaton, J. (2008). Secondary analysis of qualitative data: An overview. Historical Social Research, 33(3), 33-45. https://doi.org/10.12759/hsr.33.2008.3.33-45
Heidegger, M. (1962). Being and time. Blackwell Publishing.
Hinds, P. S., Vogel, R. J., & Clarke-Steffen, L. (1997). The possibilities and pitfalls of doing a secondary analysis of a qualitative data set. Qualitative Health Research, 7(3), 408-424. https://doi.org/10.1177/104973239700700306
Howie, L. (2010). Narrative inquiry and health research. In P. Liamputtong (Ed.), Research methods in health: Foundations for evidence-based practice (pp. 77-90). Oxford University Press.
Josselson, R. (2007). The Ethical Attitude in Narrative Research: Principles and Practicalities. In D. J. Clandinin (Ed.), Handbook of narrative inquiry: Mapping a methodology (pp. 537-566). SAGE. https://doi.org/10.4135/9781452226552.n21
Kevin, A. (2018). Existential medicine. Rowman & Littlefield International.
Kim, J.-H. (2015). Understanding narrative inquiry. SAGE.
Marsella, A. J. (2010). Ethnocultural aspects of PTSD: An overview of concepts, issues, and treatments. Traumatology, 16(4), 17-26. https://doi.org/10.1177/1534765610388062
Mayring, P. (2015). Qualitative content analysis: Theoretical background and procedures. in A. Bikner-Ahsbahs, C. Knipping, & N. Presmeg (Eds.), Approaches to qualitative research in mathematics education: Examples of methodology and methods (pp. 365-380). Springer Netherlands. https://doi.org/10.1007/978-94-017-9181-6_13
McCann, I. L., & Pearlman, L. A. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1), 131-149. https://doi.org/10.1007/BF00975140
Molnar, B. E., Sprang, G., Killian, K. D., Gottfried, R., Emery, V., & Bride, B. E. (2017). Advancing science and practice for vicarious traumatization/secondary traumatic stress: A research agenda. Traumatology, 23(2), 129-142. https://doi.org/10.1037/trm0000122
Newell, J. M., & MacNeil, G. A. (2010). Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue: A review of theoretical terms, risk factors, and preventive methods for clinicians and researchers. Best Practices in Mental Health: An International Journal, 6(2), 57-68.
Ogińska-Bulik, N., Gurowiec, P. J., Michalska, P., & Kędra, E. (2021). Prevalence and predictors of secondary traumatic stress symptoms in health care professionals working with trauma victims: A cross-sectional study. PLoS ONE, 16(2), Article 0247596. https://doi.org/10.1371/journal.pone.0247596
Pain, H. (2012). A literature review to evaluate the choice and use of visual methods. International Journal of Qualitative Methods, 11(4), 303-319. https://doi.org/10.1177/160940691201100401
Pearlman, L. A., & Mac Ian, P. S. (1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology: Research and Practice, 26(6), 558-565. https://doi.org/10.1037/0735-7028.26.6.558
Petersen, H. D., Abildgaard, U., Daugaard, G., Jess, P., Marcussen, H., & Wallach, M. (1985). Psychological and physical long-term effects of torture. A follow-up examination of 22 Greek persons exposed to torture 1967-1974. Scandinavian Journal of Social Medicine, 13(3), 89-93. https://doi.org/10.1177/140349488501300303
Posselt, M., Deans, C., Baker, A., & Procter, N. (2019). Clinician wellbeing: The impact of supporting refugee and asylum seeker survivors of torture and trauma in the Australian context. Australian Psychologist, 54(5), 415-426. https://doi.org/10.1111/ap.12397
Qian, J., Wang, W., Sun, S., Liu, L., Sun, Y., & Yu, X. (2022). Interventions to reduce post- traumatic stress disorder symptoms in health care professionals from 2011 to 2021: A scoping review. BMJ Open, 12(1), Article e058214. https://doi.org/10.1136/bmjopen-2021-058214
Rauvola, R. S., Vega, D. M., & Lavigne, K. N. (2019). Compassion fatigue, secondary traumatic stress, and vicarious traumatization: A Qualitative Review and Research Agenda. Occupational Health Science, 3(3), 297-336. https://doi.org/10.1007/s41542-019-00045-1
Svenaeus, F. (2000). Das unheimliche-towards a phenomenology of illness. Medicine, Health Care and Philosophy, 3(1), 3-16. https://doi.org/10.1023/a:1009943524301
Silove, D., Ventevogel, P., & Rees, S. (2017). The contemporary refugee crisis: An overview of mental health challenges. World Psychiatry, 16(2), 130-139. https://doi.org/10.1002/wps.20438
Sprang, G., Ford, J., Kerig, P., & Bride, B. (2019). Defining secondary traumatic stress and developing targeted assessments and interventions: Lessons learned from research and leading experts. Traumatology, 25(2), 72-81. https://doi.org/10.1037/trm0000180
Stolorow, R. D. (2007). Trauma and human existence: Autobiographical, psychoanalytic, and philosophical reflections. Routledge.
Stolorow, R. D. (2008). The contextuality and existentiality of emotional trauma. Psychoanalytic Dialogues, 18(1), 113-123. https://doi.org/10.1080/10481880701790133
Stolorow, R. D. (2011). Toward greater authenticity: From shame to existential guilt, anxiety, and grief. International Journal of Psychoanalytic Self Psychology, 6, 285-287. https://doi.org/10.1080/15551024.2011.552411
Summerfield, D. (2000). War and mental health: a brief overview. BMJ, 321(7255), 232-235. https://doi.org/10.1136/bmj.321.7255.232
Thériault, A., & Gazzola, N. (2005). Feelings of inadequacy, insecurity, and incompetence among experienced therapists. Counselling and Psychotherapy Research, 5(1), 11-18. https://doi.org/10.1080/14733140512331343840
Togashi, K. (2017). Being thrown into the world without informed consent. Psychoanalysis, Self and Context, 12(1), 20-34. https://doi.org/10.1080/15551024.2017.1251177
van Deurzen, E. (2009). Everyday mysteries: existential dimensions of psychotherapy. Routledge.
van Deurzen, E. (2015). Structural existential analysis (SEA): A phenomenological method for therapeutic work. Journal of Contemporary Psychotherapy, 45(1), 59-68. https://doi.org/10.1007/s10879-014-9282-z
van Deurzen, E., & Arnold-Baker, C. (2018). Existential therapy: Distinctive features. Routledge. https://doi.org/10.4324/9781315461939
Wenzel, T., Griengl, H., Stompe, T., Mirzaei, S., & Kieffer, W. (2000). Psychological disorders in survivors of torture: Exhaustion, impairment and depression. Psychopathology, 33(6), 292-296. https://doi.org/10.1159/000029160
Yalom, I. D. (1980). Existential psychotherapy. Basic Books.
Yovel, Y. (1986). Nietzsche and Spinoza: amor fati and amor dei . In: Yovel, Y. (eds) Nietzsche as Affirmative Thinker. Martinus Nijhoff Philosophy Library, vol 13. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4360-5_12

Auteurs

Pearl Fernandes (P)

School of Psychology, University of Sydney, Sydney, Australia.
Service for the Treatment and Rehabilitation of Torture and Trauma Survivors, Sydney, Australia.

Paul Rhodes (P)

School of Psychology, University of Sydney, Sydney, Australia.

Niels Buus (N)

School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.

Classifications MeSH