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Mental Health and Psychosocial Support
Published in Miriam Orcutt, Clare Shortall, Sarah Walpole, Aula Abbara, Sylvia Garry, Rita Issa, Alimuddin Zumla, Ibrahim Abubakar, Handbook of Refugee Health, 2021
Peter Ventevogel, Benedicte Duchesne, Peter Hughes, Claire Whitney
Therapies based on CBT with a trauma focus have in common that they focus on the symptoms of PTSD and particularly on reducing re-experiencing symptoms through guided exposure methods. Over the years, a strong evidence base has been built to show that such psychological therapies, such as narrative exposure therapy80,81 and cognitive processing therapy,77,82 while often delivered by mental health professionals, can also be successfully delivered by lay workers.
Asylum-seeking and refugee children: a step beyond conventional interventions
Published in Panos Vostanis, Helping Children and Young People Who Experience Trauma, 2021
Narrative exposure therapy follows the child’s life experiences and their impact through their stories, before these are deconstructed and enriched to produce a new meaning. Testimonial psychotherapy and its variations, has the advantage of having been developed as a brief psychosocial cross-cultural approach to trauma, thus bridging cultural barriers between child and therapist. The child is enabled to map their fragmented memories of trauma before recovering their emotional and social resources. In eye movement desensitisation, the aim is to build new connections between traumatic memories and adaptive information through a combination of recalling images and beliefs, while paying attention to external stimuli guided by the therapist, then discussing what was brought up during this process.
Evaluating Analysis and Results Sections: Mixed Methods Research
Published in Fred Pyrczak, Maria Tcherni-Buzzeo, Evaluating Research in Academic Journals, 2018
This study uses a mixed methods convergent design: a quantitative repeated measures design and qualitative methods consisting of a Grounded Theory design. The aim of a mixed methods design is to integrate quantitative and qualitative components to obtain additional knowledge (Boeije, Slagt, & Van Wesel, 2013; Creswell & Zhang, 2009). In this study, integration will be focused on interpreting how qualitative outcomes regarding patients’ experiences with NET [narrative exposure therapy] enhance the understanding of the quantitative clinical outcomes.
The inter-agency standing committee (IASC) guidelines on mental health and psychosocial support (MHPSS) in emergency settings: a critique
Published in International Review of Psychiatry, 2022
Outcome research on trauma treatment has been conflicting; some evidence suggests no correlation between psychosocial interventions for the treatment of trauma and the improvement of ‘symptoms’ (Summerfield, 2001; Tol et al., 2011). In one systematic review, most studies had utilised different forms of cognitive-behavioral therapy (CBT), (Chipalo, 2021; Palic & Elklit, 2011). One study found Narrative Exposure Therapy (NET) was shown to be a potentially beneficial intervention for treating trauma-symptoms but there was a call for studies to be more transparent regarding any attempts to make interventions more culturally appropriate beyond language adaptations (Wright et al., 2020). Systematic reviews including randomised controlled trials (RCTs), have found some evidence that Eye Movement Desensitisation and Reprocessing, (EMDR) and trauma focussed psychological therapies were effective in managing trauma symptoms (Naseh et al., 2019; Thompson et al., 2018a). It should be noted that studies measuring intervention outcomes do so based on the model of psychopathology. In other words, psychopathology asserts distress is the presence of a set of pre-defined symptoms, an intervention aims to remove these symptoms, and the outcome is measured on the success of the symptom removal. If an instrument was created to measure wellbeing as defined by the effected community, these results may be different.
A Comparison of Narrative Exposure Therapy and Non-Trauma-Focused Treatment in Post-Traumatic Stress Disorder: A Systematic Review and Meta-Analysis
Published in Issues in Mental Health Nursing, 2020
NET attempts to reorganise a disordered memory against the backdrop of the individual’s lifeline—this enhances the coding of the declarative autobiographical memory (cold memories) (Robjant & Fazel, 2010) and provides a temporal and spatial context to traumatic events. Exposure to the traumatic episodes is maintained until the individual’s arousal diminishes (Elbert, Schauer, & Neuner, 2015). Narrative Exposure Therapy does not intend to shun the meaning that the individual attributes to the traumatic event but to allow him/her to perceive the event and react to its memory in a less distressing manner (Kangaslampi, Garoff, & Peltonen, 2015).
Positive psychotherapy in the treatment of traumatised Yezidi survivors of sexualised violence and genocide
Published in International Review of Psychiatry, 2020
Jan Ilhan Kizilhan, Thomas Wenzel
The combination of narration and exposure therapy has been demonstrated to be helpful and effective in different cultures. Narrative Exposure Therapy and Culture-Sensitive Narrative Trauma Therapy are examples for this approach (Kizilhan, 2019; Schubert et al., 2019).