"Business as usual won't work … ": Therapists' experiences and preparedness for providing refugees with trauma-related interventions.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-09-24 DOI:10.1080/10503307.2024.2406544

Niamh Davoren, Alice McEleney, Santhi Corcoran, Donal G Fortune

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引用次数: 0

Abstract

Objective: Worldwide, the numbers of refugees and displaced people being exposed to traumatic and inhumane experiences are escalating, resulting in an enhanced need for appropriate psychological management of trauma in this at-risk group. This study explores therapists' perspectives on and preparedness for supporting adult refugees with trauma-related interventions.

Method: Therapists (N = 17), with varying ranges of experiences supporting adult refugee clients, were recruited nationally, and participated in semi-structured interviews, exploring their experiences and preparedness for therapeutically supporting refugee clients with trauma-related interventions. Data were analyzed using reflexive thematic analysis. A Patient Public Involvement (PPI) approach was embedded within this study.

Results: Five major themes were developed throughout the analysis: (i) Therapists' Fears and Apprehensions in Meeting Client Complexities, (ii) Preparation and Support for Competency Development, (iii) Adjusting Preconceptions of the Nature of Therapeutic Work, (iv) Humanity Within the Therapeutic Relationship, and (v) Balancing Therapeutic Meaningfulness and Hardships.

Conclusion: Therapist training must reflect trauma-informed care and inter-cultural awareness to allow therapists to feel better prepared within mainstream and specialist services. Further, therapists' well-being needs to be prioritized to prevent vicarious trauma, burn-out and ultimately, improve interventions for clients.

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"一切照旧是行不通的......"：治疗师为难民提供创伤相关干预措施的经验和准备情况。

目的：在全球范围内，遭受创伤和非人道经历的难民和流离失所者的人数正在不断增加，因此对这一高危群体进行适当的创伤心理治疗的需求也在不断增加。本研究探讨了治疗师在通过与创伤相关的干预措施为成年难民提供支持方面的观点和准备情况：研究人员在全国范围内招募了治疗师（N = 17），他们为成年难民客户提供支持的经验各不相同，并参与了半结构化访谈，探讨了他们为难民客户提供创伤相关干预治疗的经验和准备情况。数据采用反思性主题分析法进行分析。本研究采用了 "患者与公众参与"（Patient Public Involvement，PPI）的方法：在整个分析过程中形成了五大主题：(i) 治疗师在应对客户复杂性时的恐惧和忧虑，(ii) 能力发展的准备和支持，(iii) 调整对治疗工作性质的先入之见，(iv) 治疗关系中的人性化，以及 (v) 平衡治疗的意义和困难：治疗师培训必须反映创伤知情护理和跨文化意识，使治疗师在主流和专科服务中做好更充分的准备。此外，治疗师的福祉需要得到优先考虑，以防止替代性创伤和职业倦怠，并最终改善对客户的干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.