Multidisciplinary group therapy for refugee patients with PTSD/CPTSD and psychosomatic comorbidity
DOI:
https://doi.org/10.56217/forum.vol12.78Keywords:
Trauma, Exile, Group-Treatment, Co-therapy, MultidisciplinaryAbstract
In this paper, we present a pilot project for multidisciplinary, time-limited, therapeutic treatment for patients living in exile, severely traumatized by war and/ or torture, suffering from complex post-traumatic stress disorder (PTSD), and psychosomatic comorbidity. The project was developed and conducted at a specialized, public out-patients unit in Gothenburg, Sweden, during February 2022 and June 2023. The authors, a psychologist and a physiotherapist, questioned the dualistic perspective in trauma treatment and aimed to test a new therapeutic model for group setting integrating two clinical approaches, i.e., psychodynamic process-oriented group treatment, and Norwegian psychomotor physiotherapy. The model is characterized by a trauma-informed and culturally sensitive perspective. The background and development of the project is described, along with clinical experience and reflections on the potentialities, and challenges of a co-therapeutic group setting integrating two professions in the treatment of severe psychic trauma.
References
Boulanger, G. (2005). From voyeur to witness. Psychoanalytic Psychology, 22(1), 21-31. https://doi.org/10.1037/0736-9735.22.1.21
Bunkan, B. H. (2001). Psykomotorisk fysioterapi – prinsipper og retningslinjer. Tidsskrift Nor Lægeforen, 121, 2845-2848.
Bunn, M., Goesel, C., Kinet, M., & Ray, F. (2015). Group treatment for survivors of torture and severe violence: A literature review. Torture, 26(1), 45-67.
Cabrera, A., Kolacz, J., Pailhez, G., Bulbena-Cabre, A., Bulbena, A., & Porges, S. W. (2018). Assessing body awareness and autonomic reactivity: Factor structure and psychometric properties of the Body Perception Questionnaire-Short Form (BPQ-SF). International Journal of Methods in Psychiatric Research, 27(2), e1596. https://doi.org/10.1002/mpr.1596
Cloitre, M., Shevlin, M., Brewin, C. R., Bisson, J. I., Roberts, N. P., Maercker, A., Karatzias, T., & Hyland, P. (2018). International Trauma Questionnaire (ITQ) [Database record]. APA PsycTests. https://doi.org/10.1037/t73478-000
Friis, M., Bunkan, B., Opjordsmoen, S., Moen, O., & Ljunggren, A. (2009). The Comprehensive Body Examination (CBE): From Global Impressions to Specific Sub-scales. Advances in Physiotherapy, 4, 161-168. https://doi.org/10.1080/14038190260501604
Garland, C. (1998). Understanding trauma: A psychoanalytical approach. The Tavistock Clinic Series. Karnac.
Garland, C. (2009). The Groups Book. The Tavistock Clinic Series. Karnac.
Garland, C., Hume, F., & Majid, S. (2002). Remaking connections: refugees and the development of “emotional capital” in therapy groups. In R. Papadopoulos (ed.), Therapeutic Care for Refugees (pp. 57-92). Karnac.
Hensner, K., & Mattson, M. (2023). Från jag till vi – deltagares erfarenheter av en integrativ traumabehandling i grupp. Examensarbete. Psykologprogrammet. Göteborgs Universitet.
Hopper, E. (2003). Traumatic Experience in the Unconscious Life of Groups. The International Library of Group Analysis.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S.-L. T., Walters, E. E., & Zaslavsky, A. M. (2002).
Kessler Psychological Distress Scale (K6, K10) [Database record]. APA PsycTests. https://doi.org/10.1037/t08324-000
Kira, I. A., Ahmed, A., Mahmoud, V., & Wassim, F. (2010). Group therapy model for refugee and torture survivors. Torture, 20(2), 108-113.
Kirkengen, A. L., & Thornquist, E. (2012). The lived body as a medical topic: An argument for an ethically informed epistemology. Journal of Evaluation in Clinical Practice, 18(5), 1095-101. https://doi.org/10.1111/j.1365-2753.2012.01925.x
Levine, P. A. (1997). Waking the Tiger: Healing Trauma. North Atlantic Books.
MacKenzie, K. R. (1983). The clinical application of group measure. In R. R. Dies & K. R. MacKenzie (eds.), Advances in group psychotherapy: Integrating research and practice (pp. 159-170). International Universities Press.
Papadopoulos, R. K. (2002). Therapeutic care for refugees: No place like home (The Tavistock Clinic Series). Karnac Books.
Porges, S. W. (2011). The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation. W. W. Norton & Company.
Sandahl, C., Nilsson Ahlin, H., Asklin-Westerdahl, C., Björling, M., Malmquist Saracino, A., Wennlund, L., Åkerström, U., & Örhammar, A. (2014). Gruppens potential: Att leda och utveckla gruppbehandling. Natur & Kultur Akademisk. van der Kolk, B. (2014). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Viking.
Varvin, S. (2003). Mental survival strategies after extreme traumatisation. Multivers.
Varvin, S. (2017). Flykt och exil. Göteborgs Psykoterapi Institut.
Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD. Retrieved from www.ptsd.va.gov
World Health Organization (WHO) (2018). International Classification of Diseases (11th Revision). WHO. Retrieved from https://www.who.int/classifications/icd/en/
Yalom, I., & Leszcz, M. (1970-2020). The theory and practice of group psychotherapy (6th ed.). Basic Books.
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