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“This is a wound of the soul” – examining experiences of lay therapy as trauma treatment in northern Uganda

Norlinder, Mattias LU and Pein, Jenny LU (2019) PSPR14 20191
Department of Psychology
Abstract (Swedish)
Bakgrund: Denna studie utforskar klienter, terapeuter och handledares erfarenheter av lekmannaterapi som traumabehandling i norra Uganda. Deltagarnas erfarenheter av vad som anses vara viktigt gällande implementering, planering och kontext utforskas tillsammans med vilka möjligheter och begränsningar deltagarna ser gällande detta behandlingsupplägg. Metod: 14 semistrukturerade intervjuer genomfördes med 13 deltagare varav två klienter, nio terapeuter och två handledare. Deltagarnas bidrag analyserades med hjälp av tematisk analys och resulterade i 18 teman i fyra grupper. Resultat: Studiens huvudsakliga resultat visade på erfarenheter av en initial misstro från patienterna gentemot terapeuterna, bristande resurser kombinerat med omfattande... (More)
Bakgrund: Denna studie utforskar klienter, terapeuter och handledares erfarenheter av lekmannaterapi som traumabehandling i norra Uganda. Deltagarnas erfarenheter av vad som anses vara viktigt gällande implementering, planering och kontext utforskas tillsammans med vilka möjligheter och begränsningar deltagarna ser gällande detta behandlingsupplägg. Metod: 14 semistrukturerade intervjuer genomfördes med 13 deltagare varav två klienter, nio terapeuter och två handledare. Deltagarnas bidrag analyserades med hjälp av tematisk analys och resulterade i 18 teman i fyra grupper. Resultat: Studiens huvudsakliga resultat visade på erfarenheter av en initial misstro från patienterna gentemot terapeuterna, bristande resurser kombinerat med omfattande behov och pekade på vikten av en stöttande organisation för en fungerande lekmannaterapi. Diskussion: Gemensamma aspekter i bakgrund mellan klient och terapeut kan ha en betydelse för alliansbyggandet. En integration gentemot stödsystem, tydligt definierade gränser samt pågående utbildning och handledning läggs fram som viktiga faktorer att ha i åtanke för framtida interventioner med lekmannaterapi. (Less)
Abstract
Background: This study explored the experiences of clients, therapists and supervisors in regards to lay therapy as trauma treatment in Northern Uganda. The participants’ experiences of what is important in the implementation, planning and context for such treatment setup to be successful, as well as the potentials and limitations are explored. Method: A total of 14 semi-structured interviews were conducted with 13 participants, consisting of two clients, nine therapists and two supervisors. The contributions from the participants were analysed using thematic analysis resulting in a total of 18 themes across four groups. Results: The main results showed experiences of initial suspicion from the clients towards the therapists, distress in... (More)
Background: This study explored the experiences of clients, therapists and supervisors in regards to lay therapy as trauma treatment in Northern Uganda. The participants’ experiences of what is important in the implementation, planning and context for such treatment setup to be successful, as well as the potentials and limitations are explored. Method: A total of 14 semi-structured interviews were conducted with 13 participants, consisting of two clients, nine therapists and two supervisors. The contributions from the participants were analysed using thematic analysis resulting in a total of 18 themes across four groups. Results: The main results showed experiences of initial suspicion from the clients towards the therapists, distress in connection to the clients’ stories, a lack of resources combined with extensive needs, and the importance of a supportive organization in a lay therapy setting. Discussion: Shared aspects in the background of the client and the therapist is stipulated to play a role when forming an alliance. An integration with other support systems, clearly defined boundaries and ongoing supervision and training are put forward as important considerations for future lay therapy interventions. (Less)
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author
Norlinder, Mattias LU and Pein, Jenny LU
supervisor
organization
course
PSPR14 20191
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
Lay therapy, Lay counselling, PTSD, Task sharing, Treatment gap, Trauma
language
English
id
8991356
date added to LUP
2019-08-12 11:34:44
date last changed
2019-08-12 11:34:44
@misc{8991356,
  abstract     = {Background: This study explored the experiences of clients, therapists and supervisors in regards to lay therapy as trauma treatment in Northern Uganda. The participants’ experiences of what is important in the implementation, planning and context for such treatment setup to be successful, as well as the potentials and limitations are explored. Method: A total of 14 semi-structured interviews were conducted with 13 participants, consisting of two clients, nine therapists and two supervisors. The contributions from the participants were analysed using thematic analysis resulting in a total of 18 themes across four groups. Results: The main results showed experiences of initial suspicion from the clients towards the therapists, distress in connection to the clients’ stories, a lack of resources combined with extensive needs, and the importance of a supportive organization in a lay therapy setting. Discussion: Shared aspects in the background of the client and the therapist is stipulated to play a role when forming an alliance. An integration with other support systems, clearly defined boundaries and ongoing supervision and training are put forward as important considerations for future lay therapy interventions.},
  author       = {Norlinder, Mattias and Pein, Jenny},
  keyword      = {Lay therapy,Lay counselling,PTSD,Task sharing,Treatment gap,Trauma},
  language     = {eng},
  note         = {Student Paper},
  title        = {“This is a wound of the soul” – examining experiences of lay therapy as trauma treatment in northern Uganda},
  year         = {2019},
}