Psychodynamic Psychotherapy for Refugees and Asylum Seekers: A Qualitative Outcome Study of Group-Based and Individual Treatments for PTSD
(2022) PSPR14 20212Department of Psychology
- Abstract
- OBJECTIVE. How is psychodynamic psychotherapy experienced by refugees with posttraumatic stress disorder? To answer this, patients’ experiences of group and individual psychotherapy were analyzed and compared. METHOD. Semi-structured interviews were carried out with 10 former patients at a Swedish outpatient clinic specialized in the treatment of patients with experiences of migration, war, and torture. 5 patients had received psychoanalytic group therapy (PAGT) and 5 had received individual psychodynamic psychotherapy (PDT) with exposure-based elements. Data were analyzed according to the principles of grounded theory, while also adopting reflexive pragmatism. Furthermore, posttraumatic stress and global distress were assessed using... (More)
- OBJECTIVE. How is psychodynamic psychotherapy experienced by refugees with posttraumatic stress disorder? To answer this, patients’ experiences of group and individual psychotherapy were analyzed and compared. METHOD. Semi-structured interviews were carried out with 10 former patients at a Swedish outpatient clinic specialized in the treatment of patients with experiences of migration, war, and torture. 5 patients had received psychoanalytic group therapy (PAGT) and 5 had received individual psychodynamic psychotherapy (PDT) with exposure-based elements. Data were analyzed according to the principles of grounded theory, while also adopting reflexive pragmatism. Furthermore, posttraumatic stress and global distress were assessed using Posttraumatic Stress Disorder Checklist (PCL-5) and Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). The quantitative data were analyzed using an independent samples t-test. RESULTS. PAGT was experienced as ‘building a home’, whereas PDT was experienced as ‘being reborn’. The experiences of individual psychotherapy suggested that it was helpful in the treatment of PTSD, whereas group psychotherapy involved a sense of belongingness and closeness within the group. However, there were no significant differences between group and individual psychotherapy on PCL-5 or CORE-OM. CONCLUSION. Elaborating on previous qualitative outcome studies, psychotherapy was experienced as both helpful and painful, widening the current knowledge of evidence-based research. (Less)
- Abstract (Swedish)
- MÅL. För att svara på hur psykodynamisk psykoterapi av posttraumatiskt stressyndrom upplevdes bland flyktingar analyserades och jämfördes deras erfarenheter av grupp- och individuell psykoterapi. METOD. 10 tidigare patienter från en öppenvårdsmottagning specialiserad på behandling av patienter med erfarenheter av migration, krig och tortyr rekryterades till studien. 5 patienter hade gått i psykoanalytisk gruppterapi (PAGT) och 5 hade gått i individuell psykodynamisk psykoterapi (PDT) med exponeringsbaserade inslag. Semistrukturerade intervjuer genomfördes och analyserades enligt principerna för grundad teori. Därutöver utvärderades posttraumatisk stress och psykisk hälsa med hjälp av de två enkäter, Posttraumatic Stress Disorder Checklist... (More)
- MÅL. För att svara på hur psykodynamisk psykoterapi av posttraumatiskt stressyndrom upplevdes bland flyktingar analyserades och jämfördes deras erfarenheter av grupp- och individuell psykoterapi. METOD. 10 tidigare patienter från en öppenvårdsmottagning specialiserad på behandling av patienter med erfarenheter av migration, krig och tortyr rekryterades till studien. 5 patienter hade gått i psykoanalytisk gruppterapi (PAGT) och 5 hade gått i individuell psykodynamisk psykoterapi (PDT) med exponeringsbaserade inslag. Semistrukturerade intervjuer genomfördes och analyserades enligt principerna för grundad teori. Därutöver utvärderades posttraumatisk stress och psykisk hälsa med hjälp av de två enkäter, Posttraumatic Stress Disorder Checklist (PCL-5) och Clinical Outcomes in Rutine Evaluation-Outcome Measure (CORE-OM). Dessa kvantitativa data analyserades med hjälp av ett t-test för oberoende stickprov. Hela uppsatsen genomsyrades samtidigt av reflexiv pragmatism RESULTAT. Deltagarnas upplevelser av individuell psykoterapi indikerade att deras behandling hade varit hjälpsam vad gällde PTSD, medan deltagare som fått gruppterapi inte upplevde samma förändring. Istället medförde gruppterapi en känsla av samhörighet och närhet inom gruppen. Därigenom kunde kvalitativa skillnader skönjas mellan terapimodaliteterna, där PDT upplevdes som ‘att pånyttfödas’ och PAGT upplevdes som att ‘bygga ett hem’. Det fanns dock inga signifikanta skillnader mellan grupp- och individuell psykoterapi på PCL-5 eller CORE-OM. SLUTSATS. Uppsatsen vidgar den nuvarande kunskapen om evidensbaserad forskning genom att bidra med kvalitativ kunskap om hur förändring upplevs både som hjälpsamt och som smärtsamt för patienten. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/9074384
- author
- Zinfandel, Sebastian LU
- supervisor
- organization
- course
- PSPR14 20212
- year
- 2022
- type
- H3 - Professional qualifications (4 Years - )
- subject
- keywords
- Refugees, Trauma, Psychodynamic Psychotherapy, Group Psychotherapy, Qualitative Methods
- language
- English
- id
- 9074384
- date added to LUP
- 2022-02-02 16:12:18
- date last changed
- 2022-02-02 16:12:18
@misc{9074384,
abstract = {{OBJECTIVE. How is psychodynamic psychotherapy experienced by refugees with posttraumatic stress disorder? To answer this, patients’ experiences of group and individual psychotherapy were analyzed and compared. METHOD. Semi-structured interviews were carried out with 10 former patients at a Swedish outpatient clinic specialized in the treatment of patients with experiences of migration, war, and torture. 5 patients had received psychoanalytic group therapy (PAGT) and 5 had received individual psychodynamic psychotherapy (PDT) with exposure-based elements. Data were analyzed according to the principles of grounded theory, while also adopting reflexive pragmatism. Furthermore, posttraumatic stress and global distress were assessed using Posttraumatic Stress Disorder Checklist (PCL-5) and Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). The quantitative data were analyzed using an independent samples t-test. RESULTS. PAGT was experienced as ‘building a home’, whereas PDT was experienced as ‘being reborn’. The experiences of individual psychotherapy suggested that it was helpful in the treatment of PTSD, whereas group psychotherapy involved a sense of belongingness and closeness within the group. However, there were no significant differences between group and individual psychotherapy on PCL-5 or CORE-OM. CONCLUSION. Elaborating on previous qualitative outcome studies, psychotherapy was experienced as both helpful and painful, widening the current knowledge of evidence-based research.}},
author = {{Zinfandel, Sebastian}},
language = {{eng}},
note = {{Student Paper}},
title = {{Psychodynamic Psychotherapy for Refugees and Asylum Seekers: A Qualitative Outcome Study of Group-Based and Individual Treatments for PTSD}},
year = {{2022}},
}