Intervention strategies with youth

A ‘Springy Tornado’: Therapy with a Child Refugee with Disorganized Attachment

Bennett-Murphy, L. (2011). A springy tornado: therapy with a child refugee with disorganized attachment. Attachment: new directions in psychotherapy and relational analysis. 5(2), 176-190.

In this article, the author discusses the development of disorganized attachment, common countertransferential challenges and the treatment of Ali, a nine year old refugee boy from war torn Iraq.

We encourage you to also watch the video of Laura Bennett-Murphy speaking about disrupted attachments, and review the PowerPoint from her talk.

Full article may be downloaded for a fee at link below.

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Cognitive behavioral therapy for symptoms of trauma and traumatic grief in refugee youth

Murray, L et al (2008). Cognitive behavioral therapy for symptoms of trauma and traumatic grief in refugee youth. Child and Adolescent Psychiatric Clinics of North America. 17, 585-604

This paper describes empirical studies on the efficacy of cognitive behavioral therapy (CBT) models in multiple treatment settings (schools, clinics, etc) and with specialized populations. The article also includes a thorough description of components of CBT.

Link is to abstract; full article requires paid subscription.

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CVT Jordan: Using Stories to Break Silence

Torture and war can have a negative effect on communication within a family. To address this, CVT staff in Jordan conducted innovative storytelling counseling sessions with two groups of fathers and teenagers. The theme focused on “breaking the silence” to help improve communication among Iraqi refugees who have survived torture and war trauma. Silence and miscommunication continued to jeopardize their healing even after receiving in-depth trauma therapy from CVT.Psychotherapist, Muriel Genot and psychosocial counselors Insherah Mousa, Maysa’ Alhmouz and Mohammed Taha joined the groups and participated in the brainstorming and decision-making process, which was conducted by voting.  A professional storywriter also took part in three of the sessions.

The two groups worked in parallel for 12 sessions each, and had 3 phases:

1. Preparation Phase: Identifying areas of silence and disconnections and their effects on individuals and families that was the content of the story.

2. Writing the story.

3. Reflection on the process and the stories.

There were 11 fathers, between 30-50 years old, and 10 teenagers, mostly males, between 11-14 years old. All of them had completed counseling sessions and most had completed their one-year follow up. The two groups were divided into smaller groups and elements from all of them were gathered to form the stories. At the end of the session the two groups read their stories to each other.The process of developing the two stories helped the participants to talk about their pain and encouraged active participation. Communication between the fathers and their children also improved. It was interesting to see how both groups were able to accurately identify the placements of silence and miscommunication in the other group’s story. The two groups agreed to put the stories in one booklet titled Between Two Generations, with illustrations for each story. One of the female teenagers helped to draw the fathers’ group story and an Iraqi female professional artist helped to draw the teenagers’ story. The stories will be printed and distributed among the participants and can be used as therapeutic tools for CVT’s group counseling sessions in the future.

Here are a few responses from fathers who participated in this unique approach:

One of the fathers who took part in the storytelling session said, “CVT is like a mother you seek to tell about your trouble.” He also said, “The group was brilliant, and helped me to reduce smoking.”

"مركز ضحايا التعذيب مثل أم نلجأ إليها لنفضفض همومنام."

"المجموعة رائعة، وساعدتني في الإقلال من التدخين."

Another father who had a traumatic experience during the phase of writing the story said that “by participating in the writing process I released most of my pain regarding that personal event”.

" المشاركة في كتابة القصة ساعدتني كثيرا على التعبير عن الألم الذي شعرت به بعد هذا الحادث "

One of the fathers in the combined session said that “we are proud that our children are sitting with us and sharing their opinions, this is by its self a break to the silence and a rebuild of connections”

" نحن فخورين بأن أبناءنا جالسون معنا و يناقشون  ويعطون آراءهم ، هذا بحد ذاته كسر للصمت و تمتين للروابط "

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Serving Children who are Torture Survivors

This webinar, from 1/23/2008, features Amber Gray and Kate Porterfield.

This webinar is presented as a part of the National Capacity Building (NCB) webinar series. NCB is a project of the Center for Victims of Torture.

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Date: 

Wednesday, 23 January 2008

Synopsis

This webinar is intended for therapists working with children who are torture survivors or war traumatized, and it discusses two specific ways of working with these children therapeutically instead of discussing methods to broadly serve them. It also applies to therapists practicing Somatic Psychology and/or Dance Movement Therapy, though non-practitioners can include applicable elements in their own practices. By looking at different kinds of settings therapists might be in when working with war traumatized or tortured children and operating from these lenses, the goals of this webinar are to show how to understand what predicts how kids function after war, be able to use these predictors as a guideline for assessment of children in treatment, discuss techniques that work in a clinic-based environment such as storytelling, and discuss movement-based, experiential techniques that work in many environments. This webinar also includes case examples involving children from war zones regarding the application of these therapeutic tactics.

Websites

Bellvue/NYU Program for Survivors of Torture

Children & Youth section of HealTorture.org

National Child Traumatic Stress Network

New Tactics in Human Rights Tactical notebook about working with child soldiers in post-war Mozambique

Restorative Resources Amber Elizabeth Gray's Website

Case Study of George at Restorative Resources

Articles

Gibson, K. (1989) Children in Political Violence. Social Science and Medicine 28(7).

Porterfield, K. and Akinsulure-Smith, A. Therapeutic Work with Children and Families. In Smith, H., Keller, A., & Lhewa, D., (Eds.) "...Like a Refugee Camp on First Avenue:" Insights and Experiences from the Bellevue/NYU Program for Survivors of Torture. (pp. 299-335). New York, New York.

Books

Minefields in Their Hearts: The Mental Health of Children in War and Communal Violence by Roberta Apfel (Editor), Bennett Simon (Editor)

Young Children and Trauma: Intervention and Treatment by Joy D. Osofsky (Editor)

Especially recommended chapter from the above book is the chapter entitled: Rainbows of Tears, Souls Full of Hope: Cultural Issues Related to Young Children and Trauma by Chandra Ghosh Ippen and Marva L. Lewis

My Name is…Stories and Art by Young Refugees in Minnesota Schools download the entire book below (16.5 MB - long download), or click here to order a hardcopy of the book

Developed for teachers to increase their understanding of refugee student experiences or to be used with mainstream students to increase their awareness of their peers’ experience. It can also be used by trained professionals in their work with refugee youth to help refugee students see that they are not alone in their experiences.

Attachment(s): 

Storytelling and bookmaking techniques & tips

This handout, by Kate Porterfield, PhD, includes guidelines on using techniques such as storytelling and bookmaking with children who have experienced trauma.

An example of a book featuring stories and art by young refugees is available here: My Name Is...

We also encourage you to review the webinar by Dr. Porterfield which addresses Serving Children who are Torture Survivors.

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