ABSTRACT

Refugees and asylum seekers often experience violent conflict, profound loss, and exposure to physical, sexual, and relational traumas. Psychotherapy approaches that involve the body and movement can address embodied trauma and other mental health concerns with culturally and linguistically adaptable interventions. This meta-synthesis examines 11 qualitative and case studies published since 2014 on the use of body-based interventions with refugees. The synthesis employs meta-ethnographic methodology and identifies themes related to three categories: considerations for clinicians and treatment, intervention elements, and reported therapeutic outcomes. Themes for clinicians and treatment included: cultural competence, language barriers, attending and attunement, and barriers to treatment. Intervention elements emphasised in the studies were safety, ritual, metaphor, and embodiment, while reported therapeutic outcomes consisted of here and now presence, freedom of expression, increased bodily awareness, improved physical health, and improved emotional experiencing. Suggestions for future research and clinical practice conclude the paper.

摘要

难民和寻求庇护者经常经历暴力冲突、深刻的失落以及遭受身体、性和关系创伤。涉及身体和运动的心理治疗方法可以通过文化和语言适应性干预来解决具体创伤和其他心理健康问题。该元综合分析了自 2014 年以来发表的 11 项定性和案例研究，这些研究涉及对难民使用基于身体的干预措施。该综合采用元人种学方法并确定与三类相关的主题：临床医生和治疗的考虑因素、干预要素和报告的治疗结果。临床医生和治疗的主题包括：文化能力、语言障碍、就诊和协调以及治疗障碍。研究中强调的干预要素是安全性、仪式、隐喻和体现，而报告的治疗结果包括此时此地的存在、表达自由、增加身体意识、改善身体健康和改善情绪体验。对未来研究和临床实践的建议总结了论文。