干旱区生态环境知识资源中心(Arid): Trauma Treatment through Art Therapy (TT-AT): a 'women and trauma' group in Tanzania

Arid

DOI	10.1080/17454832.2021.1957958
	Trauma Treatment through Art Therapy (TT-AT): a 'women and trauma' group in Tanzania
	Luzzatto, P.; Ndagabwene, A.; Fugusa, E.; Kimathy, G.; Lema, I.; Likindikoki, S.
通讯作者	Luzzatto, P (corresponding author), Muhimbili Univ Hlth & Allied Sci MUHAS, Dept Psychiat & Mental Hlth, Dar Es Salaam, Tanzania.
来源期刊	INTERNATIONAL JOURNAL OF ART THERAPY
ISSN	1745-4832
EISSN	1745-4840
出版年	2021
英文摘要	Background In low-middle income countries the number of patients suffering from PTSD (from adult onset trauma) and from complex-PTSD (who have suffered from childhood emotional, physical and sexual abuse, deprivation and domestic violence) is high, but there is a shortage of clinical psychologists. The International Society for Traumatic Stress Studies (ISTSS) has recommended the development of innovative interventions. Context At Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania, a number of mental health professionals have been trained in providing Art Therapy as an 'additional skill' within their respective professions. In the Department of Psychiatry we have developed a protocol for a short-term Trauma Treatment with Art Therapy (TT-AT). Approach Our intervention is focused on the six patients' needs outlined by ISTSS in the following areas: Emotion Regulation; Relationships; Self-Identity; Gradual Exposure to Trauma; Integration of Trauma; Personal Resources. We have developed six Art Therapy workshops aimed to address each one of these needs. The approach is supportive and non-interpretative. Outcomes The intervention was developed at Muhimbili National Hospital with a 'Women's Group' of four patients, who had experienced different types of trauma. All patients attended regularly and reported improvements to their trauma symptoms. Conclusion This short-term art therapy intervention was useful with this population, and may be applicable to patients who suffer from a broad range of traumatic experience. Implication for research The protocol is described in detail, and can easily be replicated for clinical purposes and research. Plain-language summary There is a need for innovative interventions in the field of trauma, especially when the trauma was experienced during childhood (loss, abuse, deprivation and domestic violence). The task force of the International Society for Traumatic Stress Studies have encouraged the development of innovative interventions, recommending that new interventions are focused on patients' needs rather than on trauma exposure, and should include emotional strengthening interventions. Six psychological needs were outlined by the International Society for Traumatic Stress Studies in the following areas: emotion regulation; relationships; self-identity/self-esteem; gradual exposure to the trauma; integration of the trauma in one's life; and personal resources. At Muhimbili University of Health and Allied Sciences, in Dar es Salaam, Tanzania, we developed a Group Art Therapy intervention protocol, which was based on six art therapy workshops, plus time for free art making. The intervention was carried out with a group of four female patients who had all experienced different types of trauma, and began with three strengthening workshops: Filling the body outline, to facilitate the safe expression of emotions; A memory of a positive relationship in childhood, to remember positive relationships; and The fantasy of a tree growing in the desert, to cultivate feelings of hope. The next two workshops were focused on a gradual exposure to the trauma, these included: The fantasy of a traumatised child; and The life-line, to integrate positive and negative memories. The final workshop was devoted to strengthening the awareness of personal resources. The four patients all attended regularly and reported improvements to their trauma symptoms at the end of the intervention.
英文关键词	Trauma complex trauma refugees group therapy symbolic expression
类型	Article ; Early Access
语种	英语
收录类别	ESCI
WOS记录号	WOS:000684416200001
WOS关键词	POSTTRAUMATIC-STRESS-DISORDER ; COMBAT-RELATED PTSD ; COMPLEX PTSD ; MINDFULNESS
WOS类目	Psychology, Clinical ; Rehabilitation
WOS研究方向	Psychology ; Rehabilitation
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/363617
作者单位	[Luzzatto, P.; Lema, I.; Likindikoki, S.] Muhimbili Univ Hlth & Allied Sci MUHAS, Dept Psychiat & Mental Hlth, Dar Es Salaam, Tanzania; [Ndagabwene, A.; Fugusa, E.; Kimathy, G.] Muhimbili Natl Hosp MNH, Dept Psychiat & Mental Hlth, Dar Es Salaam, Tanzania; [Likindikoki, S.] Muhimbili Natl Hosp MNH, Dar Es Salaam, Tanzania
推荐引用方式 GB/T 7714	Luzzatto, P.,Ndagabwene, A.,Fugusa, E.,et al. Trauma Treatment through Art Therapy (TT-AT): a 'women and trauma' group in Tanzania[J],2021.
APA	Luzzatto, P.,Ndagabwene, A.,Fugusa, E.,Kimathy, G.,Lema, I.,&Likindikoki, S..(2021).Trauma Treatment through Art Therapy (TT-AT): a 'women and trauma' group in Tanzania.INTERNATIONAL JOURNAL OF ART THERAPY.
MLA	Luzzatto, P.,et al."Trauma Treatment through Art Therapy (TT-AT): a 'women and trauma' group in Tanzania".INTERNATIONAL JOURNAL OF ART THERAPY (2021).