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生命之树:一种在津巴布韦赋权并治愈酷刑幸存者的社区方法。

The Tree of Life: a community approach to empowering and healing the survivors of torture in Zimbabwe.

作者信息

Reeler Tony, Chitsike Kudakwashe, Maizva Fungisai, Reeler Beverley

机构信息

Research and Advocacy Unit, Harare, Zimbabwe.

出版信息

Torture. 2009;19(3):180-93.

Abstract

The article explores the effectiveness of the use of an empowerment workshop, called the Tree of Life, in the treatment of torture survivors. The approach is based on a survivor-to-survivor model of assistance. Research into the effectiveness of the method is carried out using a pre- and post measures using a psychiatric screening instrument, measuring depression and anxiety. Participants were also asked for feedback in a structured self-report upon completion of the workshop. In addition, an exit interview was conducted after follow-up, three months after the first workshop session. A total of 73 persons attended the workshops, and detailed follow up data was only available for 33. 36% showed significant clinical improvement, and the sample as a whole showed significant changes in their psychological state. More complete information was available for a smaller sample [19], which showed 39% having significant improvement. On follow-up, 44% were still experiencing difficulties, with most (72%) experiencing economic difficulties. On the positive side, 56% reported coping better, only 9% reported health problems, and most were still connected to the group with which they participated in the process. All felt that that the process had helped them, had helped them new things, and had changed in the way that they felt about their torture. The Tree of Life appears to be a useful, cost-effective, non-professional method of assisting torture survivors.

摘要

本文探讨了一种名为“生命之树”的赋权工作坊在治疗酷刑幸存者方面的有效性。该方法基于幸存者互助模式。通过使用一种精神科筛查工具,在工作坊前后分别测量抑郁和焦虑水平,来研究该方法的有效性。参与者在工作坊结束后还需通过结构化的自我报告提供反馈。此外,在第一次工作坊课程结束三个月后的随访期结束时进行了离职访谈。共有73人参加了工作坊,只有33人的详细随访数据可用。36%的人有显著的临床改善,整个样本的心理状态有显著变化。对于一个较小的样本(19人)有更完整的信息,其中39%有显著改善。随访时,44%的人仍有困难,大多数(72%)面临经济困难。积极的一面是,56%的人报告应对能力有所提高,只有9%的人报告有健康问题,大多数人仍与参与该过程的团体保持联系。所有人都觉得这个过程对他们有帮助,帮助他们学到了新东西,并且改变了他们对自己遭受酷刑的感受。“生命之树”似乎是一种有用、经济高效且非专业的帮助酷刑幸存者的方法。

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