Morgan Erin, Wieling Elizabeth, Hubbard John, Kraus Elsa
University of Minnesota.
Center for Victims of Torture.
J Marital Fam Ther. 2018 Apr;44(2):235-247. doi: 10.1111/jmft.12287. Epub 2017 Dec 1.
In this article, we present development and feasibility of implementation of a multi-couple group for use with torture-surviving couples. The model was developed in the Democratic Republic of the Congo in a community that experienced widespread torture during the wars from 1998 to 2004. The Torture-Surviving Couple Group model is a short-term intervention designed to use few human resources to address relational difficulties resulting from exposure to traumatic stressors. The model was guided by critical and feminist epistemologies and employed an ecological lens to incorporate neurobiology and attachment processes along with narrative therapy techniques. An existing multi-couple group model for addressing violence (Stith, Rosen, McCollum, & Thomsen, ), and a stage model for healing trauma (Herman, ) also informed the structural development of the Torture-Surviving Couple Group model. Couple groups were conducted using a 10-session program with 13 couples who met weekly. Session themes were incorporated into four phases emphasizing: (a) preparation; (b) safety and stabilization; (c) processing the relationship effects of trauma and grief; and (d) reintegration and rebuilding couple and family life. Couples reported and showed remarkable progress in their relationships after participating in the groups. Clinical and research implications and discussed along with the feasibility of developing and testing the model in a post-conflict low income setting.
在本文中，我们介绍了为遭受酷刑的夫妇设计的多对夫妇小组的开发情况及实施的可行性。该模式是在刚果民主共和国一个社区开发的，该社区在1998年至2004年的战争期间经历了广泛的酷刑。遭受酷刑夫妇小组模式是一种短期干预措施，旨在利用较少的人力资源来解决因接触创伤性应激源而产生的关系困难。该模式以批判认识论和女性主义认识论为指导，采用生态视角，将神经生物学和依恋过程与叙事治疗技术相结合。现有的一个解决暴力问题的多对夫妇小组模式（斯蒂思、罗森、麦科勒姆和汤姆森）以及一个创伤愈合阶段模式（赫尔曼）也为遭受酷刑夫妇小组模式的结构发展提供了参考。夫妇小组采用一个为期10节的课程，有13对夫妇参加，他们每周会面一次。课程主题分为四个阶段，重点强调：（a）准备；（b）安全与稳定；（c）处理创伤和悲伤对关系的影响；（d）重新融入以及重建夫妻和家庭生活。夫妇们报告并显示出在参加小组后他们的关系取得了显著进展。文中还讨论了临床和研究意义以及在冲突后低收入环境中开发和测试该模式的可行性。
