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An exploratory study of client’s (refugees and asylum seekers) perceptions on client-centred counselling/psychotherapy before and after therapy. By Divine Charura. Research layout. Introduction Aims and objectives of the study Context of research , needs of asylum seekers and refugees
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An exploratory study of client’s (refugees and asylum seekers) perceptions on client-centred counselling/psychotherapy before and after therapy. By Divine Charura
Research layout • Introduction • Aims and objectives of the study • Context of research , needs of asylum seekers and refugees • Data collection process and thematic analysis of data • Presentation of results Clients’ perceptions before therapy and clients’ perceptions after therapy • Conclusion
Aims and objectives of the study The Key Aim: • To find out Clients’ perceptions and thoughts on client-centred counselling/psychotherapy before and after they have it. The Key objectives: • Explore clients’ perceptions and Identify emerging themes. • Explore how these fit with client-centred theory. • Make recommendations for the service and for future research.
Context of research & needs of asylum seekers and refugees • What is Solace? • Many refugees who come to the U.K. have experienced or witnessed torture, organised violence, sexual violence, war, trauma, multiple complex losses, dislocation from families, stress, bereavement and other inhumane treatment. (Solace 2008). • This group of people is most in need of health and welfare resources and often do not have access to any of these services ( Boyles 2008).
Data collection process and thematic analysis of data. • Research proposal and Ethics approval • Inclusion and exclusion criteria • Contacting potential participants • Interviews before therapy: analysis • Interviews after 12 sessions therapy • Thematic Analysis • Presentation of results. • Literature review
Presentation of resultsClients’ perceptions before therapy • Frustration around long waiting times • Urgency for help / to make things better. • British way of dealing with problems • Offers an opportunity to get help with /heal from past traumatic experiences through talking • Need for it to be a directive / non-directive therapy • An opportunity for social contact • Encompasses other complimentary therapies, practical elements and help. • Hopes and doubts - working with interpreters, gender of therapist/ interpreter, social circumstances of client, opposing forces, prior commencement of therapy
Presentation of results Clients’ perceptions after therapy • Change of perception after therapy from ambivalence to positive experience. • CCT as a positive experience • Healing from trauma • Value of non directive attitudes • Personality change self-measured through improvement in interpersonal relationships. • Unsure about whether CCT had helped or not. • CCT encompasses other complimentary therapies, practical elements and help.
Significance. • “….when I started here I think that I was nothing because of the way I have been abused, tortured and treated … I wanted to kill my self. Through your help here I don’t feel under trauma anymore; I am different person now… better …yeh”. • “You have done something unforgettable in my life…I used to think my life is finished but … life is worth living”
Reflections • Research findings. • Strengths of this study. • Limitations and challenges. • Recommendations. • Conclusion.
Conclusion. • The results from this research show a strong efficacy of CCT, particularly healing from trauma and personality change when working with refugees and asylum seekers. • Efficacy of CCT when working cross culturally. • Efficacy of CCT even in minimal basic needs. • Limitations of CCT • Fit with Client-centred theory • Lastly the results show evidence of the positive and specialist work that Solace is doing.
Thank you ! • “I did not have an idea about what it would be at the time…..and then we met every week for sessions...It was very useful and brilliant….”. • “It’s really good you see…because I feel better and better physically and mentally you see…so…”. • Well… I have no idea… maybe you know better than me …how has it helped me? • “I think and feel that a little bit at a time, I am coming to normal. I feel like myself again… they helped me here with my trauma…” Solace - surviving exile and persecution
References • Boyles J. (2008) Not Just naming the injustice- counselling Asylum seekers and Refugees. London, Medical foundation. • Haugh, S. and Paul, S., (2008) The Therapeutic Relationship (ed). PCCS Books, Ross-on-Wye, • Lambert P. (2007) Client perspectives on Counselling: Before, during and after. Counselling and Psychotherapy Research, 7 (2): 106-113. • Rogers, C. R. (1959a).The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95-103. • Rogers, C.R. (1980). A way of being. Boston: Houghton Mifflin • Solace (2008) Solace surviving persecution and exile: End of year Report. Leeds, Solace. • Solace (2009) Solace surviving persecution and exile: End of year Report. Leeds, Solace. • The Medical foundation (2009) [online]. [Accessed on 6 January 2009]. Available from World Wide Web: http://www.torturecare.org.uk/