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Title: Asylum-seeking peoples' experiences of Narrative Exposure Therapy
Author: Cicconi, Francesca
ISNI:       0000 0004 7964 8220
Awarding Body: UCL (University College London)
Current Institution: University College London (University of London)
Date of Award: 2018
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Overview Refugees and asylum-seeking people who have experienced multiple and prolonged traumatic events have specialised needs for psychological therapy. This thesis investigates the acceptability, process and outcome of interventions provided to this population by mental health services in host countries. This thesis is in three parts. Part 1 is a systematic literature review and meta-synthesis investigating refugee and asylum-seeking peoples' views of the barriers and facilitators to formal help-seeking for mental health difficulties. Seventeen qualitative studies were reviewed and synthesised. Findings suggest that help-seeking and accessing mental health services was influenced by the individual's beliefs about the causes of distress, social and cultural perceptions of mental health, and service and treatment related factors. However, quality of the studies varied, and facilitators to help-seeking and the views of young refugee and asylum-seeking people were not well elaborated. Part 2 presents a qualitative study exploring 11 asylum-seeking peoples' views of the effectiveness and acceptability of Narrative Exposure Therapy. Therapy was experienced as a challenging process, which was tolerated in part through building a trusting therapeutic relationship. Following therapy participants reported being better able to manage intrusive re-experiencing of past traumatic events, alongside improved interpersonal relationships and increased activity levels. The challenges of completing therapy with people with uncertain asylum status are considered in light of the findings. Part 3 is a reflective and critical discussion of conducting the empirical study. Several challenges faced in conducting the interviews are addressed, as well as issues of epistemological and personal reflexivity.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available