Voices of Dialogue and Directivity in Family Therapy With Refugees: Evolving Ideas About Dialogical Refugee Care
Identifieur interne : 000195 ( Main/Exploration ); précédent : 000194; suivant : 000196Voices of Dialogue and Directivity in Family Therapy With Refugees: Evolving Ideas About Dialogical Refugee Care
Auteurs : Lucia De Haene [Belgique] ; Peter Rober [Belgique] ; Peter Adriaenssens [Belgique] ; Karine Verschueren [Belgique]Source :
- Family Process [ 0014-7370 ] ; 2012-09.
English descriptors
- KwdEn :
- Adaptation, Psychological, Anxiety (psychology), Anxiety (therapy), Child, Communication, Disclosure, Emotions, Family Therapy (methods), Fear (psychology), Female, Humans, Life Change Events, Male, Narrative Therapy, Power (Psychology), Professional-Patient Relations, Refugees (psychology), Stress Disorders, Post-Traumatic (psychology), Stress Disorders, Post-Traumatic (therapy).
- MESH :
- methods : Family Therapy.
- psychology : Anxiety, Fear, Refugees, Stress Disorders, Post-Traumatic.
- therapy : Anxiety, Stress Disorders, Post-Traumatic.
- Adaptation, Psychological, Child, Communication, Disclosure, Emotions, Female, Humans, Life Change Events, Male, Narrative Therapy, Power (Psychology), Professional-Patient Relations.
Abstract
In this article, we reflect on our evolving ideas regarding a dialogical approach to refugee care. Broadening the predominant phased trauma care model and its engaging of directive expertise in symptom reduction, meaning making, and rebuilding connectedness, these developing dialogical notions involve the negotiation of silencing and disclosure, meaning and absurdity, hope and hopelessness in a therapeutic dialogue that accepts its encounter of cultural and social difference. In locating therapeutic practice within these divergent approaches, we argue an orientation on collaborative dialogue may operate together with notions from the phased trauma care model as heuristic background in engaging a polyphonic understanding of coping with individual and family sequelae of forced displacement. This locating of therapeutic practice, as informed by each perspective, invites us to remain present to fragments of therapeutic positioning that resonate power imbalance or appropriation in a therapeutic encounter imbued with a social context that silences refugees’ suffering. In a clinical case analysis, we further explore these relational complexities of negotiating directive expertise and collaborative dialogue in the therapeutic encounter with refugee clients.
Url:
DOI: 10.1111/j.1545-5300.2012.01404.x
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">In this article, we reflect on our evolving ideas regarding a dialogical approach to refugee care. Broadening the predominant phased trauma care model and its engaging of directive expertise in symptom reduction, meaning making, and rebuilding connectedness, these developing dialogical notions involve the negotiation of silencing and disclosure, meaning and absurdity, hope and hopelessness in a therapeutic dialogue that accepts its encounter of cultural and social difference. In locating therapeutic practice within these divergent approaches, we argue an orientation on collaborative dialogue may operate together with notions from the phased trauma care model as heuristic background in engaging a polyphonic understanding of coping with individual and family sequelae of forced displacement. This locating of therapeutic practice, as informed by each perspective, invites us to remain present to fragments of therapeutic positioning that resonate power imbalance or appropriation in a therapeutic encounter imbued with a social context that silences refugees’ suffering. In a clinical case analysis, we further explore these relational complexities of negotiating directive expertise and collaborative dialogue in the therapeutic encounter with refugee clients.</div>
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