Becoming a transcultural psychotherapist: Qualitative study of the experience of professionals in training in a transcultural psychotherapy group

2020 ◽  
pp. 136346152095006
Author(s):  
Laura Carballeira Carrera ◽  
Sarah Lévesque-Daniel ◽  
Marie Rose Moro ◽  
Malika Mansouri ◽  
Jonathan Lachal

Transcultural psychotherapy is an original therapeutic technique designed to respond to difficulties encountered in psychiatric treatment for migrants. Today, this psychotherapy is formalized and it is in use at numerous sites in France and internationally. An increasing number of professionals are seeking training in this method. We sought to explore the experiences of these trainees, at their entry in the group and during their training. This qualitative study used focus groups to interview trainees participating in a transcultural psychotherapy training group. The thematic analysis generated two domains of experience: the emotional and personal experience within the transcultural group, including the private feelings of the trainee-participants, their initial difficulties, and the changes in these feelings; and their perception of this specific type of care, that is, their perspectives on transcultural psychotherapy and its most original aspects. Based on the narratives of trainees in this program, we conclude that becoming a transcultural psychotherapist involves a process not only of cultural decentering but also of professional decentering. This decentering cannot be learned theoretically: it must be experienced, for a long enough time to become imbued with it and to allow oneself to modify one’s practices. After sufficient time in the group, the trainees succeed in extricating themselves, little by little, from their ethnocentric vision of psychotherapy, and come to tolerate and then integrate new ways of doing and thinking.

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Rosenda Murillo ◽  
Mariana Vazquez ◽  
Isabel Leal ◽  
Daphne Hernandez ◽  
Qian Lu ◽  
...  

Objective: The purpose of this qualitative study was to identify perceptions and barriers to physical activity in childhood and adulthood among Latina adults. Methods: We conducted 3 focus groups, 2 dyadic interviews, and an individual interview using semi-structured interview guides with 23 Latina women aged 21-35. A thematic analysis approach employing inductive and deductive coding was utilized to code, categorize, and summarize data into themes. Results: The themes that emerged focused on: (1) physical activity is enjoyable; (2) family influenced physical activity; (3) different lifestyle in the US influenced physical activity; (4) physical activity is important for health; and (5) responsibilities (eg, work, caregiving) as barriers to physical activity in adulthood. Conclusions: Perceptions and barriers to physical activity experienced in both childhood and adulthood should be considered in the promotion of physical activity among Latinas.


2020 ◽  
Author(s):  
Sandra G Brauer ◽  
Lauren Waters ◽  
Suzanne Kuys ◽  
Louise Ada

Background and Purpose: Despite evidence supporting the use of mechanically assisted walking training in stroke rehabilitation, it is not extensively used. The purpose of this study was a to explore the perceptions of physiotherapists regarding their use of mechanically assisted walking training, specifically treadmill training, during inpatient rehabilitation after stroke. Better understanding of physiotherapist perceptions can inform the development of translation strategies. Methods: A qualitative study using focus groups comprising 14 phsyiotherapists (including students) working in stroke inpatient rehabilitation at two sites was conducted. Transcripts were analysed using an inductive approach to thematic analysis. Results: Physiotherapists perceived two main themes related to using mechanically assisted walking training during inpatient rehabilitation; therapeutic consequences e.g. patients able to walk earlier, further, longer; less fatiguing for therapist, ability to manipulate walking parameters) and practical considerations (eg safety, efficiency, staff skill, access to equipment, weight and level of disability of patient, fear of treadmill). Discussion: Therapists perceptions of using mechanically assisted walking training during inpatient rehabilitation after stroke were mixed. There is a need to educate physiotherapy staff about the evidence of therapeutic value as well as how to perform mechanically assisted walking training.


2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2191-2198
Author(s):  
Nathália dos Santos Silva ◽  
Nayana Cristina Souza Camargo ◽  
Ana Lúcia Queiroz Bezerra

ABSTRACT Objective: To verify the use of procedures record tools as data source for monitoring and assessment of Psychosocial Care Centers (CAPS- Centros de Atenção Psicossocial). Method: A descriptive, exploratory qualitative study was carried out in seven CAPS in the state of Goiás. A total of 58 professionals participated, and the data collection was from April to May 2016 through focus groups. The data were submitted to the thematic analysis of content with the aid of the ATLAS.ti 6.2 software. Results: Three thematic categories emerged from the content analysis: Understanding about the record of Psychosocial Care Centers procedures; Management of the record tools of Psychosocial Care Centers procedures; and Intervening factors for recording Psychosocial Care Centers procedures. Final considerations: Investment in the Permanent Education of professionals will be necessary; focusing on the management of the records resulted from the actions developed in the CAPS to qualify the information and the work process of the professionals.


2020 ◽  
pp. 135910532094500
Author(s):  
Inna Hanlon ◽  
Catherine Hewitt ◽  
Subhadra Evans ◽  
Jo Taylor ◽  
Christian Selinger ◽  
...  

This qualitative study collected stakeholders’ views on adapting an existing online psychotherapy programme, ‘Tame Your Gut’, to the needs of patients with inflammatory bowel disease (IBD) and comorbid anxiety and/or depression. Adult patients ( n = 13) and health professionals ( n = 12) participated in semi-structured focus groups or interviews, analysed with a thematic analysis. Patients had a generally positive attitude towards ‘Tame Your Gut’, while health professionals saw it as useful for selected patients only. Both groups indicated their preference for clinician-assisted online psychotherapy. ‘Tame Your Gut’ is acceptable to patients and health professionals but only when supported by clinicians.


2020 ◽  
Author(s):  
Melissa D McCradden ◽  
Tasmie Sarker ◽  
P Alison Paprica

ABSTRACTObjectivesGiven widespread interest in applying artificial intelligence (AI) to health data to improve patient care and health system efficiency, there is a need to understand the perspectives of the general public regarding the use of health data in AI research.DesignA qualitative study involving six focus groups with members of the public. Participants discussed their views about AI in general, then were asked to share their thoughts about three realistic health AI scenarios. Data were analysed using qualitative description thematic analysis.SettingsTwo cities in Ontario, Canada: Sudbury (400 km north of Toronto) and Mississauga, (part of the Greater Toronto Area).ParticipantsForty-one purposively sampled members of the public (21M:20F, 25-65 years, median age 40).ResultsParticipants had low levels of prior knowledge of AI and mixed, mostly negative, perceptions of AI in general. Most endorsed AI as a tool for the analysis of health data when there is strong potential for public benefit, providing that concerns about privacy, consent, and commercial motives were addressed. Inductive thematic analysis identified AI-specific hopes (e.g., potential for faster and more accurate analyses, ability to use more data), fears (e.g., loss of human touch, skill depreciation from over-reliance on machines) and conditions (e.g., human verification of computer-aided decisions, transparency). There were mixed views about whether consent is required for health data research, with most participants wanting to know if, how and by whom their data were used. Though it was not an objective of the study, realistic health AI scenarios were found to have an educational effect.ConclusionsNotwithstanding concerns and limited knowledge about AI in general, most members of the general public in six focus groups in Ontario, Canada perceived benefits from health AI and conditionally supported the use of health data for AI research.STRENGTHS AND LIMITATIONS OF THIS STUDYA strength of this study is the analysis of how diverse members of the general public perceive three realistic scenarios in which health data are used for AI research.The detailed health AI scenarios incorporate points that previous qualitative research has indicated are likely to elicit discussion (e.g., use of health data without express consent, involvement of commercial organisations in health research, inability to guarantee anonymity of genetic data) and may also be useful in future qualitative research studies and for educational purposes.The findings are likely to be relevant to organisations that are considering making health data available for AI research and development.Notwithstanding the diverse ethnic and educational backgrounds of participants, overall the sample represents the general (mainstream) population of Ontario and results cannot be interpreted as presenting the views of specific subpopulations and may not be generalisable across Ontario or to other settings.Given the low level of knowledge about AI in general it is possible that the views of participants would change substantially if they learned and understood more about AI.TRANSPARENCY STATEMENTP. Alison Paprica affirms that the manuscript is an honest, accurate and transparent account of the study being reported; that no important aspects of the study have been omitted; and that there were no discrepancies from the study as originally approved by the University of Toronto Research Ethics Board.


2016 ◽  
Vol 23 (12) ◽  
pp. 1521-1532 ◽  
Author(s):  
Emma Larsson ◽  
Samantha Lloyd ◽  
Heather Westwood ◽  
Kate Tchanturia

This study aimed to explore the experiences of adults with anorexia nervosa who took part in a perfectionism group intervention in an inpatient setting. Thematic analysis was used to explore patient feedback collected in focus groups. Patient feedback was generally positive and centred around three main themes: perceived benefits of the group, the content of the group and suggested improvements. The findings suggest that a brief perfectionism group intervention is an acceptable treatment with a range of perceived benefits for patients with severe anorexia nervosa. Understanding patients’ experiences of the intervention can provide further important information to maximise therapeutic impact of the group in inpatient settings.


2020 ◽  
pp. 135910532090988
Author(s):  
Alice Le Bonniec ◽  
Sébastien Mas ◽  
Marie Préau ◽  
Florence Cousson-Gélie

Based on the theory of social representations, this study aims to identify the main determinants to participation in colorectal cancer screening. Six focus groups (N = 29 participants belonging to the general population) were conducted, followed by a theoretical thematic analysis. Screening obstacles are a lack of test’s accessibility, a low preoccupation for prevention and the negative image of colorectal cancer. Conversely, screening facilitators are the ease of the new test, being encouraged to get screened and appointment reminder. This study advances understanding of adherence to screening by addressing the beliefs and knowledge surrounding it.


2019 ◽  
pp. 088626051988819
Author(s):  
Alison Gregory ◽  
Anna Kathryn Taylor ◽  
Katherine Pitt ◽  
Gene Feder ◽  
Emma Williamson

Many women who experience domestic violence (DV) seek support from friends, relatives, colleagues, and neighbors. There are substantial knock-on effects for informal supporters, and they may seek help themselves. Tailored services for this group are rare, but DV helplines can provide listening and signposting support. The aim of this exploratory study was to understand which informal supporters contact DV helplines and what form these calls take. Three focus groups, following a topic guide, were conducted with staff and volunteers for DV helplines during autumn 2015. Discussions were digitally recorded, transcribed verbatim, and imported into NVivo10 software. Transcripts were coded line-by-line, and a thematic analysis carried out. All participants were female, aged between 22 and 54 years, with between 2 months’ and 8 years’ experience of taking helpline calls. Findings indicate that people with broad ranging connections to a survivor call a helpline. Calls can be triggered by disclosures, abuse escalation, witnessing incidents, feeling overwhelmed, and media highlighting of DV. Informal supporters respond to survivors, and experience impacts, in differing ways, often associated with their gender and their relationship with the survivor. Frequently, they feel a sense of responsibility and a desire to rescue the survivor, often calling a helpline to reduce feelings of helplessness and to seek a “magic” solution. Many people are concerned about the legitimacy of their involvement and seek reassurance about the validity of their own help-seeking. Helpline workers feel that informal supporters would benefit from opportunities to reduce isolation, have their predicament acknowledged, and learn from peers. DV helplines have an important role in helping informal supporters of survivors. The help requested is predominantly to equip and empower the informal supporter, so that they feel more adept at coping themselves and, are thus, better able to offer support to the survivor.


BJPsych Open ◽  
2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Aysegul Dirik ◽  
Justina Kaselionyte ◽  
Domenico Giacco ◽  
Stefan Priebe

Background The value of carer involvement has been extensively researched and promoted. However, the field lacks exploration of conceptual issues, which might help to explain why there are widespread difficulties in putting policy into practice in this area, as implementation rates remain low internationally. Aims This qualitative study explored patients’, carers’ and clinicians’ perspectives on the role of carers in mental healthcare, particularly with regards to in-patient settings. Method Sixteen focus groups were conducted with patients, carers and clinicians who have current or previous experience of in-patient settings. A thematic analysis was conducted on the transcripts, exploring two key domains: (a) what a ‘carer’ is, and (b) how the ‘carer’ role is described within the context of the hospital environment. Results Participants diverged in their opinions of what the ‘carer’ role entails, and the perceived helpfulness of it. Issues unique to the in-patient setting were identified, such as the role of the hospital environment in enabling or being a barrier to carer involvement. These differing perspectives and contextual factors had an impact on the position of carers in the hospital setting, as they could be viewed as helpful, a hindrance or as passive visitors, depending on the perspectives of clinicians. Conclusions More clarity and agreement is needed between patients, carers and clinicians in terms of how the ‘carer’ role is defined. This has the potential to improve carers’ experience of involvement in hospital settings.


Author(s):  
Dawn A. Morley

Abstract Morley presents a research paper on a qualitative study of 15 groups of authors who were submitting chapters to an edited open-access collection, “Applied pedagogy for higher education. Real world learning and innovation across the curriculum”. Through the method of concept mapping, authors discuss their views and experience of “real world learning”. The concept of real world learning is an emerging area in higher education where students are focusing not only on their present learning but on how they can develop attributes and identities that equip them to progress following graduation. A thematic analysis of the author focus groups identifies three themes of fidelity, individuality and mutuality. A discussion of the themes applies the authors’ experience of real world curriculum planning and pedagogy in higher education.


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