Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-26T15:43:16.240Z Has data issue: false hasContentIssue false

Chapter 9 - Trauma Narration in Family Therapy with Refugees

Working between Silence and Story in Supporting a Meaningful Engagement with Family Trauma History

from Part II - Trauma Care for Refugee Families

Published online by Cambridge University Press:  21 August 2020

Lucia De Haene
Affiliation:
University of Leuven, Belgium
Cécile Rousseau
Affiliation:
McGill University, Montréal
Get access

Summary

With the sharp increase of refugees’ arrival and resettlement in western communities, adequate mental health care forms a pivotal dimension in host societies’ responses to those individuals and communities. Clinical literature shows a growing interest in the development of family therapy approaches with refugees, in which therapeutic practice engages with the pivotal role of refugee family dynamics in post-trauma reconstruction and adaptation in resettlement and aims at supporting post-trauma reconstruction through strengthening capacities to restore safety, meaning, and connectedness within family relationships. In this chapter, we focus on trauma narration or the narrative restoration of meaning as central mode of posttrauma reparation, and we explore its specific dynamics and relational complexities in therapeutic practice with refugee families. We build on theoretical and clinical scholarly work on trauma narration to develop a phased approach of interventive modes in working with trauma narration in refugee care. A clinical case analysis illustrates the cyclic engagement with the phased approach.

Type
Chapter
Information
Working with Refugee Families
Trauma and Exile in Family Relationships
, pp. 148 - 171
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Nadeau, L., Author, B. and Measham, T., Addressing cultural diversity through collaborative care. In Kirmayer, L., Rousseau, C. and Guzder, J., eds., Cultural Consultation: Encountering the Other in Mental Health Care (New York: Springer, 2014), pp. 203221.Google Scholar
McFarlane, A. and Kaplan, I., Evidence-based psychological interventions for adult survivors of torture and trauma: A 30-year review. Transcultural Psychiatry, 49(3–4) (2012), 539567.Google Scholar
Kevers, R., Rober, P., Derluyn, I. and De Haene, L., Remembering collective violence: Broadening the notion of traumatic memory in post-conflict rehabilitation. Culture, Medicine and Psychiatry, 40(4) (2016), 620640.Google Scholar
Gemignani, M., The past if past: The use of memories and self-healing narratives in refugees from the former Yugoslavia. Journal of Refugee Studies, 24 (2011), 132156.CrossRefGoogle Scholar
Brough, M., Schweitzer, R., Shakespeare-Finch, J., Vromans, L. and King, J., Unpacking the micro-macro nexus: Narratives of suffering and hope among refugees from Burma recently settled in Australia. Journal of Refugee Studies, 26(2) (2013), 207225.Google Scholar
Kirmayer, L. K., Failures of imagination: The refugee’s narrative in psychiatry. Anthropology & Medicine, 10(2) (2003), 167185.Google Scholar
Rousseau, C., Morales, M. and Foxen, P., Going home: Giving voice to memory strategies of young Mayan refugees who returned to Guatemala as a community. Culture, Medicine and Psychiatry, 25(2) (2001), 135168.Google Scholar
Sluzki, C., The Presence of the Absent: Therapy with Families and Their Ghosts (New York: Routledge, 2015).CrossRefGoogle Scholar
Herman, J. L., Trauma and Recovery (New York: Basic Books, 1992).Google Scholar
De Haene, L., Rober, P., Adriaenssens, P. and Verschueren, K., Voices of dialogue and directivity in family therapy with refugees: Evolving ideas about dialogical refugee care. Family Process, 51(3) (2012), 391404.CrossRefGoogle ScholarPubMed
Rober, P. and Rosenblatt, P., Silence and memories of war: An autoethnographic exploration of family secrecy. Family Process, 56 (2017), 250261.CrossRefGoogle ScholarPubMed
Hooghe, A., Rosenblatt, P. and Rober, P., ‘We hardly ever talk about it’: Emotional responsive attunement in couples after a child’s death. Family Process, 57(1) (2018), 226240. DOI:http://10.1111/famp.12274CrossRefGoogle ScholarPubMed
Kevers, R., Rober, P., Rousseau, C. and De Haene, L., Silencing or silent transmission? An exploratory study on trauma communication in Kurdish refugee families. Transcultural Psychiatry, (2019, under revision).Google Scholar
Dalgaard, N. T. and Montgomery, E., Disclosure and silencing: A systematic review of the literature on patterns of trauma communication in refugee families. Transcultural Psychiatry, 52(5) (2015), 579593.CrossRefGoogle ScholarPubMed
Montgomery, E., Tortured families: A coordinated management of meaning analysis. Family Process, 43(3) (2004), 349371.Google Scholar
Measham, T. and Rousseau, C., Family disclosure of war trauma to children. Traumatology, 16(2) (2010), 8596.CrossRefGoogle Scholar
Lin, N. J., Suyemoto, K. L. and Kiang, P. N., Education as catalyst for intergenerational refugee family communication about war and trauma. Communication Disorders Quarterly, 30(4) (2009), 195207.Google Scholar
Dalgaard, N., Todd, B., Daniel, S. and Montgomery, E., The transmission of trauma in refugee families: Associations between intra-family trauma communication style, children’s attachment security and psychosocial adjustment. Attachment & Human Development, 18(1) (2016), 6989.CrossRefGoogle ScholarPubMed
Kevers, R., Rober, P. and De Haene, L., The role of collective identifications in family processes of posttrauma reconstruction: An exploratory study of Kurdish refugee families and their diasporic community. Kurdish Studies, 5(2) (2017), 329.Google Scholar
Rousseau, C. and Measham, T. J., Posttraumatic suffering as a source of transformation: A clinical perspective. In Kirmayer, L. J., Lemelson, R. and Barad, M., eds., Understanding Trauma: Integrating Biological, Clinical and Cultural Perspectives (Cambridge, UK: Cambridge University Press, 2007), 275294.Google Scholar
De Haene, L., Rousseau, C., Kevers, R., Deruddere, N. and Rober, P., Stories of trauma in family therapy with refugees: Supporting safe relational spaces of narration and silence. Clinical Child Psychology & Psychiatry, 23(2) (2018), 258278.Google Scholar
Elkaïm, M., Si tu m’aimes, ne m’aime pas (Paris: Points, 1989).Google Scholar
Rober, P., The therapist’s self in dialogical family therapy: Some ideas about not-knowing and the therapist’s inner conversation. Family Process, 44(4) (2005), 477495.CrossRefGoogle ScholarPubMed
Rober, P., In Therapy Together: Family Therapy as a Dialogue (London: Palgrave, 2017).CrossRefGoogle Scholar
Minuchin, S. and Fishman, H. C., Family Therapy Techniques (Cambridge, MA: Harvard University Press, 1981).Google Scholar
Bourgeois-Guérin, E. and Rousseau, C., La survie comme don: Réflexions entourant les enjeux de la vie suite au genocide chez des hommes rwandais. L’Autre, 15(1) (2014), 5563.Google Scholar
Uehara, E. S., Farris, M., Morelli, P. T. and Ishisaka, A., ‘Eloquent chaos’ in the oral discourse of killing fields survivors: An exploration of atrocity and narrativization. Culture, Medicine and Psychiatry, 25(1) (2001), 2961.Google Scholar
Andersen, T., The reflecting team: Dialogue and meta-dialogue. Family Process, 26(4) (1987), 415428.Google Scholar
White, M., Maps of Narrative Practice (New York: W. W. Norton, 2007).Google Scholar
Kirmayer, L., Rousseau, C. and Guzder, J., Introduction: The place of culture in mental health services. In Kirmayer, L., Guzder, J. and Rousseau, C., eds., Cultural Consultation: Encountering the Other in Mental Health Care (New York: Springer, 2014), pp. 120.Google Scholar
Rober, P. and De Haene, L., Intercultural therapy and the limitations of a cultural competency framework: About cultural differences, universalities and the unresolvable tensions between them. Journal of Family Therapy, 36(S1) (2014), 320.Google Scholar
Rober, P., Some hypotheses about hesitations and their nonverbal expression in family therapy practice. Journal of Family Therapy, 24(2) (2002), 187204.Google Scholar
Pely, D., Quasi-customary dispute resolution mechanisms in Israeli Darfuri refugees. Conflict Resolution Quarterly, 35(1) (2017), 111140. DOI:http://10.1002/crq.21198Google Scholar
Kirmayer, L. K., The refugee’s predicament. L’Évolution Psychiatrique, 67(4) (2002), 724742.CrossRefGoogle Scholar
De Haene, L. and Rober, P., Looking for a home: An exploration of Jacques Derrida’s notion of hospitality in family therapy practice with refugees. In McCarthy, I. and Simon, G., eds., Systemic Therapy as Transformative Practice (Farnhill: Everything is Connected Press, 2016), 94110.Google Scholar
Rousseau, C., The place of the unexpressed: Ethics and methodology for research with refugee children. Canada’s Mental Health, 41(Winter) (1993–1994), 1216.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×