Author

Baher Ibrahim

Abstract

This research is a qualitative study into how lay counselors are affected by their training in and practice of a community-based lay counseling intervention. A group of refugees from a Sudanese refugee community in Cairo, Egypt were trained in Narrative Exposure Therapy and subsequently provided it to members of their community suffering from post-traumatic stress disorder (PTSD). Narrative exposure therapy (NET) is a short-term psychotherapy based on the principles of cognitive behavioral therapy (CBT), exposure therapy and testimony psychotherapy. NET has been shown to be effective in relieving symptoms of PTSD in refugees. After completing the training and completing NET with one client, semi-structured interviews with the trained lay counselors were conducted to discover the impact of the training and provision of therapy to their peers on them. Background literature suggests that serving as a lay counselors may have one of two effects; the lay counselors may become psychologically empowered from the experience of helping their peers (Alexander, Mollink & Seabl, 2010), or they may suffer from the effects of secondary stress syndrome as a result of exposure to the traumatic memories of their peers (Peltzer, Matseke & Louw, 2014; Shah, Garland & Katz, 2007). Thematic analysis of interviews conducted with the lay counselors revealed that the experience of training and providing therapy was a largely positive one from which they emerged psychologically empowered and motivated. In addition, several other themes were identified. These include the suffering of Sudanese refugees, a strong sense of community, resilience and coping strategies and logistic challenges and cultural barriers to providing therapy in the community. Implications for future research as well as future community based lay counseling mental health interventions in the Sudanese refugee community in Cairo are discussed.

Degree Name

MA in Community Psychology

Graduation Date

2-1-2015

Submission Date

September 2015

First Advisor

Ellis, Kate

Committee Member 1

Forden, Carie

Committee Member 2

Parrs, Alexandra

Extent

103 p.

Document Type

Master's Thesis

Rights

The author retains all rights with regard to copyright. The author certifies that written permission from the owner(s) of third-party copyrighted matter included in the thesis, dissertation, paper, or record of study has been obtained. The author further certifies that IRB approval has been obtained for this thesis, or that IRB approval is not necessary for this thesis. Insofar as this thesis, dissertation, paper, or record of study is an educational record as defined in the Family Educational Rights and Privacy Act (FERPA) (20 USC 1232g), the author has granted consent to disclosure of it to anyone who requests a copy.

Institutional Review Board (IRB) Approval

Approval has been obtained for this item

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