A qualitative exploration of what works for migrant adolescents in transcultural psychotherapy: perceptions of adolescen
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RESEARCH ARTICLE
Open Access
A qualitative exploration of what works for migrant adolescents in transcultural psychotherapy: perceptions of adolescents, their parents, and their therapists Léa Grau1, Emilie Carretier1,2, Marie-Rose Moro2,3,4, Anne Revah-Levy5,6, Jordan Sibeoni5,6 and Jonathan Lachal2,3,4*
Abstract Background: Migrant adolescents are at a higher risk than their native-born counterparts of psychiatric disorders, and their care is a public health issue. In France, transcultural psychotherapy is a treatment provided by a group of therapists designed to meet the specific needs of these patients when usual care appears ineffective. The objective of this study was to explore the therapeutic elements at work in transcultural psychotherapy. Methods: We conducted a qualitative study crossing the perspectives of adolescents receiving transcultural psychotherapy, their parents, their first-line therapist (FLT), and the transcultural therapists. The families were chosen by purposive sampling. Data were collected during semi-structured individual (for FLTs) and group (families and transcultural therapists) interviews that explored the therapeutic elements involved and effective in transcultural psychotherapy. We used interpretative phenomenological analysis (IPA) to examine the data. In all, 44 participants were questioned: three adolescents (2 girls and 1 boy, all aged 18 to 21 years) and their parents (3 mothers and 1 father), three FLTs (2 child psychiatrists and 1 psychologist), and the 34 therapists participating in the three transcultural psychotherapy groups. Results: The analysis uncovered three themes: (1) the perceived effectiveness of the group’s functioning; (2) the recounting of the individual, family, and cultural history to allow for complexity and nuance; and (3) the personal investment by therapists, made possible by the group. Conclusions: Our results show some therapeutic elements at work in transcultural psychotherapy that enable it to meet the particular needs of some migrant adolescents that are unmet in standard therapy. Continuing to study transcultural psychotherapy and assess its effectiveness is essential for promoting and optimizing psychiatric care for migrant adolescents. Keywords: Transcultural psychotherapy, Migrant adolescents, Qualitative research, Evaluation of psychotherapy, Selfdisclosure
* Correspondence: [email protected] 2 AP-HP, Hôpital Cochin, Maison de Solenn, 97 Boulevard de Port Royal, 75014 Paris, France 3 Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807 Villejuif, France Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other th
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