Suchergebnisse

Research into the complex interactions of personal, professional and interprofessional ethics is in its infancy. Where interprofessional decision making is made in cross-cultural contexts ethical dilemmas multiply; inversely, research to guide judgments is sparse. This study sought to explore interprofessional ethical decision making within a project, which delivered Western trauma-recovery training to counselors in Palestine. A cross-cultural interprofessional ethical framework was adapted and later applied to project decision making. A case study is presented based on field note reflections. Researchers perceived the following to be important in addressing ethical decision-making dilemmas: defining interprofessional and cross-cultural language; long-standing relationships of trust; workers liberated from organizational agendas; democratized processes; and flexible structures. Recommendations are provided to help plan and evaluate interprofessional cross-cultural initiatives.

This case study explores the impact of peer group supervision (PGS) for counselors delivering Teaching Recovery Techniques (TRT), a group psycho-social program for traumatized adolescents. Interviews were conducted with seven school counselors, from villages near East Jerusalem in occupied Palestine; a skilled supervisor; and an international trainer. A quasi-qualitative analysis was conducted to quantify responses and themes along with a measure of inter-rater reliability. Participants reported that even in a context of military violence, PGS provided a reflective process inclusive of formative, normative and restorative functions. Locally available PGS was viewed as essential within a geographically fragmented context. Counselors' reported PGS led to a trusting environment in contrast to military practices and gender norms. War stressors and lack of Training of Trainers led to low counselor confidence in training others in TRT. PGS and Trainer of Trainers were recommended as core aspects of program delivery and to support training of colleagues.and lack of Training of Trainers led to low counselor confidence in training other counselors in TRT. PGS and Trainer of Trainers were recommended as core aspects of program delivery and to support counselor training of colleagues.

This article argues for a shift in the conceptualisation of child trauma recovery programme efficacy studies in occupied Palestine. Nearly all prevalence and programme evaluation studies in Palestine focus on current traumatic events and resultant symptoms, especially post-traumatic stress disorder. To date, no child trauma recovery programme has been evaluated from an intergenerational trauma perspective. Where intergenerational trauma has been explored in the literature, this has been at a conceptual rather than empirical level. In response to this omission, the current article explores intergenerational trauma as a conceptual framework for evaluative research into child trauma recovery programme efficacy in occupied Palestine. Following a review of the intergenerational trauma literature within and beyond Palestine, a framework for evaluation is developed, which includes: historical trauma; collective and individual loss; current-day traumatisation; micro-aggressions; resultant symptoms; and the transmission of intergenerational trauma. Recommendations are provided for future research, practice and policy development in Palestine and beyond.