Psychomotor physiotherapy for torture survivors - challenges and opportunities in a culturally and trauma sensitive perspective

Abstract

Background: Many individuals arriving in Norway has experienced torture, but there is limited knowledge about physiotherapy for torture survivors. The purpose of this study is to examine how Norwegian Psychomotor Physiotherapy (NPMF) can be adapted for torture survivors, as well as exploring the opportunities and challenges in approaching this patient group. Method: The study is based on qualitative data from in-depth interviews with four psychomotor physiotherapists who have experience with treatment for torture survivors. This data forms the basis for a cross-cutting analysis. Trauma theory, culturally sensitivity trauma awareness and relevant literature and studies from NPMF constitute the study's theoretical frame of reference. Findings: The consequences of torture uniquely challenge the significance of a therapeutic alliance. Establishing a safe and trusting alliance requires time and openness. It is essential to be attentive and respectful of cultural differences and backgrounds, both in the patient and the therapists. Simultaneously, the treatment must be continuously adapted to the patient's individual needs to prevent re-traumatization. Conclusion: NPMF can be a significant approach in the rehabilitation of torture survivors. Through a trusting therapeutic alliance, a culture- and trauma- sensitive approach, along with individual adjustments, NPMF can contribute to a better connection with the body and increased sense of security. However, this requires expertise and patience.

Keywords

• norwegian psychomotor physiotherapy
• torture
• culture- and trauma sensitivity