Interpreter-mediated psychotherapy – a qualitative analysis of the interprofessional collaboration between psychologists and interpreters

Jasmin Rejaye Gryesten; Kathrine Jastrup Brodersen; Laura Glahder Lindberg; Stig Poulsen

doi:10.1007/s12144-021-01345-y

Interpreter-mediated psychotherapy – a qualitative analysis of the interprofessional collaboration between psychologists and interpreters

Bidragets oversatte titel: Tolkemedieret psykoterapi - en kvalitativ analyse af det tværprofessionelle samarbejde mellem psykologer og tolke

Jasmin Rejaye Gryesten^*, Kathrine Jastrup Brodersen, Laura Glahder Lindberg, Stig Poulsen

^*Corresponding author af dette arbejde

Psykiatrien Vest

Publikation: Bidrag til tidsskrift › Artikel › Forskning › peer review

Abstract

According to the United Nations High Commissioner for Refugees (2019) 25.9 million refugees have globally been forced to leave their original countries. The highest number ever registered appeared in 2015 and 2016 with more than one million asylum seekers each year (Eurostat, 2019). About 30% of refugees suffer from posttraumatic stress disorder and/ or depression (Steel, Chey, Silove, Marnane, Bryant, & Van Ommeren, 2009). Trauma focused cognitive behavioral therapy is recommended by the National Institute for Health and Care Excellence (2018) in the treatment of PTSD, which is often conducted by psychologists. However, a language barrier between psychologist and patient can be a barrier to psychological treatment of trauma affected refugees who often need assistance from an interpreter. Sander, Laugesen, Skammeritz, Mortensen, and Carlsson (2019) demonstrate that interpreter-mediated psychotherapy (IMP) compared to therapy without an interpreter is associated with lower treatment outcome on PTSD-symptoms, somatic symptoms, and quality of life. Thus, it is crucial to enhance interpreters’ and psychologists’ qualifications and collaboration when treating patients with limited language proficiency in order to ensure that patients with limited language proficiency are offered psychological treatments with satisfactory outcomes.

Bidragets oversatte titel	Tolkemedieret psykoterapi - en kvalitativ analyse af det tværprofessionelle samarbejde mellem psykologer og tolke
Originalsprog	Engelsk
Tidsskrift	Current Psychology
Tidlig onlinedato	2 mar. 2021
DOI	https://doi.org/10.1007/s12144-021-01345-y
Status	Udgivet - 2 mar. 2021

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10.1007/s12144-021-01345-y

Citationsformater

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title = "Interpreter-mediated psychotherapy – a qualitative analysis of the interprofessional collaboration between psychologists and interpreters",

abstract = "In psychotherapeutic treatment of trauma-affected refugees, it is common that psychologists and language interpreters work together. In this qualitative study, the experiences of interpreters and psychologists are examined to gain insight into factors that enhance and challenge the interaction between the two groups of professionals. Three interpreters and three psychologists working with trauma-affected refugees in Denmark were interviewed about their perceptions of conducting interpreter-mediated psychotherapy (IMP) and their experiences of the interaction between interpreters and psychologists. The interviews followed a semi-structured format and were analyzed according to Interpretative Phenomenological Analysis (IPA). In the analysis, we found that the role of the interpreter is ambiguous. A neutral and objective interpreter was described as ideal, yet interpreters found it difficult to adhere to strict neutrality and psychologists sometimes also requested a more active engagement of the interpreters. Further, we found that conflicts in the interaction between psychologists and interpreters emerged when the two professionals intervened with each other{\textquoteright}s areas of expertise. These findings are discussed by including theory concerning therapeutic alliance and interprofessional collaboration.",

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AU - Lindberg, Laura Glahder

AU - Poulsen, Stig

PY - 2021/3/2

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N2 - In psychotherapeutic treatment of trauma-affected refugees, it is common that psychologists and language interpreters work together. In this qualitative study, the experiences of interpreters and psychologists are examined to gain insight into factors that enhance and challenge the interaction between the two groups of professionals. Three interpreters and three psychologists working with trauma-affected refugees in Denmark were interviewed about their perceptions of conducting interpreter-mediated psychotherapy (IMP) and their experiences of the interaction between interpreters and psychologists. The interviews followed a semi-structured format and were analyzed according to Interpretative Phenomenological Analysis (IPA). In the analysis, we found that the role of the interpreter is ambiguous. A neutral and objective interpreter was described as ideal, yet interpreters found it difficult to adhere to strict neutrality and psychologists sometimes also requested a more active engagement of the interpreters. Further, we found that conflicts in the interaction between psychologists and interpreters emerged when the two professionals intervened with each other’s areas of expertise. These findings are discussed by including theory concerning therapeutic alliance and interprofessional collaboration.

AB - In psychotherapeutic treatment of trauma-affected refugees, it is common that psychologists and language interpreters work together. In this qualitative study, the experiences of interpreters and psychologists are examined to gain insight into factors that enhance and challenge the interaction between the two groups of professionals. Three interpreters and three psychologists working with trauma-affected refugees in Denmark were interviewed about their perceptions of conducting interpreter-mediated psychotherapy (IMP) and their experiences of the interaction between interpreters and psychologists. The interviews followed a semi-structured format and were analyzed according to Interpretative Phenomenological Analysis (IPA). In the analysis, we found that the role of the interpreter is ambiguous. A neutral and objective interpreter was described as ideal, yet interpreters found it difficult to adhere to strict neutrality and psychologists sometimes also requested a more active engagement of the interpreters. Further, we found that conflicts in the interaction between psychologists and interpreters emerged when the two professionals intervened with each other’s areas of expertise. These findings are discussed by including theory concerning therapeutic alliance and interprofessional collaboration.

KW - Interpreters

KW - Interprofessional collaboration

KW - Mental health

KW - Psychotherapy

KW - Refugees

KW - Therapeutic alliance

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DO - 10.1007/s12144-021-01345-y

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SN - 1046-1310

JO - Current Psychology

JF - Current Psychology

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Interpreter-mediated psychotherapy – a qualitative analysis of the interprofessional collaboration between psychologists and interpreters

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