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Perceptions of HIV-related trauma in people living with HIV in Zimbabwe's Friendship Bench Program

A qualitative analysis of counselors' and clients' experiences

Bibliographic Data

ID2395262
AuthorsRuth Verhey (0000-0002-5959-1891, University of Zimbabwe, corresponding author), Dixon Chibanda (0000-0003-2505-8607, University of Zimbabwe), Aquila Vera (0000-0003-1076-8286, University of Zimbabwe), Ethel Manda (University of Zimbabwe), Jonathan Brakarsh (Say and Play Therapy Centre), Soraya Seedat (0000-0002-5118-786X, Stellenbosch University)
Year2020
Volume57
Issue1
Pages161-172
Publication date2020-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueTranscultural Psychiatry (JOURNAL)
Journal identifiersISSN: 1363-4615 • E-ISSN: 1461-7471
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363461519850337
PMID31180824
OpenAlexW2949077690
LanguageEN
Citations received10
References cited53

This study investigated the experience of lay health workers (LHWs) delivering problem-solving therapy (PST) for common mental disorders (CMD) as well as clients' views of the PST program referred to as the Friendship Bench (FB). Semi-structured interviews were conducted with LHWs (n = 5) and clients living with HIV (PLWH) (n = 10). Data were analyzed using thematic content analysis. LHWs described a severe form of CMD amongst PLWH with a history of trauma, naming it kufungisisa kwe njodzi (excessive thinking due to trauma), a local cultural equivalent of PTSD. The term kufungisisa (thinking too much) has been used as the local equivalent for CMD. Trauma or njodzi was seen both as a circumscribed event and as linked to ongoing pervasive experiences such as living with HIV, stigma, and poverty. Although LHWs recognized symptoms of PTSD such as intrusion, avoidance, and hyper-arousal, they did not know how to address these specifically and chose to address them as a severe form of kufungisisa. There is a need to integrate aspects of PTSD management within care packages for CMD delivered by LHWs

Friendship · Mental health · Poverty · Psychiatry · Qualitative research · Thematic analysis · Child Abuse and Trauma · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Psychology · Social Psychology

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Unique citing works10
Citations per year1,67
Citation span2020 - 2026 (7)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 10
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