10 Many clients were in physical pain, hungry and exhausted and this has to be taken into account when considering the provision of longer term clinical services. The clinical services cannot be run in isolation and would need to link up with other organisations who would address the physical needs of the clients. The social impact of OVT is enormous within the Zimbabwean culture. Clients expressed feelings of both desperation and confusion as to how young people could beat up older people and in some cases people from their own village. One client did not know if he could return to his home as it had been his neighbour’s children who had been involved in his physical torture. Another client says, “When I am alone and sleep I think a lot about this fateful event, especially the fact that many women saw me naked. This pains me a lot and if I think about it I don’t feel alright. I reach a point whereby I think that before going through such an ordeal I should have killed myself”. The individual’s experience of torture is even greater when seen within the social context. When asked what was helping the clients cope many responded that prayer and a belief in God kept them going. Also, being with others who believed in the same political cause was very supportive. Many expressed a desire for revenge and believed that with revenge their own healing could take place. One client said, “ In my mind I feel hurt. If I were to be given a gun and go back to my rural home, I would have killed someone there. I would have shot someone. I suffered a lot. It was terrible. I experienced horror.” Another client also expressed how he felt revenge would help: “I feel anger, pain, bitter and so forth has been reduced by two percent because I still want revenge. If I could go back to revenge that will settle everything.” This is a concern as it contributes to the repetition of the violence. Beliefs A significant belief system was evident in the transcripts. A majority of the men in the client group felt that men should be strong and should provide for and protect their families. This created extreme concern and guilt about being responsible for the desperate situation. They felt burdened and worried about their family’s future. AMANI Trust: At the boiling point of the pain. Report of a pilot study examining the eficacy of psychotherapy for torture survivors.