8 More than half the group (52%) said that their homes had been destroyed (usually by burning), although, this figure could be higher as it was difficult to obtain this data. The majority of the clients seen had been displaced either through the loss of their homes or because of the threat of death if they returned home. Qualitative data Many of the clients complained of symptoms which could be related to post-traumatic stress disorder (PTSD). These included intrusive thoughts, flashbacks, restlessness, anxiety, nauseousness, stomach aches, headaches, chest aches, difficulty sleeping, being fearful and agitated. Some clients were so desperate and hopeless that they thought of suicide. One client stated “… I am worried sick because I do not know my child’s condition. That is why I look sad and withdrawn. Sometimes I feel like killing myself because I can’t look after my family”. All clients were extremely worried about what would happen to them and their families and how would they be able to look after their families in the current context. These symptoms are certainly consistent with a diagnosis of post traumatic stress disorder (PTSD) although we are aware that this is a controversial diagnosis in the literature. Most striking for us as researchers was that the trauma emerged from the transcripts as deeply social in nature. We believe this element requires highlighting since it represents a divergence from the literature and begs further study. In the context of the narratives, clients began with often detailed descriptions of the violence they had been subjected to but very quickly moved to descriptions of the social impact. There are detailed descriptions of the effects on family and neighbours when the victim first arrived home, as well as longer term musings on the effect of the victimisation and displacement on the client’s ability to continue providing for their families. However there was also considerable concern about the perpetrators, many of whom were known to the victims; thus there is a recurring refrain about the effect of these events on future social relations within the community. One man wonders what he will call his neighbours’ children (who were also his tormentors) when they next meet. These social elements highlight ways in which whole communities have been torn apart by the insidious nature of this violence AMANI Trust: At the boiling point of the pain. Report of a pilot study examining the eficacy of psychotherapy for torture survivors.