180 SCIENTIFIC ARTICLE The Tree of Life: a community approach to empowering and healing survivors of torture in Zimbabwe Tony Reeler, LLB, BA, MSc*, Kudakwashe Chitsike, BA, LLB, MA, Fungisai Maizva, BA, LLB, Beverley Reeler T O R T U R E Vol um e 1 9 , N um be r 3 , 20 0 9 Abstract The article explores the effectiveness of the use of an empowerment workshop, called the Tree of Life, in the treatment of torture survivors. The approach is based on a survivor-to-survivor model of assistance. The Tree of Life is a group-based approach to the healing and empowerment of survivors of organized violence and torture. It is facilitated by survivors themselves who have been trained and supervised in the methodology. It uses the metaphor of the tree to provide a framework for understanding the trauma experience, and, through a series of inter-related processes, leads the survivor into an appreciation of his or her strengths and the support of the community in surviving. Research into the effectiveness of the method is carried out using pre and post measures in a psychiatric screening instrument measuring depression and anxiety. Participants were also asked for feedback in a structured self-report upon completion of the workshop. In addition, an exit interview was conducted after follow-up, three months after the first workshop session. A total of 73 persons attended the workshops, and detailed follow up data was only available for 33. 36% showed significant clinical improvement, and the sample as a whole showed significant changes in their psychological state. More *) Research and Advocacy Unit (AU) Harare Zimbabwe treeler@rau.co.zw complete information was available for a smaller sample (19), which showed 39% having significant improvement. On follow-up, 44% were still experiencing difficulties, with most (72%) experiencing economic difficulties. On the positive side, 56% reported coping better, only 9% reported health problems, and most were still connected to the group with which they participated in the process. All felt that the process had helped them find new things, and had changed the way that they felt about their torture. The Tree of Life appears to be a useful, costeffective, non-professional method of assisting torture survivors. Keywords: torture survivors, group psychotherapy, para-professional, SRQ-20, Zimbabwe Introduction and background Torture in Zimbabwe since 2000 Torture has been documented across the last three decades of Zimbabwe’s history.1 One study, of a province that experienced severe human rights violations in the Liberation War of the 1970s, showed that one adult in 10 over the age of 30 years reported torture and was suffering from a clinically significant psychological disorder as a consequence.2 High rates of torture and consequent psychological disorder were found in a study of former guerilla soldiers from the same period.3 Even higher rates of torture and its se-

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