6 includes basic demographics and total scores on the Self-Report Questionnaire-8 (SRQ8) which provides a basic measure of trauma related symptomatology at the time at which the client was originally assessed by the Amani staff. This information was obtained towards the end of the pilot project and it may be important to note that the counsellors did not have access to this information at the time of their session with each client. The purpose of the pilot study was explained to all the clients and their consent was obtaine`d to tape the sessions. None declined. It was explained that the sessions would be entirely confidential and that the transcripts would be anonymous and would not include any names of people or places. Some clients requested a copy of the taped sessions whilst some other clients needed further reassurance regarding confidentiality. The majority of the clients chose to conduct the session in Shona and this required careful translation into English. Thus, a system of proof reading by counsellors to ensure an accurate translation of the interview was essential. Transcripts were then analysed using two modes of analysis. Firstly a series of themes was drawn out from the total group of transcripts by means of interpretive phenomenological analysis (IPA). Secondly, a smaller group of transcripts was analysed as narratives using narrative analysis. We believe that this combination allowed both attention to common themes as well as closer inspection of individual modes of expression and experience. Clients Seventy-four percent of the clients were men with the majority (82%) being under the age of 40 years. Only three women were referred. The mean age for the group was 32.7 years. Most were married with children (70%). Almost all the clients needed medical attention as a result of physical injury due to OVT and this was provided as a priority by Amani before being referred to the counselling session. Sixty percent of the group had been seen by Amani within four weeks of being referred for a counselling session. The remaininder had been seen by Amani several months previously. This may be due to the client experiencing multiple traumas and visiting Amani more than once. A majority of the clients was displaced and had lost their homes, so were being temporarily housed and in the care of Amani. Thus, most clients had no shelter, possessions, food or security when they initially approached Amani. Forty-eight percent of the group had been educated up to secondary level and 35% had only a primary level of education. Only one client had a tertiary education. AMANI Trust: At the boiling point of the pain. Report of a pilot study examining the eficacy of psychotherapy for torture survivors.