Torture survivors’ experiences of receiving surgical treatment indicating re- traumatization

• Published in: PloS one 2023-10, Vol.18 (10), p.e0287994-e0287994
• Main Authors: Schippert, Ana Carla S. P, Dahl-Michelsen, Tone, Grov, Ellen Karine, Sparboe-Nilsen, Bente, Silvola, Juha, Bjørnnes, Ann Kristin
• Format: Article
• Language: English
• Subjects: Analysis; Biology and Life Sciences; Complications and side effects; Decision making; Frustration; General anesthesia; Health care; Health care industry; Health services; Medical personnel; Medicine and Health Sciences; Neurobiology; Patients; People and Places; Physiology; Psychic trauma; Psychological aspects; Risk factors; Social aspects; Social Sciences; Stress; Stress response; Surgery; Survival; Survivor; Torture; Trauma; Violence
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0287994

Due to the invasive nature of surgical procedures and the involvement of medical personnel, torture survivors may experience re-traumatization during surgical treatment. This study aimed to explore torture survivors’ experiences of re-traumatization during surgical treatment as well as the process by which trauma-related emotions and responses are evoked during surgical treatment for torture survivors. Eight men, aged 45 to 72, from four different countries, who have lived in Norway for 6–40 years, were recruited. We assessed torture and surgical care experiences through in-depth interviews, and the data were analyzed using thematic analysis, resulting in five themes: (1) Interactions with healthcare providers, (2) Reactions during treatment, (3) Triggers causing re-experiences, (4) Avoidance, and (5) Suggestions to healthcare providers. In this study, survivors reported challenges receiving surgical treatment, indicating re-traumatization and difficulty returning to daily life following treatment. Participants reported little collaboration in care-related decision-making processes, lack of recognition of torture by healthcare providers involved in surgical care and experiencing healthcare professionals’ attitudes as a source of perplexity, frustration, and despair. Exacerbation of torture memories throughout treatment and re-experiencing of trauma symptoms aggravated these difficulties. Our findings suggest that surgical treatment can remind torture survivors of the traumatic aspects of torture, eliciting strong reactions and feelings like those experienced during torture.