Date of Award

Winter 3-21-2026

Document Type

Doctoral Research Paper

Degree Name

Psy.D. in Clinical Psychology

Organizational Unit

Graduate School of Professional Psychology

First Advisor

Gwen Mitchell

Second Advisor

Tiamo Tamale

Third Advisor

Meghan Colpas

Copyright Statement / License for Reuse

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Keywords

Survivors of torture, Mental health care for asylum seekers, Collaborative therapeutic assessment (C/TA), Refugee, Trauma, Post-traumatic stress disorder (PTSD)

Abstract

Survivors of Torture (SoT) experience disproportionately high rates of PTSD, depression, and anxiety (Steel et al., 2009). Many SoT treatment programs use brief assessments to monitor symptoms (McFarlane & Kaplan, 2012). However, research on integrating feedback into treatment had been limited until Colpas et al.'s 2024 study on Sharebacks, a novel approach where clients review their progress with their clinician in structured feedback sessions. Given the therapeutic potential of assessment feedback (Tarocchi et al., 2013; Smith & George, 2012; Poston & Hanson, 2010) and Colpas et al.'s findings on Sharebacks' importance, this study explores how practitioners can most effectively incorporate psychodiagnostic feedback into SoT psychotherapy.

Using theoretical thematic analysis, qualitative data from transcribed video recordings of Sharebacks with nine SoT (M age = 40.33, SD = 9.62, range = 30-55) were examined to explore themes related to therapist interventions, the therapeutic relationship, client feedback, and post-traumatic growth. Furthermore, practical recommendations for clinical implementation are discussed, highlighting strategies to foster relational healing. By examining the application of Collaborative/Therapeutic Assessment principles (Aschieri et al., 2016) in Sharebacks, this study investigates how structured feedback sessions can enhance the treatment of torture and migration trauma. Ultimately, this research provides an innovative exploration of clinical considerations for facilitating a therapeutic assessment feedback experience, ensuring that all elements of a treatment program contribute meaningfully to the healing journey of survivors across various treatment settings.

Copyright Date

12-17-2025

Publication Statement

Copyright is held by the author. User is responsible for all copyright compliance.

Rights Holder

Samantha Correa

Provenance

Received from Author

File Format

application/pdf

Language

English (eng)

Extent

51 pgs

File Size

556 KB



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