Cristin-prosjekt-ID: 435488
Sist endret: 15. januar 2015 08:02
Cristin-prosjekt-ID: 435488
Sist endret: 15. januar 2015 08:02
Prosjekt

Cultural encounters between Norwegian Marte Meo-therapists and caregivers at Haydom Lutheran Hospital in Tanzania.

prosjektleder

Gro-Renée Rambø
ved Universitetet i Agder

prosjekteier / koordinerende forskningsansvarlig enhet

  • Universitetet i Agder

Tidsramme

Avsluttet
Start: 1. januar 2013 Slutt: 1. januar 2015

Beskrivelse Beskrivelse

Tittel

Cultural encounters between Norwegian Marte Meo-therapists and caregivers at Haydom Lutheran Hospital in Tanzania.

Vitenskapelig sammendrag

The Department of Child and Adolescent Mental Health (ABUP) at Sørlandet Hospital (SSHF) has established an R&D project at Haydom Lutheran Hospital (HLH) in Tanzania entitled “A spoonful of food and a spoonful of love. Marte Meo in nursing of motherless infants at Haydom Lutheran Hospital in Tanzania”, where therapists from ABUP seek to strengthen the focus among caregivers on motherless infant’s mental health. The project is headed by sociologist PhD and Marte Meo therapist Kari Vik at ABUP. Motherless infants in the Mbulu and Hanang districts in Northern Tanzania spend their first months in life at the Child Care Unit (CCU) at HLH. Due to little emotional, social and physical support these children are vulnerable despite being well fed and nursed. The Norwegian therapists seek to give these infants a better start in life by strengthening the professional conduct of caregiving at CCU by using a therapeutic intervention method called Marte Meo. Marte Meo is a video-interaction guidance method with promising clinical potential (Neander & Skott, 2008; Vik, 2010). It was developed in the Netherlands in the 1980s (Aarts, 2008) and represents a salutogenic, empowerment-based perspective on mental health (Antonovsky, 1998). In Marte Meo, short interactions are filmed when caregiver and child are interacting in everyday activities like nursing or playing. The recordings are analysed and edited, focusing on the child’s needs and highlighting the supportive and sensitive interaction (Hedenbro & Wirtberg, 2002). The therapist then shows the edited film to the caregiver in a therapeutic setting, empowering the caregiver to discover coping strategies and to reflect upon the interaction. The aim is to improve the caregiver’s capacity to see her/himself from the outside and the baby from the inside i.e. his/her capacity for mentalisation (Skårderud & Sommerfeldt 2008). Marte Meo is in broad use in approximately 40 countries, including Scandinavia (Aarts, 2008) and is clinically well accepted. However, the method is scientifically documented only to a minor extent (Axberg, Hansson, Broberg, & Wirtberg, 2006; Neander & Skott, 2008), even less so in infant mental health work (Osterman, Moller, & Wirtberg, 2010; Vik, 2010; Vik & Hafting, 2009). The project builds on a Norwegian sociological and medical/clinical PhD study (Vik 2010), which shows that Marte Meo enhances the mentalisation in postnatally depressed mothers, precisely because the film is edited so that the mothers are ‘caught in the act’ of succeeding in providing good care. However, more scientific knowledge is needed on Marte Meo in other situations and other cultural contexts (Axberg et al., 2006; Osterman et al., 2010; Vik, 2010). By examining the same tool in different settings and to different populations, transferability is increased. Further, acceptability issues related to the tool in cross-cultural contexts will also be assessed, which is relevant as Norway is becoming an increasingly multicultural society. The project consists of two parts: a sociological analysis and a multimodal interaction analysis. In the multimodal interaction analysis, the main aim is to give a detailed semiotic analysis of the different actions that take place both in the caregiver-infant interactions as well as in the caregiver-therapist interactions. The secondary aims are: a)To strengthen the sociological analysis by providing a detailed text-based empirical study of the data b)To contribute to developing the Marte Meo method by making explicit the characteristics of the intervention. c)To strengthen academic collaboration between the participating institutions and contribute with supervision in academic professionalising.

Metode

1) transcription of the verbal interaction 2) multimodal transcription All the data will be transcribed using the program Nvivo, synchronizing the transcription with the video. The transcription will consist of two different parts; a transcription of the verbal interaction and a multimodal transcription. The transcription of the verbal interaction will be a mainly orthographic transcription, while the multimodal transcription will focus on the interplay between different modes of action. For the verbal transcription, we follow the model developed by Du Bios et. al. (Svennevig 2009) dividing the speech into intonation units. For the multimodal transcription, we follow Norris (2004, 2012) defining communicative modes that are sensible for our study. In each mode, we define the action as our unit of analysis distinguishing between higher and lower-level actions.

prosjektdeltakere

prosjektleder

Gro-Renée Rambø

  • Tilknyttet:
    Prosjektleder
    ved Universitetet i Agder

Ingrid Kristine Hasund

  • Tilknyttet:
    Prosjektdeltaker
    ved Universitetet i Agder

Jan Svennevig

  • Tilknyttet:
    Prosjektdeltaker
    ved Universitetet i Agder

Eli-Marie D. Drange

  • Tilknyttet:
    Prosjektdeltaker
    ved Universitetet i Agder
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