Clinical Methodology

Bibliotherapy

Defined as: The clinical method of using books and literature as therapy in the treatment of mental and/or psychological disorders like depression, anxiety, coping with grief and PTSD.

Bibliotherapy has long been used, especially in cultures where storytelling is common, and has been proven to be effective in helping people cope with distress of different sorts, and in minimizing the symptoms of trauma.

As the numbers of children suffering from mental and psychological disorders rose in the region, and with the lack of specialized therapists to accommodate this rise in the numbers, it was difficult to rely on long-term methods of treatment such as “prolonged exposure therapy”. Hence, AMAL resolved to adopting bibliotherapy as its main methodology.

With this approach, AMAL provides efficient, accessible resources that would act as a collective solution – in an attempt to reach as many children as possible. Moreover, with storytelling being part of the Arab culture, this method would also be quite relatable.

Amal series has been developed utilizing elements from an evidenced-based modality called Narrative exposure therapy NET, as well as other elements form TF-CBT.

Narrative Exposure Therapy (NET) is a cognitive behavioral type of intervention that targets survivors of conflict and organized violence. The approach was initially developed to treat clinical issues noted specifically among refugees who have experienced repeated traumatic events.

The underlying premise of NET remains relevant for individuals who have experienced traumatic events, regardless of whether they are refugees or non-refugees.

The therapy focuses on constructing a coherent life narrative, integrating traumatic memories, and facilitating emotional healing and resilience.

During NET the distressed person is encouraged to tell their life story from birth, focusing on the disturbing events they experienced in chronological order. (Thus, this method is suitable for people who have experienced more than one distressing event or witnessed a continuous impact of hardship)

When used with a therapist or a professional counselor, the child should build a well-detailed, chronologically organized story and it is crucial that the therapist plays an active listening role in the delivery of the story.

The therapist should write what has been told of the story at the end of each session. This is not only important as part of building the whole story, but also for future reference, as some particulars might not be clear at the time of that session, or details would be hidden between the lines.

In the final session, therapist and the afflicted together sign the written story.

A Clinical Journey

There is no magic potion for healing; healing is a journey. It is an accumulative process through which symptoms are gradually minimized, coping mechanisms are continuously enhanced, and perspective is changed bit by bit.

AMAL series comprises 9 books that represent the healing journey.

Each book tackles a major aspect of that journey. While the first 4 books familiarize the child with trauma, the next 3 offer coping techniques. And while the 8th book addresses “perspective”, book 9 comes as the culmination of the child’s progress.

One day you will tell your story of how you overcame what you 

went through, and it will be someone else’s survival guide.

-Berne Brown

One day you will tell your story of how you overcame what you went through, and it will be someone else’s survival guide.
-Berne Brown

Field Study

In collaboration with The United Nations High Commissioner for Refugees, we conducted a field study to assess the suitability and impact of the first book of Amal series for refugee children ages nine to twelve years old in the following categories: knowledge, attitude, coping skills.

Participants to the study were also able to provide general feedbacks on the Amal book series. Thirty-two refugee children living in Iraq and Egypt and representing seven nationalities (i.e., Syria, Eritrea, Sudan, South Sudan, Somalia, Ethiopia, and Yemen) as well as their caregivers were interviewed.

Results indicated that the first book of Amal was relatable, understandable, and did not trigger any severe psychological reactions. Furthermore, results suggested that participants were able to gain knowledge, better able to accept and normalize their feelings and reactions to stressful events, and learned some coping skills to manage stress.

CLICK Here if you want to have an access to the study.