International Journal of Environmental Research and Public Health · Migration
Family therapy with refugee families remains little studied: recruiting, translating and following families whose lives are unstable all hold research back. Charity Mokgaetji Somo, of the University of South Africa, proposes taking as data documentary films that show therapies already conducted, and details selection criteria, a twelve-step analysis and safeguards for trustworthiness.
This is a reformatted republication of Research Considerations for the Use of Publicly Available Documentary Films to Study Refugee Family Therapy, by Charity Mokgaetji Somo, published in International Journal of Environmental Research and Public Health (MDPI) (2026), doi: 10.3390/ijerph23020265, under a CC BY 4.0 licence. Prepared by Complexe Systémique in September 2026: the authors’ text is unchanged; the layout has been adapted for reading online, which constitutes a modification of the work under the terms of the licence. Table 1 is presented as a list; the end-of-article statements are grouped in the notes. This edition was made neither by the authors nor by the publisher, who are not responsible for its content or for any errors. The original version prevails.
These limitations do not invalidate documentary film as a research method but underscore the need for critical reflexivity, methodological rigor, and explicit reporting of analytical processes.
Charity Mokgaetji Somo
Abstract
Scholars in family therapy are increasingly calling for family-centered interventions for trauma-affected refugees, as many trauma-informed therapies favor individual models of treatment. Research contributes to the study and implementation of family-centered care models. However, for methodological reasons, research on family therapy with displaced populations is limited. In response to scholars’ call, this paper argues for the use of documentary film as qualitative research data in refugee family therapy research. Documentary films have historically been used in the social sciences to examine people’s lived experiences and to address data gaps in hard-to-reach populations. This paper outlines key methodological considerations inherent in research with refugee populations, including challenges related to recruitment and retention, language and cultural barriers, insecure and unstable living conditions affecting participants, research design constraints, and ethical complexities. It then discusses how the use of documentary film can help mitigate these challenges through careful epistemological positioning, research design, data selection and analysis strategies, and attention to ethical and research trustworthiness considerations. By doing so, the paper contributes to the development of qualitative research skills necessary for studying refugee family well-being and supporting the growth of family-centered therapeutic approaches.
Keywords: family therapy, documentary films, qualitative conventional content analysis (QCCA), qualitative research, refugee family trauma, video material
The current global refugee crisis is not abating, with the number of displaced people doubling in just a decade [1]. At the end of 2024, approximately 123.2 million people worldwide had to flee their homes and communities due to war, human rights violations, and persecution [1]. Catastrophic events such as war result in physical and psychological trauma for the displaced. Research shows that refugees suffer from high rates of mental health disorders, including depression, anxiety, post-traumatic stress disorder (PTSD), and suicidal behaviors [2,3,4]. Refugee families often experience migration trauma events as a collective. During pre-migration, families can encounter war atrocities such as the destruction of the family home, debilitating injuries, and the death of family members [5]. The migration journey to safety poses several vulnerabilities, including abuse by smugglers and human traffickers who target women and children, and separate families through kidnapping [6]. Safety often means living in refugee camps, which are often inadequate living environments, marked by conditions that undermine dignity, safety, and well-being [5]. Families who are granted asylum in third countries have to grapple with resettlement stress. For example, learning the local language, finding employment, and adapting to the local culture can improve chances of adaptation, but it can initially take a toll on the family system [7]. Such migratory stressors and traumatic events can lead to several family-level trauma outcomes [8].
Despite the challenges of forced migration, refugee families can find meaningful ways to rebuild their lives. Resources for positive resettlement include family cohesion, community connections, and cross-cultural participation [9]. Community acceptance and support from locals and refugee networks significantly predict family health and positive mental health [9]. Family therapy also plays an important role in fostering resilience among refugee families [10]. Scholars in family therapy are increasingly calling for family-centered interventions for trauma-affected refugees, as many trauma-informed therapies favor individual models of treatment. Research contributes to the study and implementation of family-centered care models. However, research on family therapy with displaced populations is limited [11]. In response to scholars’ call, this paper argues for the use of publicly available documentary film as a viable data source in refugee family therapy research. Documentary films have historically been used in the social sciences to examine people’s lived experiences and to address research gaps in hard-to-reach populations. This paper aims to reflect on the use of publicly available documentary film data in the study of systemic therapy for refugees. The reflection is based on the research methodologies first developed and applied in the author’s PhD dissertation [12]. The methodology is selectively drawn on here to advance methodological discussion of the use of documentary film in the study of refugee well-being. The PhD study was empirically oriented, examining how family therapists conducted therapy with refugee families. In contrast, this paper foregrounds and critically reflects on the key methodological considerations in the use of available documentary films in refugee family therapy research. It presents a methodological re-analysis that contributes to research on refugee family well-being and supports the development of family-centered therapeutic approaches.
The following discussion outlines the challenges in research on refugee systemic therapy and explores the potential of using publicly available documentaries to address gaps in refugee family therapy research.
Systematic reviews have reported only a small number of family-based intervention studies and even fewer that evaluate the effectiveness of systemic treatments [11]. Scholars report that the following methodological factors can complicate and delay studies in this field [11,13,14]:
Scholars argue that these constraints have necessitated a shift toward more practical and adaptable frameworks for conducting psychotherapy research with displaced populations [14]. Researchers advocate for the inclusion of qualitative approaches—such as ethnographic methods—in future studies [11]. Integrating these methods is considered essential to strengthening research on family-based interventions for displaced populations. This paper advocates the use of documentary films as a qualitative data source in studies of refugee family therapy. The paper also aims to provide justification for the use of documentary film in refugee therapy scholarship. While the methodological factors identified in the literature significantly complicate and delay refugee family therapy research, they also highlight the need for more flexible and context-sensitive research approaches. The use of documentary film as a qualitative data source does not eliminate challenges associated with data collection in refugee studies. It offers a methodological framework that can mitigate their impact by reducing reliance on direct participant recruitment, minimizing cross-cultural data collection demands, accommodating unstable living conditions, and enabling ethically responsive research design. By shifting the unit of analysis from in-person data collection to existing filmed therapeutic encounters, documentary-based inquiry provides a practical and ethically viable alternative for studying systemic family therapy with displaced populations.
This paper will contribute to research on family therapy with refugee populations. To the author’s knowledge, no research has yet been conducted on the use of documentary films to study family therapy with refugee populations. One scholar noted that as early as the mid-1950s, prolific researchers, such as Gregory Bateson, Jürgen Reusch, and Weldon Keys, used the new technology of that period to film and study family therapy [16]. Due to the availability of video material and increased efficiency in collecting, analyzing, sharing, and archiving it, scholars are now incorporating video material into the learning process in many scientific disciplines [17]. As such, video material (including archival formats) may be a viable alternative to data collection in studies of psychotherapy with refugees.
In the social sciences, video documentaries are films that depict people’s lived experiences regarding social concerns and political phenomena [18]. Visual methods are an emerging, novel approach to qualitative research grounded in traditional ethnographic methods [19]. In ethnographic studies, visual methods have been used to study human interactions in their natural context [20]. Ethnographers examine these interactions as they occur, and they elaborate on the nuances of human relationships within the organic environment [20]. In the social sciences, documentary filmmakers are interested in showing the lived experiences of humans in unique and/or challenging circumstances, such as the refugee crisis (see, for example, Hiltunen [21]). Film and video content have always been important in showing the lived experiences of refugee families. Journalists and ordinary people use photography and video to show the devastation caused by war and its consequences for displaced people. Technology has made it possible for these experiences to be widely publicized. For instance, when the war in Ukraine started, thousands of people around the globe watched real-life war combat, bombings, and refugee migration on several social media platforms and video streaming services daily for several weeks. The experiences filmed and shown on video streaming services constitute data and can be effectively used in refugee family studies.
The benefits of visual data also apply to documentary film data. Firstly, documentary films are a novel way to study participants who are difficult to include in research studies, such as refugee families [19]. Ethnographic filmmakers have always used film to study cultures and the lived experiences of populations. Studies on forced migration can learn from ethnographic methodologies to meet research needs. This study shares the growing interest in using visual methods in qualitative data analysis, as the researcher observed that these methods can yield thick data and strengthen research efforts in refugee family therapy. Secondly, documentary films add a distinct dimension to research [19] by integrating participant observation, participant narratives, and contextual information within a single medium. For example, in analyzing a documentary film on refugee family therapy, the researcher can observe multiple family members’ verbal (narratives) and nonverbal interactions (emotional and behavioral reactions) simultaneously. Thirdly, documentary films depicting the refugee crisis are often filmed within the context of refugees’ real experiences, for example, in refugee camps. While the experiences captured in videos may seem emotionally charged and biased toward desperation, it can be argued that war produces devastation and desperation. Therefore, there is nothing else but destitution and desperation to be shown. Through these films, the research becomes contextually and culturally sensitive [19]. Lastly, documentary films can be used to engage public opinion and activism [20,22]. They are now also being used to research and disseminate knowledge on refugee experiences (see, for example, Hiltunen; Nisbet & Aufderheide; Zhang, 2018 [21,22,23]). Hiltunen analyzed documentary films depicting the migration crisis in the Middle East and sub-Saharan Africa [21]. In such films, filmmakers emphasize respecting their subjects as individuals and giving them the chance to tell their own stories [21]. Such a perspective is pivotal in qualitative research, where researchers aim to explore participants’ lived experiences through their subjective perceptions.
These benefits demonstrate the potential of visual methods, such as documentary films, to close the research gaps in refugee family well-being research. The next section provides an example to demonstrate how publicly available documentary films can be used to study refugee family therapy. The discussion highlights key research considerations for studying refugee family therapy, including epistemological positioning, methodological approach, data collection, data analysis, ethics, and research trustworthiness.
As stated earlier, this paper is a secondary analysis of the author’s PhD study [12], which utilized documentary films to explore how relational therapists provide family therapy for refugee families. The exploration was guided by two research questions: (1) How do scholars articulate and conceptualize refugee relational psychological trauma? (2) What are the important considerations when providing systemic therapy to refugee families? The findings of the PhD study are presented in the original study [12]. The next section provides an example to demonstrate how publicly available documentary films can be used to study refugee family therapy. The example offers a methodological framework that can lessen the impact of methodological challenges in refugee family therapy research. In this example, the unit of analysis shifted from data collected through conventional in-person methods to publicly available film documentaries as the primary data source. The discussion highlights key research factors for studying refugee family therapy using film data, including epistemological positioning, methodological approach, data collection, data analysis, ethics, and research trustworthiness.
In documentary studies, family therapy is viewed through the filmmaker’s lens. This then begs the question of how filmmaking shapes knowledge production. Drawing on Hiltunen’s observation that documentary filmmakers often seek to treat participants as competent subjects who speak for themselves [21], knowledge can be regarded as co-constructed by participants, filmmakers, and the researcher. Knowledge is constructed from what is portrayed through the camera lens, what is communicated by the film subjects, and the researcher’s analysis. Scholars assert that knowledge in documentary films is co-produced rather than discovered [24]. Studying therapy through a filmmaker’s lens, therefore, entails acknowledging that knowledge emerges from participants’ narrated experiences and is co-constructed with filmmakers through cinematic choices. In this respect, documentary-based inquiry aligns closely with constructivist qualitative approaches, which frame reality as multiple, situated, and produced through social interaction.
A qualitative approach aims to explore participants’ lived experiences through audio, visual, and textual representations [25]. This approach is well-suited to documentary film research and can be used to examine the experiences of family therapists conducting systemic therapy with displaced populations. An important part of qualitative research is to explore experiences through participants’ narratives and subjective perceptions [26]. In the documentaries, participants share their personal experiences of displacement in their own words and from their perspective, explaining the meanings they have drawn from them. An additional strength of documentary films is their ability to show participants actively living out the events or experiences under study. In film documentaries, the researcher can observe both the therapist and the family during family therapy and analyze the therapeutic situation from multiple perspectives. Qualitative research also emphasizes the context in which the experiences occurred [26]. Context plays a pivotal role in interpreting participants’ lived experiences. Documentary films are effective in qualitative research because they seek to richly describe subjects’ demographic and contextual profiles and personal stories [21]. The thick description of participant context, demographics, and lived experiences is a core characteristic of qualitative research. The unique feature of documentary films is that they provide visual evidence of the stories participants tell, thereby enabling methodological triangulation within a single setting. In summary, the qualitative use of documentary films offers a rigorous and contextually grounded methodology for examining systemic family therapy with displaced populations. By integrating participants’ narratives, observed interactions, and rich contextual detail, documentary films enable a thick, multi-perspectival understanding of lived experience while supporting methodological triangulation. This approach not only aligns closely with the epistemological aims of qualitative research but also enhances the depth, credibility, and interpretive potential of studies focused on complex therapeutic and displacement contexts.
Defining data. Documentary films are a genre that seeks to represent aspects of reality by translating real people, places, and events onto the screen through a creative treatment of actuality [27]. When selecting documentary film data from public platforms, researchers should select those that are information-rich and relevant to the research question. Purposive sampling can be used to identify film data that aligns with the research question. This approach involves selecting videos that directly address the study’s aims and involves an exhaustive search to identify available material across platforms and formats [12]. Conducting such an initial search is important for establishing the full range of potential data before applying predefined inclusion criteria.
Inclusion criteria. Inclusion and exclusion criteria are particularly valuable when working with domains characterized by abundant content but uneven relevance, such as video material on refugee migration. Inclusion criteria can guide the researcher to select a credible sample. To include films that provide rich and relevant data, the following inclusion and exclusion criteria can be regarded:
Example of application of inclusion criteria from Somo [12]: Video materials depicting refugees engaging in family therapy were identified from the following sources:
Exclusion Criteria. An exclusion criterion further delimits the selection of materials that provide relevant information for the research question. For example, Somo [12] used the following criteria to further exclude irrelevant films from the study:
In the end, five videos met the inclusion criteria and were included for analysis. The five videos fall into two types: three family therapy documentaries and two educational videos on mental health services for refugee families impacted by war trauma. Videos relating to psychotherapy fell within ethical boundaries; therefore, no videos were excluded for ethical reasons. Table 1 presents an overview of the final video materials and the rationale for their inclusion.
Table 1 — Documentary films on refugee family therapy.
According to Fouché et al. [33], the primary criticism of utilizing non-textual data lies in the difficulties associated with its analysis. Documentary films can be analyzed using a systematic research protocol that is aligned with the qualitative research approach. Borish et al. [34] developed a video-based qualitative protocol to analyze documentary films. They report that the approach is grounded in the understanding that video interviews created through documentary filmmaking constitute qualitative data and can be analyzed using recognized qualitative methods. Qualitative conventional content analysis (QCCA) is a research approach that systematically codes text data and identifies themes or patterns to enable subjective interpretation of the content [25]. QCCA is especially relevant to analyzing documentary films as it offers methodological procedures to analyze videos and transcripts [25]. In the study that provides context for this particular paper, QCCA was employed as a data analysis strategy for documentary film data. Figure 1 depicts an example of how QCCA can be used data as an analysis procedure for documentary films in refugee studies. While Hsieh and Shannon [25] propose a seven-step process, the procedure in this example was extended to 12 steps to incorporate methodological triangulation and constant comparative methodology. Fouché et al. [33] suggest using additional methods to triangulate visual material to enrich the data; therefore, expert consultations were added as a means of data triangulation. The constant comparative method by Charmaz [35] was used to compare codes as they emerged from the analysis. The section below explicates the analysis procedure.

Studies using publicly available data can be exempt from institutional ethics approval, as they involve the use of secondary data. Nevertheless, research using publicly available data should be carried out for participants’ benefit, to use the data for good and to provide a just and fair representation of participants’ lived experiences [14].
The well-established criteria of rigor—credibility, dependability, transferability, and confirmability [36,37]—provide a helpful framework for enhancing methodological rigor in studies that incorporate documentary film [24]. Credibility refers to the extent to which research findings are an accurate and trustworthy representation of the data as interpreted by the researcher [38]. In documentary film research, credibility can be strengthened through the use of multiple, complementary strategies. Researchers may enhance analytical rigor by establishing a clear audit trail that demonstrates alignment between research questions, data sources, and analytic decisions. Engaging a research advisory group to review analytic processes can further support credibility by ensuring transparency and methodological coherence. Triangulation can be achieved through consultation with subject matter experts relevant to the study context, such as clinicians or practitioners working with refugee families. These experts can be invited to review emerging codes and interpretations at successive stages of analysis, offering critical feedback on the plausibility, coherence, and validity of analytic claims.
Dependability refers to the consistency of the research process and the extent to which it can be repeated across similar contexts and participant groups [38]. A detailed audit trail can also ensure dependability [24,38]. Detailed methodological documentation enables other researchers to follow, evaluate, and potentially replicate the study under comparable conditions. Periodic peer review of the research process can further support structural corroboration and methodological consistency. Working in a research team and holding regular discussions among researchers can ensure that research data is informed by adherence to research protocols [24], which enhances both dependability and confirmability.
Confirmability addresses the degree to which findings are grounded in the data rather than shaped by researcher bias or presuppositions [38]. Researchers can enhance confirmability by practicing sustained reflexivity throughout the research process. Reflexive journaling and analytic memo writing can be used to document assumptions, emotional responses, and interpretive decisions, thereby making the researcher’s influence on the analysis visible and open to scrutiny.
Transferability concerns the extent to which findings may apply to other contexts or populations [38]. To facilitate assessments of transferability, researchers should provide rich, contextualized descriptions of the documentary materials analyzed, including details on the setting, participants, and thematic focus. Such detail allows readers to determine the relevance of the findings to their own research or practice contexts. A central strength of publicly available documentary films is their accessibility, which allows readers to view the material directly and independently assess the transferability of the findings to their own contexts.
The literature highlights persistent methodological challenges in refugee family therapy research—including recruitment and retention difficulties, language and cultural barriers, insecure and unstable living conditions, research design constraints, and ethical complexities—that continue to limit the feasibility and rigor of conventional empirical approaches. This paper responds to these challenges by advancing documentary film as a qualitative data source grounded in a constructivist epistemology, demonstrating how careful research design, purposive data selection, systematic qualitative analysis, and attention to ethics and trustworthiness can offer a contextually responsive methodological framework for studying systemic family therapy with displaced populations.
Like any other research methodology, the use of documentaries in academic research has received both praise and criticism [27]. Using documentary film to study refugee family therapy has its own strengths and limitations, and they are discussed next.
The strengths of using documentary films on refugee therapy include:
The use of documentary film within academic research has been widely endorsed and critiqued, reflecting ongoing debates about its epistemological and methodological status [27].
While this paper asserts that documentary films can bridge gaps in refugee family therapy scholarship, it acknowledges limitations. Firstly, documentary films are not objective. Qualitative research does not claim to be objective. It is the interpretation of subjective accounts of participants’ lives and/or the meaning they have constructed from their life stories. Documentary films are considered authentic representations of events in the lives of the observed [20]. There is typically no written or performative script for recordings, and participants are filmed engaging in activities as they ordinarily occur. Despite this, critics of documentary filmmaking argue that these representations may oversimplify complex social realities and involve varying degrees of selection and emphasis [27]. Because filmmakers retain control over what is recorded, edited, and ultimately presented, documentaries may risk offering partial or unfair representations of lived realities, raising questions about the accuracy and balance of the messages conveyed. In some cases, the filmmaker’s interpretive standpoint may exaggerate particular themes for narrative or affective impact [27]. For these reasons, researchers should consider engaging topic experts to examine emerging themes in the data analysis. Researchers should also compare their findings with current literature and theoretical perspectives.
Secondly, documentary films are subject to a camera effect. When individuals are filmed, they may consciously or unconsciously present aspects of themselves or their experiences that they consider personally, socially, or politically significant. In documentaries focusing on refugees, this self-presentation may be shaped by political agendas, social advocacy aims, or funding priorities. While researchers should critically assess the implications of the camera effect, it is important to note that similar dynamics can arise in audio-recorded or interview-based research once participants are aware that they are being recorded.
Thirdly, an additional limitation concerns the challenge of documenting a clearly defined, methodical research process [40]. Researchers can address this limitation by explicitly articulating how video materials were collected, analyzed, and interpreted [40]. Researchers should also acknowledge methodological issues when reporting their findings and clearly articulate the limitations of documentary film data.
Documentary films offer significant methodological and conceptual strengths for research on family well-being by enabling rich, contextualized, and embodied accounts of lived experience. Their capacity to capture affective, relational, and environmental dimensions of refugee lives provides insights that are particularly compelling. At the same time, the use of documentary film as research data introduces important limitations, including subjectivity in representation, the influence of the camera on participants’ behavior, the filmmaker’s interpretive authority, and challenges related to transparency and methodological documentation. These limitations do not invalidate documentary film as a research method but underscore the need for critical reflexivity, methodological rigor, and explicit reporting of analytical processes.
The methodological challenges that complicate refugee family therapy research underline the need for flexible and context-sensitive research approaches. Using video material to study family therapy with refugee families can fill the methodological gaps in the literature. Research systematically collects data to investigate and report findings on a phenomenon. Using documentary films in research requires systematic data collection, analysis, and reporting to ensure findings are consistent with research trustworthiness. This paper adds to the research on refugee family therapy by providing a methodological rationale for using documentary films and outlining practical steps for data collection and analysis of video material. It is hoped that this paper will enhance the research skills needed to study the well-being of refugee families.
Complexe Systémique: key points
The article opens a useful path for a field where research stumbles over recruitment, language and precarity: observing family therapies already filmed, where narratives, gestures and context can be seen at once. For a systemic reading, however, one must keep in mind that the camera is not a neutral observer: editing, framing and the filmmakers’ advocacy aims construct what we think we observe, and the families did not consent to becoming research data. The corpus in the example is thin (five videos, two of them educational), mostly produced by Western, fee-based professional platforms, even though free access is one of the inclusion criteria; English subtitles shift the language question without resolving it. The twelve-step analysis procedure, with expert consultations, remains a good tool for rigour. For clinical work and training, these films serve mainly to work on therapeutic stance; they do not replace the voices of the families themselves. Read alongside the scoping review on intergenerational trauma in refugee families, and the case for videorecording practice.
Notes from the original
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Acknowledgments. This manuscript emerged from the author’s PhD dissertation research. The author wishes to acknowledge the support of the dissertation committee, consisting of Jerry Gale, Jennifer Gonyea, and Elizabeth Wieling.
Institutional review board statement. Ethical review and approval were waived for this study due to its use of secondary data.
Informed consent statement. Not applicable due to its use of secondary data.
Conflicts of interest. The author declares no conflicts of interest.
Funding statement. This research received no external funding.
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Reformatted republication of Research Considerations for the Use of Publicly Available Documentary Films to Study Refugee Family Therapy, by Charity Mokgaetji Somo, International Journal of Environmental Research and Public Health, vol. 23, no. 2, article 265 (2026), doi: 10.3390/ijerph23020265, under a CC BY 4.0 licence. Edition and layout: Complexe Systémique, September 2026 — the work has been modified under the terms of the licence (table presented as a list). Neither the authors nor the publisher are responsible for this edition; the original version prevails.
This is the original article “Research Considerations for the Use of Publicly Available Documentary Films to Study Refugee Family Therapy”, published in International Journal of Environmental Research and Public Health (2026) under a CC BY 4.0 licence. Republished by Complexe Systémique: the author’s text is unchanged; only the presentation has been adapted for reading online, as set out at the head of this page.
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Somo, C. M. (2026). Research Considerations for the Use of Publicly Available Documentary Films to Study Refugee Family Therapy. Complexe Systémique. https://app.complexe-systemique.com/en_GB/articles/research-considerations-for-the-use-of-publicly-available-documentary-films (Original work published in 2026 in International Journal of Environmental Research and Public Health, 23(2), 265 (2026); republished in 2026 by International Journal of Environmental Research and Public Health, https://www.mdpi.com/1660-4601/23/2/265)
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