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The first edition of this book was acclaimed as a practical, insightful and humane guide for professionals in mental health, social work and voluntary and government agencies who are concerned with the care of refugees and other victims of political and military violence. These professionals can develop feelings of irritation, disappointment and hopelessness when their work seems not to have the expected result. Successful counselling and therapy require empathy with such victims of traumatic events. But empathy must be based on, and combined with, expertise and knowledge that is both scientific and research-based, and focused on the special needs of these victims. This book is written from the first-hand experience of a world expert in this field, and provides A practical guide to clinical work with adult, child and adolescent victims A conceptual framework which places treatment in the context of the main therapeutic approaches A review of the research evidence that supports these methods of assessment and treatment Many clinical examples and a full consideration of the special problems of communication across cultures and language barriers Recognition of the special problems for professionals and volunteers dealing with these clients This new edition reflects the latest scientific and clinical work and knowledge, and will be essential for mental health professionals as well as for a wider readership of social, legal and administrative professionals who are concerned with the wellbeing of these victims. "A supremely accessible, comprehensive text on the effects of detention, torture, rape, exile, and culture shock, and how to understand and effectively help victims. It is also a vivid insight into traumatization and transgenerational suffering, and into transcultural and transtheoretical therapy. Harrowing yet timely, essential reading for frontline therapists and counsellors." —Colin Feltham, PhD, Sheffield Hallam University
The author presents an in-depth review of the available scientific literature concerning the mental effects of terror, torture, battlefield experience, disappearance of relatives and exile on refugees. The facts and theory described are related to practical experience and examples, illustrating the theoretical concepts and related mode of thought. Coverage includes basic ideas from various psychological theories relevant to the understanding of mental problems in general; the use of psychoactive drugs in treating refugees; specific problems of female victims and much more.
This concise book is an essential tool to help counsellors and psychotherapists understand and engage with the experiences of persecution, violence and exile often faced by refugees. It also includes practical information on advocacy, supervision and working with interpreters.
Mental health problems among asylum seekers and refugees are becoming a public issue, but awareness of this problem among the mental health community is relatively low. Although advances have been made in the provision of innovative mental health services for asylum seekers and refuges with PTSD, they are not systemized, and not widely known to professionals in the field. A publication offering practical guidelines for the treatment of torture victims and political refugees does not exist. Broken Spirits aims to bring together the works of the most respected mental health professionals - from the U.S. and abroad - and make available the most current knowledge on complex PTSD, forced migration and cultural sensitivity in diagnosis and treatment.
This volume addresses the complexities involved in attending to the mental health of refugees. It covers theory and research as well as clinical and field applications, emphasising the psychotherapeutic perspective. It explores the delicate balance between accepting the resilience of refugees whilst not neglecting their psychological needs, within a framework that avoids pathologising their condition. Moreover, it deals with the difficulties in delineating the various relevant intersecting perspectives to the refugee reality, e.g. psychological, socio-political, legal, organisational and ethical. The book introduces important considerations about the actual psychotherapy with refugees (in individual, family and group settings) but in addition, it encourages the introduction of therapeutic elements to all types of work with refugees. Thus, it argues for the necessity of approaching every facet of the refugee experience from a therapeutic perspective; this is why the title refers to therapeutic care rather than to psychotherapy.
Synthesizing insights from psychiatry, social psychology, and anthropology, this important work sets out a framework for therapy that is as culturally informed as it is productive. An international panel of 23 therapists offers contextual knowledge on PTSD, coping skills, and other sequelae experienced by the survivors of traumatic events. Case studies from Egypt to Chechnya demonstrate various therapeutic approaches. Authors explore the balance of inter- and intrapersonal factors in reactions to trauma and dispel misconceptions that hinder progress in treatment.
Frank Ochberg - one of the pioneers in the field - has brought together nationally and internationally recognized experts who have treated thousands of victims in such subspecialty areas as rape, incest and battering, as well as Vietnam veterans and refugees. They provide a wealth of knowledge about Post-Traumatic Therapy (PTT) within these populations. PTT is not just a series of techniques but a clinical philosophy that requires empathic understanding of the victim, collaboration between therapist and client, and recognition of empowerment as a therapeutic tool. PTT centers on stress and coping, focuses on the strengths of the victim, and is integrative with respect to biological, psychological and social fears.
Annotation Identifies psychosocial issues relevant to refugee relocation and explains the development of culturally sensitive intervention strategies to assist refugees in adaptation.
This book provides an overview of theoretical, empirical, and clinical conceptualizations of mental health following exposure to human rights violations (HRV). There are currently hundreds of millions of individuals affected by war and conflict across the globe, and over 68 million people who are forcibly displaced. The field of refugee and post-conflict mental health is growing exponentially, as researchers investigate the factors that impact on psychological disorders in these populations, and design and evaluate new treatments to reduce psychological distress. This volume will be a substantial contribution to the literature on mental health in refugee and post-conflict populations, as it details the state of the evidence regarding the mental health of war survivors living in areas of former conflict as well as refugees and asylum-seekers.
In the United Kingdom since 1987 38,000 people have been referred to The Medical Foundation for specialist psychological treatment relating to warfare, and in the past 80 years 75,000 military personnel have received counselling from the Ex-Services Mental Welfare Society. The topic of warfare induced psychological stress and trauma is a vast one. This book gives an unique, person-centred insight into counselling victims of warfare (either civilians or military personnel) whose trauma is physical or psychological. It covers such topics as anger, death, nightmares, recovered memories, emotional and physical pain, and alcohol use. It also contains a list of useful contacts for further support and helpful tips. Counsellors, trainees and other healthcare and social care professionals dealing with civilian or military victims of warfare will find this guide invaluable.