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This important new book introduces and discusses the underpinning of psychodynamic psychotherapy for torture survivors in a clinical setting and incorporates concepts from analytical psychology and other theoretical bases in order to provide readers with a deeper understanding of this complex trauma. Using the concepts of analytical psychology, relational psychoanalysis, and neuroscience, and relying on the theoretical basis of her book Torture, Psychoanalysis and Human Rights (Routledge, 2017), Luci focuses on three key clinical cases and illustrates the therapeutic paths that the therapeutic dyad explore and experiences in order to get out of the patient’s inner prison created or aggravated by the experience of torture. The book discusses the role of the therapist when working with torture survivors, the requirement of a slow and cautious approach when dealing with such trauma, and the importance of a careful and respectful consideration of issues of identity, politics, and culture. Featuring a useful guide, this book will be of great interest to mental health professionals, psychotherapists and students practicing in services that provide assistance to torture and war trauma survivors.
A classic publication in this field which serves as a scholarly yet very practical resource.
"An outstanding collection that brings an extraordinary international perspective to the growing literature on the treatment of the survivors of torture." -- New England Journal of Medicine
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.
Torture, Psychoanalysis and Human Rights contributes to the development of that field of study called ‘psycho-social’ that is presently more and more committed to providing understanding of social phenomena, making use of the explicative perspective of psychoanalysis. The book seeks to develop a concise and integrated framework of understanding of torture as a socio-political phenomenon based on psychoanalytic thinking, through which different dimensions of the subject of study become more comprehensible. Monica Luci argues that torture performs a covert emotional function in society. In order to identify what this function might be, a profile of ‘torturous societies’ and the main psychological dynamics of social actors involved – torturers, victims, and bystanders – are drawn from literature. Accordingly, a wide-ranging description of the phenomenology of torture is provided, detecting an inclusive and recurring pattern of key elements. Relying on psychoanalytic concepts derived from different theoretical traditions, including British object relations theories, American relational psychoanalysis and analytical psychology, the study provides an advanced line of conceptual research, shaping a model, whose aim is tograsp the deep meaning of key intrapsychic, interpersonal and group dynamics involved in torture. Once a sufficiently coherent understanding has been reached, Luci proposes using it as a groundwork tool in the human rights field to re-think the best strategies of prevention and recovery from post-torture psychological and social suffering. The book initiates a dialogue between psychoanalysis and human rights, showing that the proposed psychoanalytic understanding is a viable conceptualisation for expanding thinking of crucial issues regarding torture, which might be relevant to human rights and legal doctrine, such as the responsibility of perpetrators, the reparation of victims and the question of ‘truth’. Torture, Psychoanalysis and Human Rights is the first book to build a psychoanalytic theory of torture from which psychological, social and legal reflections, as well as practical aspects of treatment, can be mutually derived and understood. It will appeal to psychoanalysts, psychoanalytic psychotherapists and Jungians, as well as scholars of politics, social work and justice, and human rights and postgraduate students studying across these fields.
This indispensable book is designed to help practitioners create, initiate, and maintain therapy groups for traumatized individuals. Written by an array of experienced group therapists, the book addresses general aspects of trauma group therapy as well as issues specific to different populations and clinical problems. Cogent, practical information is provided on such important topics as screening and selecting members, understanding the impact of trauma on group dynamics, managing the effects of flashbacks, addressing dissociative states, working with countertransference reactions, and dealing with clients' emotional crises. Approaches and strategies are discussed for diverse groups, including survivors of sexual and physical abuse, clients with severe medical illnesses, bereaved children, survivors of catastrophic events in the community, victims of political and ethnic persecution, and those with diagnosed mental disorders in which trauma plays a significant role. Filled with illustrative case material, the book offers essential insights and tools for therapists, supervisors, and trainees from a range of orientations.
Blackwell looks at the role of political conflict in creating refugees and introduces us to the vital importance of politics in the therapeutic context. In his discussion of forced migration and cultural transitions, he describes some of the essentials of working cross-culturally, and attunes the therapist to the influence of their own political and cultural context. This is a concise book with many complex issues introduced succinctly and outlined clearly. It ends with chapters on working with interpreters, advocacy and welfare issues, supervision, and a comprehensive list of references and resources.' - Bereavement Care 'It is most welcome to come across this easy-to-read book directed at those with responsibility for counselling or offering psychotherapy to recently arrived immigrants. Although primarily aimed at therapists, as a very broad introduction to working with refugees, it contains material relevant to social workers and health care professionals. This text does succeed in setting out a broad. introduction to the major themes of therapeutic work with refugees.' - British Journal of Social Work 'This excellent book has been written by a psychotherapist and supervisor with many years' experience at the medical Foundation for the Care of Victims of Torture, and he explains clearly and concisely the issues experienced by refugees, as well as the different areas of concern for counsellors and psychotherapists working with them. I can wholeheartedly recommend this useful, easy to read, concise and intelligently written book for anyone interested in this area of work.' - Counselling and Psychotherapy Journal 'It is rare to me to read a book in one sitting. But this slim volume more than inspires the concentration and deserves the investment. Do not be put off if you are working directly with refugees. Without doubt, the book fulfils its description as an essential tool to help counselors and psychotherapists engage with the experiences of persecution, violence and exile often faced by refugees. But the book also doubles as a concise and accessible framework for describing the role of psychotherapy in the modern world where `identity' is so problematic that an understanding of the political and cultural context is central to the task. Dick Blackwell has based the book on the work undertaken at the Medical Foundation for the Care of Victims of Torture and Organized Violence where he has worked for over 16 years. His experience shines through the straightforward accessible prose with numerous nuggets of wisdom and common sense all delivered in a direct style that manages to avoid the dangers of a polemic. But what makes the book such a gem is his belief, and presumably his experience, that even in the face of appalling atrocity, a willingness to connect, to respect and to learn can build the interpersonal structure where healing can take place.' - Therapeutic Community Journal 'The different experiences of refugees and therapists are documented in separate sections, which make it easy to read. I also like the fact that the author addresses the important and often overlooked challenges of working with interpreters and the dilemma for therapists of becoming advocates. These ongoing challenges are clearly outlined and discussed in a straightforward manner, with useful insights given from the author's own experience. The book is written in a factual and easy-to-follow manner and is accessible enough to be used as a tool in the therapy process as it could be given to a client to enable them to understand the experience of psychotherapy. I found this book to be extremely useful, well laid out and a good basic manual to have on hand when trying to understand the experiences of refugees. I would highly recommend this book as a reference for those working with refugees and as a basic information pack for those who are training or preparing to begin psychotherapy work with refugees.' - Community Care 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. Dick Blackwell's unique framework is based on work carried out at the Medical Foundation for the Care of Victims of Torture. It offers a flexible approach to the special circumstances of displaced and traumatized clients from different cultural and political backgrounds. The author considers four levels of experience - political, cultural, interpersonal and intrapsychic - and explores each of these in relation to both the client and therapist. He also includes practical information on advocacy, supervision and working with interpreters.
In Victims of Cruelty, Maryanna Eckberg incorporates work with Vietnam veterans (the first to be diagnosed with posttraumatic stress disorder) and the Chowchilla kidnapping victims. This personal testimony of how people can heal after trauma is also a professional book describing the effects of personal and political repression and how we can liberate our bodies and minds from terror.
Since its beginnings in the 1970s, the field of torture rehabilitation has grown rapidly. A growing awareness about the practice of torture (more than 100 countries today practice government-sanctioned torture) and its effects on victims is leading to an increasing number of dedicated treatment centers. The health care professionals on the staffs of these centers need the best, most up-to-date information and advice they can get. This book delivers it. Caring for Victims of Torture contains all the collective wisdom of some of the most respected international experts in the treatment of victims of government torture -- all distinguished physicians -- including pioneers in the field of traumatic stress. Contributors discuss the most recent advances in knowledge about government-sanctioned torture and offer practical approaches to the diagnosis and treatment of torture victims. Organized into six main sections, this annotated volume provides an overview of the history and politics of torture and rehabilitation; guidance in identifying and defining the sequelae of torture; a framework for assessment and treatment; specific treatment interventions; and a discussion of ethical implications. In the final section, physicians working in the field offer firsthand accounts and address how they are trying to balance politics with caregiving. Focusing on the physician's role, this book is chiefly a clinical guide. But for advanced-level students, it serves as a thorough, up-to-date text and reference work. Religious leaders, lawyers, politicians, human rights advocates, and torture victims themselves will find it a valuable resource as well.
Sadly, it is highly likely that psychological torture is committed by governments worldwide and yet, notwithstanding the serious moral questions that this disturbing and elusive concept raises, and research in the area so limited, there is no operational or legal definition. This pioneering new book provides the first scientific definition and instrument to measure what it means to be tortured psychologically, as well as how allegations of psychological torture can be judged. Ground in cross-disciplinary research across psychology, anthropology, ethics, philosophy, law and medicine, the book is a tour de force which analyses the legal framework in which psychological torture can exist, the harrowing effects it can have on those who have experienced it, and the motivations and identities of those who perpetrate it. Integrating the voices both of those who have experienced torture as well as those who have committed it, the book defines what we mean by psychological torture, its aims and effects, as well as the moral and ethical debates in which it operates. Finally, the book builds on the Istanbul Protocol to provide a comprehensive new framework, including practical scales, that enables us to accurately measure psychological torture for the first time. This is an important and much-needed overview and analysis of an issue that many governments have sought to sweep under the carpet. Its accessibility and range of coverage make it essential reading not only for psychologists and psychiatrists interested in this field, but also human rights organizations, lawyers and the wider international community.