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Assessment and Treatment Approaches for Survivors of Torture

Published online by Cambridge University Press:  02 January 2018

Ronan J. McIvor  and
Stuart W. Turner
Ronan J. McIvor*
Affiliation:
Institute of Psychiatry, London
Stuart W. Turner
Affiliation:
Traumatic Stress Clinic, Department of Psychiatry, University College London Medical School
*
Dr R. J. McIvor, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
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Extract

Background

Torture, with its personal, cultural, political and psychosocial effects, is presented as a complex trauma. The efficacy of different treatment modalities for those survivors who need assistance is examined critically.

Method

International literature searches using MEDLINE and Psych-Info, books and relevant book chapters were examined.

Results

One hundred and twenty-five articles were selected for analysis; 30 of the most relevant are discussed.

Conclusions

Discrete approaches to treatment have been developed, but many have yet to be evaluated critically. Common therapeutic elements are outlined. It is recommended that an integrated, flexible, client-centred approach utilising several techniques is most likely to achieve best results. Wider socio-political aspects should be taken into account, and treatment must be consistent with cultural expectations. Future directions for research are outlined and the role of primary prevention is stressed.

Type
Review Article
Information
The British Journal of Psychiatry , Volume 166 , Issue 6 , June 1995 , pp. 705 - 711
Copyright
Copyright © Royal College of Psychiatrists, 1995 

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References

Agger, I. (1989) Sexual torture of political prisoners: an overview. Journal of Traumatic Stress, 2, 305–318.CrossRefGoogle Scholar
Agger, I. & Jensen, S. (1990) Testimony as ritual and evidence in psychotherapy for political refugees. Journal of Traumatic Stress, 3, 115–130.Google Scholar
Allodi, F. A. (1991) Assessment and treatment of torture victims: a critical review. Journal of Nervous and Mental Disease, 179, 4–11.Google Scholar
Amnesty International (1992) Amnesty International Report 1992. London: Amnesty International Publications.Google Scholar
Barudy, J. (1989) A programme of mental health for political refugees: Dealing with the invisible pain of political exile. Social Science Medicine, 28, 715–727.Google Scholar
Basoglu, M. (1992) Behavioural and cognitive approach in the treatment of torture-related psychological problems. In Torture and its Consequences: Current Treatment Approaches (ed. M. Basoglu), pp. 402–429. Cambridge: Cambridge University Press.Google Scholar
Basoglu, M. (1993) Prevention of torture and care of survivors. An integrated approach. Journal of the American Medical Association, 270, 606–611.CrossRefGoogle ScholarPubMed
Basoglu, M. & Marks, I. (1988) Torture: Research needed into how to help those who have been tortured. British Medical Journal, 297, 1423–1424.Google Scholar
Bustos, E. (1990) Dealing with the unbearable: Reactions of therapists and therapeutic institutions to survivors of torture. In Psychology and Torture (ed. P. Suedfeld), pp. 143–163. New York: Hemisphere Publishing Corporation.Google Scholar
Cienfuegos, A. J. & Monelli, C. (1983) The testimony of political repression as a therapeutic instrument. American Journal of Orthopsychiatry, 53, 43–51.Google Scholar
Comas-Diaz, L. & Padillo, A. M. (1990) Countertransference in working with victims of political repression. American Journal of Orthopsychiatry, 60, 125–134.Google Scholar
Davidson, J. (1992) Drug therapy of post traumatic stress disorder. British Journal of Psychiatry, 160, 309–314.Google Scholar
Davidson, J., Kudler, H. S., Saunders, W. B., et al (1993) Predicting response to amitriptyline in posttraumatic stress disorder. American Journal of Psychiatry, 150, 1024–1029.Google Scholar
De Silva, P. (1993) Post-traumatic stress disorder: cross-cultural aspects. International Review of Psychiatry, 5, 217–229.Google Scholar
Figley, C. R. (1988) A five-phase treatment of post traumatic stress disorder in families. Journal of Traumatic tress, 1, 127–141.Google Scholar
Fischman, Y. & Ross, J. (1990) Group treatment of exiled survivors of torture. American Journal of Orthopsychiatry, 60, 135–142.Google Scholar
Goldfeld, A. E., Mollica, R. F., Pesavento, B. H., et al (1988) The physical and psychological sequelae of torture. Journal of the American Medical Association, 259, 2725–2729.Google Scholar
Keane, T. M., Weathers, F. W. & Kaloupek, D. G. (1992) Psychological assessment of post-traumatic stress disorder. PTSD Research Quarterly, 3, 1–8.Google Scholar
Kinzie, J. D. (1989) Therapeutic approaches to traumatised Cambodian refugees. Journal of Traumatic Stress, 2, 75–91.Google Scholar
Mollica, R. F. (1988) The trauma story: the psychiatric care of refugee survivors of violence and torture. In Post-traumatic Therapy and the Victim of Violence (ed. F. M. Ochberg), pp. 295–314. New York: Brunner/Mazel.Google Scholar
Mollica, R. F. & Caspi-Yavin, Y. (1992) Overview: The assessment and diagnosis of torture events and symptoms. In Torture and its Consequences: Current Treatment Approaches (ed. M. Basoglu), pp. 253–274. Cambridge: Cambridge University Press.Google Scholar
Rachman, S. (1980) Emotional processing. Behaviour Research and Therapy, 18, 51–60.Google Scholar
Ramsay, R., Gorst-Unsworth, C. & Turner, S. (1993) Psychiatric morbidity in survivors of organised state violence including torture. British Journal of Psychiatry, 162, 55–59.Google Scholar
Solomon, S. D., Gerrity, E. T. & Muff, A. M. (1992) Efficacy of treatments for post traumatic stress disorder. An empirical review. Journal of the American Medical Association, 268, 633–638.Google Scholar
Somnier, F. E. & Genefke, I. K. (1986) Psychotherapy for victims of torture. British Journal of Psychiatry, 149, 323–329.CrossRefGoogle ScholarPubMed
Somnier, F. E., Vesti, P., Kastrup, M., et al (1992) Psycho-social consequences of torture: Current knowledge and evidence. In Torture and its Consequences: Current Treatment Approaches (ed. M. Basoglu), pp. 56–71. Cambridge: Cambridge University Press.Google Scholar
Turner, S. (1992) Therapeutic approaches with survivors of torture. In Intercultural Therapy: Themes, Interpretations and Practice (eds J. Kareem & R. Littlewood), pp. 163–174. Oxford: Blackwell Scientific Publications.Google Scholar
Turner, S. & Gorst-Unsworth, C. (1990) Psychological sequelae of torture – a descriptive model. British Journal of Psychiatry, 157, 475–480.Google Scholar
Van der Veer, G. (1992) Counselling and Therapy with Refugees: Psychological Problems of Victims of War, Torture and Repression, pp. 7–28. Chichester: Wiley.Google Scholar
Winnicott, D. W. (1974) Fear of breakdown. International Review of Psycho-analysis, 1, 103–107.Google Scholar
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders. Geneva: WHO.Google Scholar
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