Nørregaard C
Voksenpsykiatrisk afdeling V, Psykiatrisk Hospital i Hillerød.
Ugeskr Laeger. 2001 Apr 2;163(14):1992-6.
The Danish health services encounter a growing number of refugees who suffer from the effects of persecution and torture. To be a traumatised refugee in a foreign culture often causes psychological reactions and biological changes, and, at the same time, adaptation to a new culture is a demanding existential challenge. The condition is rather poorly described by the diagnoses "post-traumatic stress disorder" and "enduring personality change after catastrophic experience". These conditions can cause difficulties both diagnostically and treatment-wise, as the trauma story can awaken violent reactions in the doctor, and because the symptoms can be so culturally framed they are difficult to interpret. The prognosis depends on a number of issues pertaining to the patient, the trauma, and the patient's overall state after the trauma. At best, the prognosis is relatively good, but in a number of cases the patient's state becomes chronic and disabling. At present, the recommended treatment is a combination of psychotherapy, psychopharmacological treatment, physiotherapy, and social initiatives. There is still uncertainty as to the optimal treatment, and the organisational situation regarding treatment in Denmark is unclear.
丹麦医疗服务机构接待了越来越多遭受迫害和酷刑影响的难民。在异国文化中成为一名受创伤的难民往往会引发心理反应和生理变化，与此同时，适应新文化是一项艰巨的生存挑战。“创伤后应激障碍”和“灾难性经历后持久的人格改变”这两种诊断对这种情况的描述相当不足。这些病症在诊断和治疗方面都会造成困难，因为创伤经历可能会在医生身上引发激烈反应，而且症状可能因文化背景而难以解读。预后取决于许多与患者、创伤以及创伤后患者整体状况相关的问题。最好的情况下，预后相对较好，但在许多案例中，患者的状况会变成慢性且致残的。目前，推荐的治疗方法是心理治疗、心理药物治疗、物理治疗和社会支持措施相结合。对于最佳治疗方法仍存在不确定性，丹麦国内关于治疗的组织情况也不明确。
