Silove D, Tarn R, Bowles R, Reid J
School of Psychiatry, University of NSW, Liverpool Hospital, Sydney.
Aust N Z J Psychiatry. 1991 Dec;25(4):481-90. doi: 10.3109/00048679109064441.
Growing recognition that the world faces a modern epidemic of torture has stimulated widespread interest amongst mental health professionals in strategies for the treatment of survivors. In this article we outline the distinctive experiences of torture survivors who present for treatment in western countries. These survivors are usually refugees who, in addition to torture, have suffered a sequence of traumatic experiences and face ongoing linguistic, occupational, financial, educational and cultural obstacles in their country of resettlement. Their multiple needs call into question whether "working through" their trauma stories in psychotherapy will on its own ensure successful psychosocial rehabilitation. Drawing on our experience at a recently established service, we propose a broader therapeutic aim.
人们日益认识到,世界面临着一场现代酷刑流行潮,这激发了心理健康专业人员对幸存者治疗策略的广泛兴趣。在本文中,我们概述了在西方国家寻求治疗的酷刑幸存者的独特经历。这些幸存者通常是难民,除了遭受酷刑外,还经历了一系列创伤性经历,并且在重新安置的国家面临持续的语言、职业、经济、教育和文化障碍。他们的多种需求让人质疑,在心理治疗中“梳理”他们的创伤经历本身是否能确保成功的心理社会康复。借鉴我们在一个新设立的服务机构的经验,我们提出了一个更广泛的治疗目标。