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[与移民和受创伤难民的心理治疗]

[Psychotherapy with Immigrants and Traumatized Refugees].

作者信息

Erim Yesim, Morawa Eva

机构信息

Psychosomatische und Psychotherapeutische Abteilung, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU).

出版信息

Psychother Psychosom Med Psychol. 2016 Sep;66(9-10):397-409. doi: 10.1055/s-0042-115412. Epub 2016 Oct 10.

Abstract

In view of the growing proportion of immigrants and refugees in the population of Germany the knowledge on the influence of culture and migration on identity, and mental health presents a substantial basis for effective therapy. This article addresses important topics of psychotherapy with immigrants in general and with refugees in particular. Following issues selected according to their relevance and actuality are highlighted: definition of persons with migration background, migrants and refugees, facts on immigration to Germany, main results and theories on mental health of immigrants, social psychological aspects of intercultural psychotherapy (individualism vs. collectivism, stereotypes, discrimination etc.), psychosomatic diagnostics in intercultural context, diversity management in institutions, language and use of translators, living conditions of immigrants - stress and protective factors in immigrant mental health, post traumatic stress disorders among refugees: their prevalence, risk factors, diagnostics, course, multimodal psychosocial interventions in consulting centers, trauma focused interventions, trauma pedagogics, education and prevention of the volunteers.

摘要

鉴于德国人口中移民和难民的比例不断增加,了解文化和移民对身份认同及心理健康的影响是有效治疗的重要基础。本文探讨了一般移民尤其是难民心理治疗的重要话题。根据相关性和现实性选取的以下问题将被重点强调:有移民背景者、移民和难民的定义,德国的移民情况,移民心理健康的主要研究结果和理论,跨文化心理治疗的社会心理层面(个人主义与集体主义、刻板印象、歧视等),跨文化背景下的心身诊断,机构中的多样性管理,语言与翻译人员的使用,移民的生活条件——移民心理健康中的压力和保护因素,难民中的创伤后应激障碍:其患病率、风险因素、诊断、病程,咨询中心的多模式心理社会干预、聚焦创伤的干预、创伤教育学、志愿者的教育与预防。

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