Williams Amanda C de C, Amris Kirstine
a Research Department of Clinical, Educational and Health Psychology , University College London , London , UK.
b Videncenter for Reumatologi og Rygsygdomme , University Hospital of Copenhagen , Copenhagen , Denmark.
Med Confl Surviv. 2017 Mar;33(1):60-81. doi: 10.1080/13623699.2016.1242050. Epub 2016 Oct 13.
Torture and the conditions under which it is inflicted often leave persistent painful disorders. Because there may be no lasting signs, persistent pain is often misconceived as a somatic representation of psychological distress, also common after torture. This serious failure to understand the nature of persistent pain means that pain is largely overlooked and untreated in torture survivors. We carried out a systematic review on treatments for pain from torture, but found few studies and little use of current understanding and evidence. We discuss this in the context of treating pain associated with psychological distress and of the broader problems faced by the refugee and torture survivor that may take priority over pain. We propose clinical and research implications for this neglected field.
酷刑及其施加时的环境常常会导致持续性的疼痛病症。由于可能没有持久的体征，持续性疼痛常常被误解为心理困扰的躯体表现，而心理困扰在遭受酷刑后也很常见。这种对持续性疼痛本质的严重误解意味着在酷刑幸存者中，疼痛在很大程度上被忽视且未得到治疗。我们对酷刑所致疼痛的治疗进行了系统综述，但发现相关研究很少，且当前的认识和证据很少被应用。我们在治疗与心理困扰相关疼痛的背景下以及在难民和酷刑幸存者可能面临的、可能优先于疼痛的更广泛问题的背景下讨论了这一情况。我们针对这个被忽视的领域提出了临床和研究方面的建议。
