Haoussou Kolbassia, Robjant Katy
Freedom from Torture, London, UK.
BJPsych Open. 2023 Aug 30;9(5):e163. doi: 10.1192/bjo.2023.543.
Torture is designed to silence, render powerless, oppress and terrify not just the individual torture survivor but the whole society where the act of torture occurs. The aftermath of torture can include trauma spectrum disorders such as post-traumatic stress disorder as well as other mental health problems, in addition to chronic pain and disability. Rehabilitation for torture survivors therefore needs to include empowerment at its heart. This is important to overturn the impact of torture on the survivor's sense of powerlessness and to address the silencing that begins with torture and is maintained by the psychological sequelae of surviving it. The organisation Freedom from Torture, together with survivors of torture, co-designed a new evidence-based clinical rehabilitation model by surveying service users and by carrying out a narrative review of the research literature and best practice guidelines. The resulting model incorporates co-delivery of therapeutic services by survivors.
酷刑的目的不仅是要让遭受酷刑的幸存者缄默、无力、受压迫和恐惧，还要让酷刑发生地的整个社会都如此。除了慢性疼痛和残疾外，酷刑的后果还可能包括创伤谱系障碍，如创伤后应激障碍以及其他心理健康问题。因此，对酷刑幸存者的康复治疗必须以增强权能为核心。这对于扭转酷刑对幸存者无力感的影响以及解决始于酷刑并因幸存者心理后遗症而持续存在的缄默状态至关重要。“免于酷刑组织”与酷刑幸存者共同设计了一种新的循证临床康复模式，通过对服务使用者进行调查，并对研究文献和最佳实践指南进行叙述性综述。由此产生的模式纳入了幸存者共同提供治疗服务的内容。
