Clinical psychologist and member of the Editorial Advisory Board for the Torture journal. Correspondence to
Torture. 2024;34(2):22-33. doi: 10.7146/torture.v34i2.146998.
The understanding of torture has evolved to encompass a complex interplay of factors including poverty, politics, health and psychosocial factors which increase vulnerability to torture. In response to this evolving understanding, rehabilitation efforts for torture survivors have expanded beyond medical and psychological care to encompass broader socio-economic dimensions, including live-lihoods support. Livelihoods are not only a means of making a living, but also a source of purpose and identity. This article explores the intersect between livelihoods loss and torture, exploring where livelihoods loss co-occurs with torture, is a consequence of torture, or may be an act of torture in itself. The importance of documenting livelihoods losses in torture assessment and the integration of livelihoods into rehabilitation programs is considered. Although research in this area is sparse, existing evidence suggests that combining livelihoods rehabilitation with psychological and physical interventions, alongside long-term support are important components. For livelihood restoration to be effectively integrated, it must be survivor-centred, holistic, evidence-based and focused on safety. While the field is to date underexplored, this article provides a foundational framework for torture treatment centres and stakeholders to consider the role of livelihoods in both conceptualising and treating survivors of torture.
对酷刑的理解已经发展到包括一个复杂的相互作用的因素，包括贫困、政治、健康和社会心理因素，这些因素增加了酷刑的脆弱性。为了应对这种不断变化的理解，酷刑幸存者的康复工作已经从医疗和心理护理扩展到更广泛的社会经济层面，包括生计支持。生计不仅是一种谋生手段，也是目的和身份的源泉。本文探讨了生计丧失与酷刑之间的交叉点，探讨了生计丧失与酷刑同时发生、是酷刑的后果还是本身可能是一种酷刑行为的情况。本文还考虑了在酷刑评估中记录生计损失的重要性以及将生计纳入康复方案。尽管这一领域的研究很少，但现有证据表明，将生计康复与心理和身体干预相结合，并提供长期支持是很重要的组成部分。为了使生计恢复能够有效地融入，它必须以幸存者为中心，整体的，基于证据的，并注重安全。虽然这一领域目前尚未得到充分探索，但本文为酷刑治疗中心和利益相关者提供了一个基础框架，以考虑生计在概念化和治疗酷刑幸存者方面的作用。
