Weine S, Laub D
University of Illinois at Chicago, Dept. of Psychiatry, USA.
Psychiatry. 1995 Aug;58(3):246-60. doi: 10.1080/00332747.1995.11024729.
Mental health care for traumatized refugees includes practices common to mainstream mental health care but also modifications and innovations in technique and approach. One such innovation, the testimony method, was first described by a group of Chilean psychiatrists working with Chilean survivors of torture from political repression (Cienfuego and Monelli 1983). The testimony method has been used as a time-limited psychotherapeutic intervention, often within the context of an extended, supportive psychotherapy. This method consists of asking individuals to tell in detail the story of their experiences of victimization from state-sponsored violence and recording their narrative accounts verbatim. Agger and Jensen's account of this method depicts testimony as a universal practice, appearing in multiple cultures and at different points in history (Agger and Jensen 1990). They also note that testimony simultaneously functions in both the private and public domains; and as confession embodying the person's spiritual, ethical, aesthetic, and philosophical values, and as evidence documenting the occurrence of evil events to the world.
为遭受创伤的难民提供心理健康护理,既包括主流心理健康护理中的常见做法,也包括技术和方法上的调整与创新。其中一项创新是见证法,它最初由一群智利精神病医生描述,他们与遭受政治镇压酷刑的智利幸存者一起工作(西恩富埃戈和莫内利,1983年)。见证法已被用作一种限时心理治疗干预手段,通常是在长期支持性心理治疗的背景下使用。这种方法包括要求个体详细讲述他们遭受国家支持的暴力侵害的经历,并逐字记录他们的叙述。阿格和詹森对这种方法的描述将见证视为一种普遍做法,出现在多种文化和不同历史时期(阿格和詹森,1990年)。他们还指出,见证在私人和公共领域同时发挥作用;作为体现个人精神、伦理、审美和哲学价值观的忏悔,以及作为向世界记录邪恶事件发生的证据。