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Broken Spirits : The Treatment of Traumatized Asylum Seekers, Refugees and War and Torture Victims - John P. Wilson

Broken Spirits

The Treatment of Traumatized Asylum Seekers, Refugees and War and Torture Victims

Hardcover

Published: 18th September 2004
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The last two decades of the 20th century have witnessed over thirty-five civil wars and an even larger number of lower intensity conflicts worldwide. Widespread brutalization and ethnic cleansing, often resulting in large movements of population, characterize many of the conflicts. The United Nations High Commissioner for Refugees estimates that there are currently 50 million people who are victims of forced displacement, 40- 80 % of whom will develop post-traumatic stress disorder (PTSD).
The mental health problems among asylum seekers and refugees are becoming a public issue, but the awareness of societies and mental health professionals considering this problem is relatively low. Although advances have been made in the provision of innovative mental health services for asylum seekers and refuges with PTSD, they are not systemized, and not widely known to professionals in the field. A publication offering practical guidelines for the treatment of torture victims and political refugees does not exist. "Broken Spirits" brings together the works of the most respected mental health professionals--from the U.S. and abroad--and make available the most current knowledge on complex PTSD, forced migration and cultural sensitivity in diagnosis and treatment.

"Make no mistake, this is a powerful book. If you work in this area, or aspire to, it will give you tools and models and a great deal of insight and understanding. It will challenge you as well. Yet in the work with the trauma victim who has survived horrors of a kind that are so outside of our 'normality', it is perhaps our sense of humanity that is our most powerful tool. It is from this that the spirit within us reaches out to the spirit within the other and some form of psychological restoration of the spirit becomes possible." - Richard Bryant-Jefferies, Central and North West London NHS Foundation Trust, UK "This volume represents an important contribution to this expanding and is anticipated to have a high impact on both policy and future research. The volume is an excellent handbook for all those who are interested in the treatment of traumatized asylum seekers, refugees, war, and torture victims, including the educated general reader or policymaker with an interest in contemporary work on trauma. Libraries will want to add this to their collections, and one supects the book entice readers from diverse fields, including psychology, anthropolgy, sociology, human development, social work, nursing, and psychiatry. It offers a starting point for the novice as well as a contemporary literature review of this expanding field for the specialist, the current volume ought to remain an important contribution for some time." - Grant J. Rich, APA, PsycCRITIQUES "As Volkan writes in his introduction, the topic is both timeless and timely...Professionals interested in or involved with mental health care for asylum seekers and refugees can find new insights and inspirations in many of the chapters..." - Loes H. M. van Willigen, Journal of Refugee Studies "John Wilson and Boris Drozdek bring an important collection of articles to the reader of trauma literature and to therapists who have the potential of seeing specific forms of trauma reflecting the cruelty witnessed in this volume...it will be one of the more interesting volumes that you will likely read in a while." - Tom Schumacher, in The Repetition & Avoidance Quarterly "...This book is especially valuable to those who work in the field of care and assistance for refugees. A few chapters are extremely valuable for those who work with populations in affected regions and countries. However, the other chapters contain important insights in the condition of refugees, cultural peculiarities and treatments that can be adapted and tested in those areas where the vast majority of displaced people and refugees seek shelter. The book presents the reader the actual state of the art in both theory and practice of care for refugees and other victims of trauma. In addition, it invites for further study and thought, and the development of proper and effective therapeutic or community interventions. It is worth a thorough read." - Petra Aarts, Intervention: International Journal of Mental Health, Psychosocial Work, and Counselling in Areas of Armed Conflict "We have in this volume a significant and comprehensive text on a theme that has become what is in effect a new discipline within therapeutic provision. Broken Spirits will provide you with theoretical as well as practical insight into the effects of traumatic experience on the person, and methods of response to help restore them to stronger psychological functioning. Make no mistake, this is a powerful book. If you work in this area, it will give you tools and models and a great deal of insight and understanding. It will challenge you as well." - Richard Bryant-Jefferies, Head of Equalities and Diversity, CNWL NHS Foundation Trust, and author of Counseling Victims of Warfare

Forewordp. ix
About the Editorsp. xiii
Contributorsp. xv
Acknowledgmentsp. xxv
Prefacep. xxvii
Theoretical, Conceptual, and Sociocultural Considerationsp. 1
Introduction
From Hope for a Better Life to Broken Spirits: An Introductionp. 7
The Global Challenge of Asylump. 13
A Global Perspective of Torture, Political Violence, and Healthp. 33
Ethnocultural Considerations in the Treatment of Refugees and Asylum Seekersp. 53
Assessing PTSD and Comorbidity: Issues in Differential Diagnosisp. 81
Broken Spirits: Traumatic Injury to Culture, the Self, and Personalityp. 105
Introduction
The Broken Spirit: Posttraumatic Damage to the Selfp. 109
Public Mental Health and Culture: Disasters as a Challenge to Western Mental Health Care Models, the Self, and PTSDp. 159
Posttraumatic Treatments: Guidelines for Practitionersp. 179
Introduction
Creating a Safe Therapeutic Sanctuaryp. 187
Strengthening Psychological Health in War Victims and Refugeesp. 221
Uncovering: Trauma-Focused Treatment Techniques With Asylum Seekersp. 243
Empathy, Trauma Transmission, and Countertransference in Posttraumatic Psychotherapyp. 277
Clinical Supervision for Trauma Therapistsp. 317
The Presence of a Third Party: A Dialogical View on Interpreter-Assisted Treatmentp. 355
Nonverbal and Experiential Therapiesp. 379
Introduction
Psychomotor Therapy: Healing by Actionp. 385
Body Psychotherapy With Survivors of Torturep. 403
About a Weeping Willow, a Phoenix Rising From Its Ashes, and Building a House ... Art Therapy With Refugees: Three Different Perspectivesp. 419
Sounds of Trauma: An Introduction to Methodology in Music Therapy With Traumatized Refugees in Clinical and Outpatient Settingsp. 443
Treatment of Special Populations: Gender and Developmental Considerationsp. 481
Introduction
Where Meanings, Sorrow, and Hope Have a Resident Permit: Treatment of Families and Childrenp. 487
In-Between: Adolescent Refugees in Exilep. 521
Gender-Specific Treatmentp. 547
Medical, Surgical, and Clinical Issues in the Treatment of Refugees and Torture Victimsp. 573
Introduction
Psychopharmacology for Refugee and Asylum-Seeker Patientsp. 579
Surgical Approach to Victims of Torture and PTSDp. 601
Psychosocial Rehabilitationp. 609
Legal, Moral, and Political Issues in the Treatment Processp. 637
Introduction
Legal Issues in Work With Asylum Seekersp. 641
The Politics of Asylum and Immigration Detention: Advocacy, Ethics, and the Professional Role of the Therapistp. 659
Indexp. 689
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780415943970
ISBN-10: 0415943973
Audience: Tertiary; University or College
Format: Hardcover
Language: English
Number Of Pages: 736
Published: 18th September 2004
Publisher: Taylor & Francis Ltd
Country of Publication: GB
Dimensions (cm): 22.9 x 15.2  x 4.45
Weight (kg): 1.16
Edition Number: 1