ARQ National Psychotrauma Centre

Abstract

Abstract
Background
Eye movement desensitisation and reprocessing (EMDR) therapy is a first-line treatment for adults with post-traumatic stress disorder (PTSD). Some clinicians argue that with refugees, directly targeting traumatic memories through EMDR may be harmful or ineffective.
Aims
To determine the safety and efficacy of EMDR in adult refugees with PTSD (trial registration: ISRCTN20310201).
Method

In contrast with traumatic experiences, there is a dearth of studies on the link between trauma symptoms, disconnected (frightened, threatening and dissociative) parenting behavior, extremely insensitive parenting behavior and child attachment. This study extends previous work on the impact of posttraumatic stress disorder (PTSD) on families by studying the unique contribution of disconnected and extremely insensitive parenting behavior on child attachment in a highly traumatized sample of 68 asylum seekers and refugees and their children (18–42 months).

Background
International humanitarian aid workers providing care in emergencies are subjected to numerous chronic and traumatic stressors.

Objectives
To examine consequences of such experiences on aid workers' mental health and how the impact is influenced by moderating variables.

The question as to whether or not children can be affected by the traumatization of their parents has been the topic of a long-standing debate. This article provides a critical review of 72 research studies on traumatized parents with symptoms of posttraumatic stress disorder (PTSD), the parent–child interaction, and the impact on their nonexposed child (0–18 years). The evidence suggests that traumatization can cause parenting limitations, and these limitations can disrupt the development of the young child.

The psychosocial effects of terrorist threat and close protection have never been studied systematically in political leaders. We conducted a study among 12 Dutch politicians and their partners who were living under terrorist threat and close protection in the aftermath of two political murders. Interviews revealed that their coping with the situation varied and consisted of emotion-focused, defensive, palliative and instrumental coping strategies.

Background

Trauma-focused cognitive-behavioural therapy (CBT) and eye movement desensitisation and reprocessing therapy (EMDR) are efficacious treatments for post-traumatic stress disorder (PTSD), but few studies have directly compared them using well-powered designs and few have investigated response patterns.

Aims

Brief eclectic psychotherapy for PTSD (BEPP), developed during the 1980s and 1990s of the last century, has proven to be as effective as other trauma-focused treatments (Gersons et al. 2000; Lindauer et al. 2005; Bradley et al. 2005; NICE 2005; Bisson et al. 2013; Schnyder et al. 2011). What makes BEPP special is that it is a comprehensive treatment especially developed for PTSD in which effective elements from different psychotherapy schools have been integrated into a logical sequence.

Soldiers and veterans diagnosed with PTSD benefit less from psychotherapy than nonmilitary populations. The current meta-analysis identified treatment predictors for traumatised soldiers and veterans, using data from studies examining guideline recommended

The book introduces a layered model for diagnosing and treating complex trauma in four parts. Part One introduces the concept of complex trauma, its historical development and the various theories about trauma. The authors introduce a layered model that describes the symptoms of complex trauma, and conclude with a discussion on the three-phase model.
Part Two describes the diagnostic options available that make use of a layered model of complex trauma.