Can Asylum-Seekers with Posttraumatic Stress Disorder Be Successfully Treated? A Randomized Controlled Pilot Study

Rates of posttraumatic stress disorder (PTSD) are exceptionally high among asylum-seekers. Reportedly, stressors caused by the asylum procedure and psychological consequences of torture contribute to the maintenance of symptoms and interfere with treatment. In a pilot randomized controlled trial, the authors examined the efficacy of trauma-focused treatment in 32 asylum-seekers with PTSD resulting from state-sponsored violence and other traumatic events. Narrative exposure therapy (NET) was compared with treatment as usual (TAU), with a focus on stabilization and psychoactive medication.

Asylum seekers'perspectives on their mental health and views on health and social services: contributions for service provision using a mixed-methods approach

The literature tends to use ‘asylum seeker’ and ‘refugee’ interchangeably, creating uncertainty about the mental health of asylum seekers. However, asylum seekers occupy a unique position in British society which differentiates them from people with refugee status and which may have implications for their mental health. For example, ‘asylum seekers’ are supported and accommodated in dispersal areas under the National Asylum Support Service and they are not entitled to work.

When there are no words : EMDR for Early Trauma and Neglect Held in Implicit Memory

The challenges of using EMDR for early trauma and neglect are that a) EMDR readily targets explicit memories, but early trauma is held in implicit memory in the right hemisphere (Siegel, Schore) and is not typically subject to direct recall, and b) Accessing the felt sense of early experience can be overwhelming if it includes the paucity of internal resources of a neglected baby. This workshop addresses both problems by careful preparation and systematic trauma reprocessing.

Mental Health Programs In Areas Of Armed Conflict: The Medecins Sans Frontieres Counselling Centres In Bosnia-Hercegovina

Mental health programmes in complex emergencies are generally accepted as an important component of aid work. However, this is a relatively recen t developmen t and th ere is a lack of theory-based practice and little analysis of previous interventions upon which effective, appropriate and sustainable programmes can be based. This article describes the theoretical framework, objectives,...

Modern worries, new technology, and medicine.

Over recent years there has been a steady and important change in the public's perception of the relation between aspects of modern life and health. Now, at the beginning of the 21st century, people's suspicion of modernity has increased to such an extent that it has undermined their view of their own health, increased their worries about environmental causes of poor health, and fostered a migration to complementary medicine.

Beliefs, sense of control and treatment outcome in post-traumatic stress disorder.

Abstract

BACKGROUND:

Few studies have shown that maladaptive beliefs relate to treatment outcome.

METHOD:

In a randomized controlled study, 87 patients with post-traumatic stress disorder (PTSD) had exposure therapy alone or cognitive restructuring alone, or both combined, or relaxation. Independent blind assessors assessed patients at pre-, mid- and post-treatment and at follow-up; at those times patients rated cognitive, behavioural and emotional aspects of their disorder.

RESULTS:

Thinking about risk : Can doctors and patients talk the same language?

Different mathematical expressions of risk are difficult enough for the doctor, but are likely to be harder for patients. Misselbrook and Armstrong showed that patients make very different choices about treatment depending on which of the above risk statistics they used as the basis of their judgement. Rather than empowering patients, such risk models can therefore make them yet more dependent on their doctors. Mathematical models are designed for the world of the doctor and do not fit easily with the world of the patient. So how can we proceed?

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