An eye for complexity. EMDR versus stabilisation in traumatised refugees

While the plight of those seeking refuge in Western countries continues to catch the public eye, the plight of those who have arrived often remains hidden. Many refugees resettled in Western countries struggle to attain a level of psychological well-being. Heavenly burdened by pre- and post-migration stressors, refugees are at considerable risk of developing PTSD. The accumulation of stressors is also what makes them, in the eyes of many clinicians, complex and difficult to treat.

Between power and powerlessness: a meta-ethnography of sources of resilience in young refugees

Objective. This article reviews available qualitative studies that report young refugees’ ways of dealing with adversity to address their sources of resilience.
Design. We searched five electronic databases. Twenty-six empirical studies were included in the review. A meta-ethnography approach was used to synthesize these qualitative studies.

Trauma exposure and refugee status as predictors of mental health outcomes in treatment-seeking refugees

Aims and method This study aimed to identify predictors of symptom severity for
post-traumatic stress disorder (PTSD) and depression in asylum seekers and refugees
referred to a specialised mental health centre. Trauma exposure (number and domain
of event), refugee status and severity of PTSD and depression were assessed in 688
Results Symptom severity of PTSD and depression was significantly associated with
lack of refugee status and accumulation of traumatic events. Four domains of

The relationship between trauma, shame, and guilt: findings from a community-based study of refugee minors in Germany

Background: The relationships between traumatic stress and self-conscious emotions, such as shame and guilt, remain to be fully explored, especially in refugees, who frequently are exposed to a multitude of stressors.
Objective: The aim of the present study was to investigate shame and guilt in refugee minors and to assess to what extent a greater cumulative exposure to traumatic stressors would result not only in more severe posttraumatic stress disorder (PTSD) symptoms but also in higher levels of shame and guilt.

Untested assumptions: psychological research and credibility assessment in legal decision-making

Background: Trauma survivors often have to negotiate legal systems such as refugee status determination or the criminal justice system. Methods & results: We outline and discuss the contribution which research on trauma and related psychological processes can make to two particular areas of law where complex and difficult legal decisions must be made: in claims for refugee and humanitarian protection, and in reporting and prosecuting sexual assault in the criminal justice system.

Narrative and Silence: How Former Refugees Talk about Loss and Past Trauma

Using narrative methodology this paper analyses the life stories of 25 former refugees from two African countries, resettled in Australia. Study findings demonstrated a salient divergence between the stories of the two communities; within which there were also individual differences in structure and content of participants’ narratives. Five narrative types were identified along a continuum from detailed disclosure to near-complete silence about traumatic events and experiences.

Seven-Year Follow-Up Study of Symptoms in Asylum Seekers and Refugees With PTSD Treated With Trauma-Focused Groups

Objective: To examine sustainability of symptom outcomes of a 1-year phase-based traumafocused, multimodal, and multicomponent group therapy in a day treatment program for posttraumatic stress disorder (PTSD) over an average period of 7 years.

Special issue: New frontiers

From the editor: new frontiers
New frontiers in mental health and psychosocial wellbeing in low resource and conflict affected settings
Rethinking mental health care: bridging the credibility gap
Resource caravans and resource caravan passageways: a new paradigm for trauma responding
War experiences, daily stressors and mental health five years on: elaborations and future directions
Addressing collective trauma: conceptualisations and interventions
Using mixed methods to build knowledge of refugee mental health

Challenges in treatment of posttraumatic stress disorder

Background: Research shows that trauma-focused therapy and multimodal interventions are the two most
often used strategies in treatment of refugees suffering from posttraumatic stress disorder (PTSD). While
preliminary evidence suggests that trauma-focused approaches may have some efficacy, this could not be
established for multimodal interventions. However, it may be that multimodal interventions have been studied
in more treatment-resistant refugees with very high levels of psychopathology, disability, and chronicity. In the