Coping styles in the treatment of traumatized refugees

Coping styles may influence refugees' psychological adjustment to traumatic experiences and have been associated with PTSD severity en quality of life. This study investigated if coping styles interact with psychological adjustment, dropout en treatment response and if treatment changes coping. Participants were traumatized refugees and asylum seekers (N=72) referred to a specialized Dutch clinic...

Understanding nomadic realities : case studies on sexual and reproductive health and rights in Eastern Africa

This studie presents studies from what is known as so called hard to reach areas Afar Ethiopia, Maasai in Kenya and Tanzania, and other pastoralist groups in Tanzania. Health professionals and planners explore both sides of the situation: on the one hand are the cultural and local beliefs in the context of sexual and reproductive health, on the other are the day-to-day challenges of making...

War and the systematic devastation of women: the call for increased attention to traumatic gynaecological fistulae [Holdstock-Piachaud Prize Essay]

The war in the Democratic Republic of Congo (DRC) is the deadliest the world has seen since World War II, with an estimated 5.4 million lives lost since 1998 (IRC 2011). The war, which started in order to depose a dictator and officially ended in 2003 with a peace accord being signed and the country's first democratic elections following in 2006, continues in a different form today (Economist 2011). The DRC has a history of economic activity taking place outside the official, legal ambit of the state, and this has persisted to date.

'War on our Minds' : War, neutrality and identity in Dutch public debate during the First World War

During the First World War the Netherlands remained neutral. The Dutch did not fight, kill, die or in any way suffer to the extent the belligerents did. The chief problems and questions raised by the First World War accordingly had a comparatively limited impact on Dutch society. The question remains, however, to what extent a neutral country like the Netherlands did experience the First World War. That question is addressed in this article by looking at Dutch public debate on the war during the period 1914GÇô1919.

Where Are We Going? An Update on Assessment, Treatment, and Neurobiological Research in Dissociative Disorders as We Move Toward the DSM-5

This article provides an overview of the process of developing the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) of the American Psychiatric Association with a focus on issues related to the trauma-related disorders, particularly the dissociative disorders (DD). We also discuss the highlights of research within the past 5 years in the assessment, treatment, and neurobiological basis of trauma disorders.

Who is Where, When, doing What: mapping services for mental health and psychosocial support in emergencies

Mental health and psychosocial support (MHPSS) practitioners have, like other humanitarian aid providers, grappled with issues of coordination and associated problems, such as duplication of services, gaps in delivery and unmet needs. To combat this, a mapping tool has been developed to address the issues particular to MHPSS programming, both during and following an emergency. 'Who is Where, When, doing What' (4Ws) is a practical tool to assist the mapping of MHPSS interventions.

Voices of dialogue and directivity in family therapy with refugees: evolving ideas about dialogical refugee care

In this article, we reflect on our evolving ideas regarding a dialogical approach to refugee care. Broadening the predominant phased trauma care model and its engaging of directive expertise in symptom reduction, meaning making, and rebuilding connectedness, these developing dialogical notions involve the negotiation of silencing and disclosure, meaning and absurdity, hope and hopelessness in a therapeutic dialogue that accepts its encounter of cultural and social difference.

Understanding the Impact of Trauma Exposure on Posttraumatic Stress Symptomatology: A Structural Equation Modeling Approach

The objective of this study was to investigate the impact of trauma exposure on the posttraumatic stress symptomatology (PTSS) of children who resided near the epicenter of the 2008 Wenchuan earthquake. The mechanisms of this impact were explored via structural equation models with self-esteem and coping strategies included as mediators. The findings suggested that the effect of trauma exposure was partially mediated by self-esteem, which subsequently affected coping strategies and finally determined PTSS.

Use of a web portal for support and research after a disaster: opportunities and lessons learned

Background: In this report we describe the development and use of a web portal in the aftermath of the 2004 tsunami. This large scale disaster confronted many displaced people with death, despair and need for information and support. Awareness and insight in the emotional impact of disasters can provide pportunities for surveillance and early treatment. Moreover, online support systems can contribute to community building, empowerment of victims and resilience.

Pages