Dit derde deel van 'De Oorlog van Klein Duimpje' houdt zich bezig met een van de kleinste staten van Europa, het volledig door Italië omsloten San Marino. 

This consensus paper provides an overview of the state of the art in research on the aetiology and treatment of nightmare disorder and outlines further perspectives on these issues. It presents a definition of nightmares and nightmare disorder followed by epidemiological findings, and then explains existing models of nightmare aetiology in traumatized and non‐traumatized individuals.

Als gevolg van de snelle toename van het aantal vluchtelingen in de periode 2014-2015 hebben ge-meenten in de afgelopen periode actief ingezet op het ontwikkelen en uitvoeren van integratie- en/of arbeidstoeleidingstrajecten voor vergunninghouders. De verwachting is dat deze groep zonder extra aandacht moeilijk de weg naar de arbeidsmarkt zal weten te vinden.

This document includes the recommendations and describes the methodology used to develop them. Important issues that should be considered when interpreting the recommendations, and translating them into practice, are highlighted. It was decided to publish the recommendations and position papers in advance of the book as they represent a comprehensive and up-to-date synthesis of high quality research evidence that is likely to help practitioners in their work.

For the past two decades, there has been substantial debate about whether there are qualitatively different symptom profiles that can develop in children from different types of traumatic events and life circumstances. The term “complex trauma” is often used to describe both the presumed causes and the consequences of exposure to traumatic stressors when the child has experienced other significant adversities and is manifesting more severe clinical presentations.

For the past two decades, there has been substantial debate about whether there are qualitatively different symptom profiles that can develop from different experiences of traumatic events. It has been proposed that more complex symptom profiles, called “complex PTSD,” can emerge from events that involve multiple, chronic or repeated types of traumas that are of an interpersonal nature and from which escape is difficult or impossible such as childhood abuse, domestic violence, genocide campaigns and being a prisoner of war (Herman, 1992).

Gedurende ons werk in de afgelopen twee jaar als regiocoördinator Gezondheid Statushouders merkten wij dat veel gemeenten zorgen hadden over de integratie en participatie van Eritrese nieuwkomers. Tegelijkertijd zien gemeenten de veerkracht en motivatie bij Eritrese nieuwkomers om er in Nederland wat van te maken. De weg daar naartoe is voor velen bezaaid met obstakels.

Bij een nieuwe behandelmethode voor getraumatiseerde kinderen werken een EMDR- en gezinstherapeut met elkaar samen. Een studie naar deze 'Integratieve Gehechtheidsbevorderende Traumabehandeling voor Kinderen' (IGT-K) moet aantonen of de behandeling effectief is.

A timely determination of the risk of post-traumatic stress disorder (PTSD) is a prerequisite for efficient service delivery and prevention. We provide a risk estimate tool allowing a calculation of individuals’ PTSD likelihood from early predictors.

Background: The armed forces work under high pressure and in stressful environments and it is well known that being in the military is a risk factor for psychiatric problems. However, it remains unknown how prevalent psychotropic medication use is in military personnel.

Objective: To assess prevalence of psychotropic medication use in Dutch military personnel and compare to the Dutch general population.