Human Agency and the Meaning of Informed Consent: Reflections on Research with Refugees

Recent analysis of the ethics of research with refugees suggests that there are practical and theoretical issues to be addressed in achieving informed consent from participants who are in vulnerable situations. This article reviews the questions that are central to this concern, focusing in particular on the challenge of ensuring that the human agency of refugees is sustained and promoted. A model for research work with refugees is described and discussed, drawn from a participatory action research project, which demonstrates a way in which these core ethical principles can be achieved.

Hope as a change mechanism in the treatment of posttraumatic stress disorder

Research exploring nonspecific mechanisms of change is necessary to understand processes that contribute to psychotherapy outcomes. Many veterans diagnosed with posttraumatic stress disorder (PTSD) report a profound sense of hopelessness prior to receiving treatment, and thus one possible nontargeted change mechanism is the enhancement of hope. In this study, 164 veterans diagnosed with PTSD and admitted to a Veteran's Administration residential treatment program received 6 weeks of cognitive processing therapy.

Hoe het komt dat EMDR werkt

Eye Movement and Desensitisation Reprocessing (EMDR) is een effectieve behandeling van traumasymptomen en de positieve effecten worden teruggevonden in het laboratorium, onder goed gecontroleerde omstandigheden. Dat biedt de mogelijkheid om na te gaan hoe EMDR werkt. Er wordt verslag gedaan naar de bevindingen uit een lange reeks experimenten. Belangrijk is dat de taak het werkgeheugen belast. Uit de werkgeheugenverklaring van EMDR is een lange reeks voorspellingen af te leiden.

Heterogeneity in threat extinction learning: substantive and methodological considerations for identifying individual difference in response to stress

Pavlovian threat (fear) conditioning (PTC) is an experimental paradigm that couples innate aversive stimuli with neutral cues to elicit learned defensive behavior in response to the neutral cue. PTC is commonly used as a translational model to study neurobiological and behavioral aspects of fear and anxiety disorders including Posttraumatic Stress Disorder (PTSD). Though PTSD is a complex multi-faceted construct that cannot be fully captured in animals PTC is a conceptually valid model for studying the development and maintenance of learned threat responses.

Het abc van psychotraumatherapie. Van speechless terror tot integratie in het levensverhaal

De therapeutische begeleiding van getraumatiseerde mensen verloopt volgens een aantal principes die worden toegepast binnen een therapeutisch systeem. In dit artikel licht De Soir dit toe.

Herziening van de multidisciplinaire richtlijnen angst en depressie

De multidisciplinaire richtlijnen voor de depressieve stoornis, de paniekstoornis en de posttraumatische stressstoornis zijn herzien. Belangrijke wijzigingen zijn dat in de richtlijnen algoritmes worden onderscheiden op basis van de ernst van de stoornis, dat de richtlijnen volgens de principes van 'stepped care' zijn opgebouwd, dat zogenaamde basisinterventies noodzakelijk zijn bij elk algoritme en dat zogenaamde eerste-stap-interventies bij lichte stoornissen de eerste behandelstap kunnen zijn. Bij de behandeling van lichte stoornissen zijn de antidepressiva niet meer geïndiceerd.

Helping traumatized families

The new edition of the classic Helping Traumatized Families not only offers clinicians a unified, evidence-based theory of the systemic impact of traumatic stressit also details a systematic approach to helping families heal by promoting their natural healing resources. Though the impact of trauma on a family can be growth producing, some families either struggle or fail to adapt successfully.

Helping families and communities recover from disaster : lessons learned from Hurricane Katrina and its aftermath

On August 29, 2005, Hurricane Katrina made landfall along the Central Gulf Coast region of the United States. The storm and its aftermath resulted in the most severe, damaging, and costly natural and unnatural disaster in the nation's history—as evidenced by the size of the region affected, the loss of life, the extensive destruction of property, and the thousands displaced.Over 2 years post-disaster, many families lived in temporary housing and had limited access to basic services, to date, many continue to struggle to meet basic needs.

Helping Elderly Patients to Avoid Suicide : a Review of Case Reports from a National Veterans Affairs Database

This study examines the health system factors associated with completed suicide among veterans older than 65 years. All root cause analysis reports of suicides that occurred between 2008 and 2010 in the Veterans Health Administration were reviewed, of those, 46 reports were for those 65 years or older. The average age in the sample was 76.96 years, all were men. Method of suicide, stressors, previous attempts, root causes, and action plans designed to address the root causes are reported.

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