TY - JOUR
T1 - Psychotherapy with severely traumatized refugees
AU - Kinzie, J. D.
AU - Fleck, J.
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 1987
Y1 - 1987
N2 - Severely psychologically traumatized refugees bring difficult and highly emotional issues to therapy. Refugees have language and other cultural adjustment problems, but most of those traumatized will also suffer from a chronic posttraumatic stress disorder. At times this leads to intrusive symptoms; at other times to denial, avoidance, and psychic numbing only. The psychiatrist must maintain clinical objectivity and yet understand the phases of posttraumatic stress disorder. Committing oneself to a long-term supportive relationship, recognizing the role of current stressors in symptom development, relieving some symptoms with medication, helping with getting financial and social support, and reinforcing traditional values are helpful therapeutic approaches. Sharing the often hopeless and helpless existential feelings of the patient is essential. More psychiatrists are needed to work with the painful problems of refugees. Research is needed to determine the most appropriate and effective treatments.
AB - Severely psychologically traumatized refugees bring difficult and highly emotional issues to therapy. Refugees have language and other cultural adjustment problems, but most of those traumatized will also suffer from a chronic posttraumatic stress disorder. At times this leads to intrusive symptoms; at other times to denial, avoidance, and psychic numbing only. The psychiatrist must maintain clinical objectivity and yet understand the phases of posttraumatic stress disorder. Committing oneself to a long-term supportive relationship, recognizing the role of current stressors in symptom development, relieving some symptoms with medication, helping with getting financial and social support, and reinforcing traditional values are helpful therapeutic approaches. Sharing the often hopeless and helpless existential feelings of the patient is essential. More psychiatrists are needed to work with the painful problems of refugees. Research is needed to determine the most appropriate and effective treatments.
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U2 - 10.1176/appi.psychotherapy.1987.41.1.82
DO - 10.1176/appi.psychotherapy.1987.41.1.82
M3 - Article
C2 - 3578609
AN - SCOPUS:0023090911
SN - 0002-9564
VL - 41
SP - 82
EP - 94
JO - American Journal of Psychotherapy
JF - American Journal of Psychotherapy
IS - 1
ER -