Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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Your Results - you searched for the keyword Asylum 25 Results

1. Hoofwijk, M. C. (2012). Als behandelaar en patiënt elkaar niet verstaan: De invloed van het gebruik van tolken bij EMDR bij vluchtelingen en asielzoekers op behandeluitkomst [As a clinician and patient do not understand: The influence of the use of interpreters in EMDR with refugees and asylum seekers on treatment outcome]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:

Keywords: Asylum Seekers Interpreters Refugees Treatment Outcome

Accuracy Verified: Yes

2. ter Heide, F. J. J. (2008). Berichten uit het veld: Stabiliseren of verwerken? [Reports from the field: Stabilize or process?]. Cogiscope, 4(3), 39.

Language: Dutch

Format: Newsletter

Abstract:
Onder behandelaars van getraumatiseerde asielzoekers en vluchtelingen wordt soms hevig gediscussieerd over de vraag met welke interventies deze patiënten het beste geholpen zijn. Bijvoorbeeld: een vluchtelinge, slachtoffer van oorlogsgeweld, durft niet te slapen uit angst voor nachtmerries en heeft geen dagstructuur. Helpen we haar eerst om haar dagstructuur te verbeteren, zodat ze een traumagerichte therapie daarna beter aankan? Of behandelen we eerst haar traumatische herinneringen met EMDR of cognitieve gedragstherapie, zodat ze weer kan slapen en zelf haar dagen kan structureren? Of misschien moeten we deze benaderingen combineren in een dagklinische behandeling? Kortom, wat is de beste inhoud en timing van onze interventies? [Excerpt]

Among practitioners of traumatized asylum seekers and refugees is sometimes fierce discussed the question with which interventions these patients are best helped. For example, a refugee, victim of war, afraid to sleep for fear for nightmares and has no daily structure. We help her to her first day structure improve, so they trauma-focused therapy after better handle? or treating we first her traumatic memories EMDR or cognitive behavioral therapy, so they weather can sleep and can structure itself? her days Or maybe we need these approaches combine in a partial hospitalization treatment? In short, what is the best content and timing of our interventions? [Excerpt]

Keywords: Reprocessing Stabilization

Accuracy Verified: Yes

3. Burns, M. (2009, March). The challenges of using EMDR with refugee and asylum seeking children/adolescents. Symposium conducted the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
This paper discusses the use of EMDR with refugee and asylum seeking children and adolescents using clinical case examples and shares the clinician’s own personal reflections on the lessons learned. The challenges of working with this group are explored drawing on research findings as well as the clinician’s experiences. Language and cultural differences can act as barriers to assessing children’s mental health or their suitability for EMDR even though in some cases it might be thought of as the treatment of choice. Working with Interpreters is often a key feature of this therapeutic work. The challenges are discussed with direct reference to The British Psychology Society’s recently published guidelines. There are ongoing stresses for these children and young people associated with displacement and their current situation in the UK. These stresses contribute to their psychological distress. Fear of being sent home or mistrust may also prevent them from providing full and accurate information hindering the clinician from obtaining an accurate assessment or trauma history. The importance of good therapeutic skills as the basis of an EMDR Approach is highlighted drawing upon a host of interventions (behavioural, physical, cognitive and motivational) to support clients in building up their own resources so that they can manage their distress between sessions. The therapist’s role in managing expressed emotions within the sessions is examined, not forgetting the impact of this on the therapist.

Keywords: Adolescents Asylum Children Refugees Symposium

Accuracy Verified: Yes

4. Brand-Wilhelmy, B., Irmler, D., Adam, H., Lucas, T., Moller, B., & Riedesser, P. (2002). Child refugees in Europe: Guidelines on the psychosocial context, assessment of and interventions for traumatised children and adolescents. ECRE.

Language: English

Format: Other

Abstract:
This Good Practice Guide is part of a set of three Guides that have been developed by ECRE member agencies active in the field of reception and integration of refugees. The Guides cover educational advice to refugees, working with older refugees, and assisting traumatised childrefugees. They represent the culmination of two years’ work of thematic networks in these areas, where practitioners have discussed and developed the guiding principles that should underpin work with asylum seekers and refugees. Networking activities have also enabled the lead agencies to identify examples of good practice across Europe, and all these findings are presented in the Guides.

Keywords: Adolescents Children Refugees

Accuracy Verified: Yes

5. Medema, M. L. (2012). Coping styles in the treatment of traumatized refugees. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Which approach is most beneficial is yet unclear and Basoglu (2006) critiques this lack of progress in the field and pleas for empirically driven interventions on PTSD. To address this issue, Ter Heide is currently conducting a randomized trial to compare the efficacy of EMDR and stabilisation in a sample of of traumatized refugees and asylum seekers (hereafter the term refugees refers to both refugees and asylum seekers). The feasibility and acceptability of such a trial was demonstrated in a pilot study (Ter Heide, Mooren, Kleijn, De Jongh, & Kleber, 2011). To further counseling theory, research and practice, it should however also be examined “when” and “for whom” PTSD treatments are effective and therefore we should engage in research on moderators (Frazier, Tix & Barron; 2004). Hence, the present study examines the role ofcoping styles as possible moderators in EMDR and stabilistation treatment of traumatized refugees. This study attempts to add empirical value to the theoretical framework on the treatment of PTSD in refugees and this may also have clinical implications as to which treatment is more beneficial for which patients.

Keywords: Asylum Seekers Coping Styles Posttraumatic Stress Disorder PTSD Quality of Life Refugees Stabilisation Treatment Outcome

Accuracy Verified: Yes

6. Renner, W., Banninger-Huber, E., & Peltzer, K. (2011). Culture-sensitive and resource oriented peer (CROP) - Groups as a community based intervention for trauma survivors: A randomized controlled pilot study with refugees and asylum seekers from Chechnya. Australasian Journal of Disaster and Trauma Studies, 2011-1, 1-13.

Language: English

Format: Journal

Abstract:
Asylum seekers and refugees frequently suffer from post-traumatic stress and culturally sensitive methods towards reducing symptoms should be taken into account. The aim of the work reported here was to examine the effectiveness of Culture-Sensitive and Resource Oriented Peer (CROP) - Groups for Chechen asylum seekers and refugees towards reducing post-traumatic symptoms, anxiety, and depression. Some ninety-four participants were randomly assigned to 15 sessions of CROP - or Cognitive Behavior Therapy (CBT) - Groups, to 3 single sessions of Eye Movement Desensitization and Reprocessing (EMDR), or to a Wait-List (WL). The results indicated that CROP was significantly superior to WL, and was equally effective as CBT in reducing post-traumatic symptoms, anxiety, and depression. Improvements still were present at three and six month follow-up occasions. EMDR yielded negative results. According to this pilot study, CROP-Groups pose a promising, culturally sensitive alternative to psychotherapy with Chechen migrants.

Keywords: Asylum Seekers Chechnya Community-Based Intervention CROP Culture-Sensitive and Resource Oriented Peer Pakistan Pilot Study Psychological Trauma Randomized Control Trial RCT Refugees Survivor Trauma Treatment Center Treatment Response Violent Situation in Pakistan

Accuracy Verified: Yes

7. Franzen, C. (2011). De invloed van de postmigratie situatie van vluchtelingen en asielzoekers in Nederland op EMDR en Stabilisatie als behandelmethoden voor PTSS [The influence of the post-migration situation of refugees and asylum seekers in the Netherlands EMDR and stabilization as treatments for PTSD]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:

Keywords: Asylum Seekers Education Post-Migration Stressors Posttraumatic Stress Disorder PTSD: Refugees Refugee Status Work Status

Accuracy Verified: Yes

8. Knipscheer, J., van Middendorp, H., & Kleber, R. (2011, August). De rol van cultuur in het omgaan met psychotrauma [The role of culture in coping with psychotrauma]. Psychologie & Gezondheid, 39(3), 125-131. doi:10.1007/s12483-011-0026-4.

Language: Dutch

Format: Journal

Abstract:
The role of culture in coping with psychotrauma In this paper, the theme of the special issue on Culture and Trauma is introduced. In both empirically oriented articles as well as theoretical and contemplative contributions, the role of culture and migration context in the development of psychological problems following trauma, culture-specific or generic coping with the consequences, help-seeking behavior, and the need for culturally sensitive treatment is explored. First, the influence of the migration context is considered with regard to the possible sickening role of the asylum procedure, the burden for immigrant women who have undergone female genital mutilation and now live in a society that seriously condemns it, and the dilemma of Islamic migrants who experience homosexual feelings while living in a secularized society. Following are some contributions on cultural diversity in the expression of trauma symptoms, like somatization among refugees and the articulation of rage and embitterment among labor migrants. The impact of trauma in combination with migration on families and how children can be affected by the traumatization of their parents is the topic of two contributions in which the role of the (extended) family is explored and a contextual approach to working with families with trauma-related symptoms (a mentalization based multifamily therapy) is described. The factors that impede therapyseeking behaviour and drop-out are discussed in a study on Moroccan or Turkish girls who were raped. Finally, the applicability and efficacy of evidence-based interventions for treating ethnic minority patients with posttraumatic stress disorder is illustrated by a study on Eye Movement Desensitization and Reprocessing with refugees and an article on specific elements of intercultural trauma therapy that appear to be culturally sensitive.

Keywords: Asylum Procedure Cultural Diversity Culture Ethnic Minority Patients Female Genital Homosexuality Islamic Migrants Mentalization-Based Multi-Family Therapy Mutilation Migration Context Posttraumatic Stress Disorder PTSD Psychotrauma Trauma

Accuracy Verified: Yes

9. van Nijnatten, A. (2012). EMDR bij getraumatiseerde asielzoekers en vluchtelingen: Verschil in effectiviteit tussen visuele en auditieve stimulatie [EMDR with traumatized asylum seekers and refugees: difference in effectiveness between visual and auditory stimulation]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Objective: Recent studies suggest that eye movements are the most effective form of stimulation in EMDR, but this assertion is based primarily on studies using the general population. This study evaluated whether tones and eye movements in EMDR are equally effective in reducing symptoms of trauma, anxiety and depression among asylum seekers and refugees, who are diagnosed with PTSD. As a control the entire EMDR condition was compared with a waiting list condition, who received no treatment. Method: In the present study 43 asylum seekers and refugees in the age of 20 to 73 years, who were indicated for treatment at Stichting Centrum ’45, participated. They were assigned to three different conditions: EMDR with eye movements, EMDR with tones or no treatment. The patients were not randomly assigned to the three conditions. Trauma symptoms were measured with the CAPS and HTQ and anxiety and depression symptoms with the HSCL-25. Results: Both tones and eye movements in EMDR lead to a reduction in symptoms of trauma, according to the HTQ. When trauma symptoms are reported according to the CAPS both conditions do not lead to a significant reduction in complaints. Concerning symptoms of anxiety and depression both conditions lead to a reduction in symptoms. Again there is no difference between tones and eye movements. It appears that EMDR is not significantly better in reducing symptoms of trauma, compared to the waiting list condition. Both EMDR and no treatment do not lead to a significant reduction in symptoms of anxiety and depression and there is no distinction between the conditions. Conclusion: Eye movements and tones lead to a significant reduction in symptoms of trauma, anxiety and depression, but this reduction is insufficient compared to the control condition. This is probably due to the small sample size of the present study. The present study implies that the theory that eye movements are more effective than tones in EMDR may not be generalizable to a complex group of patients, namely asylum seekers and refugees diagnosed with PTSD.

Keywords: Asylum Seekers Auditory Stimulation Refugees Visual Stimulation

Accuracy Verified: Yes

10. ter Heide, J. J. (2010, April). EMDR bij getraumatiseerde asielzoekers en vluchtelingen: Wat is wijsheid? [EMDR with traumatized refugees and asylum seekers: What is wisdom?]. Presentatie Aan de Vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
Inhoud: Sinds een aantal jaren schrijven de richtlijnen voor de behandeling van posttraumatische stress bij volwassenen, twee behandelingen voor: trauma-focused cognitieve gedragstherapie (TFCBT) en EMDR. Over de effectiviteit van deze behandelvormen bij asielzoekers en vluchtelingen bestaat in het veld nogal wat discussie. Asielzoekers en vluchtelingen zouden, door de complexiteit van hun traumatisering en van hun sociale omstandigheden, mogelijk niet goed in staat zijn tot "traumaverwerking" en meer baat hebben bij stabiliserende interventies. Naar de effectiviteit van TFCBT bij deze populatie zijn verschillende gerandomiseerde onderzoeken verricht. Over de effectiviteit van EMDR bij getraumatiseerde asielzoekers en vluchtelingen zijn tot nu toe geen gecontroleerde data bekend. In deze workshop wordt stilgestaan bij een aantal belangrijke aspecten van de behandeling met EMDR van getraumatiseerde asielzoekers en vluchtelingen. Werkvorm Er wordt informatie gegeven over de problematiek van deze doelgroep, en de mate waarin EMDR daar een oplossing voor biedt. Resultaten worden besproken van een pilot studie, waarin 20 getraumatiseerde asielzoekers en vluchtelingen behandeld werden met ofwel EMDR ofwel stabilisatie. Tevens worden twee casussen gepresenteerd van succesvolle en minder succesvolle EMDR bij een getraumatiseerde vluchteling. Discussie met de deelnemers wordt van harte verwelkomd, aangezien niemand nog de wijsheid in pacht heeft wat betreft de behandeling van deze doelgroep. Doel: Het doel van de workshop is de deelnemer te informeren over de problematiek van getraumatiseerde asielzoekers en vluchtelingen, en over de rol die EMDR zou kunnen spelen in de behandeling. Daarnaast is een doel het uitwisselen van ervaringen en meningen over de behandeling met EMDR van deze doelgroep.

Contents: For several years writing the guidelines for the treatment of posttraumatic stress in adults, two treatments: trauma-focused cognitive behavioral therapy (TFCBT) and EMDR. About the effectiveness of these treatment modalities for asylum seekers and refugees is in the field quite a lot. Asylum seekers and refugees would, by the complexity of their trauma and their social circumstances, may not be able to "trauma" and would certainly be stabilizing interventions. The effectiveness of TFCBT in this population, several randomized studies. About the effectiveness of EMDR with traumatized asylum seekers and refugees have so far been no controlled data are known. In this workshop looks at some important aspects of the EMDR treatment of traumatized asylum seekers and refugees. Form Information is given about the problems of this target group, and the degree of EMDR as a solution to offer. Results are discussed from a pilot study in which 20 asylum seekers and refugees traumatized treated with either EMDR or stabilization. It also presented two case studies of successful and less successful EMDR in a traumatized refugees. Discussion with the participants is highly welcomed, since no one has a monopoly of wisdom regarding the treatment of this group. Purpose: The aim of the workshop is to inform participants about the problems of traumatized asylum seekers and refugees, and the role that EMDR might play in treatment. It is also an aim of exchanging experiences and views on the EMDR treatment of this group.

Keywords: Asylum Seekers Refugees

Accuracy Verified: Yes

11. ter Heide, F. J. J. (2011). EMDR versus stabilisaite: Resulten van een pilot studie [Eye movement desensitisation and reprocessing (EMDR) versus stabilisation in the outpatient treatment of traumatised asylum seekers and refugees: A randomised controlled trial]. Refereer Centrum '45, Oegstgeest, the Nederlands.

Language: Dutch

Format: Publication

Keywords: Asylum Seekers Randomized Control Trial Outpatient Treatment RCT Refugees

Accuracy Verified: Yes

12. ter Heide, J. J. (2008, June). EMDR versus stabilisation in the treatment of traumatised asylum seekers and refugees: Preliminary results of a pilot RCT. Poster presented at the annual meeting of the EMDR Europe Conference, London, England UK.

Language: English

Format: Conference

Abstract:
Despite the high prevalence of PTSD in refugee populations, it is as yet unclear how to treat traumatised refugees and asylum seekers most effectively. Whilst EMDR is a treatment of choice for PTSD, it is considered good clinical practice to use a phased model of intervention with these patients. In this model, a stabilisation phase precedes EMDR. Many clinicians are reluctant to try EMDR with this population for fear of psychological decompensation. They tend to stick to stabilisation techniques. Centrum ’45 in the Netherlands is a national centre for mental health care, specialising in the treatment of victims of war and organised violence. In order to optimise the mental health care offered, the centre is conducting a pilot RCT to see which is more effective in the treatment of traumatised asylum seekers and refugees: eight sessions of EMDR or eight sessions of stabilisation. The study population consists of 20 adult patients who applied for treatment and who met the DSM-IV criteria of PTSD, excluding those who are suicidal, psychotic, (hypo) manic or who suffer from substance abuse or eating disorders. Patients are screened for participation using the SCID module PTSD and part of the MINI. Symptoms of PTSD, depression and anxiety, and quality of life are assessed at pre- and post-treatment and follow-up, using the HTQ, HSCL-25 and the WHOQOL-BREF. The pilot study is due to finish in October 2008. In this poster presentation, we present preliminary findings, including data from the pre- and post-treatment assessments.

Keywords: Asylum Seekers Poster Refugees

Accuracy Verified: Yes

13. ter Heide, F. J. J., Mooren, T. M., Kleijn, W., de Jongh, A., & Kleber, R. J. (2011, August). EMDR versus stabilisation in traumatised asylum seekers and refugees: Results of a pilot study. European Journal of Psychotraumatology, 2, 5881. doi:10.3402/ejpt.v2i0.5881.

Language: English

Format: Journal

Abstract:
Background: Traumatised asylum seekers and refugees are clinically considered a complex population. Discussion exists on whether with this population treatment guidelines for post-traumatic stress disorder (PTSD) should be followed and Trauma-Focused Cognitive-Behavioural Therapy (TF-CBT) or Eye Movement Desensitisation and Reprocessing (EMDR) should be applied, or whether a phased model starting with stabilisation is preferable. Some clinicians fear that trauma-focused interventions may lead to unmanageable distress or may be ineffective. While cognitive-behavioural interventions have been found to be effective with traumatised refugees, no studies concerning the efficacy of EMDR with this population have been conducted as yet. Objective: In preparation for a randomised trial comparing EMDR and stabilisation with traumatised refugees, a pilot study with 20 participants was conducted. The objective was to examine feasibility of participation in a randomised trial for this complex population and to examine acceptability and preliminary efficacy of EMDR. Design: Participants were randomly allocated to 11 sessions of either EMDR or stabilisation. Symptoms of PTSD (SCID-I, HTQ), depression and anxiety (HSCL-25), and quality of life (WHOQOL-BREF) were assessed at pre- and post-treatment and 3-month follow-up. Results: Participation of traumatised refugees in the study was found feasible, although issues associated with complex traumatisation led to a high pre-treatment attrition and challenges in assessments. Acceptability of EMDR was found equal to that of stabilisation with a high drop-out for both conditions. No participants dropped out of the EMDR condition because of unmanageable distress. While improvement for EMDR participants was small, EMDR was found to be no less efficacious than stabilisation. Different symptom courses between the two conditions, with EMDR showing some improvement and stabilisation showing some deterioration between pre-treatment and post-treatment, justify the conduct of a full trial. Conclusion: With some adaptations in study design, inclusion of a greater sample is justifiable to determine which treatment is more suitable for this complex population.

Keywords: Asylum Seekers Refugees Posttraumatic Stress Disoder PTSD TF-CBT Trauma-Focused Cognitive-Behavioural Therapy

Accuracy Verified: Yes

14. ter Heide, J. J. (2009, June). EMDR versus stabilization in the treatment of traumatized asylum seekers and refugees: A pilot RCT. In A. de Jongh (Chair), PTSD research. Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Asylum Seekers Refuges Random Control Trial RCT Posttraumatic Stress Disorder PTSD Research Symposium

Accuracy Verified: Yes

15. ter Heide, F. J. J., Mooren, T. M., & Kleber, R. (2009, June). EMDR with traumatised asylum seekers and refugees. Presentation at the annual meeting of the EMDR European Conference, Amsterdam..

Language: English

Format: Conference

Keywords: Asylum seekers Refugees Trauma

Accuracy Verified: Yes

16. Stofsel, M. (2005, November). Ervaringen met EMDR bij complex trauma [Experience with complex trauma and EMDR]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Binnen de instelling waar ik werk, het SinaiCentrum (gespecialiseerd in de behandeling van de psychische gevolgen van structureel geweld bij slachtoffers van de tweede wereldoorlog (concentratiekampoverlevende, jappenkampoverlevenden, verzetsmensen, burgeroorlogsgetroffenen), de tweede generatie, vluchtelingen, asielzoekers en veteranen uit recente oorlogsgebieden treffen wij vooral type 2 trauma/complex trauma aan. De afgelopen drie jaar heb ik een ruime ervaring opgegaan met de toepassing van EMDR bij deze doelgroepen.
De toepassing van EMDR bij type 2 trauma is een nog relatief nieuw gebeid. In deze lezing wil ik stilstaan bij de ervaringen met betrekking tot - de indicatiestelling en diagnostiek, - stabilisatiefase, therapeutische relatie en de organisatorische inbedding hiervan, - keuzes met betrekking tot de te bewerken situaties en hoe beelden van mekaar te onderscheiden, - abrecations, - aantal sessies, - de taaiheid en soms moeizame vooruitgang, - verwevenheid met andere problematiek, - de fouten die gemaakt kunnen worden.
Ik zal een ander illustreren met enig video-materiaal Daarna gelegenheid tot diskussie.

Within the institution where I work, the Sinai Center specializing in the treatment of psychological consequences of structural violence in victims of WWII (concentration camp survivor, Japanese camp survivors, resisters, civil war victims), second generation refugees, asylum seekers and veterans of recent war zones we especially take Type 2 trauma / complex trauma. In the last three years I have extensive experience in applying EMDR absorbed by these groups.
The application of EMDR in type 2 trauma is a relatively new gebeid. In this lecture, I want to experience on - The indication and diagnostics, - Stabilization phase, therapeutic relationship and the organizational embedding of this, - Choices about the situations and how to edit images of each to distinguish - Abrecations, - Number of sessions, - The toughness and sometimes painful progress - Integration with other problems, - The mistakes that can be made.
I will illustrate with some video material with the opportunity for discussion afterwards.

Keywords: Complex Trauma

Accuracy Verified: Yes

17. ter Heide, J. J., Mooren, T., & Kleber, R. (2009, November). Evidence-based vs. good practice: The treatment of traumatized refugees with EMDR. In M. Olff, J. J. Ter Heide, M. J. Nijdam, & S. Guay (Chairs), Advances in evidence-based treatment for PTSD. Symposium conducted at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Despite the scientific evidence concerning the efficacy of EMDR in the treatment of PTSD, in clinical practice many clinicians are reluctant to apply EMDR to traumatized asylum seekers and refugees. Because they regard the traumatization of this population as too complex, and for fear of psychological decompensation, they tend to avoid confrontation with traumatic memories and stick to stabilization techniques. In a pilot study with 20 traumatized asylum seekers and refugees, we tested the hypothesis that, in accordance with treatment guidelines, EMDR would be more effective than stabilization in asylum seekers and refugees. Adult asylum seekers and refugees who applied for treatment at Centrum ’45, a Dutch national centre for psychological treatment of victims of war and organized violence, were randomly allocated to either 11 sessions of EMDR or 11 sessions of stabilization. PTSD and comorbid symptomatology and quality of life were assessed at pre- and post-treatment and three-month follow-up. In this presentation, the results of this pilot RCT will be discussed. Significant differences favouring EMDR over stabilization were found. Despite several drawbacks including a high drop-out and limited clinical improvement, study design seems feasible with this population.

Keywords: Evidence-Based Good Practice Refugees Symposium Trauma

Accuracy Verified: Yes

18. Lefèbre, R. (2010, 28 September). Heeft sociaal-maatschappelijke stress een complicerende rol bij klachten na psychotrauma? Een onderzoek onder asielzoekers en vluchtelingen naar de relatie tussen traumablootstelling, psychiatrische klachten en de invloed van sociaal-maatschappelijke stressfactoren [Socio-cultural stress has a role in complicating disorders after psychotrauma? A survey of asylum seekers and refugees into the relationship between trauma exposure, psychiatric symptoms and the influence of socio-cultural stress]. Utrecht, Nederlands: Universteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
In onderzoek onder zestig asielzoekers en vluchtelingen met de diagnose PTSS, die in behandeling waren bij Stichting Centrum ’45, is gekeken naar de relatie tussen traumablootstelling en de psychiatrische klachten: depressie-, angst-, en traumaklachten en in het bijzonder naar de mediërende invloed van sociaal-maatschappelijke stressfactoren. Meer traumatische ervaringen bleken samen te hangen met depressieklachten, maar niet met trauma- en angstklachten. Van de sociaal-maatschappelijke stressfactoren bleek stress over lichamelijke klachten samen te hangen met depressieklachten. Stress over het gezinssysteem bleek samen te hangen met angstklachten.Traumablootstelling bleek niet samen te hangen met stress over lichamelijke klachten. Geconcludeerd werd dat sociaal-maatschappelijke stressfactoren geen mediator vormen voor de relatie tussen traumablootstelling en psychiatrische klachten. Voor een behandeling als EMDR, gericht op het traumatisch verleden van de cliënt, zou dit kunnen betekenen dat verdere aandacht aan sociaal-maatschappelijke stressfactoren waarschijnlijk weinig effect zullen sorteren. Ook zet dit vraagtekens bij andere traumabehandelingen als stabilisatietherapie. Mogelijk is deze therapie, die veelvuldig wordt toegepast bij asielzoekers en vluchtelingen, minder zinvol dan gedacht. Daar er sprake was van enkele methodische beperkingen zal vervolgonderzoek moeten uitwijzen of de resultaten generaliseerbaar zijn.

In research among sixty asylum seekers and refugees diagnosed with PTSD, which were pending at Foundation Centrum '45, looked at the relationship between trauma exposure and psychiatric symptoms: depression, anxiety, and trauma symptoms, and in particular to the mediating influence by social stressors. More traumatic experiences were associated with depression symptoms, but not with trauma and anxiety symptoms. The socio-cultural stressors showed stress on physical symptoms correlated with depression symptoms. Stress on the family system was found to correlate with angstklachten.Traumablootstelling was not correlated with stress on physical symptoms. It was concluded that socio-cultural mediator no stress on a relationship between trauma exposure and psychiatric symptoms. EMDR for treatment aimed at the client's traumatic past, this could mean that further attention to socio-cultural stressors unlikely any effect. Also put this question to other treatments such as trauma stabilization therapy. Possible that this therapy is frequently used in asylum seekers and refugees, less useful than expected. Since there were some methodological limitations, further research should reveal whether the results can be generalized.

Keywords: Anxiety Asylum Seekers Depression Symptoms IPTS, Refugees Residency Status Social and Societal Stress Survey Trauma Exposure Trauma Symptoms

Accuracy Verified: Yes

19. Ehntholt, K. A., & Yule, W. (2006, December). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology & Psychiatry, 47(12), 1197-1210. doi:10.1111/j.1469-7610.2006.01638.x.

Language: English

Format: Journal

Abstract:
Background: Increasingly clinicians are being asked to assess and treat young refugees, who have experienced traumatic events due to war and organised violence. However, evidence-based guidance remains scarce. Mthod: Published studies on the mental health difficulties of refugee children and adolescents, associated risk and protective factors, as well as effective interventions, particularly those designed to reduce war-related post-traumatic stress disorder (PTSD) symptoms, were identified and reviewed. The findings are summarised. Results: Young refugees are frequently subjected to multiple traumatic events and severe losses, as well as ongoing stressors within the host country. Although young refugees are often resilient, many experience mental health difficulties, including PTSD, depression, anxiety and grief. An awareness of relevant risk and protective factors is important. A phased model of intervention is often useful and the need for a holistic approach crucial. Promising treatments for alleviating symptoms of war-related PTSD include cognitive behavioural treatment (CBT), testimonial psychotherapy, narrative exposure therapy (NET) and eye movement desensitisation and reprocessing (EMDR). Knowledge of the particular needs of unaccompanied asylum-seeking children (UASC), working with interpreters, cross-cultural differences, medico-legal report writing and the importance of clinician self-care is also necessary. Conclusion: More research is required in order to expand our limited knowledge base.

Keywords: CBT Children Cognitive Behaviorial Therapy Literature Review Narrative Exposure Therapy NET Posttraumatic Stress Disorder PTSD War Refugees

Accuracy Verified: Yes

20. Kozon, A. (2007, September). Psychoedukacia a EMDR v dynamickej psychoterapii v azylovom dome pre tyrane zeny [Psychoeducation and psychotherapy, EMDR in the dynamic in the asylum house for abused women]. Psychiatria-Bratislava, 14(4), 161-164.

Language: Slovak

Format: Journal

Abstract:
Program azylového domu pre týrané ženy sa zameriava nielen na zabezpečenie ochrany klientky, ktorá opustila prostredie domáceho násilia, ale poskytuje aj konkrétnu sociálnu starostlivosť a emocionálnu podporu. Súčasťou programu je individuálna psychoterapia. Aby sa predišlo omylom a chybám, dynamická psychoterapia má svoje špecifiká vzhľadom na prítomnosť symptomatiky posttraumatickej stresovej poruchy, ktorá v prípravnej psychoterapeutickej fáze je zameraná na stabilizáciu psychických procesov ich odstránením prepracovanými technikami psychickej desenzibilizácie formou EMDR a psychoedukáciou. V ďalšej psychoterapeutickej fáze sa pozornosť upriamuje na rozvoj jadra štruktúry osobnosti – identity metodikou krátkodobej psychoanalyticky orientovanej hlbinnej psychoterapie, aby sa v budúcnosti preventívne predchádzalo stretu obete s násilím.

Asylum Program of the house for abused women in focus in order to protect clients who left the environment of domestic violence, but also provides specific social care and emotional support. The program is individual psychotherapy. To avoid mistakes and errors, dynamic psychotherapy has its own specifics to the presence of symptoms of posttraumatic stress disorder, which in the preparatory phase of psychotherapy is to stabilize the mental processes of removing the sophisticated techniques of psychological desensitization through EMDR and psychoedukáciou. In the next phase of psychotherapy it focuses on developing the core structure of personality - the identity-oriented methodology for short-term psychoanalytic psychotherapy prawn to prevent future conflict prevention with victims of violence.

Keywords: Abused Women Conscious and Unconscious Half-Way House Identity Positive Change in Perception Personality Development Psychodynamic Psychotherapy Sentences of Focus Strategy Psychotherapeutic Intervention Violence

Accuracy Verified: Yes

21. Kozoň, A. (2007). Psychoedukácia a EMDR v dynamickej psychoterapii v azylovom dome pre týrané ženy [Psychoeducation and EMDR in dynamic psychotherapy in the asylum house for abused women]. Psychiatria, 14(Part 4), 161-163.

Language: Slovak

Format: Journal

Abstract:
Program azylového domu pre týrané ženy sa zameriava nielen na zabezpečenie ochrany klientky, ktorá opustila prostredie domáceho násilia, ale poskytuje aj konkrétnu sociálnu starostlivosť a emocionálnu podporu. Súčasťou programu je individuálna psychoterapia. Aby sa predišlo omylom a chybám, dynamická psychoterapia má svoje špecifiká vzhľadom na prítomnosť symptomatiky posttraumatickej stresovej poruchy, ktorá v prípravnej psychoterapeutickej fáze je zameraná na stabilizáciu psychických procesov ich odstránením prepracovanými technikami psychickej desenzibilizácie formou EMDR a psychoedukáciou. V ďalšej psychoterapeutickej fáze sa pozornosť upriamuje na rozvoj jadra štruktúry osobnosti – identity metodikou krátkodobej psychoanalyticky orientovanej hlbinnej psychoterapie, aby sa v budúcnosti preventívne predchádzalo stretu obete s násilím. Kľúčové slová: psychodynamická psychoterapia, psychoedukácia, EMDR, azylový dom, týrané ženy, násilie, fókusová veta, vedomie a nevedomie, stratégia psychoterapeutickej intervencie, pozitívna zmena vnímania, identita, rozvoj osobnosti.

Asylum Program of the house for battered women focuses not only protect our clients, who left the environment of domestic violence, but also provides specific social care and emotional support. The program is individual psychotherapy. To avoid mistakes and errors, dynamic psychotherapy has its own specifics to the presence symptomatiky post traumatic stress disorder, which is in the preparatory phase of psychotherapy is to stabilize the mental processes of removing the sophisticated techniques of psychological desensitisation by EMDR and psychoedukáciou. In the next phase of psychotherapy focuses on developing the core structure of personality - the identity-oriented methodology for short-term psychoanalytic psychotherapy for Northern to prevent future conflict prevention victim to violence.

Keywords: Battered Women Consciousness and the Unconscious Identity Personality Development Positive Change in Perception Psychodynamic Psychotherapy Shelter Strategy of Psychotherapeutic Interventions Violence

Accuracy Verified: Yes

22. Ehntholt, K. A., Smith, P. A., & Yule, W. (2005, April). School-based cognitive-behavioural therapy group intervention for refugee children who have experienced war-related trauma. Clinical Child Psychology and Psychiatry, 10(2), 235-250. doi:10.1177/1359104505051214.

Language: English

Format: Journal

Abstract:
This study evaluated the effectiveness of a school-based group intervention designed for children who have experienced trauma. Twenty-six children (aged 11–15 years) who were refugees or asylum-seekers from war-affected countries participated. The manual-based intervention consisted of cognitive-behavioural therapy (CBT) techniques and was implemented within secondary schools. The treatment group (n = 15) received six sessions of group CBT over a 6-week period, while the control group (n = 11) were placed on a waiting list for 6 weeks and then invited to enter treatment. Children in the CBT group showed statistically significant, but clinically modest improvements following the intervention, with decreases in overall severity of post-traumatic stress symptoms. Significant improvements were also found in overall behavioural difficulties and emotional symptoms. Children in the waiting list control group did not show any improvements over the same period. However, follow-up data, which were only available for a small subset of eight children, suggest that gains in the CBT group were not maintained at 2-month follow-up.

Keywords: Children Group CBT Group Cognitive Behaviorial Therapy Posttraumatic Stress Disorder PTSD Refugees School

Accuracy Verified: Yes

23. Kayal, H. (2013, June). Stabilisation techniques in preparation for trauma focused interventions with refugees. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.

Language: English

Format: Conference

Abstract:
A phased model of treatment is recommended for the treatment of people who have experienced repeated and multiple traumas and who may still be facing ongoing stress and threat. Establishing a sense of safety and stability is the first stage of treatment before any exposure work can begin. This can be particularly challenging when treating refugees with complex PTSD presentations. This interactive workshop will explore treatment approaches to establishing a sense of safety and stability in preparation for trauma focused therapy. Case examples of torture survivors, victims of trafficking and domestic abuse will be presented to illustrate some of the difficulties in this stage of treatment and interventions. The workshop will promote an understanding of: •Complex PTSD presentations in refugees and asylum seekers •Stabilisation and symptom management in preparation for trauma focused interventions •Managing dissociative flashbacks, dissociative seizures and sensory/physical flashbacks •Cognitive techniques for managing shame, guilt and self blame which may be barriers to exposure work •How best to work with trauma memories and when to use NET, CBT or EMDR •Cultural considerations •Managing vicarious traumatisation and self care

Keywords: Refugees Stablilization

Accuracy Verified: Yes

24. Rivlin, E. (2009, March). The utility of psychometric assessment and monitoring within the Context of EMDR with refugee and asylum seeking Children/Adolescents. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
Accurate neuropsychological/psychological assessment and monitoring are crucial to complex cases of refugee and asylum seeking children and adolescents. These are examined in the context of relevant case vignettes. The limitations and relevance of accurate and therapeutic assessment and monitoring are examined and the utility of psychological instruments. Language and timing of interventions are also considered. The use of a multimodal approach sensitive to individual and intellectual differences and relevance of EMDR is discussed.

Keywords: Asylum Psychometric Assessment Refuges Symposium

Accuracy Verified: Yes

25. Turner, S. (2008, June). “A human rights framework in trauma work". Keynote presented at the annual mmeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Some people survive trauma only to find themselves continuing to live in very real danger of further deliberate harm. This happens, for example, on a large scale where the state uses repressive violence against communities and at a personal level in many types of intra-familial violence, but there are many other illustrations. One of the first steps that we often make as therapists is to clarify that the traumatic experience has come to an end and that the survivor is ready, and feels safe enough, to deal with the emotional components of their past experiences. Victims of violence may come from disadvantaged or minority groups in society and it is often insufficient to rely only on the goodwill of the majority population to achieve this sense of safety. It is essential that there should be human rights policies with the force of law to protect vulnerable people and allow them to achieve justice and a sense of efficacy. This year is the 60th anniversary of the Universal Declaration of Human Rights, an inspirational document prepared after the Second World War, and yet, unfortunately, human rights abuses remain all too common. The interplay between the legal framework of human rights and the therapeutic framework of clinical practice is not always straightforward to negotiate. Problems may occur, for example, for refugees who escape from persecution but whose legal cases in their new country of asylum take years to settle, children experiencing continuing abuse but who are too afraid to talk, adult rape survivors who feel too ashamed to disclose and who would expect a prosecution to fail anyway. An ethical framework for our practice is required which fully takes into account the therapeutic needs of the survivor; their legal right to justice, protection and acknowledgment of harm done; and their personal wishes.

Keywords: Keynote

Accuracy Verified: Yes