The last two decades of the 20th century have witnessed over thirty-five civil wars and an even larger number of lower intensity conflicts worldwide. Widespread brutalization and ethnic cleansing, often resulting in large movements of population, characterize many of the conflicts. The United Nations High Commissioner for Refugees estimates that there are currently 50 million people who are victims of forced displacement, 40- 80 % of whom will develop post-traumatic stress disorder (PTSD).
The mental health problems among asylum seekers and refugees are becoming a public issue, but the awareness of societies and mental health professionals considering this problem is relatively low. Although advances have been made in the provision of innovative mental health services for asylum seekers and refuges with PTSD, they are not systemized, and not widely known to professionals in the field. A publication offering practical guidelines for the treatment of torture victims and political refugees does not exist. Broken Spirits brings together the works of the most respected mental health professionals--from the U.S. and abroad--and make available the most current knowledge on complex PTSD, forced migration and cultural sensitivity in diagnosis and treatment. --- from the publisher
Part 1: Theoretical, Conceptual and Socio-Cultural Considerations. John P. Wilson, Introduction to Part 1. Vamýk D. Volkan, From Hope for a Better Life to Broken Spirits: An Introduction. Derrick Silove, The Global Challenge of Asylum. Jens Modvig, James Jaranson, A Global Perspective of Torture, Political Violence and Health. Jorge Aroche, Mariano Coello, Ethnocultural Considerations in the Treatment of Refugees and Asylum Seekers. Alexander McFarlane, Assessing PTSD and Co-Morbidity: Issues in Differential Diagnosis. Part 2: Broken Spirits: Traumatic Injury to Culture, the Self and Personality. John P. Wilson, Introduction to Part 2. John P. Wilson, The Broken Spirit: Post-Traumatic Damage to the Self. Joop de Jong, Public Mental Health and Culture: Disasters as a Challenge to Western Mental Health Care Models, the Self and PTSD. Part 3: Post-Traumatic Treatments: Guidelines for Practitioners. John P. Wilson, Introduction to Part 3. Guus van der Veer, Adeline van Waning, Creating a Safe Therapeutic Sanctuary. Silvana Turkovic, Johannes E. Hovens, Rudolf Gregurek, Strengthening Psychological Health in War Victims and Refugees. Boris Drozðek, John P. Wilson, Uncovering: Trauma Focused Treatment Techniques with Asylum Seekers. John P. Wilson, Empathy, Trauma Transmission and Counter-Transference in Posttraumatic Psychotherapy. Johan Lansen, Ton Haans, Clinical Supervision for Trauma Therapists. Hanneke Bot, Cecilia Wadensjo, The Presence of a Third Party: A Dialogical View on Interpreter-Assisted Treatment. Part 4: Non-Verbal and Experiential Therapies. John P. Wilson, Introduction to Part 4. Bram de Winter, Boris Drozðek, Psychomotor Therapy: Healing by Action. Sylvia Karcher, Body Psychotherapy with Survivors of Torture. Truus Wertheim-Cahen, Marion van Dijk, Karin Schouten, Inge Roozen, Boris Drozðek, About a Weeping Willow, a Phoenix Rising from its Ashes and Building a House. Art Therapy with Refugees: Three Different Perspectives. Jaap Orth, Letty Doorschodt, Jack Verburgt, Boris Drozðek, Sounds of Trauma. Part 5: Treatment of Special Populations: Gender and Developmental Considerations. John P. Wilson, Introduction to Part 5. Joachim Walter, Julia Bala, Where Meanings, Sorrow and Hope have a Resident Permit: Treatment of Families and Children. Hubertus Adam, Jelly van Essen, In Between - Adolescent Refugees in Exile. Marianne C. Kastrup, Libby Arcel, Gender Specific Treatment. Part 6: Medical, Surgical and Clinical Issues in the Treatment of Refugees and Torture Victims. John P. Wilson, Introduction to Part 6. J. David Kinzie, Matthew J. Friedman, Psychopharmacology for Refugee and Asylum Seeker Patients. Marianne Juhler, Surgical Approach to Victims of Torture and PTSD. Solvig Ekblad, James Jaranson, Psychosocial Rehabilitation. Part 7: Legal, Moral and Political Issues in the Treatment Process. John P. Wilson, Introduction to Part 7. Jane Herlihy, Carla Ferstman, Stuart W. Turner, Legal Issues in Work with Asylum Seekers. Zachary Steele, Sarah Mares, Louise Newman, Bijou Blick, Michael Dudley, The Politics of Asylum and Immigration Detention: Advocacy, Ethics and the Professional Role of the Therapist.
John P. Wilson, Ph.D., is professor of Psychology at Cleveland State University in Ohio. He is a founding member and past president of the International Society for Traumatic Stress Studies, a fellow of the American Institute of Stress and Executive Director of the Centre for Post Traumatic Stress and PTSD.
Boris Drozdek, M.D., MA is a psychiatrist at GGZ's Hertigenbosch Outpatient and Day Treatment Centre for Asylum Seekers and Refugees in the Netherlands.