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2016
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(2016): Culture-sensitive psychotraumatology. In: European journal of psychotraumatology 7
Abstract: BACKGROUND Although there is some evidence of the posttraumatic stress disorder (PTSD) construct's cross cultural validity, trauma-related disorders may vary across cultures, and the same may be true for treatments that address such conditions. Experienced therapists tailor psychotherapy to each patient's particular situation, to the nature of the patient's psychopathology, to the stage of therapy, and so on. In addition, culture-sensitive psychotherapists try to understand how culture enhances the meaning of their patient's life history, the cultural components of their illness and help-seeking behaviors, as well as their expectations with regard to treatment. We cannot take for granted that all treatment-seeking trauma survivors speak our language or share our cultural values. Therefore, we need to increase our cultural competencies. METHODS The authors of this article are clinicians and/or researchers from across the globe, working with trauma survivors in various settings. Each author focused on one or more specific cultural aspects of working with trauma survivors and highlighted the following aspects. RESULTS As a result of culture-specific individual and collective meanings linked to trauma and trauma-related disorders survivors may be exposed to (self-) stigma in the aftermath of trauma. Patients who are reluctant to talk about their traumatic experiences may instead be willing to write or use other ways of accessing the painful memories such as drawing. In other cultures, community and family cohesion are crucial elements of recovery. While awareness of culture-specific aspects is important, we also need to beware of premature cultural stereotyping. When disseminating empirically supported psychotherapies for PTSD across cultures, a number of additional challenges need to be taken into account: many low and middle income countries have very limited resources available and suffer from a poor health infrastructure. CONCLUSIONS In summary, culture-sensitive psychotraumatology means assuming an empathic and non-judgmental attitude, trying to understand each individual's cultural background.
Keywords: Beeinflussung der Bewertung moralischer Urteile, Bewertung von sozialem Verhalten (/sozialer Angemessenheit), Culture, culture sensitive, dissemination, Disziplin, evidence-based treatments, Kultur, Kulturtheorie, low and middle income countries, Observablen/Kriterien für sozial angemessenes Verhalten und dessen Bewertung, Pathologie, Psychologie, psychotraumatology, stigma, Trauma -
(2016): Kindersoldatinnen und -soldaten als Flüchtlinge in Deutschland. In: PRAXIS DER KINDERPSYCHOLOGIE UND KINDERPSYCHIATRIE 65 (10), S. 763-780. DOI: 10.13109/prkk.2016.65.10.763
DOI: http://www.ncbi.nlm.nih.gov/pubmed/27923337 Abstract: Child Soldiers as Refugees in Germany How do former child soldiers cope with their potentially traumatic experiences, and how do the living conditions as refugees influence these coping processes? A dissertation at the faculty of human and social sciences at the University of Wuppertal, based on biographical-narrative interviews with 15 young refugees from six African countries, describes the characteristics of the traumatic sequences in the countries of origin and in exile, and elaborates typical coping processes. In order to survive a situation of absolute subjection within armed groups, children develop forms of adequate adaptation to the context like regulation and detachment of emotions e.g. with the use of drugs, assimilation to an idea of "hard masculinity" etc. They become victims, witnesses and often perpetrators of extreme violence (man-made-disaster), respectively traumatic processes can be seen in all sequences. After leaving the armed groups there is no way back into the families and communities destroyed by armed conflict, so they become refugees. In Germany, they are subjected to a bureaucratic and excluding asylum system, in which decisions on all relevant areas of life (age determination, place and right of residence, form of accommodation, access to education, etc.) are imposed on them. Especially the insecure right of residence and the living conditions in refugee camps are severe risk factors, impeding stabilization. Social support, e. g. by competent professionals, access to trauma- and culture-sensitive psychotherapy, societal inclusion, but also personal resilience are essential for coping with trauma and developing new future perspectives.
Keywords: Adaptation, Psychological, Adolescent, Africa/ethnology, Armed Conflicts/psychology, Beeinflussung der Bewertung moralischer Urteile, Bewertung von sozialem Verhalten (/sozialer Angemessenheit), culture sensitive, Defense Mechanisms, Dissociative Disorders/diagnosis/psychology/therapy, Female, Germany, Humans, Interview, Psychological, Male, Military Personnel/psychology, Minors/psychology, Pathologie, Psychologie, Refugees/psychology, Social Conditions, Stress Disorders, Post-Traumatic/diagnosis/psychology/therapy, Substance-Related Disorders/diagnosis/psychology/therapy, Trauma, Young Adult
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