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Psychotherapy and Psychosocial Support in Host Countries: State-of-the-Art and Emerging Paradigms

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An Uncertain Safety

Abstract

Refugees may present with a constellation of mental health and psychosocial problems caused by a combination of exposure to violence and current and ongoing stress. In order to understand the complexity of their experiences, different models and frameworks have been developed. Most converge in attempting to provide an exhaustive and inclusive account of the diversity of mental health and existential impacts incurred as a consequence of exposure to often multiple human rights violations, experiences of forced migration and the stress of relocation. For those refugees in need of assistance for overt mental health problems, psychotherapeutic and psychosocial approaches have been developed, and these will be described together with suggestions and possible directions for future research.

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References

  1. Unfpaorg. 1. Unfpaorg. Available from: http://www.unfpa.org/migration. Accessed 28 Jan 2017.

  2. Priebe S, Giacco D, El-Nagib R. Public health aspects of mental health among migrants and refugees: a review of the evidence on mental health care for refugees, asylum seekers and irregular migrants in the WHO European region. Copenhagen: WHO Regional Office for Europe; 2016.

    Google Scholar 

  3. United Nations High Commissioner for Refugees (UNHCR). 1. UNHCR Refugees/Migrants Response–Mediterranean. Available from: http://data.unhcr.org/mediterranean/regional.php. Accessed 28 Jan 2017.

  4. Mazzetti M. Trauma and migration: a transactional analytic approach toward refugees and torture victims. Transactional Analysis Journal. 2008;38(4):285–302.

    Article  Google Scholar 

  5. Kalt A, Hossain M, Kiss L, Zimmermann C. Asylum seekers, violence and health: a systematic review of research in high-income countries. Am J Public Health. 2013;103(3):30–42.

    Article  Google Scholar 

  6. Silove D. The psychosocial effects of torture, mass human rights violations, and refugee trauma: toward an integrated conceptual framework. J Nerv Ment Dis. 1999;187:200–7.

    Article  PubMed  CAS  Google Scholar 

  7. Hallas P, Hansen AR, Staehr MA, Munk-Andersen E, Jorgensen HL. Length of stay in asylum centres and mental health in asylum seekers: a retrospective study from Denmark. BMC Public Health. 2007;7:288–93.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Heeren M, Mueller J, Ehlert U, Schnyder U, Copiery N, Maier T. Mental health of asylum seekers: a cross-sectional study of psychiatric disorders. BMC Psychiatry. 2012;12:114–21.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Laban CJ, Gernaat HBPE, Komproe IH, Schreuders BA, Jong de JTVM. Impact of a long asylum procedure on the prevalence of psychiatric disorders in Iraqi asylum seekers in the Netherlands. J Nerv Ment Dis. 2004;192:843–51.

    Article  PubMed  Google Scholar 

  10. Mueller J, Schmidt M, Staeheli A, Maier T. Mental health of failed asylum seekers as compared with pending and temporarily accepted asylum seekers. Eur J Pub Health. 2010;21:184–9.

    Article  Google Scholar 

  11. Ryan D, Benson C, Dooley B. Psychological distress and the asylum process: a longitudinal study of forced migrants in Ireland. J Nerv Ment Dis. 2008;196:37–45.

    Article  PubMed  Google Scholar 

  12. Silove DM, Steel ZP, Susljik I, et al. The impact of the refugee decision on the trajectory of PTSD, anxiety and depressive symptoms in asylum seekers: a longitudinal study. Am J Disaster Med. 2007;2(6):321–9.

    PubMed  Google Scholar 

  13. Silove D, Steel Z, Watters C. Policies of deterrence and the mental health of asylum seekers in western countries. JAMA. 2000;284:604–11.

    Article  PubMed  CAS  Google Scholar 

  14. Steel Z, Momartin S, Silove D, Coello M, Aroche J, Tay KW. Two year psychosocial and mental health outcomes for refugees subjected to restrictive or supportive immigration policies. Soc Sci Med. 2011;72(7):1149–56.

    Article  PubMed  Google Scholar 

  15. Tummala-Narra P. Addressing political and racial terror in psychotherapy. Am J Orthopsychiatry. 2005;75:19–26.

    Article  PubMed  Google Scholar 

  16. Kirmayer LJ, Narasiah L, Munoz M, et al. Common mental health problems in immigrants and refugees: general approach in primary care. Can Med Assoc J. 2010;183(12):1–9. https://doi.org/10.1503/cmaj.090292.

    Article  Google Scholar 

  17. Porter M, Haslam N. Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons. JAMA. 2005;294:602–12.

    Article  PubMed  CAS  Google Scholar 

  18. Ellis BH, Abdi SM, Lazarevic V, et al. Relation of psychosocial factors to diverse behaviors and attitudes among Somali refugees. Am J Orthopsychiatry. 2015;86(4):393–408. https://doi.org/10.1037//ort0000121.

    Article  PubMed  Google Scholar 

  19. Bakker L, Dagevos J, Engbersen G. The importance of resources and security in the socio-economic integration of refugees: a study on the impact of length of stay in asylum accommodation and residence status on socio-economic integration for the four largest refugee groups in the Netherlands. J Internat Migr Integr. 2014;15(3):431–48.

    Article  Google Scholar 

  20. Silove D. The challenges facing mental health programs for post-conflict and refugee communities. Prehosp Disaster Med. 2004;19(1):90–6.

    Article  PubMed  Google Scholar 

  21. Bhugra D, Gupta S, Schouler-Ocak M, et al. EPA guidance mental health care of migrants. Eur Psychiatry. 2014;29:107–15.

    Article  CAS  PubMed  Google Scholar 

  22. Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet. 2005;365:1309–14.

    Article  PubMed  Google Scholar 

  23. Hall BJ, Olff M. Global mental health: trauma and adversity among populations in transition. Eur J Psychotraumatol. 2016;7:31140. https://doi.org/10.3402/ejpt.v7.31140.

    Article  PubMed  Google Scholar 

  24. Schick M, Zumwald A, Knopfli B, et al. Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees. Eur J Psychotraumatol. 2016;7:28057. https://doi.org/10.3402/ejpt.v7.28057.

    Article  PubMed  Google Scholar 

  25. Steel Z, Chey T, Silove D, Marnane C, Bryant RA, van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement. JAMA. 2009;302:537–49.

    Article  PubMed  CAS  Google Scholar 

  26. Momartin S, Silove D, Manicavasagar V, Steel Z. Comorbidity of PTSD and depression: associations with trauma exposure, symptom severity and functional impairment in Bosnian refugees resettled in Australia. J Affect Disord. 2004;80:231–8.

    Article  PubMed  Google Scholar 

  27. Courtois CA, Ford JD, editors. Treating complex traumatic stress disorder: an evidence-based guide. New York: Guilford Press; 2009.

    Google Scholar 

  28. Maercker A, Brewin CR, Bryant RA, et al. Proposals for mental disorders specifically associated with stress in the international classification of diseases-11. Lancet. 2013;381:1683–785.

    Article  PubMed  Google Scholar 

  29. Bhugra D. Migration and mental health. Acta Psychiatr Scand. 2004;109:243–58.

    Article  PubMed  CAS  Google Scholar 

  30. Buhmann CB. Traumatized refugees: morbidity, treatment and predictors of outcome. Dan Med J. 2014;61(8):84871.

    Google Scholar 

  31. Lindert J, Ehrenstein OS, Priebe S, Mielck A, Brahler E. Depression and anxiety in labour migrants and refugees. Soc Sci Med. 2009;69:246–57.

    Article  PubMed  Google Scholar 

  32. Lindencrona F, Ekblad S, Hauff E. Mental health of recently resettled refugees from the middle east in Sweden: the impact of pre-resettlement trauma, resettlement stress and capacity to handle stress. Soc Psychiatry Psychiatr Epidemiol. 2008;43:121–31.

    Article  PubMed  Google Scholar 

  33. Carswell K, Blackburn P, Barker C. The relationship between trauma, post-migration problems and the psychological well-being of refugees and asylum seekers. Int J Soc Psychiatry. 2011;57:107–19.

    Article  PubMed  Google Scholar 

  34. Bracken P, Giller J, Summerfield D. Psychological responses of war and atrocity: limitations and current concepts. Soc Sci Med. 1995;40(8):1073–82.

    Article  PubMed  CAS  Google Scholar 

  35. Patel N. Clinical psychology: reinforcing inequalities or facilitating empowerment? Int J Human Rights. 2003;7(1):16–29.

    Article  Google Scholar 

  36. Patel N. The psychologisation of torture. In: Rapley M, Moncrieff J, Dillon J, editors. De-medicalising misery: psychiatry, psychology and the human condition. London: Palgrave Macmillan; 2011. p. 239–55.

    Chapter  Google Scholar 

  37. Mezey G, Robbins I. Usefulness and validity of posttraumatic stress disorder as a psychiatric category. Br Med J. 2001;323:561–3.

    Article  CAS  Google Scholar 

  38. Tay AK, Rees S, Chen J, Kareth M, Silove D. The structure of post-traumatic stress disorder and complex post-traumatic stress disorder amongst west Papuan refugees. BMC Psychiatry. 2015;15:111.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Lambourne W. Justice and reconciliation: postconflict peacebuilding in Cambodia and Rwanda. In: Abu-Nimer M, editor. Reconciliation, justice and coexistence: theory and practice. Lanham: Lexington Books; 2001. p. 311–38.

    Google Scholar 

  40. Miller KE, Worthington GJ, Muzurovic J, Tipping S, Goldman A. Bosnian refugees and the stressors of exile: a narrative study. Am J Orthopsychiatry. 2002;72:341–54.

    Article  PubMed  Google Scholar 

  41. Summerfield D. A critique of seven assumptions behind psychological trauma programs in war-affected areas. Soc Sci Med. 1999;48:1449–62.

    Article  PubMed  CAS  Google Scholar 

  42. Koenen KC, Goodwin R, Struening E, Hellman F, Guardino M. Posttraumatic stress disorder and treatment seeking in a national screening sample. J Trauma Stress. 2003;16:5–16.

    Article  PubMed  Google Scholar 

  43. Sohelian S, Inman A. Middle Eastern Americans: the effects of stigma on attitudes toward counseling. J Muslim Ment Health. 2009;4:139–58.

    Article  Google Scholar 

  44. Porter M. Global evidence for a biopsychosocial understanding of refugee adaptation. Transcult Psychiatry. 2007;44:418–39.

    Article  PubMed  Google Scholar 

  45. Khan MMR. Das kumulative trauma. In: Khan MMR, editor. Selbsterfahrung in der Therapie: Theorie und praxis [The concept of cumulative trauma]. Munchen: Kindler; 1977. p. 50–70.

    Google Scholar 

  46. Becker D. Dealing with the consequences of organised violence in trauma work. In:Berghof handbook for conflict transformation. Berlin: Berghof Research Center for Constructive Conflict Management; 2004. p. 1–15.

    Google Scholar 

  47. McEwen BS. Protective and damaging effects of stress mediators. Semin Med Beth Isr Deaconess Med Cent. 1998;338(3):171–9.

    CAS  Google Scholar 

  48. Wilson JP, Friedman MJ, Lindy JD. Treatment goals for PTSD. In: Wilson JP, Friedman MJ, Lindy JD, editors. Treating psychological trauma and PTSD. New York: Guilford; 2001. p. 3–27.

    Google Scholar 

  49. Kielson H. Sequential traumatization in children. Jerusalem: Magnes Press Hebrew University; 1992.

    Google Scholar 

  50. Tay AK, Rees S, Chen J, Kareth M, Silove D. Corrigendum to “examining the broader psychosocial effects of mass conflict on PTSD symptoms and functional impairment amongst west Papuan refugees resettled in Papua New Guinea (PNG)”. Soc Sci Med. 2015;138(13):70–8.

    Article  Google Scholar 

  51. Resick PA, Bovin MJ, Calloway AL, et al. A critical evaluation of the complex PTSD literature: implications for DSM-5. J Trauma Stress. 2012;25:241–51.

    Article  PubMed  Google Scholar 

  52. Bronfenbrenner U. The ecology of human development: experiments by nature and design. 4th ed. Cambridge: Harvard University Press; 1981.

    Google Scholar 

  53. Hobfoll SE. Stress, culture and community: the psychology and philosophy of stress. New York: Plenum Press; 1998.

    Book  Google Scholar 

  54. Hobfoll SE. The influence of culture, community, and the nested-self in the stress process: advancing conservation of resources theory. Appl Psychol Int Rev. 2001;50:337–421.

    Article  Google Scholar 

  55. Silove D. The ADAPT model. Intervention. 2013;11(3):237–48.

    Article  Google Scholar 

  56. Miller KE, Kulkarni M, Kushner H. Beyond trauma-focused psychiatric epidemiology: bridging research and practice with war-affected populations. Am J Orthopsychiatry. 2006;76(4):409–22.

    Article  PubMed  Google Scholar 

  57. Papadopoulos RK. Refugees, trauma and adversity-activated development. Eur J Psychotery Couns. 2007;9:301–12.

    Google Scholar 

  58. Cicchetti D, Toth SL. The past achievements and future promises of developmental psychopathology: the coming of age of a discipline. Child Psychol Psychiaty. 2009;50:16–25.

    Article  Google Scholar 

  59. Sroufe LA. The place of development in developmental psychopathology. In: Masten AS, editor. Multilevel dynamics in developmental psychopathology, The Minnesota symposia on child psychology, vol. 34. Mahwah: Lawrence Erlbaum Associates; 2007. p. 285–99.

    Google Scholar 

  60. Drožđek B. The rebirth of contextual thinking in psychotraumatology. In: Drožđek B, Wilson JP, editors. Voices of trauma: treating survivors across cultures. New York: Springer; 2007. p. 1–25.

    Chapter  Google Scholar 

  61. Drožđek B. Challenges in treatment of posttraumatic stress disorder in refugees: towards integration of evidence-based treatments with contextual and culture-sensitive perspectives. Eur J Psychotraumatol. 2015;6:24750. https://doi.org/10.3402/ejpt.v6.24750.

    Article  PubMed  Google Scholar 

  62. Drožđek B, Wilson JP, Turkovic S. Assessment of PTSD in non-western cultures: the need for new contextual and complex perspectives. In: Beck JG, Sloan DM, editors. The Oxford handbook of traumatic stress disorders. New York: Oxford University Press; 2012. p. 302–14.

    Google Scholar 

  63. Drožđek B, Wilson JP, Turkovic S. Posttraumatic stress disorder (PTSD) and psychopathology in refugees: a reflective cross-cultural contextual view of mental health interventions. In: Elliott D, Segal UA, editors. Refugees worldwide. Westport: Praeger; 2012. p. 165–86.

    Google Scholar 

  64. Mezzich JE, Salloum IM, Cloninger CR, et al. Person-centered integrative diagnosis: conceptual basis and structural model. Can J Psychiatr. 2010;55:701–8.

    Article  Google Scholar 

  65. Whitley R. Cultural competence, evidence-based medicine, and evidence-based practices. Psychiatr Serv. 2007;58:1588–90.

    Article  PubMed  Google Scholar 

  66. American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: APA; 2013.

    Book  Google Scholar 

  67. Lewis-Fernandez R. Cultural formulation of psychiatric diagnosis. Cult Med Psychiaty. 1996;20:133–44.

    Article  CAS  Google Scholar 

  68. Kira IA, Tummala-Narra P. Psychotherapy with refugees: emerging paradigm. J Loss Trauma. 2015;20:449–67.

    Article  Google Scholar 

  69. Chu BC, Merson RA, Zandberg LJ, Areizaga M. Calibrating for comorbidity: clinical decision-making in youth depression and anxiety. Cogn Behav Med. 2012;19:5–16.

    Article  Google Scholar 

  70. Crumlish N, O’Rourke K. A systematic review of treatments for post-traumatic stress disorder among refugees and asylum-seekers. J Nerv Ment Dis. 2010;198:237–51.

    Article  PubMed  Google Scholar 

  71. Lambert JE, Alhassoon OM. Trauma-focused therapy for refugees: meta-analytic findings. J Couns Psychol. 2015;62(1):28–37.

    Article  PubMed  Google Scholar 

  72. Nickerson A, Bryant RA, Silove D, Steel Z. A critical review of psychological treatments of posttraumatic stress disorder in refugees. Clin Psychol Rev. 2011;31:399–417.

    Article  PubMed  Google Scholar 

  73. Palic S, Elklit A. Psychosocial treatment of posttraumatic stress disorder in adult refugees: a systematic review of prospective treatment outcome studies and a critique. J Affect Disord. 2011;131:8–23.

    Article  PubMed  Google Scholar 

  74. Neuner F, Schauer E, Klaschik C, Karunakara U, Elbert T. A comparison of narrative exposure therapy, supportive counselling, and psychoeducation for treating posttraumatic stress disorder in an African refugee settlement. J Consult Clin Psychol. 2004;72(4):579–87.

    Article  PubMed  Google Scholar 

  75. Neuner F, Onyut PL, Ertl V, Odenwald M, Schauer E, Elbert T. Treatment of posttraumatic stress disorder by trained lay counselors in an African refugee setting: a randomized controlled trial. J Consult Clin Psychol. 2008;76(4):686–94.

    Article  PubMed  Google Scholar 

  76. Neuner F, Kurreck S, Ruf M, Odenwald M, Elbert T, Schauer M. Can asylum-seekers with posttraumatic stress disorder be successfully treated? A randomized controlled pilot study. Cogn Behav Therapy. 2010;39(2):81–91.

    Article  Google Scholar 

  77. Robjant K, Fazel M. The emerging evidence for narrative exposure therapy: a review. Clin Psychol Rev. 2010;30:1030–9.

    Article  PubMed  Google Scholar 

  78. Kruse J, Joksimovic L, Cavka M, Woller W, Schmitz N. Effects of trauma-focused psychotherapy upon war refugees. J Trauma Stress. 2009;22(6):585–92.

    PubMed  Google Scholar 

  79. Paunovic N, Ost LG. Cognitive-behavior therapy vs exposure therapy in the treatment of PTSD in refugees. Behav Res Ther. 2001;39(10):1183–97.

    Article  PubMed  CAS  Google Scholar 

  80. Ter Heide FJJ, Mooren TM, Knipscheer JW, Kleber RJ. EMDR with traumatized refugees: from experience-based to evidence-based practice. J EMDR Pract Res. 2014;8(3):147–56.

    Article  Google Scholar 

  81. McFarlane CA, Kaplan I. Evidence-based psychological interventions for adult survivors of torture and trauma: a 30-year review. Transcult Psychiatry. 2012;49(3–4):539–67.

    Article  PubMed  Google Scholar 

  82. Patel N, Kellezi B, Williams ACDC. Psychological, social and welfare interventions for psychological health and well-being of torture survivors. Cochrane Database Syst Rev. 2014;11:CD009317. https://doi.org/10.1002/14651858.CD009317.pub2.

    Article  Google Scholar 

  83. Schauer M, Neuner F, Elbert T. Narrative exposure therapy: a short-term treatment for traumatic stress disorders. 2nd ed. Cambridge: Hogrefe Publishing; 2011.

    Google Scholar 

  84. Hensel-Dittmann D, Schauer M, Ruf M, et al. Treatment of traumatized victims of war and torture: a randomized controlled comparison of narrative exposure therapy and stress inoculation training. Psychother Psychosom. 2011;80:345–52.

    Article  PubMed  CAS  Google Scholar 

  85. Hijazi AA, Lumley MA, Ziadni MS, Haddad L, Rapport LJ, Arnetz BB. Brief narrative exposure therapy for posttraumatic stress in Iraqi refugees: a preliminary randomized clinical trial. J Trauma Stress. 2014;27:314–22.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Gwozdziewycz N, Mehl-Madrona L. Meta-analysis of the use of narrative exposure therapy for the effects of trauma among refugee populations. Permanente J. 2013;17(1):70–6.

    Google Scholar 

  87. Hinton DE, Pham T, Tran M, Safren SA, Otto MW, Pollack MH. CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: a pilot study. J Trauma Stress. 2004;17(5):429–33.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Hinton DE, Pham T, Tran M, Safren SA, Hofmann SG, Pollack MH. A randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: a cross-over design. J Trauma Stress. 2005;18(6):617–29.

    Article  PubMed  Google Scholar 

  89. Hinton DE, Hofmann SG, Pollack MH, Otto MW. Mechanisms of efficacy of CBT for Cambodian refugees with PTSD: improvement in emotion regulation and orthostatic blood pressure response. CNS Neurosci Ther. 2009;15(3):255–63.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Otto MW, Hinton D, Korbly NB, et al. Treatment of pharmacotherapy-refractory posttraumatic stress disorder among Cambodian refugees: a pilot study of combination treatment with cognitive-behavior therapy vs sertraline alone. Behav Res Ther. 2003;41(11):1271–6.

    Article  PubMed  Google Scholar 

  91. Hinton DE, Jalal B. Guidelines for the implementation of culturally sensitive cognitive behavioural therapy among refugees and in global contexts. Intervention. 2014;12(1):78–93.

    Article  Google Scholar 

  92. National Institute for Clinical Excellence (NICE). Post-traumatic stress disorder: the management of PTSD in adults and children in primary and secondary care. London: Gaskell; 2005.

    Google Scholar 

  93. Murray KE, Davidson GR, Schweitzer RD. Review of refugee mental health interventions following resettlement: best practices and recommendations. Am J Orthopsychiatr. 2010;80:576–85.

    Article  Google Scholar 

  94. Hinton DE, Rivera EI, Hofmann S, Barlow D, Otto MW. Adapting CBT for traumatized refugees and ethnic minority patients: examples for culturally adapted CBT (CA-CBT). Transcult Psychiatry. 2012;49:340–65.

    Article  PubMed  Google Scholar 

  95. Shapiro F. Eye movement desensitization and reprocessing: basic principles, protocols, and procedures. 2nd ed. New York: Guilford Press; 2001.

    Google Scholar 

  96. Morina N, Maier T, Bryant R, et al. Combining biofeedback and narrative exposure therapy for PTSD and persistent pain in refugees: a pilot study. Eur J Psychotraumatol. 2012;3:17660. https://doi.org/10.3402/ejpt.v3i0.17660.

    Article  Google Scholar 

  97. Carlsson JM, Reff Olsen D, Kastrup M, Lykke Mortensen E. Late mental health changes in tortured refugees in multidisciplinary treatment. J Nerv Ment Dis. 2010;198(11):824–8.

    Article  PubMed  Google Scholar 

  98. Drožđek B, Kamperman A, Bolwerk N, Tol WA, Kleber RJ. Group therapy with male asylum seekers and refugees with posttraumatic stress disorder: a controlled comparison cohort study of three day-treatment programs. J Nerv Ment Dis. 2012;200:758–65.

    Article  PubMed  Google Scholar 

  99. Drožđek B, Kamperman A, Tol WA, Knipscheer JW, Kleber RJ. Seven-year follow-up study of symptoms in asylum seekers and refugees with PTSD treated with trauma-focused groups. J Clin Psychol. 2014;70(4):376–87. https://doi.org/10.1002/jclp.22035.

    Article  PubMed  Google Scholar 

  100. Slobodin O, de Jong JTVM. Family interventions in traumatized immigrants and refugees: a systematic review. Transcult Psychiatry. 2015;0(0):1–20. https://doi.org/10.1177/1363461515588855.

    Article  Google Scholar 

  101. Hofstede G. Cultures and organizations: software of the mind. London: McGraw-Hill; 1991.

    Google Scholar 

  102. Bunn M, Goesel C, Kinet M, Ray F. Group treatment for survivors of torture and severe violence: a literature review. Torture. 2016;26(1):45–67.

    Google Scholar 

  103. Kira I, Templin T, Lewandowski L, Ashby JS, Oladele A, Odenat L. Cumulative trauma disorder scale: two studies. Psychology. 2012;3:643–56.

    Article  Google Scholar 

  104. Drožđek B. Follow-up study of concentration camp survivors from Bosnia-Herzegovina: three years later. J Nerv Ment Dis. 1997;185:690–4.

    Article  PubMed  Google Scholar 

  105. Layne CM, Saltzman WR, Poppleton L, et al. Effectiveness of a school-based group psychotherapy program for war-exposed adolescents: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2008;47:1048–62.

    Article  PubMed  Google Scholar 

  106. Drožđek B, Kamperman A, Tol WA, Knipscheer JW, Kleber RJ. Is legal status impacting outcomes of group therapy for posttraumatic stress disorder with male asylum seekers and refugees from Iran and Afghanistan? BMC Psychiatry. 2013;13:148.

    Article  PubMed  PubMed Central  Google Scholar 

  107. Bass JK, Annan J, McIvor Murray S, et al. Controlled trial of psychotherapy for Congolese survivors of sexual violence. N Engl J Med. 2013;368:2182–91.

    Article  PubMed  CAS  Google Scholar 

  108. Kuester A, Niemeyer H, Knaevelsrud C. Internet-based interventions for posttraumatic stress: a meta-analysis of randomized controlled trials. Clin Psychol Rev. 2016;43:1–16.

    Article  PubMed  Google Scholar 

  109. Knaevelsrud C, Brand J, Lange A, Ruwaard J, Wagner B. Web-based psychotherapy for posttraumatic stress disorder in war-traumatized Arab patients: randomized controlled trial. J Med Internet Res. 2015;17(3):e71.

    Article  PubMed  PubMed Central  Google Scholar 

  110. Van’t Hof E, Cuijpers P, Waheed W, et al. Psychological treatments for depression and anxiety disorders in low- and middle-income countries: a meta-analysis. Afr J Psychiatry. 2011;14:200–7.

    Google Scholar 

  111. Unlu Ince B, Riper H, van’t Hof E, Cuijpers P. The effects of psychotherapy on depression among racial-ethnic minority groups: a metaregression analysis. Psychiatr Serv. 2014;65(5):612–7.

    Article  PubMed  Google Scholar 

  112. Rosner R, Pfoh G, Kotoucova M. Treatment of complicated grief. Eur J Psychotraumatol. 2011;2:7995. https://doi.org/10.3402/ejpt.v2i0.7995.

    Article  Google Scholar 

  113. Agaibi CE, Wilson JP. Trauma, PTSD, and resilience: a review of the literature. Trauma Violence Abuse. 2005;6:195–216.

    Article  PubMed  Google Scholar 

  114. Ford JD, Courtois C, van der Hart O, Nijenhuis E, Steele K. Treatment of complex post-traumatic self-dysregulation. J Trauma Stress. 2005;18:467–77.

    Article  Google Scholar 

  115. Vincent F, Jenkins H, Larkin M, Clohessy S. Asylum-seekers’ experiences of trauma-focused cognitive behaviour therapy for post-traumatic stress disorder: a qualitative study. Behav Cogn Psychother. 2013;41:579–93.

    Article  PubMed  Google Scholar 

  116. Mirdal GM, Ryding E, Essendorp Sondej M. Traumatized refugees, their therapists, and their interpreters; three perspectives on psychological treatment. Psychol Psychother Theory Res Pract. 2012;85:436–55.

    Article  Google Scholar 

  117. Minas H, Silove D. Transcultural and refugee psychiatry. In: Bloch S, Singh BS, editors. Foundations of clinical psychiatry. 2nd ed. Melbourne: Melbourne University Press; 2001. p. 475–90.

    Google Scholar 

  118. Sue S, Zane N, Nagayama Hall GC, Berger LK. The case for cultural competency in psychotherapeutic interventions. Ann Rev Psychol. 2009;60:525–48.

    Article  Google Scholar 

  119. Bala J, Mooren T, Kramer S. Cultural competence in the treatment of political refugees based on system approaches. Clin Neuropsychiatr. 2014;11(1):32–9.

    Google Scholar 

  120. Markowitz JC, Petkova E, Neria Y, et al. Is exposure necessary? A randomized clinical trial of interpersonal psychotherapy for PTSD. Am J Psychiatr. 2015;172(5):430–40. https://doi.org/10.1176/appi.ajp.2014.14070908.

    Article  PubMed  Google Scholar 

  121. Acaturk C, Konuk E, Cetinkaya M, et al. EMDR for Syrian refugees with posttraumatic stress disorder symptoms: results of a pilot randomized controlled trial. Eur J Psychotraumatol. 2015;6:27414. https://doi.org/10.3402/ejpt.v6.27414.

    Article  Google Scholar 

  122. Ter Heide FJJ, Mooren TM, Kleber RJ. Complex PTSD and phased treatment in refugees: a debate piece. Eur J Psychotraumatol. 2016;7:28687. https://doi.org/10.3402/ejpt.v7.28687.

    Article  PubMed  Google Scholar 

  123. Cloitre M. The “one size fits all” approach to trauma treatment: should we be satisfied? Eur J Psychotraumatol. 2015;6:27344. https://doi.org/10.3402/ejpt.v6.27344.

    Article  PubMed  Google Scholar 

  124. Silove D. Torture and refugee trauma: implications for nosology and treatment of posttraumatic syndromes. In: Mak FL, Nadelson CC, editors. International review of psychiatry. Washington, DC: American Psychiatric Press; 1996. p. 211–32.

    Google Scholar 

  125. Silove D, Brooks R, Bateman Steel CR, et al. Explosive anger as a response to human rights violations in post-conflict Timor-Leste. Soc Sci Med. 2009;69(5):670–7.

    Article  PubMed  Google Scholar 

  126. Murphy JG. Moral epistemology, the retributive emotions, and the “Clumsy moral philosophy” of Jesus Christ. In: Bandes S, editor. The passions of law. New York: New York University Press; 1999. p. 149–90.

    Google Scholar 

  127. Murphy JG. Getting even: forgiveness and its limits. New York: Oxford University Press; 2003.

    Google Scholar 

  128. D’Ardenne P, Ruaro L, Cestari L, Fakhoury W, Priebe S. Does interpreter-mediated CBT with traumatized refugee people work? A comparison of patient outcomes in East London. Behav Cogn Psychother. 2007;35:293–301.

    Article  Google Scholar 

  129. Birman D, Beehler S, Merrill Harris E, et al. International family, adult and child enhancement services (FACES): a community-based comprehensive services model for refugee children in resettlement. Am J Orthopsychiatry. 2008;78(1):121–32.

    Article  PubMed  Google Scholar 

  130. Cabral RR, Smith TB. Racial/ethnic matching of clients and therapists in mental health services: a meta-analytic review of preferences. Perceptions, and outcomes. J Couns Psychol. 2011;58(4):537–54.

    Article  PubMed  Google Scholar 

  131. Basoglu M. Rehabilitation of traumatised refugees and survivors of torture. Brit Med J. 2007;333:1230–1.

    Article  Google Scholar 

  132. Carlsson J, Sonne C, Silove D. From pioneers to scientists. J Nerv Ment Dis. 2014;202(9):630–7.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. PsyQ/Parnassia Group, Rosmalen/Eindhoven, The Netherlands

    Boris Drožđek

  2. Psychiatry, University of New South Wales, Sydney, NSW, Australia

    Derrick Silove

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  1. Boris Drožđek
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  2. Derrick Silove
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Correspondence to Boris Drožđek .

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Editors and Affiliations

  1. World Psychiatric Association Scientific Section, Psychological Aspects of Persecution and Torture, Geneva, Switzerland

    Thomas Wenzel

  2. PsyQ/Parnassia Group, Rosmalen/Eindhoven, The Netherlands

    Boris Drožđek

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Drožđek, B., Silove, D. (2019). Psychotherapy and Psychosocial Support in Host Countries: State-of-the-Art and Emerging Paradigms. In: Wenzel, T., Drožđek, B. (eds) An Uncertain Safety. Springer, Cham. https://doi.org/10.1007/978-3-319-72914-5_11

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  • DOI: https://doi.org/10.1007/978-3-319-72914-5_11

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