Mental Health Consequences of Torture

ISBN-10: 0306464225
ISBN-13: 9780306464225
Edition: 2001
List price: $169.00 Buy it from $167.82
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Description: In 1997 the National Institute of Mental Health assembled a working group of international experts to address the mental health consequences of torture and related violence and trauma; report on the status of scientific knowledge; and include  More...

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Book details

List price: $169.00
Copyright year: 2001
Publisher: Springer
Publication date: 3/31/2001
Binding: Hardcover
Pages: 375
Size: 6.75" wide x 9.50" long x 1.25" tall
Weight: 1.958
Language: English

In 1997 the National Institute of Mental Health assembled a working group of international experts to address the mental health consequences of torture and related violence and trauma; report on the status of scientific knowledge; and include research recommendations with implications for treatment, services, and policy development. This book, dedicated to those who experience the horrors of torture and those who work to end it, is based on that report.

Edna B. Foa, PhD, is Professor of Clinical Psychology in Psychiatry at the University of Pennsylvania and Director of the Center for the Study and Treatment of Anxiety . She has published over 200 articles and book chapters as well as several books, includingTreating the Trauma of Rape(coauthored with Barbara Olasov Rothbaum). Terence M. Keane, PhD, is Professor and Vice-Chairman of Psychiatry at the Boston University School of Medicine. He is also Chief of Psychology and Director of the National Center for PTSD at the VA Boston Healthcare System. His several books and more than 130 scientific publications includeAssessing Psychological Trauma and PTSD(coedited with John P. Wilson). Matthew J. Friedman, MD, PhD, is Executive Director of the National Center for PTSD at the White River Junction VAMC, and Professor of Psychiatry and Pharmacology at Dartmouth Medical School. He has published books and monographs on the neurobiological basis of stress, ethnocultural aspects of PTSD, the controversy surrounding recovered memories, and disaster mental health services.

The Impact of Torture
Introduction
Mental Health Consequences of Violence and Traumatic Stress
Background
Conceptual and Definitional Concerns
Organization of the Book
References
The Survivors' Perspective: Voices from the Center
Torture and Related Trauma
Victim Versus Survivor
The Changed World of the Tortured
A Shroud of Guilt
Humiliation: How Could I Let That Happen?
Contamination: Evil Dancing Within
Misdiagnosis
Suicide: To Live or Not?
Faith: To Believe or Not?
Resilience of Survivors
Transitional Survival Skills
Reclaiming Control
Normalizing Life Through Denial
Therapy
Effects of Torture on the Family
The Culture of Denial
Research Recommendations From the Survivors' Perspective
References
Torture and Mental Health: A Research Overview
Prevalence of Torture
Physical Effects of Torture
Psychological Effects of Torture
A Review of Studies on Torture
Evidence for a Torture-Specific Syndrome
Social and Economic Consequences of Torture
Discussion and Conclusions
References
Conceptual Models for Understanding Torture
Psychosocial Models
Learning Theory: Classical and Instrumental Conditioning
Cognitive-Behavioral Theories: Information Processing
Social-Cognitive Models
Social Support Models
Developmental Models
Learned Helplessness
Recommendations for Future Research
References
Neurobiological Models of Posttraumatic Stress Disorder
Sympathetic Nervous System Alterations in PTSD
The Hypothalamic-Pituitary-Adrenal Axis
Stress Sensitization
Fear Conditioning
Enhanced Memory for Aversive Events
Other Considerations
References
Economic Models
Conceptual Framework
Major Analytic Questions
The Role of Economic Burden Measures
Conclusions
References
Torture and the Trauma of War
Refugees and Asylum-Seekers
Scope of the Problem
Studies of Psychological Problems in Refugee Populations
Biological, Social, and Cultural Effects of Torture and Trauma
Research Recommendations
References
Veterans of Armed Conflicts
Scope of Participation in Armed Conflicts
Impact
Recommendations for Future Research
References
Former Prisoners of War: Highlights of Empirical Research
Worldwide POW Research
Course and Complications
Biological Correlates of Captivity Survivors' Impairments
The Captor-Captive Relationship and Coping
Recent Attention to U.S. POWs
References
Holocaust Trauma and Sequelae
Impact of Trauma
Individual Differences
Coping With Life Stresses Subsequent to the Trauma of the Holocaust
Protective Factors Facilitating Healing
Contextualizing the Holocaust Experience
Conclusion
References
Survivors of War Trauma, Mass Violence, and Civilian Terror
Introduction
Methodology
Trends in Trauma Assessment
Trauma as a Risk Factor
Comorbidity and Other Outcomes
Influences on Psychopathology
Research Recommendations and Conclusions
References
Torture and the Impact of Social Violence
Rape and Sexual Assault
Focus of Section
Scope of Exposure
Impact
Posttraumatic Stress Disorder
Other Psychological Outcomes
Neurobiological Findings
Cognitive Outcomes
Physical Health
Economic Impact
Social Functioning
Risk and Protective Factors
Research Recommendations
References
Homicide and Physical Assault
Scope of Exposure
Impact
Risk Factors
References
Children, Adolescents, and Families Exposed to Torture and Related Trauma
Introduction
Range and Prevalence of Trauma Exposure in Children and Adolescents
Nature and Course of Psychological, Physical, Social, and Developmental Consequences
Factors That Influence Vulnerability, Adjustment, and Recovery
Assessment and Intervention
Conclusion
References
Domestic Violence in Families Exposed to Torture and Related Violence and Trauma
Does Exposure to Torture Detention; War-Zone, Political, and Ethnic Violence; and Refugee Resettlement Increase the Likelihood or Severity of Domestic Violence?
Are the Characteristics of Domestic Violence Different in Families That Have Experienced Severe Trauma?
Should Approaches to Treatment and Prevention of Domestic Violence Be Different for Families That Have Experienced Trauma?
References
Clinical Issues for Survivors of Torture
Assessment, Diagnosis, and Intervention
Assessment
Diagnoses
Intervention Issues
Specific Intervention Strategies
Community Approaches
Research Recommendations
References
Measurement Issues
Basic Principles of Measurement
Measurement Procedures
Measurement Instruments
Summary of Measurement Issues
References
Mental Health Services Research: Implications for Survivors of Torture
Structure and Organization of the Health Care System
Process of Care
Intended Outcomes of Care
Access to Care
Conclusion
References
Professional Caregiver and Observer Issues
Therapist Reactions
Other Caregiver Responses
Ethical Issues in Torture and Trauma Treatment
References
Torture and Human Rights Violations: Public Policy and the Law
Definitions
The Law and Treatment and Services for Trauma Survivors
An Overview of International Human Rights Law Concerning Survivors of Torture
Addressing War Crimes and Other Massive Human Rights Violations
The Crime Victims' Rights Laws and Their Implementation
Reparations, Restitution, and Compensation
Restorative Justice
Implications and Policy Recommendations
References
Discussion
Future Directions
Summary of Selected Research Findings
Conclusion
Index
Contributors: Biographical Information

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