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Assessment and Treatment Approaches for Survivors of Torture

Published online by Cambridge University Press:  02 January 2018

Ronan J. McIvor  and
Stuart W. Turner
Ronan J. McIvor*
Affiliation:
Institute of Psychiatry, London
Stuart W. Turner
Affiliation:
Traumatic Stress Clinic, Department of Psychiatry, University College London Medical School
*
Dr R. J. McIvor, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
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Extract

Background

Torture, with its personal, cultural, political and psychosocial effects, is presented as a complex trauma. The efficacy of different treatment modalities for those survivors who need assistance is examined critically.

Method

International literature searches using MEDLINE and Psych-Info, books and relevant book chapters were examined.

Results

One hundred and twenty-five articles were selected for analysis; 30 of the most relevant are discussed.

Conclusions

Discrete approaches to treatment have been developed, but many have yet to be evaluated critically. Common therapeutic elements are outlined. It is recommended that an integrated, flexible, client-centred approach utilising several techniques is most likely to achieve best results. Wider socio-political aspects should be taken into account, and treatment must be consistent with cultural expectations. Future directions for research are outlined and the role of primary prevention is stressed.

Type
Review Article
Information
The British Journal of Psychiatry , Volume 166 , Issue 6 , June 1995 , pp. 705 - 711
Copyright
Copyright © Royal College of Psychiatrists, 1995 

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