Skip to main content
Review Article

The Trauma of Torture and the Rehabilitation of Torture Survivors

Published Online:https://doi.org/10.1027/2151-2604/a000060

The aim of torture is to cause severe pain and suffering in order to destroy the structure of the personality and the identity of the victim. Torture is applied in over a 100 countries worldwide, and its consequences affect millions of survivors. The rehabilitation of those who have experienced torture is a lengthy and complex process; treatment centers all over the world are constantly developing their methods to assist the mental and physical healing of torture survivors. The present article offers insights into the nature of torture, applied torture techniques, the psychological sequelae of torture, and diagnostic developments. Furthermore, current issues of rehabilitation and reparation are discussed, including the debate on evidence-based practice in treatment. The aim of the authors is to offer a brief but comprehensive review on torture and rehabilitation for professionals of mental health care and other relevant fields.

References

  • Abildgaard, U. , Daugaard, G. , Marcussen, H. , Jess, P. , Petersen, H. D. , Wallach, M. (1984). Chronic organic psycho-syndrome in Greek torture victims. Danish Medical Bulletin, 31, 239–242. First citation in articleGoogle Scholar

  • Agger, I. , Jensen, S. (1990). Testimony as ritual and evidence in psychotherapy for political refugees. Journal of Traumatic Stress, 3, 115–130. First citation in articleCrossrefGoogle Scholar

  • Allodi, F. (1998). The physician’s role in assessing and treating torture and the PTSD syndrome. In J. M. Jaranson, M. K. Popkin, (Eds.), Caring for victims of torture (pp. 89–106). Washington, DC: American Psychiatric Press. First citation in articleGoogle Scholar

  • Allodi, F. , Cowgill, O. (1982). Ethical and psychiatric aspects of torture. Canadian Journal of Psychiatry, 27, 98–102. First citation in articleCrossrefGoogle Scholar

  • Arcel, L. T. , Christiansen, M. , Roque, E. (2000). Reparation for victims of torture: Some definitions and questions. Torture, 10, 89–91. First citation in articleGoogle Scholar

  • Ballenger, J. C. , Davidson, J. R. , Lecrubier, Y. , Nutt, D. J. , Foa, E. B. , Kessler, R. C. , …, Shalev, A. Y. (2000). Consensus statement on posttraumatic stress disorder from the International Consensus Group on depression and anxiety. Journal of Clinical Psychiatry, 61, 60–66. First citation in articleGoogle Scholar

  • Basoglu, M. (1992). Behavioral and cognitive approach in the treatment of torture-related psychological problems. In M. Basoglu, (Ed.), Torture and its consequences: Current treatment approaches (pp. 402–429). New York: Cambridge University Press. First citation in articleGoogle Scholar

  • Basoglu, M. (2006). Rehabilitation of traumatised refugees and survivors of torture. British Medical Journal, 333, 1230–1231. First citation in articleCrossrefGoogle Scholar

  • Basoglu, M. , Jaranson, J. M. , Mollica, R. , Kastrup, M. (2001). Torture and mental health: A research overview. In E. Gerrity, T. M. Keane, F. Tuma, (Eds.), The mental health consequences of torture (pp. 35–62). New York: Kluwer Academic/Plenum Press. First citation in articleCrossrefGoogle Scholar

  • Basoglu, M. , Livanou, M. , Crnobaric, C. , Franciskovic, T. , Suljic, E. , Duric, D. , Vranesic, M. (2005). Psychiatric and cognitive effects of war in former Yugoslavia. The relationship between lack of redress for trauma and posttraumatic stress reactions. The Journal of the American Medical Association, 294, 580–590. First citation in articleCrossrefGoogle Scholar

  • Basoglu, M. , Mineka, S. , Paker, M. , Aker, T. , Livanou, M. , & Gok, S. (1997). Psychological preparedness for trauma as a protective factor in survivors of torture. Psychological Medicine, 27, 1421–1433. First citation in articleCrossrefGoogle Scholar

  • Basoglu, M. , Paker, M. , Ozmen, E. , Tasdemir, O. , Sahin, D. (1994). Factors related to long-term traumatic stress responses in survivors of torture in Turkey. Journal of American Medical Association, 272, 357–363. First citation in articleCrossrefGoogle Scholar

  • Basoglu, M. , Paker, M. , Paker, O. , Ozmen, E. , Marks, I. , Incesu, C. , …, Sarimurat, N. (1994). Psychological effects of torture: A comparison of tortured with non-tortured political activists in Turkey. American Journal of Psychiatry, 151, 76–81. First citation in articleCrossrefGoogle Scholar

  • Berliner, P. , Nikkelsen, E. M. , Bovbjerg, A. , Wiking, M. (2004). Psychotherapy treatment of torture survivors. International Journal of Psychosocial Rehabilitation, 8, 85–96. First citation in articleGoogle Scholar

  • Bichescu, D. , Neuner, F. , Schauer, M. , & Elbert, T. (2007). Narrative Exposure Therapy of political imprisonment-related chronic trauma-spectrum disorders. Behaviour Research and Therapy, 45, 2212–2220. First citation in articleCrossrefGoogle Scholar

  • Bojholm, S. , Vesti, P. (1992). Multidisciplinary approach in the treatment of torture survivors. In M. Basoglu, (Ed.), Torture and its consequences: Current treatment approaches (pp. 299–309). Cambridge: Cambridge University Press. First citation in articleGoogle Scholar

  • Bracken, P. J. (2001). Post-modernity and post-traumatic stress disorder. Social Science and Medicine, 53, 733–743. First citation in articleCrossrefGoogle Scholar

  • Brown, D. P. , Fromm, E. (1986). Hypnotherapy and hypnoanalysis. Hillsdale, NJ: Erlbaum. First citation in articleGoogle Scholar

  • Bustos, E. (1992). Psychodynamic approaches in the treatment of torture survivors. In M. Basoglu, (Ed.), Torture and its consequences: Current treatment approaches (pp. 56–71). New York: Cambridge University Press. First citation in articleGoogle Scholar

  • Carmichael, K. , McKay, F. , Dishington, B. (1996). The need for REDRESS: Why seek a remedy? Reparation as rehabilitation. Torture, 6, 7–9. First citation in articleGoogle Scholar

  • Chemtob, C. M. , Novaco, R. W. , Hamada, R. S. , Gross, D. M. (1997a). Cognitive-behavioral treatment for severe anger in posttraumatic stress disorder. Journal of Consulting and Clinical Psycholology, 65, 184–189. First citation in articleCrossrefGoogle Scholar

  • Chemtob, C. M. , Novaco, R. W. , Hamada, R. S. , Gross, D. M. , Smith, G. (1997b). Anger regulation deficits in combat-related PTSD. Journal of Traumatic Stress, 10, 17–36. First citation in articleCrossrefGoogle Scholar

  • Chodoff, P. (1963). Late effects of the concentration camp syndrome. Archives of General Psychiatry, 8, 323–342. First citation in articleCrossrefGoogle Scholar

  • Chodoff, P. (1969). Depression and guilt among concentration camp survivors: Comments of a survivor. Existential Psychology, 7, 19–26. First citation in articleGoogle Scholar

  • Cienfuegos, A. J. , Monelli, C. (1983). The testimony of political repression as a therapeutic instrument. American Journal of Orthopsychiatry, 53, 43–51. First citation in articleCrossrefGoogle Scholar

  • Convention on the Rights of the Child . (1990). Adopted and opened for signature, ratification and accession by General Assembly resolution 44/25 of 20 November 1989. Entry into force 2 September 1990. Retrieved from www2.ohchr.org/english/law/crc.htm. First citation in articleGoogle Scholar

  • Danieli, Y. (1998). Introduction. Historical and Conceptual Foundation. In Y. Danieli, (Ed.), International Handbook of Multigenerational Legacies of Trauma. New York: Plenum Press. First citation in articleCrossrefGoogle Scholar

  • de Certeau, M. (1987). Corps torturés, paroles capturées [Tortured bodies, captured words]. In L. Giard, (Ed.), Cahiers pour un temps [Notebooks for an epoch](pp. 61–70). Paris: Centre Georges Pompidou. First citation in articleGoogle Scholar

  • de Jong, J. T. V. M. , Komproe, I. H. , Van Ommeren, M. , Al Masri, M. , Araya, M. , Khaled, N. , …, Somasundaram, D. (2001). Lifetime events and post-traumatic stress disorder in 4 postconflict settings. Journal of the American Medical Association, 286, 555–562. First citation in articleCrossrefGoogle Scholar

  • Devilly, G. J. , Spence, S. H. (1999). The relative efficacy and treatment distress of EMDR and cognitive behavioral trauma treatment protocol in the amelioration of post-traumatic stress disorder. Journal of Anxiety Disorders, 13, 131–157. First citation in articleCrossrefGoogle Scholar

  • Drees, A. (1989). Guidelines for a short-term therapy of a torture depression. Journal of Traumatic Stress, 2, 549–554. First citation in articleCrossrefGoogle Scholar

  • Ehlers, A. , Clark, D. , Dunmore, E. , Jaycox, L. , Meadows, E. , Foa, E. B. (1998). Predicting response to exposure treatment in PTSD: The role of mental defeat and alienation. Journal of Traumatic Stress, 11, 457–471. First citation in articleCrossrefGoogle Scholar

  • Eisenbruch, M. (1991). From post-traumatic stress disorder to cultural bereavement: Diagnosis of Southeast Asian refugees. Social Science and Medicine, 33, 673–680. First citation in articleCrossrefGoogle Scholar

  • Eitinger, L. (1961). Pathology of the concentration camp syndrome. Archives of General Psychiatry, 5, 371–379. First citation in articleCrossrefGoogle Scholar

  • Eitinger, L. (1964). Concentration camp survivors in Norway and Israel. Oslo, Norway: Universitaetsforlaaget. First citation in articleGoogle Scholar

  • Federal Criminal Anti-Torture Statute, 18 USC, Section 2340 . Retrieved from caselaw.lp.findlaw.com/casecode/uscodes/18/parts/i/chapters/113c/sections/section_2340.html. First citation in articleGoogle Scholar

  • Fischman, Y. , Ross, J. (1990). Group treatment of exiled survivors of torture. American Journal of Orthopsychiatry, 60, 135–142. First citation in articleCrossrefGoogle Scholar

  • Foa, E. B. , Dancu, C. V. , Hembree, E. A. , Jaycox, L. H. , Meadows, E. A. , Street, G. P. (1999). A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims. Journal of Consulting and Clinical Psycholology, 67, 194–200. First citation in articleCrossrefGoogle Scholar

  • Foa, E. B. , Hearst-Ikeda, D. , Perry, K. J. (1995). Evaluation of a brief cognitive-behavioral program for the prevention of chronic PTSD in recent assault vicitms. Journal of Consulting and Clinical Psycholology, 63, 948–955. First citation in articleCrossrefGoogle Scholar

  • Foa, E. B. , Rothbaum, B. , Riggs, D. S. , Murdock, T. (1991). Treatment of postttraumatic stress disorder in rape victims: A comparison between cognitive behavioral procedures and counseling. Journal of Consulting and Clinical Psycholology, 59, 715–723. First citation in articleCrossrefGoogle Scholar

  • Ford, J. D. (1999). Disorders of extreme stress following warzone military trauma: Associated features of post-traumatic stress disorder (PTSD) or comorbid but distinct syndromes?. Journal of Consulting and Clinical Psychology, 67, 3–12. First citation in articleCrossrefGoogle Scholar

  • Fox, S. H. (2003). The Mandinka nosological system in the context of post-trauma syndromes. Transcultural Psychiatry, 40, 488. First citation in articleCrossrefGoogle Scholar

  • Friedman, M. , Jaranson, J. (1994). The applicability of the posttraumatic stress disorder concept to refugees. In A. J. Marsella, T. Bornemann, S. Ekbland, J. Orley, (Eds.), Amidst peril and pain: The mental health and wellbeing of the world’s refugees. Washington, DC: American Psychological Association. First citation in articleCrossrefGoogle Scholar

  • Goldfeld, A. E. , Mollica, R. F. , Pesavento, B. H. , Faraone, S. V. (1988). The physical and psychological sequelae of torture. Symptomatology and diagnosis. The Journal of the American Medical Association, 259, 2725–2729. First citation in articleCrossrefGoogle Scholar

  • Gordon, N. (1994). Compensation suits as an instrument in the rehabilitation of tortured persons. Torture, 4, 111–114. First citation in articleGoogle Scholar

  • Green, D. , Rasmussen, A. , Rosenfeld, B. (2010). Defining torture: A review of 40 years of health science research. Journal of Traumatic Stress, 23, 528–531. First citation in articleCrossrefGoogle Scholar

  • Herman, J. (1997). Trauma and recovery: The aftermath of violence from domestic abuse to political terror. New York: Basic Books. First citation in articleGoogle Scholar

  • Horowitz, M. J. , Siegal, B. , Holen, A. , Bonanno, G. A. , Milbrath, C. , Stinson, C. H. (1997). Diagnostic criteria for complicated grief disorder. American Journal of Psychiatry, 154, 904–910. First citation in articleCrossrefGoogle Scholar

  • Hougen, H. P. (1988). Physical and psychological sequelae to torture: A controlled clinical study of exiled asylum applicants. Forensic Science International, 39, 5–11. First citation in articleCrossrefGoogle Scholar

  • International Covenant on Civil and Political Rights . (1976). Adopted and opened for signature, ratification and accession by General Assembly resolution 2200A (XXI) of 16 December 1966 entry into force 23 March 1976. Retreived from www2.ohchr.org/english/law/ccpr.htm. First citation in articleGoogle Scholar

  • Jaranson, J. M. , Kinzie, J. D. , Friedman, M. , Southwick, S. , Kastrup, M. , Mollica, R. (2001). Assessment, diagnosis and intervention. In E. Gerrity, T. M. Keane, F. Tuma, (Eds.), The mental health consequences of torture. New York: Kluwer Academic/Plenum Press. First citation in articleCrossrefGoogle Scholar

  • Kaminer, D. , Stein, D. J. , Mbanga, I. , & Zungu-Dirwayi, N. (2001). The Truth and Reconciliation Commission (TRC) in South Africa: Relation to psychiatric status and forgiveness among survivors of human rights abuses. British Journal of Psychiatry, 178, 373–377. First citation in articleCrossrefGoogle Scholar

  • Keane, T. M. (1992). Current trends in the treatment of post-traumatic stress symptoms. In M. Basoglu, (Ed.), Torture and its consequences: Current treatment approaches (pp. 363–401). New York: Cambridge University Press. First citation in articleGoogle Scholar

  • Kinzie, J. D. (2001). Psychotherapy for massively traumatized refugees: The therapist variable. American Journal of Psychotherapy, 55, 475–490. First citation in articleCrossrefGoogle Scholar

  • Kinzie, J. D. (2007). PTSD among traumatized refugees. In L. J. Kirmayer, R. Lemelson, M. Barad, (Eds.), Understanding trauma: Integrating biological, clinical, and cultural perspectives. Cambridge: Cambridge University Press. First citation in articleCrossrefGoogle Scholar

  • Kirmayer, L. J. , Lemelson, R. , Barad, M. (2007). Understanding trauma: Integrating biological, clinical, and cultural perspectives. Cambridge: Cambridge University Press. First citation in articleCrossrefGoogle Scholar

  • Kosteljanetz, M. , Aalund, O. (1983). Torture: A challenge to medical science. Interdisciplinary Science Reviews, 8, 320–328. First citation in articleCrossrefGoogle Scholar

  • Krystal, H. (1968). Massive psychic trauma. New York: International Universities Press. First citation in articleGoogle Scholar

  • Krystal, H. (1988). Integration and self healing: Affect, Trauma, Alexithymia. Hillsdale, NJ: The Analytic Press. First citation in articleGoogle Scholar

  • Kubany, E. S. , Abueg, F. R. , Brennan, J. M. , Owens, J. A. , Kaplan, A. (1995). Initial examination of a multidimensional model of trauma-related guilt: Applications to combat veterans and battered women. Journal of Psychopathology and Behavioral Assessment, 17, 253–258. First citation in articleCrossrefGoogle Scholar

  • Lagos, D. (1994). Argentina: psycho-social and clinical consequences of political repression and impunity in the medium term. Torture, 4, 13–15. First citation in articleGoogle Scholar

  • Lohr, J. M. , Tolin, D. F. , Lilienfeld, S. O. (1998). Efficacy of eye movement desensitization and reprocessing: Implications for behavior therapy. Behavior Therapy, 29, 123–156. First citation in articleCrossrefGoogle Scholar

  • Luxenberg, T. , Spinazzola, J. , Hidalgo, J. , Hunt, C. , van der Kolk, B. A. (2001). Complex trauma and disorders of extreme stress (DESNOS) part two: Treatment. Directions in Psychiatry, 21, 395–414. First citation in articleGoogle Scholar

  • Martín-Baro, I. (1988). From dirty war to psychological war: The case of El Salvador. In A. Aron, (Ed.), Flight, exile, and return: Mental health and the refugee. San Francisco, CA: Committee for Health Rights in Central America. First citation in articleGoogle Scholar

  • Martín-Baro, I. (1994). Writings for a Liberation Psychology. Cambridge, MA: Harvard University Press. First citation in articleGoogle Scholar

  • McNally, R. J. (1999). EMDR and mesmerism: A comparative historical analysis. Journal of Anxiety Disorders, 13, 225–236. First citation in articleCrossrefGoogle Scholar

  • Mollica, R. F. (1988). The trauma story: The psychiatric care of refugee survivors of violence and torture. In F. M. Ochberg, (Ed.), Post-Traumatic Therapy and the Victim of Violence. New York: Brunner/Mazel. First citation in articleGoogle Scholar

  • National Institute for Clinical Excellence (NICE) . (2005). Posttraumatic stress disorder: The management of PTSD in adults and children in primary and secondary care. National Clinical Practice Guideline Number 26. London: Gaskel and the British Psychological Society. First citation in articleGoogle Scholar

  • Neuner, F. , Kurreck, S. , Ruf, M. , Odenwald, M. , Elbert, T. , Schauer, M. (2010). Can asylum seekers with posttraumatic stress disorder be successfully treated? A randomized controlled pilot study. Cognitive Behaviour Therapy, 39, 81–91. First citation in articleCrossrefGoogle Scholar

  • Neuner, F. , Schauer, M. , Elbert, T. , & Roth, W. T. (2002). A narrative exposure treatment as intervention in a Macedonian refugee camp: A case report. Journal of Behavioural and Cognitive Psychotherapy, 30, 205–209. First citation in articleCrossrefGoogle Scholar

  • Neuner, F. , Schauer, M. , Klaschik, C. , Karunakara, U. , Elbert, T. (2004). A comparison of narrative exposure therapy, supportive counseling, and psychoeducation for treating posttraumatic stress disorder in an African refugee settlement. Journal of Consulting and Clinical Psychology, 72, 579–587. First citation in articleCrossrefGoogle Scholar

  • Nicholl, C. , Thompson, A. (2004). The psychological treatment of post traumatic stress disorder (PTSD) in adult refugees: A review of the current state of psychological therapies. Journal of Mental Health, 13, 351–362. First citation in articleCrossrefGoogle Scholar

  • Niederland, W. G. (1968). Clinical observations on the “survivor syndrome”: Symposium on psychic traumatization through social catastrophe. International Journal of Psycho-Analysis, 49, 313–315. First citation in articleGoogle Scholar

  • Ochberg, F. (1988). Post-traumatic therapy and victims of violence. New York: Brunner/Mazel. First citation in articleGoogle Scholar

  • Oravecz, R. , Lajtai, L. , Hárdi, L. (2004). Shame, humiliation and social exclusion. Torture, 14, 3–15. First citation in articleGoogle Scholar

  • Pelcovitz, D. , van der Kolk, B. A. , Roth, S. , Mandel, F. S. , Kaplan, S. , Resick, P. A. (1997). Development of a criteria set and a structured interview for disorder of extreme stress (SIDES). Journal of Traumatic Stress, 10, 3–16. First citation in articleCrossrefGoogle Scholar

  • Peltzer, K. (1998). Ethnocultural construction of posttraumatic stress symptoms in African contexts. Journal of Psychology in Africa, 8, 17–30. First citation in articleGoogle Scholar

  • Physicians for Human Rights (PHR) Report . (2005). Break them down. Washington, DC. First citation in articleGoogle Scholar

  • Punamäki, R. L. (1989). Factors affecting the mental health of Palestinian children exposed to political violence. International Journal of Mental Health, 18, 63–79. First citation in articleCrossrefGoogle Scholar

  • Ramsay, R. , Gorst-Unsworth, C. , Turner, S. (1993). Psychiatric morbidity in survivors of organized state violence including torture. British Journal of Psychiatry, 162, 55–59. First citation in articleCrossrefGoogle Scholar

  • Rauchfleisch, V. (1996). Allgegenwart der Gewalt [The omnipresence of violence]. Göttingen, Germany: Vandenhoek & Ruprecht. First citation in articleGoogle Scholar

  • Resick, P. A. (2004). Stress and trauma. Philadelphia, PA: Taylor & Francis. First citation in articleGoogle Scholar

  • Reyes, H. (2007). The worst scars are in the mind: Psychological torture. International Review of the Red Cross, 89, 591–617. First citation in articleCrossrefGoogle Scholar

  • Roht-Arriaza, N. (1995). Impunity and human rights in international law and practice. New York: Oxford University Press. First citation in articleGoogle Scholar

  • Roth, S. , Newman, E. , Pelcovitz, D. , van der Kolk, B. , Mandel, F. S. (1997). Complex PTSD in victims exposed to sexual and physical abuse: Results from the DSM-IV field trial for posttraumatic stress disorder. Journal of Traumatic Stress, 10, 539–555. First citation in articleCrossrefGoogle Scholar

  • Saporta, J. , van der Kolk, B. (1992). Psychobiological consequences of severe trauma. In M. Basoglu, (Ed.), Torture and its consequences: Current treatment approaches (pp. 151–181). New York: Cambridge University Press. First citation in articleGoogle Scholar

  • Schaal, S. , Elbert, T. , Neuner, F. (2009). Narrative exposure therapy versus group interpersonal psychotherapy – a controlled clinical trial with orphaned survivors of the Rwandan genocide. Psychotherapy and Psychosomatics, 78, 298–306. First citation in articleCrossrefGoogle Scholar

  • Schnurr, P. P. , Friedman, M. J. , Foy, D. W. (2003). Randomized trial of trauma-focused group therapy for posttraumatic stress disorder: Results from a Department of Veterans Affairs cooperative study. Archives of General Psychiatry, 60, 481–489. First citation in articleCrossrefGoogle Scholar

  • Shapiro, F. (1989). Eye movement desensitization procedure: A new treatment for post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 20, 211–217. First citation in articleCrossrefGoogle Scholar

  • Shapiro, F. (1995). Eye movement desensitisation and reprocessing: Basic principles, protocols, and procedures. New York: Guilford Press. First citation in articleGoogle Scholar

  • Silove, D. (1996). Torture and refugee trauma: Implications for nosology and treatment of posttraumatic syndromes. International review of psychiatry (Vol. 2, pp. 211–232). Washington, DC: American Psychiatric Association. First citation in articleGoogle Scholar

  • Silove, D. (1999). The psychosocial effects of torture, mass human rights violations, and refugee trauma: Toward an integrated conceptual framework. Journal of Nervous and Mental Disease, 187, 200–207. First citation in articleCrossrefGoogle Scholar

  • Somnier, F. , Vesti, P. , Kastrup, M. , & Genefke, I. K. (1992). Psychosocial consequences of torture: Current knowledge and evidence. In M. Basoglu, (Ed.), Torture and its consequences: Current treatment approaches (pp. 56–71). New York: Cambridge University Press. First citation in articleGoogle Scholar

  • Somnier, F. E. , Genefke, I. K. (1986). Psychotherapy for victims of torture. British Journal of Psychiatry, 149, 323–329. First citation in articleCrossrefGoogle Scholar

  • Sveaass, N. , Lavik, N. J. (2000). Psychological aspects of human rights violations: The importance of justice and reconciliation’. Nordic Journal of International Law, 69, 35–52. First citation in articleCrossrefGoogle Scholar

  • Terr, L. (1991). Childhood trauma: An outline and overview. American Journal of Psychiatry, 148, 10–20. First citation in articleCrossrefGoogle Scholar

  • Thorvaldsen, P. (1986). Torturf Image lger blandt latinamerikanske flygtninge i Danmark: Thesis [Torture squelae among tortured Latin American refugees in Denmark]. Copenhagen, Denmark: Laegeforeninens Forlag. First citation in articleGoogle Scholar

  • Turner, S. , Gorst-Unsworth, C. (1990). Psychological sequelae of torture – a descriptive model. British Journal of Psychiatry, 157, 475–480. First citation in articleCrossrefGoogle Scholar

  • Turner, S. W. , McFarlanc, A. C. , van der Kolk, B. A. (1996). The therapeutic environment and new explorations in the treatment of posttraumatic stress disorder. In B. A. van der Kolk, A. C. McFarlane, I. Weisaeth, (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 537–558). New York: Guilford Press. First citation in articleGoogle Scholar

  • UNCAT . (1984). United Nations Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, G.A. res. 39/46, [annex, 39 U.N. GAOR Supp. (No. 51) at 197, U.N. Doc. A/39/51 (1984)], entered into force June 26, 1987. First citation in articleGoogle Scholar

  • UNCAT . (1987). United Nations Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, G.A. res. 39/46, entered into force June 26, 1987 Retreived from www.hrweb.org/legal/cat.html. First citation in articleGoogle Scholar

  • UNGAOR . (2004). Report of the Special Rapporteur on Torture and Other Cruel, Inhuman and Degrading Treatment or Punishment. 59th Session, Agenda Item 107(a) 2004, UN Doc. A/59/324, para. 45. First citation in articleGoogle Scholar

  • Vaknin, S. (2007). Malignant self love – narcissism revisited. Czech Republic: Narcissus Publications. First citation in articleGoogle Scholar

  • van der Kolk, B. A. (2001). The assessment and treatment of complex PTSD. In R. Yehuda, (Ed.), Traumatic stress. Washington, DC: American Psychiatric Press. First citation in articleGoogle Scholar

  • Van Willigen, L. (1992). Organization of care and rehabilitation services for victims of torture and other forms of organized violence: A review of current issues. In M. Basoglu, (Ed.), Torture and its consequences: Current treatment approaches (pp. 277–298). New York: Cambridge University Press. First citation in articleGoogle Scholar

  • Varvin, S. , Hauff, E. (1998). Psychotherapy with patients who have been tortured. In J. M. Jaranson, M. K. Popkin, (Eds.), Caring for victims of torture (pp. 117–129). Washington, DC: American Psychiatric Press. First citation in articleGoogle Scholar

  • Vesti, P. , Kastrup, M. (1992). Psychotherapy for torture survivors. In M. Basoglu, (Ed.), Torture and its consequences: Current treatment approaches (pp. 348–362). New York: Cambridge University Press. First citation in articleGoogle Scholar

  • Vesti, P. , Somnier, F. , & Kastrup, M. (1992). Psychotherapy with torture survivors. Copenhagen, Denmark: A report of practice from RCT. First citation in articleGoogle Scholar

  • Viñar, M. N. (2005). The specificity of torture as trauma: The human wilderness when words fail. International Journal of Psychoanalysis, 86, 311–333. First citation in articleCrossrefGoogle Scholar

  • Virág, T. (2000). Emlékezés egy szederfára [Remembering a berry tree]. Budapest, Hungary: Animula Egyesület – Magyar Pszichiátriai Társaság. First citation in articleGoogle Scholar

  • Virág, T. (2001). „Mély kútba tekinték…” [“I look deep into a well…”]. Budapest, Hungary: Animula Egyesület – Magyar Pszichiátriai Társaság. First citation in articleGoogle Scholar

  • Wardi, D. (1992). Memorial candles: Children of the holocaust. New York: Routledge. First citation in articleGoogle Scholar

  • Watters, C. (2001). Emerging paradigms in the mental health care of refugees. Social Science and Medicine, 52, 1709–1718. First citation in articleCrossrefGoogle Scholar

  • Weine, S. M. , Becker, D. F. , McGlashan, T. H. , Laub, D. , Lazrove, S. , Vojvoda, D. , Hyman, L. (1995). Psychiatric consequences of ‘ethnic cleansing’: Clinical assessments and trauma testimonies of newly resettled Bosnian refugees. American Journal of Psychiatry, 152, 536–542. First citation in articleCrossrefGoogle Scholar

  • Weine, S. M. , Dzubur Kulnovic, A. , Pavkovic, I. , Gibbons, R. (1998). Testimony psychotherapy in Bosnian refugees: A pilot study. American Journal of Psychiatry, 155, 1720–1726. First citation in articleCrossrefGoogle Scholar

  • Wilson, J. P. (1989). Trauma, transformation and healing. New York: Brunner/Mazel. First citation in articleGoogle Scholar

  • World Medical Association . (1975). The World Medical Association Declaration of Tokyo. Guidelines for Physicians Concerning Torture and other Cruel, Inhuman or Degrading Treatment or Punishment in Relation to Detention and Imprisonment. Retrieved from www.wma.net/e/policy/c18.htm. First citation in articleGoogle Scholar

  • Yehuda, R. , Schmeidler, J. , Elkin, A. , Houshmand, E. , Siever, L. , Binder-Brynes, K. , …, Kwei Yang, R. (1997). Phenomenology & psychobiology of the intergenerational response to traum. In Y. Danieli, (Ed.), International Handbook of Multigenerational Legacies of Trauma. New York: Plenum Press. First citation in articleGoogle Scholar