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Professional Caregiver and Observer Issues

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The Mental Health Consequences of Torture

Part of the book series: The Plenum Series on Stress and Coping ((SSSO))

Abstract

Lok first came to the Indo-Chinese clinic 9 years ago. I cannot forget the initial interview nor her story. She was a small Cambodian woman (the nurse’s note listed her weight as 113 pounds) who appeared older than her 58 years. Her face reflected fatigue and sadness, yet grace. Ben, the Cambodian mental health worker, had told me a little about her before she came. She was referred from a private physician and had multiple complaints of nausea, headache, arm pain, shoulder pain, and also symptoms of poor sleep and depression. The private physician was treating her for diabetes, and she was on an oral hypoglycemic agent. Ben noted that she had had a very traumatic life in Cambodia. She had suffered many losses with which we now have become familiar from any Pol Pot patient.

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References

  • Agger, I., & Jensen, S. B. (1994). Determinant factors for countertransference reactions under state terrorism. In J. P. Wilson & J. Lindy (Eds.), Countertransference in the treatment of PTSD (pp. 263–287). New York: Guilford Press.

    Google Scholar 

  • Alexander, D. A., & Wells, A. (1991). Reaction of police officers to body handling after a major disaster.British Journal of Psychiatry, 159, 547–555.

    Article  PubMed  Google Scholar 

  • Atshul, V. A., & Sledge, W. H. (1989). Countertransference problems. In A. Tasman, R. E. Hale, & A. J. Frances (Eds.), Review of psychiatry (Vol. 8). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Beaton, R., Murphy, S., Johnson, C., Pike, K., & Corneil, W. (1998). Exposure to duty-related incident stressors in urban firefighters and paramedics, Journal of Traumatic Stress, 11, 821–828.

    Article  PubMed  Google Scholar 

  • Beauchamp, T. L., & Childress, J. F. (1979). Principles of biomedical ethics. New York: Oxford University Press.

    Google Scholar 

  • Chodoff, P. (1975). Psychiatric aspects of Nazi persecution. In S. Arieti (Ed.), American handbook of psychiatry (2nd ed., Vol. 5). New York: Basic Books.

    Google Scholar 

  • Comas-Diaz, L., & Padilla, A. M. (1990). Countertransference in working with victims of political repression. American Journal of Orthopsychiatry, 60, 125–134.

    Article  PubMed  Google Scholar 

  • De Wind, E. (1971). Psychotherapy after traumatization caused by persecution. International Psychiatric Clinics, 8, 93–114.

    Google Scholar 

  • Eth, S. (1992). Ethical challenges in the treatment of traumatized refugees. Journal of Traumatic Stress, 5, 103–109.

    Article  PubMed  Google Scholar 

  • Figley, C. (1981). Working on a theory of what it takes to survive. APA Monitor, 9.

    Google Scholar 

  • Halifax, J. (1981). Shaman: The wounded healer. New York: Crossroad.

    Google Scholar 

  • Jaranson, J. (1995). Government-sanctioned torture: Status of the rehabilitation movement. Transcultural Research Review, 32(3), 253–286.

    Google Scholar 

  • Jones, D. R. (1985). Secondary disaster victims: The emotional effects of recovering and identifying human remains. American Journal of Psychiatry, 142, 303–307.

    PubMed  Google Scholar 

  • Kinzie, J. D. (1994). Countertransference in treatment of Southeast Asian refugees. In J. P. Wilson &J. Lindy (Eds.), Countertransference in the treatment of PTSD (pp. 249–262). New York: Guilford Press.

    Google Scholar 

  • Kinzie, J. D., & Boehnlein, J. K. (1993). Psychotherapy of the victims of massive violence: Countertransference and ethical issues. American Journal of Psychotherapy, 47, 90–102.

    PubMed  Google Scholar 

  • Lundin, T., & Bodegard, M. (1993). The psychological impact of an earthquake on rescue workers: A follow-up study of the Swedish group of rescue workers in Armenia, 1988. Journal of Traumatic Stress, 6, 129–139.

    Article  Google Scholar 

  • Marmar, C. R., Weiss, D. S., Metzler, T. J., Ronfeldt, H. M., &Foreman, C. (1996). Stress responses of emergency services personnel to the Loma Prieta earthquake, Interstate 880 freeway collapse and control traumatic incidents. Journal of Traumatic Stress, 9, 63–85.

    Article  PubMed  Google Scholar 

  • McCann, L., & Pearlman, L. A. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1), 131–149.

    Article  Google Scholar 

  • Mitchell, J. T, & Dyregrov, A. (1993). Traumatic stress in disaster workers and emergency personnel: Prevention and intervention. In J. P. Wilson & B. Raphael (Eds.), International handbook of traumatic stress syndromes. New York: Plenum Press.

    Google Scholar 

  • Raphael, B. (1986). When, disaster strikes. New York: Basic Books.

    Google Scholar 

  • Raphael, B., & Wilson J. P. (1994). When disaster strikes: Managing emotional reactions in rescue workers. In J. P. Wilson & J. Lindy (Eds.), Countertransference in the treatment of PTSD (pp. 333–350). New York: Guilford Press.

    Google Scholar 

  • Silove, D., Curtis, J., Manson, C., & Becker, R. (1996). Ethical considerations in the management of asylum-seekers on hunger strike. Journal of the American Medical Association, 276, 410–415.

    Article  PubMed  Google Scholar 

  • Sorensen, B. (1992). Modern ethics and international law. In M. Basoglu (Ed.), Torture and its consequences. Cambridge: Cambridge University Press.

    Google Scholar 

  • United Nations. (1948). The Universal Declaration of Human Rights. GA Res. 217 A (III); U.N. Document A/810.

    Google Scholar 

  • Wilson, J. P. (1997, November). Countertransference in the treatment of PTSD. Presented at the annual meeting of the International Society for Traumatic Stress Studies, Montreal, Quebec, Canada.

    Google Scholar 

  • Wilson, J. P., & Lindy, J. D. (1994). Empathic strain and countertransference. In J. P. Wilson & J. D. Lindy (Eds.), Counter transference in the treatment of PTSD (pp. 31–61). New York: Guilford Press.

    Google Scholar 

  • World Medical Association. (1975). The Declaration of Tokyo. Ferney-Voltaire, France.

    Google Scholar 

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© 2001 Springer Science+Business Media Dordrecht

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Kinzie, J.D., Engdahl, B. (2001). Professional Caregiver and Observer Issues. In: Gerrity, E., Tuma, F., Keane, T.M. (eds) The Mental Health Consequences of Torture. The Plenum Series on Stress and Coping. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1295-0_19

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  • DOI: https://doi.org/10.1007/978-1-4615-1295-0_19

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5483-3

  • Online ISBN: 978-1-4615-1295-0

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