Pub. Date:
American Psychiatric Publishing, Incorporated
Caring for Victims of Torture / Edition 1

Caring for Victims of Torture / Edition 1

by James M. Jaranson MD MA MPH, Michael K. Popkin MDJames M. Jaranson MD MA MPH
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Since its beginnings in the 1970s, the field of torture rehabilitation has grown rapidly. A growing awareness about the practice of torture (more than 100 countries today practice government-sanctioned torture) and its effects on victims is leading to an increasing number of dedicated treatment centers. The health care professionals on the staffs of these centers need the best, most up-to-date information and advice they can get. This book delivers it.

Caring for Victims of Torture contains all the collective wisdom of some of the most respected international experts in the treatment of victims of government torture — all distinguished physicians — including pioneers in the field of traumatic stress. Contributors discuss the most recent advances in knowledge about government-sanctioned torture and offer practical approaches to the diagnosis and treatment of torture victims. Organized into six main sections, this annotated volume provides an overview of the history and politics of torture and rehabilitation; guidance in identifying and defining the sequelae of torture; a framework for assessment and treatment; specific treatment interventions; and a discussion of ethical implications. In the final section, physicians working in the field offer firsthand accounts and address how they are trying to balance politics with caregiving.

Focusing on the physician's role, this book is chiefly a clinical guide. But for advanced-level students, it serves as a thorough, up-to-date text and reference work. Religious leaders, lawyers, politicians, human rights advocates, and torture victims themselves will find it a valuable resource as well.

Product Details

ISBN-13: 9780880487740
Publisher: American Psychiatric Publishing, Incorporated
Publication date: 08/01/1998
Edition description: New Edition
Pages: 304
Product dimensions: 6.00(w) x 9.00(h) x 1.00(d)
Age Range: 18 Years

About the Author

James M. Jaranson, M.D., M.A., M.P.H., is Director of Medical Services and Research, Center for Victims of Torture, in Minneapolis, and founder of the International Mental Health Program in the Psychiatry Department of St. Paul-Ramsey Medical Center (now Regions Hospital) in St. Paul. He is also Assistant Professor, Department of Psychiatry, University of Minnesota Medical School, and Director of the Cultural Psychiatry Training Program. He was a faculty member of the University of Minnesota Refugee Mental Health Technical Assistance Center, funded by the National Institute of Mental Health. He is a member of the International Rehabilitation Council for Torture Victims, headquartered in Copenhagen, Došenmark. His academic background includes an M.D., an M.A. in anthropology from the University of Minnesota, a master's degree in Public Health from Harvard University, specializing in psychiatric epidemiology, and board certifications in both psychiatry and general preventive medicine.

Michael K. Popkin, M.D., is Chief of Psychiatry at the Hennepin County Medical Center, Minneapolis, and Professor of Psychiatry and Medicine at the University of Minnesota Medical School. Dr. Popkin was a member of the Minnesota Governor's Task Force that advocated the development of the Center for Victims of Torture, and he served on the Center's Board of Directors from its 1985 inception to 1989. Dr. Popkin is a graduate of Princeton University and the University of Chicago Pritzker Medical School. He interned at Bellevue-NYU Hospitals and received his psychiatric training at Massachusetts General Hospital. He is past President of the Academy of Psychosomatic Medicine, has been Vice-Chair of the DSM-IV Organic Disorders work group, and was Chair of the NIMH Mental Health Services Research Review Committee. He reviews for more than a dozen medical journals and has written more than 120 papers and chapters on a range of topics dealing with the interface of psychiatry and medicine.

Table of Contents

Section I: History and Politics. Torture: history, treatment, and medical complicity. The science and politics of rehabilitating torture survivors: an overview. Section II: Identifying and Defining Sequelae. Diagnosis of governmental torture. Three categories of victimization among refugees in a psychiatric clinic. Section III: Framework for Assessment and Treatment. The physician's role in assessment and treatment of torture survivors. How medical assessment of victims of torture relates to psychiatric care. Section IV: Specific Treatment Interventions. Psychoanalytically oriented psychotherapy with torture survivors. Behavioral and cognitive treatment of survivors of torture. Conceptual models and psychopharmacological treatment of torture victims. Section V: Ethical Implications. Countertransference and ethical principles for treatment of torture survivors. Preventing the involvement of physicians in torture. Section VI: Voices From The Field: Politics and Caregiving. Forced disappearance: a particular form of torture. Caring for survivors of torture: beyond the clinic. Caring for victims on site: Bosnian refugees in Croatia. Index.

What People are Saying About This

Douglas A. Johnson

Torture is part of human history. Some people believe that means we will never see the end of it. Providing care for survivors -- recovering the leadership stolen by repressive governments -- is a relatively new idea. Jaranson and Popkin prove it is an idea whose time has come. Both the breadth of experience and the depth of knowledge demonstrated in this book give hope to survivors and new powers to those who work against torture.

Brian E. Engdahl

This book presents a fascinating and comprehensive review of the currently established knowledge about the clinical presentation and treatment of torture survivors. The contributors are top-notch international experts. This book clearly presents the state of the art in the young science of torture treatment and should serve as a guide for future directions.

Terence M. Keane

Jaranson and Popkin have assembled a virtual Who's Who in the field of torture and refugee trauma to contribute to an authoritative yet very readable text. It belongs in the libraries of all clinicians who seek to provide health care to survivors of torture. This book will improve services to torture survivors and advance the status and recognition of this field. It will bring enormous benefit to health care professionals and the people they serve.

Richard C. W. Hall

This is an important addition to the medical literature. The volume deals with an important -- and often overlooked -- topic, the long-term psychological sequelae of people who have been subjected to torture. This volume identifies and defines the sequelae of torture, provides physicians with a framework for assessment and treatment of victims, and provides specific treatment interventions, including psychotherapy, behavioral and cognitive treatment, and psychopharmacological treatment. It addresses the ethical implications of care rendered to victims of torture and deals with practical issues relating to the politics of caregiving. It specifically addresses forced disappearances and caring for survivors in ethnic areas and in the field in sites such as Croatia. The volume is written by contributors who have had significant experience and has been carefully edited by Dr. Jaranson and Dr. Popkin. It is an important addition to the treatment literature of psychiatry. The individual chapters are concise, well written, and clinically useful. They lend considerable insight into posttraumatic stress disorders and appropriate treatment for the most severely affected survivors of man's inhumanity to man.

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