Variations in therapeutic interventions for Cambodian and Chilean refugee survivors of torture and trauma: a pilot study

Aust N Z J Psychiatry. 1993 Sep;27(3):429-35. doi: 10.3109/00048679309075799.

Abstract

The treatment of refugee survivors of torture and trauma has attracted increasing clinical attention. The present study surveyed therapists concerning the emphasis that was placed on disclosure of previous traumatic experiences in therapy with refugees from Chile and Cambodia. Significant differences were found between the two groups with trauma story discussion being judged by therapists to be more important to treatment outcome in Chilean patients. The problem of potential therapist bias limits definitive conclusions, however we suggest that differences in cultural preparedness for psychotherapy aimed at uncovering previous traumatic experiences may be the main reason for variations in styles of therapy offered to these distinctive ethnic groups. Other possible explanations are differences in diagnostic profiles and types of previous traumatic experiences.

Publication types

  • Comparative Study

MeSH terms

  • Acculturation
  • Adult
  • Aged
  • Cambodia / ethnology
  • Chile / ethnology
  • Cross-Cultural Comparison*
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy
  • Ethnicity / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • New South Wales
  • Personality Assessment
  • Pilot Projects
  • Psychotherapy*
  • Refugees / psychology*
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / psychology
  • Stress Disorders, Post-Traumatic / therapy*
  • Torture*
  • Verbal Behavior