USCR: Articles: Refugee Mental Health In The United... -
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Published on: 9/7/2001
Last Visited: 10/24/2002
This variation also affects the recovery process, in which a trusting relationship is built with a clinician, said Mario Gonzalez, clinical supervisor for the Marjorie Kovler Center for the Treatment of Survivors of Torture (Kovler Center), which treats survivors of state-sponsored torture in Chicago.
"Physical symptoms include lack of concentration, memory problems, disturbed sleep, shaking, and so on," said Gonzalez."Many will also exhibit somatic symptoms, the expression of which is often culturally determined.For example, people from Arabic countries often experience cardiac pain as an expression of their anxiety."
Dr. Husam Al-Athari, who treats Iraqi refugees at George Washington University Medical Center, concurred with Gonzalez, saying that nearly all his patients exhibited somatic symptoms reflective of emotional or psychological problems.
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To treat survivors of torture, you need to provide a safe environment and a relationship of trust," said Gonzalez of the Kovler Center.
The western model of psychotherapy is based on individual therapy and an understanding of oneself apart from society.For many refugee populations, this individualistic perspective is foreign.