Cultural Influences in Psychotherapy With Refugee Survivors of Torture and Trauma
Patrick Morris M.B.B.S.1 and
Derrick Silove M.B., Ch.B.2
1 Bankstown Hospital, Eldridge Road, Bankstown, New South Wales, 2200, Australia; New South, Wales Service for the Treatment; Torture and Trauma
2 clinical and research subcommittee; South Western Sydney Area, Health Service in Sydney, Australia
A selective review of the literature describing treatment of refugee survivors of torture and trauma revealed that approaches to psychotherapy used in treating South American patients differed from those used in treating Indochinese patients. South American patients were receptive to psychodynamic psychotherapeutic approaches that focused on detailed recollection of past trauma. lndocbinese patients responded to a broader-based rehabilitation approach that could include psychotropic medication, supportive psychotherapy, and assistance in meeting practical needs. The authors suggest that many of the differences in treatment of the two groups may be attributed to cultural factors, with South American patients reflecting an affinity for the Western philosophical assumptions in which psychodynamic therapy is rooted and indochinese patients reflecting a cultural background that values responsibility to the group, deference to authority, and restrained modes of emotional expression.
