Federal government websites often end in. The site is secure. Preview improvements coming to the PMC website in October Learn More or Try it out now. An accompanying monitoring and research component provided detailed diagnostic data before and after therapy. This guided both the therapeutic process, and the training process in psychotraumatology. Also with this component the long term effectiveness of the interventions was assessed. In turn these findings were related to various traumatic events, socio-economic conditions and other non-psychological factors that influenced therapy outcome.
Particular attention was paid to a variety of cultural implications entailed in using therapies such as EMDR in a non-Western, deeply religious and traditional context. Main results, implications for further research and future intervention strategies will be addressed. Starting from medical experts opinions with regard to applicants to German compensation boards each individual share of the posttraumatic stress disorders and the different salutogenetic elements are identified.
In more than half of the patients posttraumatic stress disorder did not occur progressively. Their most frequent posttraumatic stress disorder symptoms were sleep disturbances, recurrent nightmares, intrusive recollections as well as depressive and anxiety disorders. The salutogenetic factors concerned the state of Israel, the distinguished communications within the marriage of two survivors, the birth of children and the systematic dealing with well describing holocaust topics.
Trauma societies around the world are gradually shifting towards a public health paradigm. Despite high hopes of developments in psychotherapy and psychopharmacology, we realize that we need to pay more attention to contextual variables in managing mass traumatic stress, wherever it occurs in the world. Low- and middle-income countries are disproportionally affected by disasters and armed conflicts with increased migration flows, poverty, a large burden of psychosocial and mental health problems, human rights violations, and very few mental health professionals.
The resulting treatment gap in the aftermath of massive humanitarian emergencies obliges us to develop contextually relevant and culturally appropriate preventive and curative interventions, which is the main theme of this lecture.
