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The refugees and their trauma

Posted by Vladimir Enachescu on September 25, 2007 - 11:35 AM in

They have a life without a home. The refugees are unable to work, reliant on others for aid, in communities that often reject them.

Different races, religions, cultures but all have been forced to flee and to live together in a crowded place.

I used to be a psychotherapist for this kind of individuals back in Europe and I did it both in Romania and Czech Republic. In both countries I have met people who had similar stories, similar problems, and no matter where they came from.

A significant proportion of refugees have experienced severe trauma. Many have been tortured, refugees are victims of persecution.

Refugees often have little idea about where they are going. They are running away, not running to.

The severity of trauma experienced by refugees can vary widely.

Most refugees do not acquire psychiatric disorders-a testimony to the resilience of humans to stress and loss. However, epidemiological studies of refugees indicate higher-than-expected rates of psychopathology. Most of these disorders are those with which psychiatrists are familiar, mood, anxiety and substance disorders.

Refugees with various psychiatric disorders may manifest distrust, suspiciousness or ideas of reference. Typically, paranoid symptoms in refugees diminish with amelioration of the presenting disorder (whether a mood, anxiety or substance problem). Some isolated refugees may acquire the characteristics of paranoid personality during their later adult years.

Between five and thirty-five percent of the world’s refugees and asylums are estimated to have been tortured. Torture is a global public health problem, and the use of torture has reached epidemic proportions worldwide. Early intervention in treating trauma symptoms is important in preventing future disability and prolonged suffering.

In the past, most refugees had the opportunity to integrate and become useful to their host societies. Today`s refugees often find themselves confined in overcrowded refugee camps and settlements which may be little more than a dead end, where human dignity is liable to be crushed and hope and regeneration seriously endangered.

I used to provide them psychological support, acting as a group psychotherapist, meeting the challenge to have together Muslims and Christians, people of opposite opinions and cultures but who were pushed into the conflict by people that had nothing in common with them. It was not their war and it was my job to make their life easier, to help them accept themselves and to pass through their drama.

I have found the best method in the group therapy and role playing and this helped me “lift their souls” as they have expressed themselves.

This kind of work requires dedication and time, but it opens a great perspective. You get to the point to value the small things and to hear stories that you may find unreal. There is a different universe, where you can find the drama, the tragedy, the crime, the life and death, the value of the basic things that are normal for us and most of all, you have the chance to value the life!

Submitted by oanta_andreea on September 25, 2007 - 2:25 PM.
I just read an article on the internet about the psychological status of expecting mothers, clinical development of pregnancy, complications of labor,etc. An examination of the psycho-emotional status of pregnant refugee women revealed high percentage indicators for hypochondria, depression, psychopathy, hysteria and psychoastenia in contrast to the control group. Prolonged stress is the cause of increased morbidity and mortality during pregnancy and child birth in refugee women. Infants born to refugee women also faced increased risks and belong to the group of special premature care and observation. I will certainly value my own life!!!

Submitted by Vladimir Enachescu on September 25, 2007 - 2:28 PM.
It is great to know that you will apreciate more your life from now on!

Submitted by narcisa on October 02, 2007 - 10:55 AM.
You are so right in your article. I have this friend working with refugees from Africa and she is telling me how much they have to struggle because of the financial constraints, language barrier, cultural differences (like, for instance, little if any prior experience with Western medicine). Due to the traumas that you are talking about and to the cultural shock, inability of supporting the family, etc, most of the men would separate from their families, leaving behind a single mother with up to ten children. They must be provided with counseling services, therapy and constant support in their effort to adapting to a new culture!!! Group therapy and role paying sound like the best choice.

Submitted by ioana on October 02, 2007 - 1:33 PM.
It’s not true, it’s not real, and it’s not fair! It’s not fair that those people suffered only because the culture differences are more important than a life. Refugees don’t know what they will do tomorrow, where will be tomorrow. The women are potential rape victims, children are always susceptible to being kidnapped. Every human right is violated! You will never probably say “I know what you feel!” because you don’t unless you are like them, but to bring hope in their eyes by saying “I can listen to you!” is something that does not cost you anything. To see that somebody care, it’s not what everybody wants?

About the blogger

Vladimir Enachescu is a special needs teacher at Alice Drive Middle School in Sumter, S.C. A native of Romania, he spent four years counseling war refugees while earning his bachelor's degree in psychology at the University of Bucharest. He moved to the United States in 2005.

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