title: Psychiatric treatment for extremely traumatized civil war refugees from former Yugoslavia. Possibilities and limitations of integrating psychotherapy and medication.
abstract: Patients with a history of extremely traumatic experiences show a complex pattern of psychological and physical disorders which represents a special challenge for psychiatric care. This problem is described using the example of the psychiatric/psychotherapeutic treatment of 13 civil war refugees with a history of traumatic experiences from former Yugoslavia in psychiatric treatment at the Psychiatric Clinic of the University of Ulm. One substantial problem encountered by these patients is that, in addition to the original traumatization in their country of origin, the unstable psychosocial conditions of their legal exile condition can lead to re-traumatization which must be responded to with psychiatric treatment.
authors.affiliation: Psychiatry Clinic, University of Ulm, Germany.
authors.forename: Gertrud
authors.initials: G
authors.lastname: Schwarz-Langer
authors.forename: Russell R
authors.initials: RR
authors.lastname: Deighton
authors.forename: Lucia
authors.initials: L
authors.lastname: Jerg-Bretzke
authors.forename: Ingo
authors.initials: I
authors.lastname: Weisker
authors.forename: Harald C
authors.initials: HC
authors.lastname: Traue
mesh_terms: D000328:Adult; D014151:Anti-Anxiety Agents / Q000627:therapeutic use*; D001569:Benzodiazepines / Q000627:therapeutic use; D002065:Buspirone / Q000627:therapeutic use; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D011594:Psychometrics; D011613:Psychotherapy / Q000379:methods*; D012036:Refugees / Q000523:psychology*; D018570:Risk Assessment; D012720:Severity of Illness Index; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000628:therapy*; D014104:Torture; D016896:Treatment Outcome; D014857:Warfare; D015022:Yugoslavia
chemical_list: D014151:Anti-Anxiety Agents; D001569:Benzodiazepines; D002065:Buspirone