Skip to main content

Rethinking Trauma as a Global Challenge

  • Chapter
Trauma and Migration

Abstract

Trauma is a term originally applied to physical injuries and some of its immediate effects. The first mention of the term ‘traumatic’ was recorded in the Oxford English Dictionary edition of 1656, in which trauma is defined as ‘… pertaining to wounds or the cure of wounds’. It is since the late 1800s that ‘trauma’ has come to refer to a range of psychological impacts of the experience or threat of violence, injury and loss.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    The initial part of this section is largely based on the works of Allan Young, in his book The Harmony of Illusions: Inventing Post-traumatic Stress Disorder. Princeton: Princeton University Press, 1995.

  2. 2.

    Low-intensity warfare has been defined as a ‘total war at the grass roots level’, where the local population and not the territory is the target for psychological warfare, terrorisation and other traumatic experiences.

  3. 3.

    In recent war scenarios, such as in the former Yugoslavia and Somalia, about nine out of every ten people injured or killed were civilians.

References

  • Allden K, Jones L, Weissbecker I et al (2009) Mental health and psychosocial support in crisis and conflict: report of the mental health working group. Prehosp Disaster Med 24(Suppl 2):s217–s227

    PubMed  Google Scholar 

  • Al-Obaidi A, Budosan B, Jeffrey L (2010) Child and adolescent mental health in Iraq: current situation and scope of promotion of child and adolescent mental health policy. Intervention 8(1):40–51

    Article  Google Scholar 

  • American Psychiatry Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, Text Revision. APA, Washington, DC

    Google Scholar 

  • American Psychiatry Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. APA, Washington, DC

    Google Scholar 

  • American Psychiatry Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. APA, Arlington

    Google Scholar 

  • Aro AR, Smith J, Dekker J (2008) Contextual evidence in clinical medicine and health promotion. Eur J Public Health 18(6):548–549

    Article  CAS  PubMed  Google Scholar 

  • Barad M, Cain CK (2007) Mechanisms of fear extinction: toward improved treatment for anxiety. In: Kirmayer LK, Lemenson R, Barad M (eds) Understanding trauma: integrating biological, clinical and cultural perspectives. Cambridge University Press, New York, pp 78–97

    Chapter  Google Scholar 

  • Blau JR, Blau PM (1982) The cost of inequality: metropolitan structure and violent crime. Am Sociol Rev 47:114–129

    Article  Google Scholar 

  • Bogin B, Keep R (1999) Eight thousand years of economic and political history in Latin America, revealed by anthropometry. Ann Hum Biol 19(5):631–642

    Article  Google Scholar 

  • Bolton D (2010) Social, biological and personal constructions of mental illness. In: Morgan C, Bhugra D (eds) Principles of social psychiatry. Wiley, Hoboken, pp 39–50

    Chapter  Google Scholar 

  • Bouton ME, Wadell J (2007) Some biobehavioural insights into persistent effects of emotional trauma. In: (2008) Contextual evidence in clinical medicine and health promotion. Eur J Public Health 18(6):548–549

    Google Scholar 

  • Bracken P, Petty C (eds) (1998) Rethinking the trauma of war. Free Association Books, London

    Google Scholar 

  • Bracken P, Thomas P (2001) Post-psychiatry: a new direction for mental health. Br Med J 322:724–727

    Article  CAS  Google Scholar 

  • Breslau N (1998) Epidemiology of trauma and posttraumatic stress disorder. In: Yehuda R (ed) Psychological trauma. American Psychiatric Press, Washington, DC, pp 1–26

    Google Scholar 

  • Brunet A, Poundja J, Tremblay J, Bui E, Thomas E, Orr S, Azzoug…Pitman RK (2011) Trauma reactivation under the influence of propranolol decreases posttraumatic stress symptoms and disorder: 3 open-label trials. J Clin Psychopharmacol 31(4):547–550

    Article  PubMed  Google Scholar 

  • Bruntland GH, Liestol K, Walloe L (1980) Height, weight and menarcheal age of Oslo schoolchildren during the last 60 years. Ann Hum Biol 7(4):307–322

    Article  Google Scholar 

  • Buitrago C (2004) Internationally displaced Colombians: the recovery of victims of violence within a psychosocial framework. In: Miller K, Rasco L (eds) The mental health of refugees: ecological approaches to healing and adaptation. Lawrence Erlbaum Associates, Mahwah, N J, pp 229–262

    Google Scholar 

  • Cardozo B, Vergara A, Agani F et al (2000) Mental health, social functioning, and attitudes of Kosovar Albanians following the war in Kosovo. JAMA 284(5):569–577

    Article  Google Scholar 

  • Center for Research on the Epidemiology of Disasters (2009) EM-DAT: emergency events database. Université Catholique de Louvain – Ecole de Santé Publique, Louvain. Retrieved from: http://www.emdat.be/Database/terms.html

    Google Scholar 

  • Centre for Victims of Torture – Nepal (CVICT) (2008) (unpublished manuscript). A report on torture victims in Nepal

    Google Scholar 

  • Collier P, Chauvet L, Hegre H (2009) The security challenge in conflict-prone countries. In: Lomborg B (ed) Global crises, global solutions. Cambridge University Press, Cambridge, pp 58–103

    Chapter  Google Scholar 

  • Desjarlais R, Eisenberg L, Good B, Kleinman A (1995) World mental health: problems and priorities in low-income countries. Oxford University Press, New York

    Google Scholar 

  • Dohrenwend B (2000) The role of adversity and stress in psychopathology, some evidence and its implications for theory and research. J Health Soc Behav 41:1–19

    Article  CAS  PubMed  Google Scholar 

  • Dressler W, Oths K, Gravlee C (2005) Race and ethnicity in public health research models to explain health disparities. Annu Rev Anthropol 34:231–252

    Article  Google Scholar 

  • Dwyer L, Santikarma D (2007) Posttraumatic politics: violence, memory, and biomedical discourse in Bali. In: Kirmayer LJ, Lemelson R, Barad M (eds) Understanding trauma: biological, psychological and cultural perspectives. Cambridge University Press, New York, pp 403–432

    Chapter  Google Scholar 

  • Eytan A, Gex-Fabry M, Toscani L, Deroo L, Loutan L, Bovier P (2004) Determinants of postconflict symptoms in Albanian Kosovars. J Nerv Ment Dis 192:664–671

    Article  PubMed  Google Scholar 

  • Frances AJ (2012) DSM5 in distress: the DSM’s impact on mental health practice and research. Psychol Today. http://www.psychologytoday.com/blog/dsm-5-in-distress/201212. Accessed 16 May 2014

  • Gibson K (1989) Children in political violence. Soc Sci Med 28(7):659–668

    Article  CAS  PubMed  Google Scholar 

  • Gilligan J (1997) Violence: reflections on a national epidemic. Vintage Books, New York

    Google Scholar 

  • Gluckman PD, Hanson MA (2005) The fetal matrix: evolution, development and disease. Cambridge University Press, Cambridge

    Google Scholar 

  • Hacking I (1996) Rewriting the soul: multiple personality and the sciences of memory. Princeton University Press, Princeton

    Google Scholar 

  • Harbom L, Wallensteen P (2009) Armed conflicts, 1946–2008. J Peace Res 46(4):577–587

    Article  Google Scholar 

  • Holsti KJ (1996) The state, war, and the state of war. Cambridge University Press, Cambridge

    Book  Google Scholar 

  • IOM (2008) Treatment of posttraumatic stress disorder. An assessment of the evidence. The National Academies Press, Washington, DC

    Google Scholar 

  • Kirmayer LJ (1996) Landscapes of memory: Trauma, narrative and dissociation. In: P Antze and M Lambek (eds), Tense past: cultural essays of memory and trauma. Routledge, London, pp 173–198

    Google Scholar 

  • Kirmayer LK, Lemenson R, Barad M (eds) (2007) Understanding trauma: integrating biological, clinical and cultural perspectives. Cambridge University Press, New York, pp 41–59

    Book  Google Scholar 

  • Kolassa I-T, Ertl V, Eckart C, Kolassa S, Onyut LP, Elbert T (2010) Spontaneous remission from PTSD depends on the number of traumatic event types experienced. Psychol Trauma Theory Res Pract Policy 2(3):169–174

    Article  Google Scholar 

  • Konner M (2007) Trauma, adaptation and resilience: a cross-cultural and evolutionary perspective. In: Kirmayer LK, Lemenson R, Barad M (eds) Understanding trauma: integrating biological, clinical and cultural perspectives. Cambridge University Press, New York, pp 300–338

    Chapter  Google Scholar 

  • Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R (2002) World report on violence and health. World Health Organization, Geneva. Retrieved from: http://www.who.int/violence_injury_prevention/violence/world_report/en/

    Google Scholar 

  • Labonté R, Mohindra K, Schrecker T (2011) The growing impact of globalization for health and public health practice. Annu Rev Public Health 32:263–283

    Article  PubMed  Google Scholar 

  • Markowitz SD (1955) Retardation in growth of children in Europe and Asia during World War II. Hum Biol 27(4):258–273

    CAS  PubMed  Google Scholar 

  • Marshall RD, Davidson JRT, Yehuda R (1998) Pharmacotherapy in the treatment of PTSD and other trauma-related syndromes. In: Yehuda R (ed) Psychological trauma. American Psychiatric Press, Washington, DC, pp 133–178

    Google Scholar 

  • Marshall GN, Schell TL, Elliott MN et al (2005) Mental health of Cambodian refugees two decades after resettlement in the United States. JAMA 294(5):571–579

    Article  CAS  PubMed  Google Scholar 

  • Martin-Baro I (1994) War and mental health. Translated by Anne Wallace. In: Mishler EG (ed) Writings for a liberation psychology. Harvard University Press, Cambridge, pp 108–121

    Google Scholar 

  • McNally RJ (2009) Can we fix PTSD in DSM-5? Depress Anxiety 26:597–600

    Article  PubMed  Google Scholar 

  • Miller KE, Rasmussen A (2010) War exposure, daily stressors, and mental health in conflict and post-conflict settings: bridging the divide between trauma-focused and psychosocial frameworks. Soc Sci Med 70(1):7–16

    Article  PubMed  Google Scholar 

  • Mollica RF, Lopez Cardozo B, Osofsky HJ, Raphael B, Ager A, Salama P (2004) Mental health in complex emergencies. Lancet 364(9450):2058–2067

    Article  CAS  PubMed  Google Scholar 

  • Moon C (2009) Healing past violence: traumatic assumptions and therapeutic interventions in war and reconciliation. J Human Rights 8:71–91

    Article  Google Scholar 

  • Murray CJL, King G, Lopez AD, Tomijima N, Krug EG (2002) Armed conflict as a public health problem. Br Med J 324(9):346–349

    Article  CAS  Google Scholar 

  • Neuner F, Schauer M, Karunakara U, Klaschik C, Robert C, Elbert T (2004) Psychological trauma and evidence for enhanced vulnerability for posttraumatic stress disorder through previous trauma among West Nile refugees. BMC Psychiatry 4(1):34

    Article  PubMed Central  PubMed  Google Scholar 

  • Pedersen D (1999) Surviving Amerindian nations: the impact of political violence and wars. (Unpublished manuscript). 10th summer course of social and transcultural psychiatry. McGill University. Montreal

    Google Scholar 

  • Pedersen D (2002) Political violence, ethnic conflict and contemporary wars: broad implications for health and social well-being. Soc Sci Med 55:175–190

    Article  PubMed  Google Scholar 

  • Pedersen D (2010) Secuelas de la pobreza, el racismo y la violencia organizada entre los pueblos indo-americanos. Academia Nacional de Medicina, Lima

    Google Scholar 

  • Pedersen D, Kienzler H (2008) Ethnic conflict and public health. In: Heggenhougen HK, Quah SR (eds) International encyclopedia of public health, vol 2. Academic, San Diego, pp 508–518

    Chapter  Google Scholar 

  • Pedersen D, Kienzler H (2015) Exploring Pathways of Distress and Mental Disorders: the Case of the Highland Quechua Populations in the Peruvian Andes. In D E Hinton and B J Good (eds) Culture and PTSD. University of Pennsylvania Press, Philadelphia, pp 240–274

    Google Scholar 

  • Pedersen D, Gamarra J, Planas ME, Errazuriz C (2003) Violencia Política y Salud Mental en las Comunidades Altoandinas de Ayacucho, Perú. In: Cáceres C, Cueto M, Ramos M, Vallenas S (eds) La salud como derecho ciudadano. Perspectivas y propuestas desde América Latina. Universidad Peruana Cayetano Heredia, Lima, pp 289–307

    Google Scholar 

  • Pedersen D, Kienzler H, Gamarra J (2010) Llaki and Ñakary: idioms of distress and suffering among the highland Quechua in the Peruvian Andes. Cult Med Psychiatry 34(2):279–300

    Article  PubMed  Google Scholar 

  • Pickett K, Mookherjee J, Wilkinson R (2005) Adolescent birth rates, total homicides, and income inequality in rich countries. Am J Public Health 95:1181

    Article  PubMed Central  PubMed  Google Scholar 

  • Pinker S (2011) The better angels of our nature. Penguin Books Ltd., New York

    Google Scholar 

  • Regier DA, Narrow WE, Clarke DE, Kraemer HC, Kuramoto SJ, Kuhl EA, Kupfer DJ (2013) DSM-5 field trials in the United States and Canada, part II: test–retest reliability of selected categorical diagnoses. Am J Psychiatry 170:59–70

    Article  PubMed  Google Scholar 

  • Reno W (2012) Warfare in independent Africa. Cambridge University Press, Cambridge

    Google Scholar 

  • Rieff P (1966) The triumph of the therapeutic: uses of faith after Freud. Chatto and Windus, London

    Google Scholar 

  • Scholte WF, Olff M, Ventevogel P, de Vries GJ, Jansveld E, Cardozo BL et al (2004) Mental health symptoms following war and repression in eastern Afghanistan. JAMA 292(5):585–593

    Article  CAS  PubMed  Google Scholar 

  • Shalev AY (2007) PTSD: a disorder of recovery? In: Kirmayer LK, Lemenson R, Barad M (eds) Understanding trauma: integrating biological, clinical and cultural perspectives. Cambridge University Press, New York, pp 207–223

    Chapter  Google Scholar 

  • Shalev AY, Yehuda R (1998) Longitudinal development of traumatic stress disorders. In: Yehuda R (ed) Psychological trauma. American Psychiatric Press, Washington, DC, pp 31–66

    Google Scholar 

  • Smil V (2008) Global catastrophes and trends: the next 50 years. The MIT Press, Cambridge

    Google Scholar 

  • Stuckler D, Basu S (2013) Preface. In: The body economic: why austerity kills. HarperCollins Publishers Ltd, Toronto, pp ix–xv

    Google Scholar 

  • Summerfield D (1995) Addressing human response to war and atrocity. In: Kleber RJ, Figley CR, Gersons BPR (eds) Beyond trauma: cultural and societal dynamics. Plenum Press, New York, pp 17–29

    Chapter  Google Scholar 

  • Summerfield D (1998) The social experience of war and some issues for the humanitarian field. In: Bracken P, Petty C (eds) Rethinking the trauma of war. Free Association Books, New York, pp 9–37

    Google Scholar 

  • Summerfield D (1999) Critique of seven assumptions behind psychological trauma programmes in war affected areas. Soc Sci Med 48:1449–1462

    Google Scholar 

  • Summerfield D (2004) Cross-cultural perspectives on the medicalization of human suffering. In: Rosen G (ed) Posttraumatic stress disorder. Issues and controversies. Wiley, West Sussex, pp 233–245

    Chapter  Google Scholar 

  • Toole MJ, Waldman RJ (1997) The public health aspects of complex emergencies and refugee situations. Annu Rev Public Health 18:283–312

    Article  CAS  PubMed  Google Scholar 

  • UNHCR (2009) 2008 Global trends: refugees, asylum-seekers, returnees, internally displaced and stateless persons. UNHCR, Geneva

    Google Scholar 

  • UNHCR (2011) A year in crisis and reports. In: UNHCR global trends 2010. UNHCR, Geneva

    Google Scholar 

  • UNICEF (1996) Impact of armed conflict on children. Retrieved from: http://www.unicef.org/graca/a51-306_en.pdf

  • van Ommeren M, Saxena S, Saraceno B (2005) Mental and social health during and after acute emergencies emerging consensus? Bull World Health Organ 83(1):71–77

    PubMed Central  PubMed  Google Scholar 

  • WHO (2000) Global burden of disease. WHO, Geneva

    Google Scholar 

  • Wilkinson R (1996) Unhealthy societies. The afflictions of inequality. Routledge, London

    Book  Google Scholar 

  • Wilkinson R, Pickett K (2006) Income inequality and population health: a review and explanation of the evidence. Soc Sci Med 62:1768–1784

    Article  PubMed  Google Scholar 

  • Wilkinson R, Pickett K (2009) The spirit level: why more equal societies almost always do better. Allen Lane, London

    Google Scholar 

  • Wolf A, Gray R, Fazel S (2014) Violence as a public health problem: an ecological study of 169 countries. Soc Sci Med 104:220–227

    Article  PubMed Central  PubMed  Google Scholar 

  • Yehuda R (ed) (1998) Psychological trauma. American Psychiatric Press, Washington, DC

    Google Scholar 

  • Young A (1995) Harmony of illusions: inventing post-traumatic stress disorder. Princeton University Press, New Jersey

    Google Scholar 

  • Young A (2000) An alternative history of traumatic stress. In: Yehuda R et al (eds) International handbook of human response to trauma. Kluwer Academic, New York, pp 51–66

    Chapter  Google Scholar 

  • Young A, Breslau N (2015) What is PTSD? The heterogeneity thesis. In: Hinton DE, Good BJ (eds) Culture and PTSD. University of Pennsylvania Press, Philadelphia, Penn, pp 135–154

    Google Scholar 

  • Zoellner LA, Bedard-Gilligan MA, Jun JJ, Marks LH, Garcia NM (2013) The evolving construct of posttraumatic stress disorder (PTSD): DSM-5 criteria changes and legal implications. Psychol Inj Law 6(4):277–289

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Duncan Pedersen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Pedersen, D. (2015). Rethinking Trauma as a Global Challenge. In: Schouler-Ocak, M. (eds) Trauma and Migration. Springer, Cham. https://doi.org/10.1007/978-3-319-17335-1_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-17335-1_2

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17334-4

  • Online ISBN: 978-3-319-17335-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics