PLENARY LECTURE: Critical Issues(Friday Dec 5 Morning)Social Integration of <strong>Torture</strong> <strong>Survivors</strong>Invited lecturerCécile Rousseau, MDDivision of Social and Transcultural PsychiatryMcGill University, Montreal, CanadaThe impact of the post migratory context and of the quality of social integrationon refugee mental health has been repeatedly demonstrated. Beyond the consensusemphasizing the importance of psychosocial interventions in rehabilitationof torture survivors there is a need to rethink those interventions at thecross road between therapeutic processes and social interactions.Organized violence severs the social bond, shattering both basic trust and alllevels of social networks. The progressive restoration of the social bond requiressimultaneously to overcome the relational paralysis linked to the traumatic experienceand to establish multilevel relations with the host society. This presentationwill first address the premises of social integration for torture survivors ina new society in terms of safety, status, rights and agency.Second, using Canada as an example, I will focus on the impact of the presentinternational context of war and terrorism on the shattering of the social linkwithin multiethnic societies. The sharp increase of discrimination in refugeereceiving societies is playing a complex role in retraumatization of torture survivors.Intersectorial intervention perspectives which emphasize equity and complexrepresentation of the “other” will be discussed, providing case illustrationsof work conducted in health and education institutions.ReferencesSilove, D. (2007). Adaptation, ecosocial safety signals, and the trajectory ofPTSD. In L. J. Kirmayer, R. Lemelson & M. Barad (Eds.), Understanding TraumaIntegration bilogical, clinical, and cultural perspectives. New York.Porter, M., & Haslam, N. (2005). Predisplacement and postdisplacement factorsassociated with mental health of refugees and internally displaced persons: Ameta-analysis. Journal of the American Medical Association, 294(5), 602-612.Rousseau, C., Rufagari, M., Bagilishya, D., & Measham, T. (2004). Remakingfamily life: Strategies for re-establishing continuity among Congolese refugeesduring the family reunification process. Social Science and Medicine, 59(5),1095-1108.42
WORKSHOP 7: The RCT Field Manual on Rehabilitation– an Update(Friday Dec 5 Afternoon)Authors’ PanelParticipants are kindly asked to consult their own copies of the manual. Thequestionnaire below has been mailed to more than 300 centers and replies willbe discussed.Questions regarding the TRC Field Manual on Rehabilitation, Version 1:1, 2007:1. What is your focus of activity (e g human rights activist/ communityhealth worker/ counselor/ registered nurse/ general practitioner MD/specialist MD)?2. How many torture survivors are treated per year by you/ your unit?3. What is your setting (local community/ rural town/ regional city/ largecity)?4. Which are the major obstacles hindering torture survivors from receivingtreatment in your area?5. In your view, what would be the best use of this manual?6. Which are the positive aspects of the manual?7. Which are the negative aspects of the manual?8. Specifically, is the organization of information according to ICF satisfactory?9. Which information in the present manual is not useful? Please specify:10. Do you miss important information in present manual? Please specify:Thank you for your time and contribution!43
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