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At least 1,639 records · Page 91Linked to original sources
PubMed1996

Guidelines for dietary supplementation of pregnant women in a Rwandan refugee camp.

Units deployed on humanitarian aid may have little experience of the most appropriate interventions which can be expected to produce the most favourable population outcomes. Guidelines produced by UNICEF and the International Dispensary Association (IDA) can be used as a basis for planning. These guidelines were previously untested in Rwanda. This report focuses on iron and folate supplementation for pregnant women suggested by the IDA. The high levels of anaemia in pregnancy would suggest that supplementation is appropriate. However, before fully embracing the full set of recommendations, further field testing would be sensible.

Adult↗
PubMed1998

Psychoanalytic psychotherapy with traumatized refugees: integration, symbolization, and mourning.

The author takes as a point of departure that severe trauma, such as torture, is "unresolved" because it is not symbolized and is thus dissociated or existing as warded-off parts of the personality. Depending on the severity and character of the trauma, the depth of the regression experienced, and the age and life-circumstances of the patient at the moment of trauma, this can have more or less severe impact on the personality structure. The consequences may at worst be fragmentation and total lack of trust in others. In psychotherapy these patients often fear retraumatization when narrating and working through their traumatic experiences. This pinpoints the paradoxical nature of psychotherapy, where painful aspects of the healing process are brought into focus. The totality of the psychotherapeutic situation must then explicitly be taken into consideration. The author discusses how different aspects of this address different aspects of the psychopathology of the patient. Clinical vignettes illustrate some salient points.

Acculturation↗
PubMed1995

Acculturation and psychiatric morbidity among Cambodian refugees in New Zealand.

A community survey examining the relationship between acculturation and minor psychiatric morbidity among 223 Cambodians living in Dunedin, New Zealand was conducted. Most subjects would like to retain their parent culture but would also like to assimilate into the host culture, indicating a preference for an integrated mode of acculturation. Those who were older, widowed, less educated, had shorter duration of stay in New Zealand, and of lower socioeconomic status, were less acculturated. Overall, the least acculturated were found to have the highest rate of psychiatric morbidity. When age and sex were controlled, the association between acculturation and psychiatric morbidity remained significant only for women aged 31 to 50. Overall, the associations between psychiatric morbidity and acculturation held true for marital status, duration of stay in N.Z., educational level, and socioeconomic status. The relevant conceptual and methodological issues in acculturation studies were discussed.

Acculturation↗