Anger and its various manifestations have received remarkably little attention by Psychiatry until recently. The inclusion of symptoms of irritability in the diagnostic criteria for PTSD may be one factor that has obscured the importance of anger as a “primary” response to human rights violations. The ADAPT model proposes that the undermining of systems of justice may be specifically related to prolonged, and in some circumstances, dysfunctional forms of anger amongst survivor groups. The relationship of anger to human rights trauma and frustrations in the post-conflict environment is illustrated in the findings of the East Timor Mental Health Epidemiologic Needs Survey (ETMHENS).
The study highlighted groups at specific risk to persisting explosive anger, including torture survivors. The presentation will also make reference to indigenous constructs of resentment-anger identified amongst the Timorese and West Papuan refugees. An important question is whether tailored treatments are needed that focus specifically on anger in providing counselling to refugees and other post-conflict populations. The aim of the presentation is to stimulate debate within members of STARTTS and related agencies about best practice interventions that focus specifically on issues of anger.