Foundation House, Melbourne, Australia
Review of developments in trauma theory over the last 20 years – implications for practice in working with survivors of torture and trauma
BACKGROUND AND AIMS:
There have been many developments in theories of trauma over the last 20 years particularly in the area of childhood trauma and the ecological system of trauma survivors. The aim of the paper is to review those developments and their implications for practice.
This review is a critical synthesis of the theoretical literature and seminal research studies.
Trauma is a burgeoning area of theory and research which has application to people of refugee background. Advances in neuroscience have occurred in parallel with better understanding of contextual systemic perspectives. It is argued that there are relative omissions as well such as losing the distinction amongst traumatic events and their meaning, and the impact on relationships at family and community levels
IMPLICATIONS AND CONCLUSIONS:
Holistic psychosocial frameworks as a basis for interventions are more important than ever. Important questions for practice are prioritising goals and interventions and meeting the challenge for appropriate outcome evaluation and research.