nach oben

Erschienen in:

2018 | OriginalPaper | Buchkapitel

9. Transkulturelle Aspekte von Diagnostik und Begutachtung bei Gewaltfolgen

verfasst von : Ao.Univ.-Prof. Dr. Thomas Wenzel, Mag. Sabine Parrag, Dr. Sofia Kuhn-Natriashvili, Dr. Maria Kletečka-Pulker

Erschienen in: Das Fremde: Flucht – Trauma – Resilienz

Verlag: Springer Berlin Heidelberg

Einloggen, um Zugang zu erhalten

Zusammenfassung

Transkulturelle Aspekte spielen eine wesentliche Rolle in der Diagnostik, im Verständnis und in der Behandlung von Menschen, die als Migranten oder Flüchtlinge nach Europa kommen. Unterschiede beziehen sich auf die Formen der Belastungen, die kulturabhängigen Reaktionen und Belastungsverarbeitung sowie auf die Behandlung. In der Kulturanthropologie bekannte Konzepte wie das der «Idioms of Distress» als kulturabhängige Belastungsformen haben in den letzten Jahren zunehmend auch Eingang in die Standard-Diagnosesysteme gefunden. Auch in der Begutachtung sollte dies vermehrt Berücksichtigung finden. Am Beispiel belastungsabhängiger Erkrankungen kann die konkrete Anwendung und Relevanz kultursensitiver Modelle in der Arbeit mit den angesprochenen Gruppen anhand einer integrativen und interdisziplinären Analyse verdeutlicht werden.

Siehe z. B. das Bild der «bösen» Schwiegermutter.

apps.who.int/iris/bitstream/10665/…/9789241506090_eng.pdf

http://www.unhcr.org/publications/legal/450e963f2/unhcr-tool-participatory-assessment-operations.html

Es erscheint sinnvoll, in diesem Zusammenhang auch von kulturabhängiger oder Gruppen-Resilienz zu sprechen, da wichtige Bewältigungsstrukturen – wie bereits beschrieben – in den angeführten traditionellen oder universalistischen Gesellschaften nicht im Individuum, sondern in der Gruppe oder Familie liegen.

http://www.unhcr.org/55f6b90f9.pdf

Anmerkung: Fachlich wird zwischen Übersetzung (schriftlich) und Dolmetschung (mündlich) unterschieden.

http://www.unhcr.org/dach/at/was-wir-tun/asyl-in-oesterreich/trainingshandbuch, sowie http://www. refworld.org/docid/59c8b3be4.htm

https://www.unicef.org/…/SILENT_HARM_Eng_Web.pdf

Als weiteres Beispiel für die notwendige Berücksichtigung des psychologischen Leidens auch indirekter Opfer ist in diesem Zusammenhang das aktuelle Urteil des Europäischen Gerichtshofes zur Entschädigung griechisch-zypriotischer Opfer zu sehen (siehe Case of Cyprus v. Turkey (Application no. 25781/94), http://hudoc.echr.coe.int/sites/eng/pages/search.aspx?i=001-144151).

Deutsche Fassung: www.v-r.de/_uploads_media/files/9783737000307_frewer_oa_wz_010746.pdf

Siehe z. B. www.refworld.org/pdfid/57f21f6b4.pdf

Entsprechende verbindliche Standards wurden beispielsweise durch die deutsche Ärztekammer in den SBPM (Standards für die Begutachtung psychotraumatisierter Menschen) festgelegt. www.bundesaerztekammer.de/…/user…/CurrStandardsBegutachtungTrauma2012.pdf

www.istanbulprotocol.info/index.php/de/

Aggarwal NK, Desilva R, Nicasio AV, Boiler M, Lewis-Fernandez R (2015) Does the Cultural Formulation Interview for the fifth revision of the diagnostic and statistical manual of mental disorders (DSM-5) affect medical communication? A qualitative exploratory study from the New York site. Ethn Health 20 (1): 1–28. doi: 10.1080/13557858.2013.857762

Aggarwal NK, Nicasio AV, DeSilva R, Boiler M, Lewis-Fernandez R (2013) Barriers to implementing the DSM-5 cultural formulation interview: a qualitative study. Cult Med Psychiatry 37 (3): 505–533. doi: 10.1007/s11013–013–9325-z

Alemi Q, Weller SC, Montgomery S, James S (2017) Afghan Refugee Explanatory Models of Depression: Exploring Core Cultural Beliefs and Gender Variations. Med Anthropol Q 31 (2): 177–197. doi: 10.1111/maq.12296CrossRefPubMed

Baines E (2010) Spirits and social reconstruction after mass violence: rethinking transitional justice. Afr Aff (Lond) 109 (436): 409–430CrossRef

Basu G, Costa VP, Jain P (2017) Clinicians’ Obligations to Use Qualified Medical Interpreters When Caring for Patients with Limited English Proficiency. AMA J Ethics 19 (3): 245–252. doi: 10.1001/journalofethics.2017.19.3.ecas2–1703

Bischoff A, Bovier PA, Rrustemi I, Gariazzo F, Eytan A, Loutan L (2003) Language barriers between nurses and asylum seekers: their impact on symptom reporting and referral. Soc Sci Med 57 (3): 503–512

Cacciatore J, Thieleman K (2014) We rise out of the cradle into the grave: an ethnographic exploration of ritual, mourning, and death on a Hutterite colony. Omega (Westport) 69 (4): 357–379. doi: 10.2190/OM.69.4.bCrossRefPubMed

Caplan EM (1995) Trains, brains, and sprains: railway spine and the origins of psychoneuroses. Bull Hist Med 69 (3): 387–419

Clark MH (1989) Nevra in a Greek village: idiom, metaphor, symptom, or disorder? Health Care Women Int 10 (2–3): 195–218. doi: 10.1080/07399338909515850

Clement R, Lebosse D, Barrios L, Rodat O (2016) Asylum seekers alleging torture in their countries: Evaluation of a French center. J Forensic Leg Med 46: 24–29. doi: 10.1016/j.jflm.2016.12.011

Crossman KL, Wiener E, Roosevelt G, Bajaj L, Hampers LC (2010) Interpreters: telephonic, in-person interpretation and bilingual providers. Pediatrics 125 (3): e631–638. doi: 10.1542/peds.2009–0769

Davis CS, Quinlan MM, Baker DK (2016) Constructing the dead: Retrospective sensemaking in eulogies. Death Stud 40 (5): 316–328. doi: 10.1080/07481187.2016.1141261CrossRefPubMed

de Jong JT, Reis R (2010) Kiyang-yang, a West-African postwar idiom of distress. Cult Med Psychiatry 34 (2): 301–321. doi: 10.1007/s11013–010–9178–7

den Otter JJ, Smit Y, dela Cruz LB, Ozkalipci O, Oral R (2013) Documentation of torture and cruel, inhuman or degrading treatment of children: A review of existing guidelines and tools. Forensic Sci Int 224 (1–3): 27–32. doi: 10.1016/j.forsciint.2012.11.003

Diaz E, Anez LM, Silva M, Paris M, Davidson L (2017) Using the Cultural Formulation Interview to Build Culturally Sensitive Services. Psychiatr Serv 68 (2): 112–114. doi: 10.1176/appi.ps.201600440CrossRefPubMed

Drozdek B (2015) Challenges in treatment of posttraumatic stress disorder in refugees: towards integration of evidence-based treatments with contextual and culture-sensitive perspectives. Eur J Psychotraumatol 6: 24750. doi: 10.3402/ejpt.v6.24750CrossRefPubMed

Eisenman DP, Keller AS, Kim G (2000) Survivors of torture in a general medical setting: how often have patients been tortured, and how often is it missed? West J Med 172 (5): 301–304

Ellenberger HF (1970) The discovery of the unconscious; the history and evolution of dynamic psychiatry. Basic Books, New York

Furtmayr H, Frewer A (2010) Documentation of torture and the Istanbul Protocol: applied medical ethics. Med Health Care Philos 13 (3): 279–286. doi: 10.1007/s11019–010–9248–1

Groen S (2009) Recognizing cultural identity in mental health care: Rethinking the cultural formulation of a somali patient. Transcult Psychiatry 46 (3): 451–462. doi: 10.1177/1363461509343087CrossRefPubMed

Hartman JJ (2014) Anna Freud and the Holocaust: mourning and survival guilt. Int J Psychoanal 95 (6): 1183–1210. doi: 10.1111/1745–8315.12250

Hassan G, Kirmayer, LJ, Mekki-, Berrada A. Q C, el Chammay R, Deville-Stoetzel, JB. Y A, Jefee-Bahloul H, Barkeel-Oteo A, , Coutts A, Song S Ventevogel P (2015) Culture, Context and the Mental Health and Psychosocial Wellbeing of Syrians: A Review for Mental Health and Psychosocial Support Staff working with Syrians Affected by Armed Conflict. UNHCR, Geneva

Hassan G, Ventevogel P, Jefee-Bahloul H, Barkil-Oteo A, Kirmayer LJ (2016) Mental health and psychosocial wellbeing of Syrians affected by armed conflict. Epidemiol Psychiatr Sci 25 (2): 129–141. doi: 10.1017/S2045796016000044CrossRefPubMed

Hinton DE, Barlow DH, Reis R, de Jong J (2016) A Transcultural Model of the Centrality of «Thinking a Lot» in Psychopathologies Across the Globe and the Process of Localization: A Cambodian Refugee Example. Cult Med Psychiatry 40 (4): 570–619. doi: 10.1007/s11013–016–9489–4

Hinton DE, Pich V, Marques L, Nickerson A, Pollack MH (2010) Khyal attacks: a key idiom of distress among traumatized cambodia refugees. Cult Med Psychiatry 34 (2): 244–278. doi: 10.1007/s11013–010–9174-y

Hodes R (1997) Cross-cultural medicine and diverse health beliefs. Ethiopians abroad. West J Med 166 (1): 29–36

Huang YT, Phillips C (2009) Telephone interpreters in general practice - Bridging the barriers to their use. Aust Fam Physician 38 (6): 443–446

Iacopino V, Ozkalipci O, Schlar C (1999) The Istanbul Protocol: international standards for the effective investigation and documentation of torture and ill treatment. Lancet 354 (9184): 1117

Jansen M, Sue Tin A, Isaacs D (2017) Prolonged immigration detention, complicity and boycotts. J Med Ethics. doi: 10.1136/medethics-2016–104125

Kalt A, Hossain M, Kiss L, Zimmerman C (2013) Asylum seekers, violence and health: a systematic review of research in high-income host countries. Am J Public Health 103 (3): e30–42. doi: 10.2105/AJPH.2012.301136CrossRefPubMedPubMedCentral

Keatley E, d’Alfonso A, Abeare C, Keller A, Bertelsen NS (2015) Health Outcomes of Traumatic Brain Injury Among Refugee Survivors of Torture. J Head Trauma Rehabil 30 (6): E1–8. doi: 10.1097/HTR.0000000000000103CrossRefPubMed

Keller AS, Ford D, Sachs E, Rosenfeld B, Trinh-Shevrin C, Meserve C, Leviss JA, Singer E, Smith H, Wilkinson J, Kim G, Allden K, Rockline P (2003a) The impact of detention on the health of asylum seekers. J Ambul Care Manage 26 (4): 383–385CrossRef

Keller AS, Rosenfeld B, Trinh-Shevrin C, Meserve C, Sachs E, Leviss JA, Singer E, Smith H, Wilkinson J, Kim G, Allden K, Ford D (2003b) Mental health of detained asylum seekers. Lancet 362 (9397): 1721–1723. doi: 10.1016/S0140–6736 (03)14846–5

Kindermann D, Schmid C, Derreza-Greeven C, Huhn D, Kohl RM, Junne F, Schleyer M, Daniels JK, Ditzen B, Herzog W, Nikendei C (2017) Prevalence of and Risk Factors for Secondary Traumatization in Interpreters for Refugees: A Cross-Sectional Study. Psychopathology 50 (4): 262–272. doi: 10.1159/000477670

Kletecka-Pulker M, Parrag,S., Drozdek B, Wenzel T (2018) Language Barriers – A Challenge in the Work with Migrants and Refugees. In: Wenzel T, Drozdek B (Ed) Identifying needs, vulnerabilities, and resources in refugee persons and groups Springer, Berlin

Kohrt BA, Hruschka DJ (2010) Nepali concepts of psychological trauma: the role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma. Cult Med Psychiatry 34 (2): 322–352. doi: 10.1007/s11013–010–9170–2

Kohrt BA, Rasmussen A, Kaiser BN, Haroz EE, Maharjan SM, Mutamba BB, de Jong JT, Hinton DE (2014) Cultural concepts of distress and psychiatric disorders: literature review and research recommendations for global mental health epidemiology. Int J Epidemiol 43 (2): 365–406. doi: 10.1093/ije/dyt227CrossRefPubMedPubMedCentral

Leal EM, Souza AN, Serpa ODJ, Oliveira IC, Dahl CM, Figueiredo AC, Salem S, Groleau D (2016) The McGill Illness Narrative Interview - MINI: translation and cross-cultural adaptation into Portuguese. Cien Saude Colet 21 (8): 2393–2402. doi: 10.1590/1413–81232015218.08612015

Leon GR, Butcher JN, Kleinman M, Goldberg A, Almagor M (1981) Survivors of the holocaust and their children: current status and adjustment. J Pers Soc Psychol 41 (3): 503–516CrossRef

Lewis-Fernandez R (2009) The cultural formulation. Transcult Psychiatry 46 (3): 379–382. doi: 10.1177/1363461509342519CrossRefPubMed

Lewis-Fernandez R, Aggarwal NK (2013) Culture and psychiatric diagnosis. Adv Psychosom Med 33: 15–30. doi: 10.1159/000348725CrossRef

Lewis-Fernandez R, Aggarwal NK, Baarnhielm S, Rohlof H, Kirmayer LJ, Weiss MG, Jadhav S, Hinton L, Alarcon RD, Bhugra D, Groen S, van Dijk R, Qureshi A, Collazos F, Rousseau C, Caballero L, Ramos M, Lu F (2014) Culture and psychiatric evaluation: operationalizing cultural formulation for DSM-5. Psychiatry 77 (2): 130–154. doi: 10.1521/psyc.2014.77.2.130CrossRef

Lewis-Fernandez R, Aggarwal NK, Lam PC, Galfalvy H, Weiss MG, Kirmayer LJ, Paralikar V, Deshpande SN, Diaz E, Nicasio AV, Boiler M, Alarcon RD, Rohlof H, Groen S, van Dijk RC, Jadhav S, Sarmukaddam S, Ndetei D, Scalco MZ, Bassiri K, Aguilar-Gaxiola S, Ton H, Westermeyer J, Vega-Dienstmaier JM (2017) Feasibility, acceptability and clinical utility of the Cultural Formulation Interview: mixed-methods results from the DSM-5 international field trial. Br J Psychiatry 210 (4): 290–297. doi: 10.1192/bjp.bp.116.193862CrossRefPubMed

Lobel TE, Kav-Venaki S, Yahia M (1985) Guilt feelings and locus of control of concentration camp survivors. Int J Soc Psychiatry 31 (3): 170–175. doi: 10.1177/002076408503100302

Locatis C, Williamson D, Gould-Kabler C, Zone-Smith L, Detzler I, Roberson J, Maisiak R, Ackerman M (2010) Comparing in-person, video, and telephonic medical interpretation. J Gen Intern Med 25 (4): 345–350. doi: 10.1007/s11606–009–1236-x

Locatis C, Williamson D, Sterrett J, Detzler I, Ackerman M (2011) Video medical interpretation over 3G cellular networks: a feasibility study. Telemed J E Health 17 (10): 809–813. doi: 10.1089/tmj.2011.0084

Maciejewski PK, Maercker A, Boelen PA, Prigerson HG (2016) «Prolonged grief disorder» and «persistent complex bereavement disorder», but not «complicated grief», are one and the same diagnostic entity: an analysis of data from the Yale Bereavement Study. World Psychiatry 15 (3): 266–275. doi: 10.1002/wps.20348CrossRefPubMedPubMedCentral

Mandel L, Worm L (2007) Documentation of torture victims, assessment of the start procedure for medico-legal documentation. Torture 17 (3): 196–202

McKenzie KC, Thomas A (2017) Assisting asylum seekers in a time of global forced displacement: Five clinical cases. J Forensic Leg Med 49: 37–41. doi: 10.1016/j.jflm.2017.04.007CrossRefPubMed

Mills S, Xiao AQ, Wolitzky-Taylor K, Lim R, Lu FG (2017) Training on the DSM-5 Cultural Formulation Interview improves cultural competence in general psychiatry residents: A pilot study. Transcult Psychiatry 54 (2): 179–191. doi: 10.1177/1363461517700812CrossRefPubMed

Mnkandla M, Nkala B (2013) A focus on solutions: the appropriate coping response to suffering and pain. Omega (Westport) 67 (3): 305–321. doi: 10.2190/OM.67.3.d

Moayedoddin B, Markowitz JC (2015) Abnormal Grief: Should We Consider a More Patient-Centered Approach? Am J Psychother 69 (4): 361–378

Mollica RF, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J (1992) The Harvard Trauma Questionnaire. Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis 180 (2): 111–116CrossRef

Mollica RF, Wyshak G, de Marneffe D, Khuon F, Lavelle J (1987) Indochinese versions of the Hopkins Symptom Checklist-25: a screening instrument for the psychiatric care of refugees. Am J Psychiatry 144 (4): 497–500. doi: 10.1176/ajp.144.4.497

Neto F (2001) A short-form measure of loneliness among second-generation migrants. Psychol Rep 88 (1): 201–202. doi: 10.2466/pr0.2001.88.1.201CrossRefPubMed

Nichter M (1981) Idioms of distress: alternatives in the expression of psychosocial distress: a case study from South India. Cult Med Psychiatry 5 (4): 379–408

Paralikar VP, Sarmukaddam SB, Patil KV, Nulkar AD, Weiss MG (2015) Clinical value of the cultural formulation interview in Pune, India. Indian J Psychiatry 57 (1): 59–67. doi: 10.4103/0019–5545.148524

Patel V, Simunyu E, Gwanzura F (1995) Kufungisisa (thinking too much): a Shona idiom for non-psychotic mental illness. Cent Afr J Med 41 (7): 209–215

Peart JM, Tracey EH, Lipoff JB (2016) The Role of Physicians in Asylum Evaluation: Documenting Torture and Trauma. JAMA Intern Med 176 (3): 417. doi: 10.1001/jamainternmed.2016.0053CrossRefPubMed

Pedroso JL, Linden SC, Barsottini OG, Maranhao PF, Lees AJ (2017) The relationship between the First World War and neurology: 100 years of »Shell Shock”. Arq Neuropsiquiatr 75 (5): 317–319. doi: 10.1590/0004–282X20170046

Pham PN, Vinck P, Weinstein HM (2010) Human rights, transitional justice, public health and social reconstruction. Soc Sci Med 70 (1): 98–105. doi: 10.1016/j.socscimed.2009.09.039CrossRef

Rasmussen A, Katoni B, Keller AS, Wilkinson J (2011) Posttraumatic idioms of distress among Darfur refugees: Hozun and Majnun. Transcult Psychiatry 48 (4): 392–415. doi: 10.1177/1363461511409283CrossRefPubMed

Rosenblatt S, Balmer D, Boyer DL (2017) Lost in Translation, Found in Exploration: Understanding Why Interpreters Might Alter Communication. Crit Care Med 45 (11): 1962–1963. doi: 10.1097/CCM.0000000000002668

Rubin SS (2014) Loss and mourning in the Jewish tradition. Omega (Westport) 70 (1): 79–98. doi: 10.2190/OM.70.1.h

Sabin JE, Daniels N (2017) Seeking Legitimacy for DSM-5: The Bereavement Exception as an Example of Failed Process. AMA J Ethics 19 (2): 192–198. doi: 10.1001/journalofethics.2017.19.2.pfor2–1702

Salisbury L, Shail A (2010) Neurology and modernity: a cultural history of nervous systems, 1800–1950. Palgrave Macmillan, Houndmills, Basingstoke, Hampshire; New York, NY

Sanggaran JP, Zion D (2016) Is Australia engaged in torturing asylum seekers? A cautionary tale for Europe. J Med Ethics 42 (7): 420–423. doi: 10.1136/medethics-2015–103326

Savic M, Chur-Hansen A, Mahmood MA, Moore VM (2016) ‹We don’t have to go and see a special person to solve this problem›: Trauma, mental health beliefs and processes for addressing ‹mental health issues› among Sudanese refugees in Australia. Int J Soc Psychiatry 62 (1): 76–83. doi: 10.1177/ 0020764015595664

Schnyder U, Muller J, Morina N, Schick M, Bryant RA, Nickerson A (2015) A Comparison of DSM-5 and DSM-IV Diagnostic Criteria for Posttraumatic Stress Disorder in Traumatized Refugees. J Trauma Stress 28 (4): 267–274. doi: 10.1002/jts.22023CrossRefPubMed

Schock K, Rosner R, Knaevelsrud C (2015) Impact of asylum interviews on the mental health of traumatized asylum seekers. Eur J Psychotraumatol 6: 26286. doi: 10.3402/ejpt.v6.26286

Schwei RJ, Schroeder M, Ejebe I, Lor M, Park L, Xiong P, Jacobs EA (2017) Limited English Proficient Patients’ Perceptions of when Interpreters are Needed and how the Decision to Utilize Interpreters is Made. Health Commun: 1–6. doi: 10.1080/10410236.2017.1372047

Shapeton A, O’Donoghue M, VanderWielen B, Barnett SR (2017) Anesthesia Lost in Translation: Perspective and Comprehension. J Educ Perioper Med 19 (1): E505

Silbermann M, Daher M, Kebudi R, Nimri O, Al-Jadiry M, Baider L (2016) Middle Eastern Conflicts: Implications for Refugee Health in the European Union and Middle Eastern Host Countries. J Glob Oncol 2 (6): 422–430. doi: 10.1200/JGO.2016.005173

Simmelink J, Lightfoot E, Dube A, Blevins J, Lum T (2013) Understanding the health beliefs and practices of East African refugees. Am J Health Behav 37 (2): 155–161. doi: 10.5993/AJHB.37.2.2

Sleptsova M, Weber H, Schopf AC, Nubling M, Morina N, Hofer G, Langewitz W (2017) Using interpreters in medical consultations: What is said and what is translated-A descriptive analysis using RIAS. Patient Educ Couns 100 (9): 1667–1671. doi: 10.1016/j.pec.2017.03.023CrossRefPubMed

Soleymani S, Bahramsoltani R, Rahimi R, Abdollahi M (2017) Clinical risks of St John’s Wort (Hypericum perforatum) co-administration. Expert Opin Drug Metab Toxicol 13 (10): 1047–1062. doi: 10.1080/17425255.2017.1378342CrossRef

Storm T, Engberg M (2013) The impact of immigration detention on the mental health of torture survivors is poorly documented--a systematic review. Dan Med J 60 (11): A4728

Sturman N, Farley R, Claudio F, Avila P (2017) Improving the effectiveness of interpreted consultations: Australian interpreter, general practitioner and patient perspectives. Health Soc Care Community. doi: 10.1111/hsc.12504

Suswardany DL, Sibbritt DW, Supardi S, Pardosi JF, Chang S, Adams J (2017) A cross-sectional analysis of traditional medicine use for malaria alongside free antimalarial drugs treatment amongst adults in high-risk malaria endemic provinces of Indonesia. PLoS One 12 (3): e0173522. doi: 10.1371/journal.pone.0173522

Tol WA, Purgato M, Bass JK, Galappatti A, Eaton W (2015) Mental health and psychosocial support in humanitarian settings: a public mental health perspective. Epidemiol Psychiatr Sci 24 (6): 484–494. doi: 10.1017/S2045796015000827CrossRefPubMed

Trimble MR (1981) Post-traumatic neurosis: from railway spine to the whiplash. A Wiley medical publication. Wiley, Chichester West Sussex ; New York

Ucpinar H, Baykal T (2006) An important step for prevention of torture. The Istanbul protocol and challenges. Torture 16 (3): 252–267

Wenzel T (2007) Torture. Curr Opin Psychiatry 20 (5): 491–496. doi: 10.1097/YCO.0b013e3282c3a5c1

Wenzel T, Frewer A, Mirzaei S (2015a) The DSM 5 and the Istanbul Protocol: Diagnosis of psychological sequels of torture. Torture 25 (1): 51–61

Wenzel T, Griengl H, Stompe T, Mirzaei S, Kieffer W (2000) Psychological disorders in survivors of torture: exhaustion, impairment and depression. Psychopathology 33 (6): 292–296. doi: 10.1159/ 000029160

Wenzel T, Kienzler H, Wollmann A (2015b) Facing Violence - A Global Challenge. Psychiatr Clin North Am 38 (3): 529–542. doi: 10.1016/j.psc.2015.05.008CrossRefPubMed

Wenzel T, Mirzaei S, Nowak M (2016) Assessment of sequelae of torture for refugees in host countries. Lancet 387 (10020): 746. doi: 10.1016/S0140–6736 (16)00324-X

Wenzel T, Rushiti F, Aghani F, Diaconu G, Maxhuni B, Zitterl W (2009) Suicidal ideation, post-traumatic stress and suicide statistics in Kosovo. An analysis five years after the war. Suicidal ideation in Kosovo. Torture 19 (3): 238–247

Wenzel T, Völkl-, Kernstock S, Wittek TU., Baron D (2018) Identifying needs, vulnerabilities, and resources in refugee persons and groups In: Wenzel T, Droszdek B (Ed) An Uncertain Safety: Integrative Health Care for the 21st Century Refugees. Springer, Berlin

Woodhead M (2016) Australian doctor challenges government over child detention «torture». BMJ 352: i550. doi: 10.1136/bmj.i550

Zhao P, Liu B, Wang C, Acute Liver Failure Study T (2017) Hepatotoxicity evaluation of traditional Chinese medicines using a computational molecular model. Clin Toxicol (Phila) 55 (9): 996–1000. doi: 10.1080/15563650.2017.1333123CrossRefPubMed

Titel: Transkulturelle Aspekte von Diagnostik und Begutachtung bei Gewaltfolgen
verfasst von: Ao.Univ.-Prof. Dr. Thomas Wenzel
Mag. Sabine Parrag
Dr. Sofia Kuhn-Natriashvili
Dr. Maria Kletečka-Pulker
Verlag: Springer Berlin Heidelberg
Buch: Das Fremde: Flucht – Trauma – Resilienz
Print ISBN: 978-3-662-56618-3

Electronic ISBN: 978-3-662-56619-0

Copyright-Jahr: 2018
DOI: https://doi.org/10.1007/978-3-662-56619-0_9

Neu in den Fachgebieten Neurologie und Psychiatrie

Blutdrucksenkung schon im Rettungswagen bei akutem Schlaganfall?

31.05.2024 Apoplex Nachrichten

Der optimale Ansatz für die Blutdruckkontrolle bei Patientinnen und Patienten mit akutem Schlaganfall ist noch nicht gefunden. Ob sich eine frühzeitige Therapie der Hypertonie noch während des Transports in die Klinik lohnt, hat jetzt eine Studie aus China untersucht.

Nicht Creutzfeldt Jakob, sondern Abführtee-Vergiftung

29.05.2024 Hyponatriämie Nachrichten

Eine ältere Frau trinkt regelmäßig Sennesblättertee gegen ihre Verstopfung. Der scheint plötzlich gut zu wirken. Auf Durchfall und Erbrechen folgt allerdings eine Hyponatriämie. Nach deren Korrektur kommt es plötzlich zu progredienten Kognitions- und Verhaltensstörungen.

Schutz der Synapsen bei Alzheimer

29.05.2024 Morbus Alzheimer Nachrichten

Mit einem Neurotrophin-Rezeptor-Modulator lässt sich möglicherweise eine bestehende Alzheimerdemenz etwas abschwächen: Erste Phase-2-Daten deuten auf einen verbesserten Synapsenschutz.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

9. Transkulturelle Aspekte von Diagnostik und Begutachtung bei Gewaltfolgen

Zusammenfassung

Neu in den Fachgebieten Neurologie und Psychiatrie

Blutdrucksenkung schon im Rettungswagen bei akutem Schlaganfall?

Nicht Creutzfeldt Jakob, sondern Abführtee-Vergiftung

Schutz der Synapsen bei Alzheimer

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Neu in den Fachgebieten Neurologie und Psychiatrie

Blutdrucksenkung schon im Rettungswagen bei akutem Schlaganfall?

Nicht Creutzfeldt Jakob, sondern Abführtee-Vergiftung

Schutz der Synapsen bei Alzheimer

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid