Trauma

Group work with trauma victims is a comparatively new field but one in which there is a vigorous range of applications. The most comprehensive overview is that by van der Kolk(l28) which describes a broad range of work. There are now groups for survivors of sexual abuse, ^l30) war trauma,(l31) generational protection against and generational transmission of trauma,(l3,2) and torture and other forms of organized violence. At the Medical Foundation for Victims of Torture in London a group work programme caters for a large population of refugees and asylum-seekers. The groups provide psychotherapy for massive psychic and physical trauma, for problems of displacement and exile, and for transcultural problems.(l33) The diversity of different kinds of groups, including a range of activity, problem-solving, and psychodynamic groups, ensures that people can be provided with an environment in which they can each realize their own potential for self-healing. (134)

Group analysis provides a clinical frame by recognizing the needs of the whole person, by affording a relational focus in and beyond the group, and by seeking change through the ordinary language of a group in the free exchange of its members. Where possible therapists work in pairs; they have regular supervision and meetings to share and evaluate their workA35) The programme is grounded in a commitment to human rights, to teamwork that addresses countertransference issues, and to principles of positive intervention to counter emotions of hopelessness and despair. ^l37,138)

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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