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Refugee women survivors of transnational civil unrest Kristen M. Curry, MA, PCCI
What is transnational civil unrest?
Conflict that extends across national boundaries…
• Syria, Iraq, Turkey, Palestine (ISIS, 2006-current)
• Laos, Thailand, Vietnam (Vietnam War, 1954-1975)
• Russia, Ukraine (Civil unrest, 1991-current)
• Guatemala, El Salvador, Honduras (civil war, gang war, drug cartels, 1960-current)
• Pakistan, India (Kashmir Insurgency, 1987-current)
• Bosnia, Yugoslavia, Herzegovina (Bosnian War, 1992-1995)
• Niger, Cameroon, Chat, Nigeria (Boko Haram, 2009-current)
• Myanmar/Burma, Thailand (Civil War, 1988-current)
(AP Online (2014); Holmes, O. (2013); Smith, J. (2010); The Guardian (2010); Wikipedia 9/30/14)
Demographics
v FY 2014 >64,000 survivors seeking refuge from civil unrest arrive in the United States
§ >5,500 in California alone
v Approximately 72% of arriving civil unrest survivors are from the countries of:
§ Iraq (26%)
§ Burma (20%)
§ Somalia (13%)
§ Bhutan (13%)
v What does this mean for a therapist?
(Department of State Bureau of Population, Refugees, and Migration Office of Admissions - Refugee Processing Center Refugee Arrivals by Nationality, September 5, 2014)
“Crisis counselors must be sensitive to cultural differences in the ways that clients respond
to crises.”
(Remley, Jr., T. P. & Herlihy, B., 2010)
Assessment, Diagnosis and Treatment Planning
ü Consider the emotional impact of resettlement in the United States
ü Respect the client’s experience and listen to their story
ü Work within the client’s belief system
ü DSM???
What works?
• Narrative Exposure Therapy (NET)
• Emotional Freedom Techniques (EFT)
• Art therapy
• Group therapy
• Conjoint therapy
• Engaging in the community
• Finding a new sense of purpose
Client Centered Therapy
(Neuner, et. al., (2010); Craig, G., (1995))
Social Justice Advocacy
v Access to culturally competent services v Language services
v Community resources
v Funding
v Transnational intervention v Assessment and counseling support
v Sensitivity training for aid workers and community supports
Advocacy starts with just one word
Awareness
What will you do?
References
� AP Online, September 30, 2014. www.ap.org
� Craig, G. (1995). Emotional Freedom Techniques (EFT). www.EMOFree.com
� Department of State Bureau of Population, Refugees, and Migration Office of Admissions - Refugee Processing Center (2014). Refugee Arrivals by Nationality. www.state.gov; www.wrapsnet.org
� Holmes, O. (2013). Critical Sexual Violence Causes Mass Exodus In Syria. Women News Network. www.womennewsnetwork.net
� Neuner, F., Kurreck, S., Ruf, M., Odenwald, M., Elber, T., Schauer, M. (2010). Can Asylum-Seekers with Posttraumatic Stress Disorder Be Successfully Treated? A Randomized Controlled Pilot Study. Cognitive Behaviour Therapy, Vol. 39, No. 2, pp. 81-91. Routledge Taylor & Francis Group. Doi: 10.1080/16506070903121042
� Remley, Jr., T. P. & Herlihy, B. (2010). Ethical, Legal, and Professional Issues in Counseling. Upper Saddle River, NJ: Merrill/Pearson Education.
� Smith, J. (2010). Burmese Refugees In Bangladesh Suffer a Shortage of Food, Care. The Boston Globe. www.boston.com
� The Guardian (2010). www.theguardian.com
� Wikipedia, September 30, 2014. www.wikipedia.org
Email: Kristen M. Curry, MA, PCCI, at [email protected], subject line: CALPCC 2014