NETfacts : a community intervention integrating trauma treatment at the individual and collective level

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Robjant, Katy
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NETfacts : una intervención comunitaria que integra el tratamiento del trauma a nivel individual y colectivo
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European Journal of Psychotraumatology. Taylor & Francis. 2021, 12(1), 1992962. ISSN 2000-8198. eISSN 2000-8066. Available under: doi: 10.1080/20008198.2021.1992962
Zusammenfassung

The aim of this article is to present a research-based rationale for NETfacts, a newly developed integrated approach at the individual and the community level in order to mitigate the mental and social sequelae of war and crisis. To this end, we provide a selective review of relevant literature from neuroscience, clinical psychology, and social science. In psychotraumatology, individual avoidance describes the effort to prevent exposure to trauma reminders. Among patients with post-traumatic stress disorder (PTSD), this becomes pathological, exacerbating distress and preventing recovery. This silence resonates in traumatized communities and consequently taboo builds – ultimately to the advantage of the perpetrators. The resulting collective avoidance leads to a fragmented collective memory about trauma or human rights violations in the community so that a shared account of the group’s history becomes impossible. The deficient collective memory promotes ambiguous truths and anxiety, enabling a reactive construction of safety based on selective information that leads to an endorsement of extreme opinions. Ongoing insecurity, violence and crime lead to increasing anxiety and fear. The self-interest of the perpetrators and the abnormal behaviour of survivors leads to an escalation in stigma and social exclusion resulting in the prevention or limitation of community exposure to traumatic material, i.e., to reduce tension and protect the construction of safety. The exposure to and recognition of traumatic facts subject to avoidance is key to a coherent collective memory and sense of communion, and to prevent further cycles of violence. The NETfacts health system combines individual and community-based intervention to treat the structure of memory at both the individual and collective levels.

Zusammenfassung in einer weiteren Sprache

El objetivo de este artículo es presentar una justificación basada en la investigación para NETfacts; un enfoque integrado recientemente desarrollado a nivel individual y comunitario para mitigar las secuelas mentales y sociales de la guerra y la crisis. Con este fin, proporcionamos una revisión selectiva de la literatura relevante de la neurociencia, la psicología clínica, y las ciencias sociales. En psicotraumatología, la evitación individual describe el esfuerzo para prevenir la exposición a recordatorios del trauma. Entre los pacientes con trastorno de estrés postraumático (TEPT), este se vuelve patológico, exacerbando la angustia e impidiendo la recuperación. Este silencio resuena en las comunidades traumatizadas y, en consecuencia, se construye como un tabú, en última instancia en beneficio de los perpetradores. La evasión colectiva resultante conduce a una memoria colectiva fragmentada sobre el trauma o las violaciones de los derechos humanos en la comunidad, por lo que un relato compartido de la historia del grupo se vuelve imposible. La memoria colectiva deficiente promueve verdades ambiguas y ansiedad, posibilitando una construcción reactiva de seguridad basada en información selectiva que conduce al respaldo de opiniones extremas. La inseguridad, la violencia y la delincuencia continuas provocan un aumento de la ansiedad y el miedo. El interés propio de los perpetradores y el comportamiento anormal de los sobrevivientes conduce a una escalada del estigma y la exclusión social que resulta en la prevención o limitación de la exposición de la comunidad al material traumático, es decir, reduce la tensión y protege la construcción de la seguridad. La exposición y el reconocimiento de los hechos traumáticos sujetos a evitación son claves para una memoria colectiva coherente y un sentido de comunión, y para prevenir nuevos ciclos de violencia. El sistema de salud NETfacts combina la intervención individual y comunitaria para tratar la estructura de la memoria tanto a nivel individual como colectivo.

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150 Psychologie
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ISO 690KOEBACH, Anke, Katy ROBJANT, 2021. NETfacts : a community intervention integrating trauma treatment at the individual and collective level. In: European Journal of Psychotraumatology. Taylor & Francis. 2021, 12(1), 1992962. ISSN 2000-8198. eISSN 2000-8066. Available under: doi: 10.1080/20008198.2021.1992962
BibTex
@article{Koebach2021-11-24NETfa-55810,
  year={2021},
  doi={10.1080/20008198.2021.1992962},
  title={NETfacts : a community intervention integrating trauma treatment at the individual and collective level},
  number={1},
  volume={12},
  issn={2000-8198},
  journal={European Journal of Psychotraumatology},
  author={Koebach, Anke and Robjant, Katy},
  note={Article Number: 1992962}
}
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