Torturers and their victims: Theory, research, and clinical perspectives

Elisa Vittoria Marchese, Adriano Schimmenti

Abstract


This article provides an overview of the psychological dynamics associated with torture and examines its consequences on the victims. Initially, we investigate the psychological processes driving torturers to engage in extreme violence and brutality. Central to this exploration are the concepts of dehumanization and desensitization, which allow torturers to emotionally distance themselves from their victims and enact their aggressive behaviors. We elucidate how dehumanization and desensitization are often associated with the presence of a disordered personality, such as psychopathy, antisocial personality disorder, and narcissistic personality disorder. Subsequently, we delve into the complex interplay of survival and defense mechanisms utilized by victims during the traumatic experience of torture. We examine how victims may form a traumatic bond with their tormentors as a coping mechanism for their physical and psychological suffering—a bond that may persist even after their release. This bond may manifest as a heteronomous will, in which victims continue to adhere to the torturer’s demands even after liberation, resulting in a deconstruction of their identity and a profound sensation of existing as “living dead.” This enduring bound can profoundly impact victims’ emotions, behaviors, and relationships, contributing to the onset of severe clinical conditions, with evidence showing increased prevalence of post-traumatic stress disorder, anxiety, depression, and somatic symptoms among survivors. Finally, we evaluate therapeutic interventions that have demonstrated effectiveness in treating individuals who have endured torture. Drawing from a diverse range of therapeutic approaches, such as psychodynamic psychotherapy, trauma-focused cognitive-behavioral therapy, narrative exposure therapy, and the wraparound approach, clinicians can address the multifaceted psychological needs of torture survivors. Through empathetic and respectful therapeutic interventions, torture victims can receive the necessary support to navigate through the processing of their traumatic experiences. Consequently, they can regain a sense of agency and restore their self-esteem, thereby progressing along the trajectory towards achieving healing and recovery.

Keywords


Abuse; Clinical psychology; Torture; Victim; Violence; PTSD.

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References


Alison, L., & Alison, E. (2017). Revenge versus rapport: Interrogation, terrorism, and torture. American Psychologist, 72(3), 266-277. https://doi.org/10.1037/amp0000064

Allodi, F., & Rojas, A. (1985). The Health and Adaptation of Victims of Political Violence in Latin America (Psychiatric Effects of Torture and Disappearance). Psychiatry, 243-248. https://doi.org/10.1007/978-1-4613-2365-5_38

Altman, N. (2008). The Psychodynamics of Torture. Psychoanalytic Dialogues, 18(5), 658-670. https://doi.org/10.1080/10481880802297681

American Psychiatric Association (APA). (2022). Diagnostic and Statistical Manual of Mental Disorders Text Revision (DSM-5 TR). Arlington: American Psychiatric Association Publishing.

Amone-P’Olak, K. (2009). Torture against children in rebel captivity in Northern Uganda: physical and psychological effects and implications for clinical practice. Torture: quarterly journal on rehabilitation of torture victims and prevention of torture, 19(2), 102-117.

Andrews, G., Singh, M., & Bond, M. (1993). The Defense Style Questionnaire. The Journal of Nervous and Mental Disease, 181(4), 246-256. https://doi.org/10.1097/00005053-199304000-00006

Arendt, H. (1963). Eichmann in Jerusalem: a report on the banality of evil. Viking.

Bailey, R., Dugard, J., Smith, S. F., & Porges, S. W. (2023). Appeasement: replacing Stockholm syndrome as a definition of a survival strategy. European Journal of Psychotraumatology, 14(1). https://doi.org/10.1080/20008066.2022.2161038

Bateman, A. W., & Fonagy, P. (2016). Mentalization Based Treatment for Personality Disorders: A Pratical Guide. Oxford University Press. https://doi.org/10.1093/med:psych/9780199680375.001.0001

Békés, V., Prout, T. A., Di Giuseppe, M., Wildes Ammar, L., Kui, T., Arsena, G., & Conversano, C. (2021). Initial validation of the Defense Mechanisms Rating Scales Q-sort: A Comparison of Trained and Untrained Raters. Mediterranean Journal of Clinical Psychology, 9(2). https://doi.org/10.13129/2282-1619/mjcp-3107

Berthold, S. M., Kong, S., Mollica, R. F., Kuoch, T., Scully, M., & Franke, T. (2014). Comorbid Mental and Physical Health and Health Access in Cambodian Refugees in the US. Journal of Community Health, 39(6), 1045-1052. https://doi.org/10.1007/s10900-014-9861-7

Bion, W. R. (1948). Experiences in group: I. Human Relations, 1(3), 314-320. http://doi.org/10.1177/00187267480010030

Bisson, J. I., Ehlers, A., Matthews, R., Pilling, S., Richards, D., & Turner, S. (2007). Psychological treatments for chronic post-traumatic stress disorder. Systematic review and meta-analysis. The British Journal of Psychiatry: the journal of mental science, 190, 97-104. http://doi.org/10.1192/bjp.bp.106.021402

Bisson, J. I., Roberts, N. P., Andrew, M., Cooper, R., & Lewis, C. (2013). Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults. Cochrane Database of Systematic Review, 12(1). http://doi.org/10.1002/14651858.CD003388.pub4

Blackmore, R., Boyle, J. A., Fazel, M., Ranasinha, S., Gray, K. M., Fitzgerald, G., Misso, M., & Gibson-Helm, M. (2020). The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis. PLOS Medicine, 17(9), e1003337. https://doi.org/10.1371/journal.pmed.1003337

Bocchiaro, P. (2009). Psicologia del male [Psychology of evil]. Laterza.

Bond, M., Gardner, S. T., Christian, J., & Sigal, J. J. (1983). Empirical study of self-rated defense styles. Archives of General Psychiatry, 40(3), 333-8. https://doi.org/10.1001/archpsyc.1983.01790030103013

Boulanger, G. (2008). Witnesses to reality: Working Psychodynamically with survivors of terror. Psychoanalytic Dialogues: The International Journal of Relational Perspectives, 18(5), 638-657. http://doi.org/10.1080/10481880802297673

Bowlby, J. (1969). Attachment and Loss. Vol. 1: Attachment. Hogarth and the Institute of Psychoanalysis.

Brown, J., Harris, B. R., & Daniels, S. (2014). Psychology of Albert Fish. From https://www.aiafs.com/images/article-albert-fish.pdf

Busch, F. N., & Milrod, B. L. (2018). Trauma-Focused Psychodynamic Psychotherapy. The Psychiatric Clinics of North America, 41(2), 277-287. http://doi.org/10.1016/j.psc.2018.01.005

Cain, N. M., Pincus, A. L., & Ansell, E. B. (2008). Narcissism at the crossroads: phenotypic description of pathological narcissism across clinical theory, social/personality psychology, and psychiatric diagnosis. Clinical Psychology Review, 28(4), 638–656. https://doi.org/10.1016/j.cpr.2007.09.006

Cantor, C., & Price, J. (2007). Traumatic entrapment, appeasement and complex post-the stress disorder evolutionary perspectives of hostage reactions, domestic abuse and the Stockholm syndrome. The Australian and New Zealand Journal of Psychiatry, 41(5), 377-384. http://doi.org/10.1080/00048670701261178

Carswell, K., Blackburn, P., & Barker, C. (2009). The relationship between trauma, post-migration problems and the psychological well-being of refugees and asylum seekers. The International Journal of Social Psychiatry, 57(2), 107-119. http://doi.org/10.1177/0020764009105699

Casassa, K., Knight, L., & Mengo, C. (2022). Trauma Bonding Perspectives From Service Providers and Survivors of Sex Trafficking: A Scoping Review. Trauma, Violence, & Abuse , 23 (3), 969-984. https://doi.org/10.1177/1524838020985542

Choi, H., Lee, H. J., & Lee, H. Y. (2016). The effects of torture-related stressors on long-term complex post-traumatic symptoms in South Korean torture survivors. International Journal of Psychology, 52(1), 57-66. http://doi.org/10.1002/ijop.12276

Chouliara, Z., Murray, J., Coleman, A. M., & Burke Draucker, C., & Choi, WMA (2023). Therapeutic trust in complex trauma: a unique person – centered understanding. Person-Centered & Experiential Psychotherapies, 23(2), 177–202. https://doi.org/10.1080/14779757.2023.2207107

Chrétien, S. L., Ensink, K., Descoteaux, J., & Normandin, L. (2018). Measuring Grandiose and Vulnerable Narcissism in Adolescents. Mediterranean Journal of Clinical Psychology, 6(2). https://doi.org/10.6092/2282-1619/2018.6.1848

Clawson, H. J., Salomon, A., & Goldblatt Grace, L. (2007). Treating the hidden wounds: Trauma treatment and mental health recovery for victims of human trafficking. U.S. Department of Health and Human Services.

Cleckley, H. (1976). The Mask of Sanity. Mosby.

Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Trauma-focused CBT for children and adolescents: Treatment applications. Guilford Press.

Cohen, J. A., & Mannarino, A. P. (2015). Trauma-focused Cognitive Behavior Therapy for Traumatized Children and Families. Child and Adolescent Psychiatric Clinics of North America, 24(3), 557-570. https://doi.org/10.1016/j.chc.2015.02.005

Cramer, P. (2002). Defensiveness and defense mechanisms. Journal of Personality, 66(6), pp. 879-894.

Davies, J., & O'Meara, A. (2007). ‘I consider myself sadistic’: a qualitative analysis of sadistic endorsement in a group of Irish undergraduates. The British Journal of Forensic Practice, 9(1), 24–30. https://doi.org/10.1108/14636646200700005

de C. Williams, A. C., & van der Merwe, J. (2013). L'impatto psicologico della tortura. British Journal of Pain, 7(2), 101-106. https://doi.org/10.1177/2049463713483596

De Zulueta, F. (2007). From Pain to Violence: The Traumatic Roots of Destructiveness. Wiley.

Dehghan, R., & Osella, C. (2022). The psychological impact of sexual torture: A gender-critical study of the perspective of UK-based clinicians and survivors. Transcultural Psychiatry, 59(3), 380-392. http://doi.org/10.1177/13634615221089491

Di Giuseppe, M. (2024). Transtheoretical, transdiagnostic, and empirical-based understanding of defense mechanisms. Mediterranean Journal of Clinical Psychology, 12(1). https://doi.org/10.13129/2282-1619/mjcp-4036

Di Maria, F., & Lo Verso, G. (1995). La Psicodinamica dei Gruppi. Teorie e Tecniche [The psychodynamics of groups. Theories and Techniques]. Raffaello Cortina Editore.

Dibaj, I., Halvorsen, J. O., Kennair, L. E. O., & Stenmark, H. I. (2020). Painful memories: Challenges in trauma-focused therapy for torture survivors with PTSD and chronic pain – a narrative review. Journal on Rehabilitation of Torture Victims and Prevention of Torture, 30 (2), 35-57. http://doi.org/10.7146/torture.v30i2.119788

Duffy, R. M., & Kelly, B. D. (2015). Psychiatric assessment and treatment of survivors of torture. BJ Psych Advances, 21(2), 106-115. http://doi.org/10.1192/apt.bp.113.012005

Dutton, D. G., & Painter, S. (1993). Emotional attachments in abusive relationships: a test of traumatic bonding theory. Violence and Victims, 8(2), 105-120.

Ebert, A., & Dyck, M. J. (2004). The experience of mental death: The core feature of complex posttraumatic stress disorder. Clinical Psychology Review, 24(6), 617-635. http://doi.org/10.1016/j.cpr.2004.06.002

Effiong, J. E., Ibeagha, P. N., & Iorfa, S. K. (2022). Traumatic bonding in victims of intimate partner violence is intensified via empathy. Journal of Social and Personal Relationships, 39(12), 3619-3637. https://doi.org/10.1177/02654075221106237

Eisenman, D. P., Gelberg, L., Liu, H., & Shapiro, M. F. (2003). Mental health and healthrelated quality of life among adult Latino primary care patients living in the United States with previous exposure to political violence. JAMA, 290(5), 627–634. http://doi.org/10.1001/jama.290.5.627

El Hajj, M. (2021). Prevalence and associated factors of post-traumatic stress disorder in Lebanon: A literature review. Asian Journal of Psychiatry, 63(11), 1-6. http://doi.org/10.1016/j.ajp.2021.102800

Farhood, L. F., & Noureddine, S. N. (2003). PTSD, depression, and health status in Lebanese civilians exposed to a church explosion. International Journal of Psychiatry in Medicine, 33 (1), 39–53. http://doi.org/10.2190/309D-7HQX-D4J4-T6TR

Farhood, L., Dimassi, H., & Lehtinen, T. (2006). Exposure to war-related traumatic events, prevalence of PTSD, and general psychiatric morbidity in a civilian population from Southern Lebanon. Journal of Transcultural Nursing, 17(4), 333–340. http://doi.org/10.1177/1043659606291549

Ferenczi, S. (1932/1988). The Clinical Diary of Sándor Ferenczi. Harvard University Press.

Ferenczi, S. (1933). Confusion of tongues between adults and the child. In Balint, M. (Ed.), Final Contributions to the Problems and Methods of Psychoanalysis (Vol. III, pp.156-167). Brunner/Mazel.

Foa, E. B., Hembree, E. A., & Rothbaum, B. O. (2007). Prolunged Exposure Therapy for PTSD. Oxford University Press.

Foulkes, S. H. (1968). On interpretation in group analysis. International Journal of Group Psychotherapy, 18(4), 432–444.

Freud, A. (1936). The ego and the mechanisms of defence. International Universities Press.

Freud, S. (1894). Die abwehr-neuropsychosen. [The defensive neuropsychoses]. Franz Deuticke Lipsia e Vienna.

Freud, S. (1920). Beyond the pleasure principle (Standard Edition, Vol. 18, pp. 7-64). Hogarth.

Freud, S. (1927). Fetischismus in Almanach der Psychoanalyse [Fetishism]. Inktank Publishing.

Furnham, A., Richards, S. C., & Paulhus, D. L. (2013). The dark triad of personality: A 10 year review. Social and Personality Psychology Compass, 7(3), 199–216. https://doi.org/10.1111/spc3.12018

Gabbard, G. O. (2014). Psychodynamic Psychiatry in Clinical Practice. American Psychiatric Press.

Gaddhar, A., Elsouri, G., & Abboud, Z. (2014). Torture and Long-Term Health Effects Among Lebanese Female Political Prisoners. Journal of Interpersonal Violence, 31(3), 500-514. http://doi.org/10.1177/0886260514555865

Gandino, G., Venera, E. M., & Bernaudo, M. (2018). Narcissism and systemic approach. A systematic review. Mediterranean Journal of Clinical Psychology, 6(3), https://doi.org/10.6092/2282-1619/2018.6.1968

Gilmour, W., & Hale, L. E. (2016). Butcher, Baker: The True Account of an Alaskan Serial Killer. Open Road Media.

Gioia, F., De Clemente, M., Parrello, S., & Boursier, V. (2020). Vulnerable narcissism and body image centrality in cosplay practice: A sequential mediation model. Mediterranean Journal of Clinical Psychology, 8(3). https://doi.org/10.6092/2282-1619/mjcp-2556

Granieri, A., La Marca, L., Mannino, G., Giunta, S., Guglielmucci, F., & Schimmenti, A. (2017). The Relationship between Defense Patterns and DSM-5 Maladaptive Personality Domains. Frontiers in psychology, 8, 1926. https://doi.org/10.3389/fpsyg.2017.01926

Grubin, D. (1994). Editorial: sexual sadism. Criminal Behavior and Mental Health, 4(3), 3-9. https://doi.org/10.1002/cbm.1994.4.1.3

Guo, X., Zheng, L., Wang, H., Zhu, L., Li, J., Wang, Q., Dienes, Z., & Yang, Z. (2013). Exposure to violence reduces empathetic responses to other's pain. Brain and Cognition, 82(2), 187-91. https://doi.org/10.1016/j.bandc.2013.04.005

Halvorsen, J. O., & Stenmark, H. (2010). Narrative exposure therapy for posttraumatic stress disorder in tortured refugees: A preliminary uncontrolled trial. Scandinavian Journal of Psychology, 51(6), 495-502. http://doi.org/10.1111/j.1467-9450.2010.00821.x

Hare, R. (1970). Psychopaty: Theory and Research. John Wiley and Sons.

Hare, R. (1999). Without Conscience: The Disturbing World of the Psychopaths Among Us. Guilford Publication.

Harris, L. T., & Fiske, S. T. (2011). Dehumanized Perception: A Psychological Means to Facilitate Atrocities, Torture, and Genocide? Zeitschrift fur Psychologie, 219(3), 175-181. https://doi.org/10.1027/2151-2604/a000065

Hart, W., Kinrade Cease, C., & Tripp Lambert, J. (2022). Sadistic pleasure and diminished suffering perceptions: Further evidence that sadism entails rationalization. Personality and Individual Differences, 195(3). https://doi.org/10.1016/j.paid.2022.111680

Herman, J. L. (1992). Trauma and Recovery: The Aftermath of Violence - From Domestic Abuse to Political Terror. Basic Books.

Hickey, E. W. (2015). Serial murderers and their victims. Cengace Learning.

Holmqvist, R., Andersen, K., Anjum, T., & Alinder, B. (2006). Change in self-image and ptsd symptoms in short-term therapies with traumatized refugees. Psychoanalytic Psychotherapy, 20(4), 251–265. http://doi.org/10.1080/02668730601020341

Hopper, E., & Hidalgo, J. (2006). Invisible chains: Psychological coercion oh human trafficking victims. Intercultural Human Rights Law Review, 1(1), 185-209. https://doi.org/10.1111/1467-6494.00035

International Society for the Study of Trauma and Dissociation. (2011). Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision. Journal of Trauma & Dissociation, 12(2), 115-187. http://doi.org/10.1080/15299732.2011.537247

Jauk, E., & Kaufman, S. B. (2018). The Higher the Score, the Darker the Core: The Nonlinear Association Between Grandiose and Vulnerable Narcissism. Frontiers in Psychology, 9(1305). https://doi.org/10.3389/fpsyg.2018.01305

Johnson, H., & Thompson, A. (2008). The development and maintenance of post-traumatic stress disorder (PTSD) in civilian adult survivors of war trauma and torture: A review. Clinical Psychology Review, 28(1), 36-47. http://doi.org/10.1016/j.cpr.2007.01.017

Joseph, J. S., & Gray, M. J. (2008). Exposure Therapy for Posttraumatic Stress Disorder. Journal of Behavior Analysis of Offender and Victim: Treatment and Prevention, 1(4), 69-80. https://doi.org/10.1176/appi.psychotherapy.2002.56.1.59

Jun, J. Y., Lee, Y. J., Lee, S. H., Yoo, S. Y., Song, J., & Kim, S. J. (2015). Association between defense mechanisms and psychiatric symptoms in North Korean Refugees. Comprehensive Psychiatry, 56, 179-87. http://doi.org/10.1016/j.comppsych.2014.10.001

Kahraman-Erkuş, O. (2020). Lacanian Perverse Structure and Disavowal Mechanism: A Clinical Examination. Mediterranean Journal of Clinical Psychology, 8(2), https://doi.org/10.6092/2282-1619/mjcp-2283

Kernberg, O. F. (1967). Borderline personality organization. Journal of the American Psychoanalytical Association, 15, 41-68. https://doi.org/10.1177/000306516701500309

Kernberg, O. F. (1970). Factors in the Psychoanalytic Treatment of Narcissistic Personalities. Journal of the American Psychoanalytic Association, 18(1), 51-85. https://doi.org/10.1177/000306517001800103

Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies. Yale University Press.

Kim, M., Cogan, R., Carter, S., & Porcerelli, J. H. (2005). Defense mechanisms and self-reported violence toward strangers. Bulletin of the Menninger Clinic, 69(4), 305-12. https://doi.org/10.1521/bumc.2005.69.4.305

Kira, I. A. (2002). Torture assessment and treatment: The Wraparound Approach. Traumatology, 8(2), 54-86. http://doi.org/10.1177/153476560200800203

Kirmayer, L. J., Lemelson, R., & Barad, M. (2007). Understanding trauma: Integrating biological, clinical, and cultural perspectives. Cambridge University Press.

Kizilhan, J. I. (2017). PTSD of rape after IS (“Islamic State”) captivity. Archives of Woman’s Mental Health, 21(5), 517-525. http://doi.org/10.1007/s00737-018-0824-3

Kohut, H. (1971). The analysis of the self: A systematic approach to the psychoanalytic treatment of narcissistic personality disorders. University of Chicago Press.

Kteily, N. S., & Landry, A. P. (2022). Dehumanization: trends, insights, and challenges. Trends in Cognitive Sciences, 26(3), 222-240. https://doi.org/10.1016/j.tics.2021.12.003

Lacan, J. (1956-1957). Le seminaire 1956–1957, Livre IV: La relation d’objet [The seminar 1956–1957, Book IV: The object relation]. Le Seuil.

Lahav, Y., Allende, S., Talmon, A., Ginzburg, K., & Spiegel, D. (2022). Identification With the Aggressor and Inward and Outward Aggression in Abuse Survivors. Journal of Interpersonal Violence, 37(5-6), 2705-2728. https://doi.org/10.1177/0886260520938516

Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal and Coping. Springer.

Leaman, S. C., & Gee, C. B. (2012). Religious coping and risk factors for psychological distress among African torture survivors. Psychological Trauma: Theory, Research, Practice, and Policy, 4(5), 457-465. https://doi.org/10.1037/a0026622

Leuzinger-Bohleber, M. (2015). Working with severely traumatized, chronically depressed analysands. The International Journal of Psychoanalysis, 96(3), 611-636. https://doi.org/10.1111/1745-8315.12238

Levi, O., Shoval-Zuckerman, Y., Fruchter, E., Bibi, A., Bar-Haim, Y., & Wald, I. (2017). Benefits of a Psychodynamic Group Therapy (PGT) Model for Treating Veterans With PTSD. Journal of Clinical Psychology, 73(10), 1247-1258. https://doi.org/10.1002/jclp.22443

Lifton, R. J. (1961). Thought Reform and the Psychology of Totalism: A Study of “Brainwashing” in China. University of North Carolina Press.

Lingiardi, V., & McWilliams, N. (2017). Psychodynamic Diagnostic Manual, Second Edition: PDM-2. Guilford Press.

Lobbestael, J., Slaoui, G., & Gollwitzer, M. (2023). Sadism and Personality Disorders. Current Psychiatry Report, 25(11), 569-576. https://doi.org/10.1007/s11920-023-01466-0

Loncar, M., Henigsberg, N., & Hrabac, P. (2015). Mental health consequences in men exposed to sexual abuse during the war in Croatia and Bosnia. Journal of Interpersonal Violence, 25(2), 191-203. http://doi.org/10.1177/0886260509334288

Loncar, M., Medved, V., Jovanović, N., & Hotujac, L. (2006). Psychological Consequences of Rape on Women in 1991-1995. War in Croatia and Bosnia and Herzegovina. Croatian Medical Journal, 47(1), 67-75.

Luber, M. (2009). Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations. Springer Publishing Company.

Luci, M. (2017). Torture, Psychoanalysis & Human Rights. Routledge.

Luci, M. (2018). The mark of torture and the therapeutic relationship. International Journal of Psychoanalysis and Education, 10(1), 47-60.

Mackey, C., & Miller, G. (2004). The interrogators. Back Bay Books.

Makumana, D., Collins, A., & Rosa, W. W. (2018). Genocide rape trauma: A conceptual frame work for understanding the psychological suffering of Rwandan survivors. Research and Theory for Nursing Practice, 32(2), 125-143. http://doi.org/10.1891/1541-6577.32.2.125

McLoughlin, N., & Over, H. (2018). The Developmental Origins of Dehumanization. Advances in Child Development Behavior, 54, 153-178. https://doi.org/10.1016/bs.acdb.2017.10.006

McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process. Guilford Press. https://doi.org/10.1080/02668734.2014.909673

Milgram, S. (1974). Obedience to authority. Tavistock.

Mrug, S., Madan, A., & Windle, M. (2016). Emotional Desensitization to Violence Contributes to Adolescents' Violent Behavior. Journal of Abnormal Child Psychology, 44(1), 75-86. https://doi.org/10.1007/s10802-015-9986-x

Muller, R. T. (2018). Trauma and the Struggle to Open Up: From Avoidance to Recovery and Growth. W W Norton & Co Inc.

Myers, K. M., & Davis, M. (2007). Mechanisms of fear extinction. Molecular Psychiatry, 12(2), 120-150. https://doi.org/10.1038/sj.mp.4001939

Neuner, F., Schauer, M., Klaschik, C., Karunakara, U., & Elbert, T. (2004). A comparison of narrative exposure therapy, supportive counseling, and psychoeducation for treating posttraumatic stress disorder in an African refugee settlement. Journal of Consulting and Clinical Psychology, 72(4), 579–587. http://doi.org/10.1037/0022-006X.72.4.579

Newton, M. (1992). Hunting Humans: An Encyclopedia of Modern Serial Killers. Breakout Productions.

Nickerson, A., Schick, M., Schnyder, U., Bryant, R. A., & Morina, N. (2017). Comorbidity of Posttraumatic Stress Disorder and Depression in Tortured, Treatment-Seeking Refugees. Journal of Traumatic Stress, 30(4), 409–415. http://doi.org/10.1002/jts.22205

Norredam, M., Crosby, S., Munarriz, R., Piwowarczyk, L., & Grodin, M. (2005). Urologic complications of sexual trauma among male survivors of torture. Urology, 65(1), 28-32. http://doi.org/10.1016/j.urology.2004.08.006

O’Mara, S. (2018). The Captive Brain: Torture and the Neuroscience of Humane Interrogation. QJM: An International Journal of Medicine, 111(2), 73-78. http://doi.org/10.1093/qjmed/hcx252

Oosterhoff, O., Zwanikken, P., & Ketting, E. (2004). Sexual torture of men in Croatia and other conflict situations: an open secret. Reproductive Health Matters, 12(23), 68-77. https://doi.org/10.1016/s0968-8080(04)23115-9

Ortiz, S. D. (2001). The survivors’ perspective: voices from the center. In E. Gerrity, T.M. Keane & F. Trauma, (Eds.), The Mental Health Consequences of Trauma (pp.13-34). Plenum Publishers.

Orwell, G. (1949). Nineteen Eighty-Four. Secker & Warburg.

Özyıldırım, İ., Baykara, S., Aslantaş Ertekin, B., Oğlagu, Z., Gürsel, B., Akyıl, D., Orhon Baykal, L., Yıldırım, E., & Yıldız, B. (2023). The effectiveness of psychoanalytic psychotherapy in individuals diagnosed with PTSD due to torture and severe human right violations. Torture: quarterly journal on rehabilitation of torture victims and prevention of torture, 33(1), 41-53. http://doi.org/10.7146/torture.v33i1.132231

Painter, S. L., & Dutton, D. G. (1985). Patterns of emotion bonding in maltrattated women: Traumatic bonding. International Journal of Women's Studies, 8(4), 363-375.

Patel, N., Kellezi, B., & Williams, A. C. (2014). Psychological, social and welfare interventions for psychological health and well-being of torture survivors. Cochrane Database Systematic Review, 11(11), 1-66. http://doi.org/10.1002/14651858.CD009317

Pérez-Sales, P. (2017). Psychological Torture. Definition, evaluation and measurement. Routledge.

Pérez-Sales, P. (2020). Psychological Torture. In M.D. Evans & J. Modvig (Eds.), Research Handbook on Torture: Legal and Medical Perspectives on Prohibition and Prevention (p.432-454). Edward Elgar Publishing.

Perry, J. C. (1990). Defense Mechanism Rating Scales (DMRS), 5th Edn. Author.

Perry, J. C., & Cooper, S. (1986). A preliminary report on defenses and conflicts associated with borderline personality disorder. Journal of the American Psychoanalytic Association, 34(4), 863–893. http://doi.org/10.1177/000306518603400405

Perry, J. C., Presniak, M. D., & Olson, T.R. (2013). Defense mechanisms in schizotypal, borderline, antisocial, and narcissistic personality disorders. Psychiatry, 76(1), 32-52. https://doi.org/10.1521/psyc.2013.76.1.32

Rabkin, J. G. (1979). The epidemiology of forcible rape. The American Journal of Orthospychiatry, 49(4), 634-647. http://doi.org/10.1111/j.1939-0025.1979.tb02649.x

Raghavan, S., Rasmussen, A., Rosenfeld, B., & Keller, A. S. (2013). Correlates of symptom reduction in treatment-seeking survivors of torture. Psychological Trauma: Theory, Research, Practice, and Policy, 5(4), 377–383. https://doi.org/10.1037/a0028118

Ramsland, K., & McGrain, P. N. (2009). Inside the minds of sexual predators. Praeger.

Rankin, C. H., Abrams, T., Barry, R. J., Bhatnagar, S., Clayton, D. F., Colombo, J., Coppola, G., Geyer, M. A., Glanzman, D. L., Marsland, S., McSweeney, F. K., Wilson, D. A., Wu, C. F., & Thompson, R. F. (2009). Habituation revisited: an updated and revised description of the behavioral characteristics of habituation. Neurobiology of Learning Memory, 92(2), 135-8. https://doi.org/10.1016/j.nlm.2008.09.012

Rathkea, H., Poulsenb, S., Carlssona, J., & Palica, S. (2020). PTSD with secondary psychotic features among trauma-affected refugees: The role of torture and depression. Psychiatry Research, 287, 1-7. http://doi.org/10.1016/j.psychres.2020.112898

Ronĉević-Grzeta, I., Franĉiŝković, T., Moro, L., & Kaŝtelan, A. (2001). Depression and torture. Military Medicine, 166(6), 530-3.

Schechter, H. (2012). Psycho USA. Random House.

Schimmenti, A. (2017a). Elena: A case of dissociative identity disorder from the 1920s. Bulletin of the Menninger Clinic, 81(3), 281-298. https://doi.org/10.1521/bumc_2017_81_08

Schimmenti, A. (2017b). Traumatic Identification. Attachment: New Directions in Psychotherapy and Relational Psychoanalysis, 11(2), 154-171. http://doi.org/10.33212/att.v11n2.2017.154

Schimmenti, A. (2022a). The aggressor within: Attachment trauma, segregated systems, and the double face of shame. In O. B. Epstein (Ed.), Shame matters: Attachment and relational perspectives for psychotherapists (pp. 114–132). Routledge/Taylor & Francis Group.

Schimmenti, A. (2022b). The Relationship Between Attachment and Dissociation. Theory, Research, and Clinical Implications. In M.J. Dorahy, S.N. Gold & Taylor & Francis Ltd (Eds.), Dissociation and the Dissociative Disorders: Past, Present, Future (2nd ed., pp. 161–176). Routledge/Taylor & Francis Group.

Schimmenti, A., & Caretti, V. (2016). Linking the overwhelming with the unbearable: Developmental trauma, dissociation, and the disconnected self. Psychoanalytic Psychology, 33(1), 106–128. https://doi.org/10.1037/a0038019

Schimmenti, A., Passanisi, A., Pace, U., Manzella, S., Di Carlo, G., & Caretti, V. (2014). The relationship between attachment and psychopathy: A study with a sample of violent offenders. Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues, 33(3), 256–270. https://doi.org/10.1007/s12144-014-9211-z

Schottenbauer, M. A., Glass, C. R., Arnkoff, D. B., & Gray, S. H. (2008). Contributions of psychodynamic approaches to treatment of PTSD and trauma: a review of the empirical treatment and psychopathology literature. Psychiatry, 71(1), 13-34. https://doi.org/10.1521/psyc.2008.71.1.13

Schwager, E. (2004). Trasforming dualism and the metaphor of terror. Part II: From genocidal to dialogic mentality: an international struggle. Psychoanalytic Review, 91(4), 543-589. http://doi.org/10.1521/prev.91.4.543.48748

Shapiro, F. (1995). Eye movement desensitization and reprocessing, basic principles, protocols and procedures. Guilford Press.

Silove, D., Steel, Z., McGorry, P., Miles, V., & Drobny, J. (2002). The Impact of Torture on Post-traumatic Stress Symptoms in War-Affected Tamil Refugees and Immigrants. Comprehensive Psychiatry, 43(1), 49-55. http://doi.org/10.1053/comp.2002.29843

Silverman, J., & Aafjes-van Doorn, K. (2023). Coping and defense mechanisms: A scoping review. Clinical Psychology: Science and Practice, 30(4), 381-392. https://doi.org/10.1037/cps0000139

Sironi, F., & Branche, R. (2002). Torture and the borders of humanity. International Social Science Journal, 54(174), 539-548. http://doi.org/10.1111/1468-2451.00408

Sjölund, B. H., Kastrup, M., Montgomery, E., & Persson, A. L. (2009). Rehabilitating torture survivors. Journal of Rehabilitation Medicine, 41(9), 689-696. http://doi.org/10.2340/16501977-0426

Smith, D. L. (2014). Dehumanization, Essentialism, and Moral Psychology. Philosophy Compass, 9(11), 814-824. https://doi.org/10.1111/phc3.12174

Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement. JAMA; 302(5), 537–549. http://doi.org/10.1001/jama.2009.1132

Steinberg, M., & Schnall, M. (2000). The Stranger in the Mirror: Dissociation: The Hidden Epidemic. Harper.

Stolorow, R. D. (1995). An intersubjective view of self-psychology. Psychoanalytic Dialogues, 5(3), 393-399. http://doi.org/10.1080/10481889509539077

Strentz, T. (1982). The Stockholm Syndrome Law Enforcement Policy and Hostage Behavior. In F.M. Ochberg & D.A. Soskis (Eds), Victims of Terrorism (pp. 149-163). Westview Press.

Suhaiban, H. A., Grasser, L. R., & Javanbakht, A. (2019). Mental Health of Refugees and Torture Survivors: A Critical Review of Prevalence, Predictors and Integrated Care. International Journal of Environmental Research and Public Health, 16(13), 1-14. http://doi.org/10.3390/ijerph16132309

Sultana Eliav, A., & Lahav, Y. (2023). Posttraumatic Growth, Dissociation and Identification With The Aggressor Among Childhood Abuse Survivors. Journal of Trauma Dissociation, 24(3), 410-425. https://doi.org/10.1080/15299732.2023.2181478

Sussman, D. (2005). What’s wrong with torture? Philosophy and Public Affairs, 33(1), 1–33. http://doi.org/10.1111/j.1088-4963.2005.00023.x

Symonds, M. (1982). Victim responses to Terror: Understanding and Treatment. In F.M. Ochberg, & D.A. Soskis (Eds.), Victims of Terrorism (pp. 129-136). Westview Press.

Taylor, B., Carswell, K., & Williams, A. C. C. (2013). The Interaction of Persistent Pain and Post-Traumatic Re-Experiencing: A Qualitative Study in Torture Survivors. Journal of Pain and Symptom Manage, 46(4), 546-555. http://doi.org/10.1016/j.jpainsymman.2012.10.281

Ter Heide, F. J., Mooren, T. M., Kleijn, W., de Jongh, A., & Kleber, R. J. (2011). EMDR versus stabilisation in traumatised asylum seekers and refugees: results of a pilot study. European Journal of Psychotraumatology, 2(1). http://doi.org/10.3402/ejpt.v2i0.5881

United Nations. (1984). Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. Treaty Series, 1465, 85, from https://www.refworld.org/docid/3ae6b3a94.html

Vaillant, G. E. (1997). Adaptation to Life. Harvard University Press.

van Der Kolk, B. A. (2014). The body keeps the score. Brain, Mind, and Body in the Healing of Trauma. Viking.

Villani, M. (2011). Desaparecido. Memorias de un cautiverio. [Missing. Memories of a captivity]. Biblos.

Von Werthern, M., Robjant, K., Chui, Z., Schon, R., Ottisova, L., Mason, C., & Katona, C. (2018). The impact of immigration detention on mental health: a systematic review. BMC Psychiatry, 18(382), 1-19. http://doi.org/10.1186/s12888-018-1945-y

Vronsky, P. (2004). Serial killers: The method and madness of monsters. Penguin.

Webber, D., Schimel, J., Martens, A., Hayes, J., & Faucher, E. H. (2013). Using a bug-killing paradigm to understand how social validation and invalidation affect the distress of killing. Personality & Social Psychology Bulletin, 39(4), 470-81. https://doi.org/10.1177/0146167213477891

Wenk-Ansohn, M. (2007). Treatment of torture survivors: influences of the exile situation on the course of the traumatic process and therapeutic possibilities. Torture, 17(2), 88-95.

Wenzel, T. (2007). Torture. Current Opinion in Psychiatry, 20(5), 491-496. http://doi.org/10.1097/YCO.0b013e3282c3a5c1

Wenzel, T., Sibitz, I., Kieffer, W., & Strobl, R. (1999). Capgras syndrome and functional psychosis in 2 survivors of torture. Psychopathology, 32(4), 203–206. https://doi.org/10.1159/000029091

Wright, J. P., Morgan, M. A., Almeida, P. R., Almosaed, N. F., Moghrabi, S. S., & Bashatah, F. S. (2017). Malevolent Forces: Self-Control, the Dark Triad, and Crime. Youth Violence and Juvenile Justice, 15(2), 191-215. https://doi.org/10.1177/1541204016667995

Zimbardo, P. G. (1971). The Stanford prison experiment: A simulation study of the psychology of imprisonment. Stanford University.

Zimbardo, P. G. (2007). The Lucifer Effect: Understanding How Good People Turn Evil. Random House Trade Paperbacks.




DOI: https://doi.org/10.13129/2282-1619/mjcp-4090

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