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

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...

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Autores principales:	Anke Koebach, Katy Robjant
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	narrative exposure therapy/netfacts post-traumatic stress disorder avoidance collective avoidance community identity intervention Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/c159dd18c13d4eecaedd8019b5ad2002
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spelling	oai:doaj.org-article:c159dd18c13d4eecaedd8019b5ad20022021-12-01T14:40:59ZNETfacts: a community intervention integrating trauma treatment at the individual and collective level2000-806610.1080/20008198.2021.1992962https://doaj.org/article/c159dd18c13d4eecaedd8019b5ad20022021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/20008198.2021.1992962https://doaj.org/toc/2000-8066The 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. Abbreviations: NET: narrative exposure therapy; FORNET: narrative exposure therapy for forensic offender rehabilitation; NETfacts: facts derived from narrative exposure therapyAnke KoebachKaty RobjantTaylor & Francis Grouparticlenarrative exposure therapy/netfactspost-traumatic stress disorderavoidancecollective avoidancecommunityidentityinterventionPsychiatryRC435-571ENEuropean Journal of Psychotraumatology, Vol 12, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	narrative exposure therapy/netfacts post-traumatic stress disorder avoidance collective avoidance community identity intervention Psychiatry RC435-571
spellingShingle	narrative exposure therapy/netfacts post-traumatic stress disorder avoidance collective avoidance community identity intervention Psychiatry RC435-571 Anke Koebach Katy Robjant NETfacts: a community intervention integrating trauma treatment at the individual and collective level
description	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. Abbreviations: NET: narrative exposure therapy; FORNET: narrative exposure therapy for forensic offender rehabilitation; NETfacts: facts derived from narrative exposure therapy
format	article
author	Anke Koebach Katy Robjant
author_facet	Anke Koebach Katy Robjant
author_sort	Anke Koebach
title	NETfacts: a community intervention integrating trauma treatment at the individual and collective level
title_short	NETfacts: a community intervention integrating trauma treatment at the individual and collective level
title_full	NETfacts: a community intervention integrating trauma treatment at the individual and collective level
title_fullStr	NETfacts: a community intervention integrating trauma treatment at the individual and collective level
title_full_unstemmed	NETfacts: a community intervention integrating trauma treatment at the individual and collective level
title_sort	netfacts: a community intervention integrating trauma treatment at the individual and collective level
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/c159dd18c13d4eecaedd8019b5ad2002
work_keys_str_mv	AT ankekoebach netfactsacommunityinterventionintegratingtraumatreatmentattheindividualandcollectivelevel AT katyrobjant netfactsacommunityinterventionintegratingtraumatreatmentattheindividualandcollectivelevel
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NETfacts: a community intervention integrating trauma treatment at the individual and collective level

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