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Clinical Case Studies, Vol. 5, No. 3, 191-208 (2006)
DOI: 10.1177/1534650103262408

Cognitive-Behavioral Treatment of Rape- and War-Related Posttraumatic Stress Disorder With a Female, Bosnian Refugee

Priscilla M. Schulz

War Trauma Recovery Project, Inc. and the University of Missouri—St. Louis, wtr{at}stlouis.missouri.org,psypschu@jinx.umsl.edu

Davorka Marovic-Johnson

War Trauma Recovery Project, Inc.

L. Christian Huber

War Trauma Recovery Project, Inc.

Prevalence of posttraumatic stress disorder (PTSD) among rape victims and war refugees is high. Cognitive-behavioral interventions have demonstrated effectiveness in alleviating PTSD in rape survivors. Effectiveness of such interventions when rape is perpetrated as part of war hostilities has not been examined. Rape and plunder of civilian populations characterized the 1991 to 1995 war in the former Yugoslavia. Rape camps terrorized civilians on all sides of that conflict. This case study illustrates a course of cognitive-behavioral treatment for PTSD with a female, Bosnian refugee and rape survivor. At post treatment, the client no longer met criteria for PTSD, and improvements were evident at 6- and 12-month follow-ups. Approaches to treating PTSD in war refugees are discussed.

Key Words: posttraumatic stress disorder • treatment • refugees • rape


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