During the discussion, experts explained that during the meetings the survivor can express their own
conscious needs and the professional can better understand what could be their deeper issues and
needs. For example, offering an individual psychotherapy session to a person who is not ready to
engage with their own deep emotions could be dangerous. So, survivors let experts comprehend
which kind of needs they can handle first, based on what they feel is tolerable. It is important to let
the survivors manage what and when they choose to disclose information about their own trauma
and story. During the physical exam, the doctor is respectful of the physical boundaries of a body that
has been violated through torture (e.g. people who have lived through rape, beatings, etc., have
suffered an invasion of their physical boundaries). One of the aims of the group meeting with the interdisciplinary team is to promote the survivors’ empowerment and their ability to take back control of
their own life and decisions. The idea is to transform them from a passive victim to an active survivor,
in their eyes and to others. This can better allow them to understand the results of medical tests and
to make informed decisions about the proposed treatment. Giving back control to torture survivors is
a key part of the healing process because their control was taken away by the perpetrators of torture.
The role of the cultural mediators is particularly important in the rehabilitation of migrant or refugee
victims of torture. The cultural mediators serve as a bridge between the victim and the experts. They
are also crucial in establishing the first contact with the survivors and preparing them to meet with
the expert team and start the rehabilitation process. This format should be fixed, each survivor meets
always the same experts, as a way to give the person stability and build trust with the group of experts.
In the rehabilitation process, key words are “time” and “trust”: time is crucial to build trust and only
when the victim trusts the experts, stories of torture emerge. A holistic approach to rehabilitation
tries to reconnect the survivor to their previous life and help them find their past identity. It was
explained that often perpetrators of torture brainwash their victims. Torture can also cause the victim
to lose their sense of identity. During the rehabilitation process, survivors need to find a way back to
the person they were before their trauma, also in order to free themselves from their perpetrators.
During the discussion it became clear that the rehabilitation of torture survivors cannot stand outside
of structured social assistance. It would be a mistake not to consider the present social conditions of
the victim and only cure them from a medical point of view. Furthermore, social assistance can have
a high therapeutic and rehabilitative value. It complements the efforts of the medical and
psychological professionals as it serves to reconstruct their life path, to orient themselves in the host
society, to plan for their future and thereby help them restore those functions that were affected by
torture and sufferings that accompany their flight.
C. Working Group 3: Rehabilitation services and funding models
Background – ODIHR/CTI Practical Tool:
Rehabilitation service models vary from country to country, depending on the political and social
context, the particular needs of torture victims, the existing public health infrastructure and funding.
There is no “one size fits all” response to the question of how to provide rehabilitation services. Good
practice suggests that states adopt a long-term, multi-disciplinary approach to providing rehabilitation
services and consider the following possibilities:
(i) State-led services: direct provision of specialized rehabilitation services through national health
and social systems and budgets;
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