Complex trauma treatment in the Republic of Georgia: Stemming the contagion of psychopolitical trauma across the continuum of care

Abstract

Clinical social workers in the United States increasingly have become involved as consultants in countries besieged by psychopolitical trauma. These workers face complex challenges as they provide therapy to torture survivors or consultation to indigenous mental health professionals. Workers must refine their understanding of trauma to encompass the often less familiar practice of providing treatment in the context of torture. Mental health professionals practicing in war‐torn environments must deal with their own intense reactions such as secondary traumatic stress, vicarious trauma, countertransference, and projective identification as they address the ripples of torture's devastation across the continuum of care. The author will present a case study from the Republic of Georgia in order to elucidate some subtleties of clinical practice in the context of psychopolitical trauma.