Many of the political refugees who have arrived in Denmark during the past decade have psychosomatic symptoms related to experiences of sexual torture during imprisonment. On the basis of clinical experience from treatment of traumatized refugees, the authors suggest a biopsychosocial approach to symptoms. This implies that therapists respect the symptoms presented by the refugees as a prerequisite for establishing contact and alliance, wherein also the ideology of both therapist and refugee plays an important part. In this context a re-framing of the symptoms can begin. It is demonstrated how sexual torture can affect the refugee by creating strong feelings of guilt and shame, which implies that the prisoner has experienced the torture as an individual act of humiliation. In the refraining of these traumatic experiences the ideologic consciousness of the refugee is an important element enabling the therapist to establish a frame of reference in which the sexual torture can be seen as a political weapon aimed at hitting the prisoner's weakest points. In the treatment sexologic techniques and couple therapy can be used in a transcultural setting. The methods of Culture Exchange and Giving Testimony are introduced as examples of transcultural therapeutic tools.