[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.158.83.210. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Letters
November 19, 2003

School-Based Interventions for Children Exposed to ViolenceSchool-Based Interventions for Children Exposed to Violence

Author Affiliations
 

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290(19):2541. doi:10.1001/jama.290.19.2541-a

To The Editor: In their randomized controlled trial of school-based CBT, Dr Stein and colleagues1 excluded children "with symptoms of PTSD . . . that they were not willing to discuss in a group." The scientific and ethical value of this restriction, however, has not always been appreciated in international psychosocial relief efforts. Group interventions for children traumatized by civil wars and genocide in the developing world have used methods similar to the approach of Stein et al, emphasizing exposure to trauma memories through imagination and artistic expression.2 However, children uncomfortable with emotional self-disclosure have been included and sometimes pressed to participate actively.2 Perhaps not surprisingly, uncontrolled trials of these interventions found that a substantial proportion of children experienced symptom exacerbation, rather than alleviation.3

First Page Preview View Large
First page PDF preview
First page PDF preview
×