ABSTRACT War and torture related trauma shatter the conditions for ordinary family life and parental care. Later on, the reverberations of past assaults and loss intrude upon current relationships, undermining the parental couple and ordinary, benign adult authority. Sadly, some children are secondarily traumatised because of disturbed relationships and sometimes domestic violence exerted by their traumatised parents or siblings. This article presents case material, the aim of which is twofold: firstly to exemplify a possible, quite concrete entanglement between the ongoing traumatic processes and images in the mind of the traumatised parents and the symptoms of the children. Secondly, to show that during the period of assessment for child psychotherapy a prolonged, flexible approach combining the individual assessment of the child with family intervention and/or sibling work may be necessary. During such preparatory work the state of the family needs special consideration, since an invisible collapse of parental role responsibilities and care structures may render the child psychologically homeless.

中文翻译：

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复杂创伤的传播：儿童心理治疗前以家庭为导向的干预

摘要 与战争和酷刑相关的创伤破坏了普通家庭生活和父母照顾的条件。后来，过去的攻击和失去的影响侵入了当前的关系，破坏了父母夫妇和普通的、良性的成人权威。可悲的是，有些孩子因为受到创伤的父母或兄弟姐妹的人际关系受到干扰，有时会遭受家庭暴力而受到二次创伤。本文介绍了案例材料，其目的有两个：首先，举例说明持续的创伤过程和受创伤父母脑海中的图像与孩子的症状之间可能存在的相当具体的纠缠。其次，为了表明在儿童心理治疗的评估期间，可能需要将儿童的个人评估与家庭干预和/或兄弟姐妹工作相结合的灵活方法。在这种准备工作期间，家庭状况需要特别考虑，因为父母角色责任和照料结构的无形崩溃可能会使孩子在心理上无家可归。