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This paper describes the implementation of psychodynamic treatments in Croatia, and the development of training programmes and professional bodies to facilitate this approach. The article is written in three parts, commencing with a historical overview. This is followed by a detailed description of the development of Group Analysis in Croatia. The paper concludes with a comprehensive report of the RIPEPP programme, a psychodynamic intervention for people experiencing psychosis and members of their families. [ABSTRACT FROM AUTHOR]

The authors served as psychiatrists during the recent war in Croatia, 1991-1995. From the onset of this armed conflict in the former Yugoslavia, their group provided mental health and psychiatric care to waves of refugees, displaced persons, soldiers and former prisoners of war. Such care was also provided to civilians living under the threat of warfare. In this endeavor, the Croatian health service received considerable assistance from international non-governmental organizations. Since the war, professionals in the mental health field have continued to provide help, support and various kinds of treatment to people suffering from post-traumatic stress disorder, coping difficulties and personality changes. Four regional psychotrauma centers (RPCs) have been established in Croatia, together with a network of counseling centers set up as governmental agencies. The Regional Psychotrauma Center of Split (southern Croatia) that serves war veterans and their families will be described herein. Research data will be presented and discussed. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess the effectiveness of the psychotherapeutic model of treatment of war veterans in Croatia with post-traumatic stress disorder (PTSD). The symptoms of PTSD are analysed and evaluated, together with associated neurotic symptoms, ways of coping with stress, and indicators of quality of life and depression. [ABSTRACT FROM AUTHOR]

This article highlights specific and unique challenges which confront the therapist when dealing with patients suffering from the effects of trauma within a war situation - refugees, displaced persons and relatives of those who have `disappeared' in war. In presenting clinical vignettes, the author focuses on war in Croatia, whilst also demonstrating how many problems are common to all those in war situations, including the therapist as well as patients, particularly problems and dilemmas in countertransference and empathy. [ABSTRACT FROM AUTHOR]

Due to the long-lasting and resistant symptoms characteristic of chronic combat posttraumatic stress disorder (PTSD), its treatment is complex and often requires a tailored therapeutic approach incorporating both psychotherapy and pharmacotherapy. A multimodal approach of psychoeducative, sociotherapeutic, and dynamically oriented trauma-focused groups is described. We assessed the short- and long-term effectiveness of this therapeutic program by monitoring its impact on PTSD symptoms, depression, neurotic symptoms, coping skills, and quality of life for three years. The findings revealed short-term reduction in the symptoms of PTSD and depression, while the long-term results were manifested as the increased use of all coping mechanisms and a greater level of obsession.

Modern societies are growing ever more sensitive to the various sources and many kinds of psychic traumas, resulting even in psychotic reactions or states of functioning. Especially the war captivity situation represents the prolonged basis for chronic severe psychic stress and traumatisation, that may become deleterious even for the core self of the person. Severely psychotraumatized war veterans, or ex-POWs in the aftermath of the war captivity situation, survivors of extreme forms of violence and humiliation, are very reluctant to recall traumas. This avoidant behaviour is many times one of the most prominent symptoms that should be recognised and confronted in order to start the retraumatising process of healing the previously unthinkable traumas. The authors believe that shameful feelings are at the very basis of the psychotraumatised persons' withdrawal, depression, suicidal attempts, and even psychotic answers. The main feature of the first phase of any therapeutic work with these patients is the mourning process that should be gradually unfolded. The clinical examples will illustrate therapeutic work with these patients. The authors will expose some basic psychodynamic approaches and concepts regarding shame. This difficult feeling will be put in relationship with the psychotic answers. In that frame of reference the concept of 'near psychosis' will be described.

The historical development of the psychodynamic approach to psychotherapy is described. The origins of ISPS are described, and ISPS Croatia and Slovenia are introduced.

The aim of this study was to explore the influence of certain aspects of family dynamics, as well as some behavior and psychological development disorders on the occurrence of homicides and attempted homicides among juveniles in the Split Dalmatian County over a period of 10 years (1989-1998). A retrospective case-control study was performed to compare juvenile murderers and attempted murderers with minors who committed other offences, i.e. property crimes. The subjects were paired according to demographic and socio-economic background. The data obtained from County Court's files included social anamnesis, specialists' observation and psychiatric expertise results. There was a significant difference between the study group and their controls in the frequency of physical violence and parental rejection during childhood. Neuropsychological and neurophysiological abnormalities were more frequent in the experimental than in the control group. Stealing occurred more often in the control group. No significant differences were found for other studied risk factors. There is no unique type of juvenile murderer. A juvenile homicide is committed under the influence of various developmental characteristics, family milieu, and constitution combined with environmental factors and perpetrator's perception of the victim.

Aim: Mothers use linking object to externalize the complex aspects of their relationship to the loss of their child. We analyzed the linking objects that mothers kept in memory of their sons who disappeared in the 1991-1995 war in Croatia or whose remains were uncovered and identified long time after they had gone missing., Method: The case study of disturbed mourning included 26 mothers of Croatian soldiers from Croatian Osijek-Baranja County who went missing in war or whose remains were recovered and identified long after they had gone missing. The mothers were selected independently by the president of the Association of Families of Missing and Detained Croatian Soldiers and agreed to participate in the study in 2001. They were interviewed in their homes, their testimonies were recorded, and photographs of the linking objects taken. Linking objects were classified according to the Volkan's four-group classification., Results: Out of four Volkan's groups of linking objects, we identified the objects belonging to the first three. Those were 1) objects that had been worn by the deceased (clothes, wrist-watch, ring, or glasses), (6/26); 2) objects that could be viewed in the psychoanalytic sense as an extension of the body of the disappeared or dead person, such as a camera (4/26); and 3) objects with realistic or symbolic resemblance to the deceased, usually a photograph (8/26). None of the examined objects belonged to the fourth Volkan's group (objects at hand when the news of the death came or objects present at the funeral, things that could be considered last-minute objects, ie, related to the moment when the deceased was last seen alive). However, 8/26 objects formed a new hitherto undescribed group. Mothers used such objects to create a memorial shrine to their sons. A photograph of the missing person or person whose remains were identified long after he had gone missing occupied a central place at the shrine, and was surrounded by other symbols of the Catholic iconography (Virgin Mary, crucifix), flowers, and candles. The memorial shrine to the beloved son who disappeared was always located in the room where the family spent most of their time and/or where guests were received (living room or kitchen)., Conclusion: We found three out of four original (Volkan's) groups of linking objects, but also an additional one, hitherto undescribed, comprising objects used for designing a memorial shrine to the deceased. This could be viewed as an expression typical of Christian, mid-European Croatian culture and tradition.