Working with Refugees

A refugee’s mental health rarely comes down to a single traumatic event. It’s shaped by three different periods: before flight, during it and after arrival. It’s also influenced by everything that happens after arrival – the policies of the host country, the language barrier, the family left behind.

Seventeen books cover that ground from different angles. They include broad clinical references, psychoanalytic approaches, work with specific populations and modalities, and books that step back to look at policy and society rather than the individual client.

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Broad Clinical References

Counselling and Therapy with Refugees and Victims of Trauma: Psychological Problems of Victims of War, Torture and Repression

Guus van der Veer, John Wiley & Sons, 1998 (2nd ed.)

This is the only book on the page explicitly written for legal and social work professionals as much as clinicians, not just adapted for them after the fact. It’s also the oldest book on the page, and it reads that way in places; the field has changed a lot since 1998.

Van der Veer opens with the experiences of refugees themselves and theoretical views on traumatization and uprooting, before moving into diagnostic appraisal and working across cultural differences. From there it covers treatment goals and the therapeutic relationship, crisis intervention, and restoring emotional stability, with dedicated chapters on sexual violence survivors and on children and adolescents specifically.

It’s aimed at a broad readership beyond clinicians alone, including social work and legal professionals. However, it’s more useful as a historal text rather than a current clinical guide. Pair with one of the more recent books below for up-to-date practice.

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Therapeutic Care for Refugees: No Place Like Home

Edited by Renos K. Papadopoulos, Karnac, 2002

Part of the Tavistock Clinic Series, this collection makes a specific argument in its title: refugee work needs a therapeutic frame even when it isn’t formal psychotherapy, because every point of contact with a refugee (housing, legal aid, medical care) carries psychological weight. Chapters work through individual, family, and group therapy while pushing back against pathologizing refugees as inherently damaged, insisting instead on a balance between naming real psychological need and recognizing genuine resilience.

Papadopoulos also wrote the foreword to Ahlberg’s book below, part of the same Karnac series on trauma and displacement.

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The Mental Health of Refugees: Ecological Approaches to Healing and Adaptation

Edited by Kenneth E. Miller and Lisa M. Rasco, Lawrence Erlbaum Associates, 2004

This book’s central argument reshaped how the field thinks about refugee distress: trauma exposure alone doesn’t explain ongoing psychological difficulty. Daily stressors after resettlement, including poverty, social isolation, lost social roles, and unemployment, barriers to healthcare, do at least as much damage as the original trauma.

Case studies span internally displaced East Timorese, Colombian survivors of violence, and Bosnian, Kosovar, and Hmong refugees resettled in the US. The closing chapters directly question whether the standard PTSD framework even captures what refugees actually experience.

This “ecological model” became genuinely influential. Miller’s own subsequent research, and other work in the field, still builds directly on it.

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Mental Health of Refugee and Conflict-Affected Populations: Theory, Research and Clinical Practice

Edited by Nexhmedin Morina and Angela Nickerson, Springer, 2018

This is the most research-dense book on the page, and is closer to an academic reference than a practice manual. It includes a chapter on the neurobiological effects of torture trauma, alongside epidemiological reviews of mental health outcomes in war survivors across low and middle income countries. A historical chapter traces the changing structure of military violence from the nineteenth century to the twenty-first, while a separate chapter takes on the legal and ethical considerations built into the asylum process itself.

This is genuinely rare territory for a book in this space, most of which stays at the level of clinical technique rather than underlying biology. Best suited to readers who want the empirical research base itself, not just its clinical implications.

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The Psychiatric Evaluation and Treatment of Refugees

Edited by J. David Kinzie and George A. Keepers, American Psychiatric Association Publishing, 2020

This is the only book on the page written from a psychiatric rather than purely psychological perspective, with a dedicated chapter on psychobiology and psychopharmacology that nothing else here covers. Kinzie built much of the book around the Oregon Model, the Intercultural Psychiatric Program he founded at Oregon Health & Science University, one of the longest-running refugee psychiatric clinics in the US.

One chapter uses real cases to show what happens when a psychiatrist’s obligation to one patient runs up against the state’s power over that same person. Separate chapters address geriatric refugees, a population largely absent from the rest of this page, and the contemporary situation at the US-Mexico border specifically.

Best suited to cases where medication management belongs in the treatment plan, not just talk therapy.

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Refugee Mental Health

Edited by Jamie D. Aten and Jenny Hwang, American Psychological Association, 2021

This collection was published by the APA directly.I t covers how mainstream Western interventions (CBT, group therapy, expressive therapy, school-based programs) actually hold up when adapted for resettled refugee populations. Dedicated chapters also take on cultural humility and the specific ethical dilemmas unique to refugee work. It’s explicitly built for clinicians working across different theoretical orientations rather than advocating one model.

It’s a great starting point, with one caveat: Aten’s own expertise is disaster psychology broadly, not refugee mental health specifically.

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Mental Health of Refugees: Etiology and Treatment

Paul M.G. Emmelkamp, Springer, 2023

Emmelkamp is one of the most credentialed researchers on this entire page. He is the Academy Professor of the Royal Netherlands Academy of Arts and Sciences, former Rector of the Netherlands Institute for Advanced Studies, and author of more than 70 published randomized controlled trials over his career.

The book reflects that background. It provides a genuinely comprehensive review of epidemiology and etiology before moving into culturally adapted assessment and treatment. It also addresses why some refugees cope well with trauma and others don’t, and extends the same treatment logic to children and young people specifically, not just adults.

This book is denser than most others on this page. It’s closer to a textbook, built for readers who want the evidence base laid out systematically.

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Handbook of Refugee Experience: Trauma, Resilience, and Recovery

Jeffrey A. Kottler, Sophia Banu, and Suni Jani, Cognella, 2020

This handbook is built for the classroom, and its three-part structure reflects that. Section one lays out the social, cultural, and political context refugees actually navigate. In section two, refugees describe in their own words what surviving, recovering, and eventually flourishing after exile actually felt like. The third section gives helping professionals themselves space to talk about the frustration and difficulty of the work, not just their successes.

Best suited to instructors and trainees. The three-part structure was clearly designed with a syllabus in mind, not just a reader working through it alone.

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Psychoanalytic and Depth Approaches

Group Analysis for Refugees Experiencing Trauma

Aida Alayarian, Routledge, 2023

This book is built entirely around one method: group psychoanalytic work with refugees. Aida treats shared experience itself as a resource for healing, working through transference and countertransference in a group setting rather than one-on-one. The book moves through building a group from scratch, managing transference and countertransference once it’s running, and adapting the approach across cultural difference within the group itself. Case examples trace how relational patterns surface conscious and unconscious material in group members, and the book links this to the social injustice that caused much of that trauma to begin with.

Best suited to clinicians already running or planning group work with refugee clients, particularly those comfortable with psychoanalytic theory going in.

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A Psychoanalytic Approach to Refugee Mental Health: Safe Harbor

Edited by Chrysi Giannoulaki, Routledge, 2025

This collection looks at what psychoanalytic listening can offer refugees while a crisis is still unfolding, not after the fact. Contributors ask that question from different vantage points: Nadig through ethnopsychoanalytic fieldwork, Leuzinger-Bohleber, Schlesinger-Kipp, and Hettich-Damm through their own clinical work during Germany’s refugee crisis in Hesse. Throughout, the book argues directly against using psychoanalytic diagnosis to pathologize refugees during periods of anti-refugee sentiment.

Recommended for anyone working in or studying acute refugee-crisis settings specifically, not general refugee mental health practice.

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Psychoanalytic Work with Migrants and Refugees: Bonds and Fractures Across Identities and Cultures

Virginia De Micco, Routledge, 2023

This book blengs psychiatry and anthropology to look at how trauma moves through families and shows up in the body when there are no words for it yet. Chapters cover transgenerational trauma in migrant children, the specific toll on mothers and women migrants (her term: “mute traumatic traces,” trauma that shows up in the body instead of speech), and listening directly to children who fled war.

Best suited to clinicians working with migrant children and families, particularly where a client hasn’t yet found words for what happened. Less essential if your caseload leans toward adults processing trauma verbally.

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Specific Populations and Modalities

Working Systemically with Refugee Couples and Families: Exploring Trauma, Resilience and Culture

Shadi Shahnavaz, Routledge, 2022

The only book on the page built specifically around couples and family systems rather than the individual refugee. Shahnavaz builds her case on her own in-depth interviews with refugees about their journeys to England, using them to trace how trauma reshapes couple relationships and parenting, and how assimilation itself plays out as a family process rather than an individual one. That family lens leads her to a real debate most books avoid: whether a therapist actually needs to share a family’s culture or language for the relationship to work, or whether that assumption is worth questioning.

Recommended specifically when the client in front of you is a couple or family, not an individual.

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Resilience, Suffering and Creativity: The Work of the Refugee Therapy Centre

Edited by Aida Alayarian, Karnac, 2007

This one’s less about technique and more about staying in the work. Staff and associates of the Refugee Therapy Centre write personally about what it’s actually like to do this job over years. Chapters like “How I Became a Psychoanalyst” and “My Experience of Clinical Work with Refugees and Asylum Seekers” get into the doubt, the exhaustion, and what makes the person keep showing up anyway

Recommended for experienced practitioners more than newcomers. It is less about learning the work and more about surviving it long-term.

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Groupwork with Refugees and Survivors of Human Rights Abuses: The Power of Togetherness

Edited by Jude Boyles, Robin Ewart-Biggs, Rebecca Horn, and Kirsten Lamb, Routledge, 2022

This guide is the most global and most non-verbal of the group-focused books on the page. It is organized into three sections: community-based approaches, groups working through “body and soul” (art, sport, textile work), and groups built around spoken narrative.

Over twenty contributions span torture rehabilitation services, refugee camps, and reception centres across multiple continents One chapter follows a football therapy group run in partnership between Freedom from Torture and FC United in Manchester; another follows a sewing-based group, Common Threads, for participants who have no words yet for what happened to them.

The one to reach for when talk therapy isn’t the approach you need. No other book here goes this deep into creative and non-verbal modalities.

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