Therapy with Victims of Political Repression in Chile: The Challenge of Social Reparation

This article describes the work of a mental health team confronting the individual and social consequences of human rights violations by the military government in Chile from 1973 through 1989. It examines three forms of repression—torture, disappearance, and death—and the consequences these have had for victims and family members. Damage to victims is conceptualized in terms of “extreme traumatization,” and psychotherapeutic work with the victims has required radical rethinking of the nature of the therapeutic bond that is necessary with these patients. Grief processes have special relevance in this work, as does the relationship between the personal experience of repression and the sociopolitical context. An illustrative case study of therapy with a torture victim is presented. Finally, the article emphasizes the importance of societal reparation for the psychological recovery of the victims and the consolidation of a stable democracy in Chile.