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Stuart Turner and his associates have argued strongly in favour of a dimensional model for describing the effects of
torture, and have provided some interesting evidence for this model (42,45). This model argues that the effects of
torture are best described by four dimensions: (a) incomplete emotional processing (PTSD); (b) depression; (c)
somatoform complaints; and (d), the "existential dilemma". This model has had some support, but the debate remains
about how best to classify the effects of torture, and whether there are limitations to the PTSD concept.
In summary then, studies of torture survivors show high rates of psychological disorder among survivors, with PTSD
being a frequent, but not exclusive diagnosis. Torture survivors show a wide range of sequelae, both physical and
psychological, and the most useful description of the effects of torture seems to be a dimensional model of overlapping
symptom clusters.
Organised violence and torture in Zimbabwe
Although there have been several studies examining refugees within Zimbabwe (3-4), no detailed studies have been
conducted on survivors of the Liberation War of the 1970's. AMANI mounted a community-based programme to assist
survivors of violence in Mount Darwin District. Mount Darwin District was chosen because of the history of human rights
violations during the Liberation War, as well as the persistent incursions of Renamo guerrillas during the 1980's and
1990's. The findings from this programme are detailed in a series of reports and papers (5-6,30).
Between March and September 1995, a total of 182 persons with psychological disorders were identified at 2 hospitals,
as well as 57 survivors of organized violence. As regards the survivors of organized violence, this was a significant group
in terms of numbers, about 34% of