Recently there has been a critique of the use of western models in the trauma field. In this article it is discussed whether some of this critique reflects a continuation of a denial of trauma and PTSD that has been evident in psychology and psychiatry for a number of years. Although the critique has rightfully pointed out the importance of social and political dimensions in the understanding of trauma, it is argued that some aspects of trauma are universal. The critique has also focused on the use of western models of therapy in non-western societies. However, work done in this field has often adopted a community-based model focusing on large groups of people affected by war situations rather than using medical therapy models. Thus the critique has been somewhat misplaced. Especially in helping children in war it is important not to accept the local culture too much but to rely on children’s inborn resilience and cultural traditions for preventing long-term traumatic stress.
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