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Table 1 Pattern of trauma experiences and symptoms encountered by six female Yezidi survivors rescued from ISIL

From: Treating implicit trauma: a quasi-experimental study comparing the EMDR Therapy Standard Protocol with a ‘Blind 2 Therapist’ version within a trauma capacity building project in Northern Iraq

Thematic narratives experienced by Yezidi survivors:

Trauma symptom experiences of Yezidi survivors

o ISIL attack the Yezidi community in Northern Iraq

o This involves high levels of terror, fear and extreme violence—including deliberate acts of humiliation and dehumanisation

o Members of the Yezidi community are segregated with families separated and torn apart

o Yezidi males are brought in front their community and then massacred

o Yezidi females (particularly young woman) are abducted—being moved, in some cases, great distances

o The Yezidi survivors interviewed spent periods in large groups with other women following their immediate abduction—this increased individual and collective levels of terror and fear

o These abducted women and young girls are then sold as ‘sex slaves’ to ISIL fighters

o Many survivors were sold for small amounts of money (approximately $15–30—in some cases, for as little as a packet of cigarettes)

o Virgin Yezidi girls were highly prized by ISIL fighters/jihadists

o Once in captivity, survivors are subjected to repeated sexual, physical and psychological violence; torture; and humiliation

o Several Yezidi survivors described making attempts at suicide and self-harm

o A frequent trauma narrative by Yezidi survivors—a choice: ‘convert to Islam and have one husband’ or ‘keep your Yezidi faith’ and you will be passed from one Jihadist to another (multiple abusers

o Those that managed to escape—their families had to pay large ransoms (approximately $5000), with very little means to repay this

o Yezidi survivors recounted that the Yezidi community has been very welcoming to those fortunate to return

o Flashbacks and intrusive recollections

o Nightmares and poor sleep pattern

o Heightened anxiety

o Helplessness

o Feelings of self-blame and ‘over-responsibility’

o Powerlessness

o Feeling detached

o Suicidal thoughts and self-destructiveness

o Low mood/depression

o Phobic reactions

o Low self-esteem

o Difficulty managing emotions

o Changes in ‘world view’

o Changes in consciousness

o Anger and resentment

o Over-responsibility

o High levels of shame/guilt

o Heightened sense of fear and anxiety

o Fear of retribution: rationale and irrational

o Disgust

o Secrecy

o Transference/counter-transference

o Quasi power and control

o When there are ‘no words’ and language is ‘insufficient’

o Unspoken trauma