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Work with survivors of torture and organized violence draws on two significant contemporary discourses: that of ‘trauma’ and that of ‘human rights’. Understanding the internal complexities of each of these discourses and the tension between them, and the ways in which they may or may not be combined and integrated, is the major issue in terms both theoretical orientation and clinical practice. It is an issue around which various other organizations in the field, both nationally and internationally, have organized and positioned themselves.