ROTATE was efficacious in treating Cambodian patients with high symptom levels of PTSD, emotional distress and impaired functioning. ROTATE is a brief, culturally adaptable intervention focusing on stabilization and strengthening resources rather than trauma confrontation. It can be taught to local professionals and paraprofessionals and enhance access to mental health care for patients in need.

using computerized software on a 1:1 basis, stratified for gender. Nine out of 60 (15%) -five from the intervention arm and four from the control arm -were lost to follow-up. The groups were well-balanced at baseline for demographic and clinical variables.The primary outcome, assessed by independent raters, was psychological distress, measured by GHQ-12 with scores being the total sum across 12 items (possible range 0-36). Other outcomes included: functioning, measured using the 12-item interviewer-administered screener version of the WHODAS 2.0; and post-traumatic stress symptoms, measured using the PTSD Checklist for DSM-5 (PCL-5) 8 , which is a 20-item checklist corresponding to the twenty DSM-5 PTSD symptoms in the last week, with items rated on a 0-4 scale (possible range 0-80).The intervention had high uptake, with 22/30 (73%) completing all sessions. The intervention arm showed improvement in functioning (mean WHODAS 2.0 scores reduced from 17.7 6 9.2 to 6.6 6 6.1 vs. 17.0 6 10.5 to 11.3 6 10.4 in controls) and in posttraumatic stress symptoms (mean PCL-5 scores reduced from 34.2 6 20.1 to 9.8 6 9.1 vs. 32.3 6 17.1 to 19.5 6 18.5 in controls). Due to skewed distribution and variance heterogeneity of the outcome variable, log-linear regression was carried out. After adjustment of baseline scores, the results showed a reduction of 90% in geometric mean within the intervention group (95% CI: 90.4%-91.7%, p50.04) in WHODAS 2.0 scores and a reduction of 92% (95% CI: 91.2%-92.3%, p50.02) in post-traumatic stress symptoms. There was no significant change in GHQ-12 scores. On qualitative evaluation of a sub-sample of participants and primary care staff, we found that the intervention was perceived as useful, and was successfully integrated into primary care centres.As this was a pilot study with a small sample size, recruited through primary care physician referral, and no power calculations were carried out, the findings and their generalizability warrant a cautious interpretation. However, a successful conduction in challenging settings, with adequate enrolment rate, a low drop-out, and balanced randomization provides evidence that RCTs are feasible in such settings. The intervention delivery through non-specialists with no prior mental health care experience and the encouraging results demonstrate the feasibility of the task shifting approach, and are consistent with previous reports 9, 10 . The results of this pilot study should encourage further adaptation and large-scale fully-powered RCTs of this new, transdiagnostic psychological intervention 4 .

Eye Movement Desensitization and Reprocessing represents a promising approach to treatment of posttraumatic disorders. The specific factors underlying its effectiveness rely particularly on bilateral stimulation, which seems to provoke a specific neurobiological response during traumatic recall particularly in individuals with PTSD. The empirical findings provide evidence for the effect of BLS on autonomic nervous system shifting the balance towards parasympathetic activation (reducing arousal) as well as the effect on subjectively perceived vividness and emotional burden of autobiographic memories (decrease). The most credible hypotheses derive the effects from neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. Further research is needed to explore the processes included in the EMDR therapy in more detail and clarify the role of bilateral stimulation.

It wouldn't be bad if for once truth and love prevailed over lies and hatred.' (Václav Havel, 1997, our trans.) 1 In our case study, we illustrate the use of Eye Movement Desensitisation and Reprocessing (EMDR) and Autogenic Training (AT) in PTSD treatment. EMDR was used to manage the acute symptoms, while AT was used to enhance the resilience in persisting stress. Using the bio-psychosocial model of mental illness, we discuss the socio-political and socio-psychological aspects of this case that has put a burden on the relationship of two neighboring nations (Slovakia and Hungary) as well as on the relationship of the national majority and a minority within our country (Slovakia). Our patient consented to this report being published, and we hope that it will contribute to a more realistic evaluation of this event in society.1 Original text: 'Pravda a láska musí zvítězit nad lží a nenávistí.' In a speech at a demonstration in Prague on 10 Dec 1989, shown live on the Czechoslovakian TV, Václav Havel said, 'Truth and love must prevail over lies and hatred' (our trans.). Later, it became one of Havel's most famous remarks. His critics, however, ridiculed it for being naive, simplistic and childish. Years later (on 1 Jan 1997), Havel self-ironically alluded to this quote in another TV interview when his last words to the camera were: 'There is one more thing I would like to add: It wouldn't be bad if for once truth and love prevailed over lies and hatred' (our trans.). Original text: 'A ještě jeden pocit bych chtěl říct. Vůbec by nezaškodilo, kdyby tu a tam zvítězila láska nad lží a nenávistí.'