“…Literature with an international focus is also recent, much of it on the general effects of children's chronic exposure to trauma (see, e.g., Celia et al, 1993;Garbarino et al, 1992). A modest but respectable body of knowledge has begun to emerge describing the effects of political violence and war trauma on children (see, e.g., Apfel and Simon, 1996;Cairns and Dawes, 1996;Dawes, 1994;Garbarino and Kostelny, 1996;Hobfoll and Stephens, 1990;Hoffman and Bizman, 1996;Jensen and Shaw, 1993;Ladd and Cairns, 1996;Machel, 1996;Macksoud and Aber, 1996;Miller, 1996;Mollica et al, 1997;Punamäki, 1996;Sack et al, 1996Sack et al, , 1997Scheper-Hughs, 1996;Straker et al, 1996). However, Cicchetti et al (1997, p. 228) have pointed out that, "Despite an increased emphasis on the reactions of children to trauma in general, and to war-related stress in particular, we continue to possess limited knowledge regarding the direct and indirect effects of war on the developmental process in children."…”