The psychological trauma associated with war is a topic that has occup
ied the attention of mental health researchers and practitioners for s
ome time. Most of their attention, though, has focused on the traumati
c stress of soldiers, and little attention has been paid to the proble
ms and traumatization of civilians caught in war zones, especially the
children. In this paper, the limited research on children of war is r
eviewed, and themes are extracted. Children suffer from both acute and
chronic traumatic stress. The key to determining the amount of suffer
ing has to do with the dynamic interaction among five processes within
an ecological framework: the child's psychobiological makeup, the dis
ruption of the family unit, the breakdown of community, and the amelio
rating effects of culture. The intensity, suddenness and duration of t
he war-like experience itself constitute an additional component to th
is ecological model. In the final section, psychotherapeutic guideline
s to help children cope with symptoms associated with war are presente
d for current and future caregivers. The prevention of war should be t
he primary task of all.