Clinical relevance of grief and mourning among Cambodian refugees

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Abstract

From 1975 to 1979, one to two million Cambodians were executed or died of disease and starvation during the rule of the Pol Pot government. In the aftermath of that catastrophe, many survivors have developed symptoms of post-traumatic stress disorder. There is some evidence that the intrusive symptoms of this disorder, such as nightmares, sleep disorders, and startle reactions, can be treated with medication. But other psychological problems that are similar to those found in chronic grief, such as avoidance behavior, shame, and decreased involvement with other individuals, are more resistive to treatment. On a cross-cultural level, the interpretations of, or meanings given to, specific symptoms by the patient may be influenced by culturally-specific religious beliefs, rituals, and social traditions. For the clinician, these cultural factors have relevance not only for engaging the patient in treatment, but also in the planning of specific therapeutic interventions.

Original languageEnglish (US)
Pages (from-to)765-772
Number of pages8
JournalSocial Science and Medicine
Volume25
Issue number7
DOIs
Publication statusPublished - 1987
Externally publishedYes

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Keywords

  • Cambodia
  • grief
  • refugees
  • trauma

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

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