Treating psychiatric disorders among Mien refugees from highland Laos

Laurie J. Moore, James Boehnlein

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

The Mien, a Southeast Asian hill people, have immigrated to various countries throughout the world since the mid-1970s. They have brought their ancient culture with them, including beliefs and practices related to health, illness, and healing. During the last several decades they have suffered much war-related trauma, including extensive human, material and symbolic losses. This report describes our clinical experience with Mien refugees in the Indochinese Psychiatric Program of the Oregon Health Sciences University. We discuss symptom presentation among this group of patients, diagnostic and treatment issues, and the impact of cultural health beliefs upon illness and treatment. Major depression and post-traumatic stress disorder have been the most commonly encountered psychiatric diagnoses, usually revealed through somatic symptoms. Not only must clinicians take careful medical and psychiatric histories, but they must also be alert to the high probability of an extensive history of trauma. Clinical improvement in response to psychotropic medications has been limited. As a result, psychosocial and psychotherapeutic approaches to treatment have been developed and expanded and now are commonly employed, effectively combining support and education in the creation of a holding environment that includes both individual and group formats. Two case histories are presented which describe symptom presentation, health belief systems and therapeutic issues involved in treating Mien patients. They also illustrate that traditional and Western healing approaches can co-exist in the optimal care of these patients.

Original languageEnglish (US)
Pages (from-to)1029-1036
Number of pages8
JournalSocial Science and Medicine
Volume32
Issue number9
DOIs
StatePublished - 1991

Fingerprint

Laos
Refugees
refugee
health belief
Psychiatry
trauma
Health
illness
health
posttraumatic stress disorder
health science
history
diagnostic
medication
Therapeutics
Post-Traumatic Stress Disorders
Group
Mental Disorders
education
Patient Care

ASJC Scopus subject areas

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

Cite this

Treating psychiatric disorders among Mien refugees from highland Laos. / Moore, Laurie J.; Boehnlein, James.

In: Social Science and Medicine, Vol. 32, No. 9, 1991, p. 1029-1036.

Research output: Contribution to journalArticle

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