Nightmares Among Cambodian Refugees: The Breaching of Concentric Ontological Security
Nightmares Among Cambodian Refugees: The Breaching of Concentric Ontological Security
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DOI：
10.1007/s11013-009-9131-9
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发表时间：
2009-06-01
影响因子：
1.7
通讯作者：
Pollack, M. H.
中科院分区：
文献类型：
--
作者：
Hinton, D. E.;Hinton, A. L.;Pollack, M. H.
本文探讨了柬埔寨难民在文化背景下的噩梦，噩梦在这一人群的创伤本体论中的作用，包括他们在产生创伤后应激障碍（PTSD）的作用。在一家精神病诊所就诊的柬埔寨难民中，我们发现噩梦与PTSD有很强的相关性（chi（2）= 61.7，P < 0.001，比值比= 126）;噩梦在醒来时会引起很多痛苦，包括恐慌发作、对身体功能障碍的恐惧、闪回和难以入睡;噩梦的内容经常与创伤性事件有关;噩梦导致“同心本体安全性”的感觉的降低（即，在一个以同心圆、保护层的方式构想自我的文化中，人们越来越感到身体和精神上的脆弱性，包括害怕受到鬼魂的攻击;噩梦往往导致人们采取具体的做法和仪式，目的是驱逐和击退攻击力量，创造“保护层”。“本报告提出了一些案例来说明这些发现。讨论考虑了该研究的一些治疗意义。
This article explores the nightmares of Cambodian refugees in a cultural context, and the role of nightmares in the trauma ontology of this population, including their role in generating post-traumatic stress disorder (PTSD). Among Cambodian refugees attending a psychiatric clinic, we found that having a nightmare was strongly associated with having PTSD (chi(2) = 61.7, P < 0.001, odds ratio = 126); that nightmares caused much distress upon awakening, including panic attacks, fear of bodily dysfunction, flashbacks and difficulty returning to sleep; that nightmare content was frequently related to traumatic events; that nightmares resulted in a decrease in the sense of "concentric ontology security" (i.e., in an increased sense of physical and spiritual vulnerability in a culture that conceives of the self in terms of concentric, protective layers), including fears of being attacked by ghosts; and that nightmares frequently led to the performance of specific practices and rituals aiming to extrude and repel attacking forces and to create "protective layers." Cases are presented to illustrate these findings. The Discussion considers some treatment implications of the study.