Normal grief and complicated bereavement among traumatized Cambodian refugees: cultural context and the central role of dreams of the dead.

Normal grief and complicated bereavement among traumatized Cambodian refugees: cultural context and the central role of dreams of the dead.
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DOI:
10.1007/s11013-013-9324-0
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发表时间:
2013-09
影响因子:
1.7
通讯作者:
Simon, Naomi M.
Simon, Naomi M.
中科院分区:
医学3区
文献类型:
--
作者:
Hinton, Devon E.;Peou, Sonith;Joshi, Siddharth;Nickerson, Angela;Simon, Naomi M.

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本文介绍了在创伤的柬埔寨难民丧亲之痛,并探讨了悲伤和创伤后应激障碍如何在这一组互动的模型的有效性,形成一个独特的丧亲之痛本体论,在这个模型中,死者的梦想发挥了至关重要的作用。在一家治疗波尔布特种族灭绝幸存者的柬埔寨难民的精神病诊所进行了几项研究。主要调查结果包括,由于关于“不好的死亡”的文化观念以及不举行丧葬仪式的后果,波尔布特的死亡事件更加令人深感不安;痛苦地回忆上个月的死者是很常见的(76%的患者),通常会引起巨大的情绪和身体痛苦;痛苦回忆死者的严重程度与PTSD的严重程度密切相关(r = 0.62);这种痛苦的回忆通常是由梦见死者引发的,通常是在波尔布特时期死去的人;而希腊人对死者的梦有一个复杂的解释系统,经常导致这些梦产生巨大的痛苦。提供的情况下,进一步说明了柬埔寨的悲伤和创伤后应激障碍的经验,死者的梦想的中心地位。文章表明,在评估丧亲之痛时,不评估梦和对死者精神状态的关注会导致“类别截断”,即,缺乏内容有效性,这是一种类别谬误。
This article profiles bereavement among traumatized Cambodian refugees and explores the validity of a model of how grief and PTSD interact in this group to form a unique bereavement ontology, a model in which dreams of the dead play a crucial role. Several studies were conducted at a psychiatric clinic treating Cambodian refugees who survived the Pol Pot genocide. Key findings included that Pol Pot deaths were made even more deeply disturbing owing to cultural ideas about “bad death” and the consequences of not performing mortuary rites; that pained recall of the dead in the last month was common (76% of patients) and usually caused great emotional and somatic distress; that severity of pained recall of the dead was strongly associated with PTSD severity (r = .62); that pained recall was very often triggered by dreaming about the dead, usually of someone who died in the Pol Pot period; and that Cambodians have a complex system of interpretation of dreams of the deceased that frequently causes those dreams to give rise to great distress. Cases are provided that further illustrate the centrality of dreams of the dead in the Cambodian experiencing of grief and PTSD. The article shows that not assessing dreams and concerns about the spiritual status of the deceased in the evaluation of bereavement results in “category truncation,” i.e., a lack of content validity, a form of category fallacy.
DOI: 10.1177/1363461513481187
发表时间: 2013-06-01
影响因子: 2.5
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DOI: 10.1525/eth.1995.23.4.02a00020
发表时间: 1995-12-01
期刊: ETHOS
影响因子: 0.6
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通讯作者: Woodrick, AC