KhyA¢l Attacks: A Key Idiom of Distress Among Traumatized Cambodia Refugees
KhyA¢l Attacks: A Key Idiom of Distress Among Traumatized Cambodia Refugees
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DOI:
10.1007/s11013-010-9174-y
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发表时间:
2010-06-01
影响因子:
1.7
通讯作者:
Pollack, Mark H.
中科院分区:
文献类型:
--
作者:
Hinton, Devon E.;Pich, Vuth;Pollack, Mark H.
Traumatized Cambodian refugees with PTSD often complain of khyA cent l attacks. The current study investigates khyA cent l attacks from multiple perspectives and examines the validity of a model of how khyA cent l attacks are generated. The study found that khyA cent l attacks had commonly been experienced in the previous 4 weeks and that their severity was strongly correlated with the severity of PTSD (PTSD Checklist). It was found that khyA cent l attacks were triggered by various processes-such as worry, trauma recall, standing up, going to a mall-and that khyA cent l attacks almost always met panic attack criteria. It was also found that during a khyA cent l attack there was great fear that death might occur from bodily dysfunction. It was likewise found that a complex nosology of khyA cent l attacks exists that rates the attacks on a scale of severity, that the severity determines how the khyA cent l attacks should be treated and that those treatments are often complex. As illustrated by the article, khyA cent l attacks constitute a key aspect of trauma ontology in this group, a culturally specific experiencing of anxiety and trauma-related disorder. The article also contributes to the study of trauma somatics, that is, to the study of how trauma results in specific symptoms in a specific cultural context, showing that a key part of the trauma-somatic reticulum is often a cultural syndrome.