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首页> 美国卫生研究院文献>other >Normal Grief and Complicated Bereavement among Traumatized Cambodian Refugees: Cultural Context and the Central Role of Dreams of the Dead
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Normal Grief and Complicated Bereavement among Traumatized Cambodian Refugees: Cultural Context and the Central Role of Dreams of the Dead

机译：柬埔寨流离失所的难民中的正常悲痛和丧亲之情：文化背景和死者之梦的核心作用

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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.
机译：本文介绍了遭受创伤的柬埔寨难民中的丧亲之情，并探讨了悲伤与创伤后应激障碍如何在这一群体中相互作用以形成独特的丧亲本体的模型的有效性，在该模型中，死者的梦想起着至关重要的作用。在一家精神病诊所进行了几项研究，该研究为在波普大屠杀中幸存下来的柬埔寨难民提供治疗。主要发现包括：由于关于“严重死亡”的文化观念以及不履行葬礼的后果，波尔布特的死亡更加令人不安。上个月（76％的患者）痛苦的回忆死者很普遍，通常引起极大的情绪和躯体困扰；死者痛苦回想的严重程度与PTSD严重程度密切相关（r = 0.62）；痛苦的回忆常常是梦见死者，通常是死于波尔布特时期的某人；柬埔寨人对死者的梦想有复杂的解释系统，常常使那些梦想引起极大的痛苦。提供的案例进一步说明了死者梦在柬埔寨经历悲痛和创伤后应激障碍时的重要性。该文章表明，在评估丧亲之痛时，如果不评估死者的梦想和对死者精神状态的关注，就会导致“类别被截断”，即缺乏内容效度，这是类别谬误的一种形式。

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