The wars in Southeast Asia displaced thousands of families from Cambodia, Laos, and Vietnam. The upheavals led to a number of waves of immigration to the United States. Current research supports hypotheses of post-traumatic stress disorder diagnoses in refugees from the wars in Vietnam but omits pertinent cultural factors. This phenomenological study of 19 women from Southeast Asia examines the meanings of their refugee experiences. Open-ended interviews with these women reveal themes of survival, despair, and isolation. Health care providers may notice cultural bereavement as opposed to post-traumatic stress disorder, reflecting a psychological resilience not extensively explored previously. Developing empathetic interactions and including important ethnic identity factors in caring for refugee women appear essential in providing appropriate health care.
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References
1.
Bartlett, J. , & Kaplan, J. (Eds.). (1992). Bartlett’s familiar quotations (16th ed.). Boston: Little, Brown.
2.
Baughan, D. , White-Baughan, J., Pickwell, S., Bartlome, J., & Wong, S. (1990). Primary care needs of Cambodian refugees. Journal of Family Practice, 30(5), 565-568.
3.
Beiser, M. , Turner, R., & Ganesan, S. (1989). Catastrophic stress and factors affecting its consequences among Southeast Asian refugees. Social Science and Medicine, 28, 183-195.
4.
Bernier, D. (1992). The Indochinese refugees: A perspective from various stress theories. Journal of Multicultural Social Work, 2(1), 15-30.
5.
Boehnlein, J. (1987). Culture and society in posttraumatic stress disorder: Implications for psychotherapy. American Journal of Psychotherapy, 41(4), 519-530.
6.
Boyd, C. (1993). Phenomenology: The method. In P. Munhall & C. Boyd (Ed.), Nursing research: A qualitative perspective (pp. 99-132). New York: National League for Nursing Press.
7.
Bureau of Population, Refugees, and Migration . (1997). The comprehensive plan of action for Indochinese refugees (Fact sheet). Retrieved January 15, 1999, from the World Wide Web: http://www.state.gov/www/global/prm/POA12297.html
8.
Carlson, E. , & Rosser-Hogan, R. (1994). Cross-cultural response to trauma: A study of traumatic experiences and posttraumatic symptoms in Cambodian refugees. Journal of Traumatic Stress, 7(1), 43-59.
9.
Carrington, G. , & Procter, N. (1995). Identifying and responding to the needs of refugees: A global nursing concern. Holistic Nursing Practice, 9(2), 9-17.
10.
Davis, R. (1997). Trauma and addiction experiences of African American women. Western Journal of Nursing Research, 19(4), 442-465.
11.
Detzner, D. (1996). No place without a home: Southeast Asian grandparents in refugee families. Generations, 20(1), 45-48.
12.
Eisenbruch, M. (1991). From post-traumatic stress disorder to cultural bereavement: Diagnosis of Southeast Asian refugees. Social Science and Medicine, 33(6), 673-680.
13.
Fox, P. , Cowell, J., & Johnson, M. (1995). Effects of family disruption on Southeast Asian refugee women. International Nursing Review, 42(1), 27-30.
14.
Fox, P. , Cowell, J., Montgomery, A., & Marks, B. (1996). Premigration violence experience of Southeast Asian refugee children in the U.S.A. International Journal of Psychiatric Nursing Research, 2(2), 211-223.
15.
Frye, B. , & D’Avanzo, C. (1994). Cultural themes in family stress and violence among Cambodian refugee women in the inner city. Advances in Nursing Science, 16(3), 64-77.
16.
Galanti, G. (1997). Caring for patients from different cultures. Philadelphia: University of Pennsylvania Press.
17.
Gold, S. (1994). Mental health and illness in Vietnamese refugees. Western Journal of Medicine, 157(3), 290-294.
18.
Ham, M. (1993). Empathy. In J. Chin, J. Liem, M. Ham, & G. Hong (Eds.), Transference and empathy in Asian American psychotherapy (pp. 35-62). Westport, CT: Praeger.
19.
Hinton, W. , Du, N., Chen, Y., Tran, C., Newman, T., & Lu, F. (1994). Screening for major depression in Vietnamese refugees. Journal of General Internal Medicine, 9(4), 202-206.
20.
Hong, G. (1993). Contextual factors in psychotherapy with Asian Americans. In J. Chin, J. Liem, M. Domokos-Chen Ham, & G. Hong (Eds.), Transference and empathy in Asian American psychotherapy (pp. 3-13). Westport, CT: Praeger.
21.
Husserl, E. (1962). Ideas (W. Gibson, Trans.). London: Collier. (Original work published 1913)
22.
Kleinman, S. (1990). Terror at sea: Vietnamese victims of piracy. American Journal of Psychoanalysis, 50(4), 351-362.
23.
McKelvey, R. , Webb, J., & Mao, A. (1993). Premigratory risk factors in Vietnamese Amerasians. American Journal of Psychiatry, 150(3), 470-473.
24.
Mollica, R. , Donelan, K., Tor, S., Lavelle, J., Elias, C., Frankel, M., & Blendon, R. (1993). The effect of trauma and confinement on functional health and mental health status of Cambodians living in Thailand-Cambodia border camps. Journal of the American Medical Association, 270(5), 581-586.
25.
Mollica, R. , Wyshak, G., & Lavelle, J. (1987). The psychosocial impact of war trauma and torture on Southeast Asian refugees. American Journal of Psychiatry, 144(12), 1567-1572.
26.
Moore, L. , & Boehnlein, J. (1991). Treating psychiatric disorders among Mien refugees from Highland Laos. Social Science and Medicine, 32(9), 1029-1036.
27.
Munhall, P. (1994). Revisioning phenomenology. New York: National League for Nursing Press.
28.
Nicholson, B. (1997). The influence of pre-emigration and post-emigration stressors on mental health: A study of Southeast Asian refugees. Social Work Research, 21(1), 19-31.
29.
Rutledge, P. (1992). The Vietnamese experience in America. Bloomington: Indiana University Press.
30.
van den Berg, J. (1972). A different existence. Pittsburgh, PA: Duquesne University Press.
31.
Chung, R. C. , & Bemak, F. (1996). The effects of welfare status on psychological distress among Southeast Asian refugees. Journal of Nervous and Mental Disease, 184, 346-353.
32.
Hauff, E. , & Vaglum, P. (1995). Organized violence and the stress of exile. Predictors of mental health in a community cohort of Vietnamese refugees three years after resettlement. British Journal of Psychiatry, 166, 360-367.
33.
Kennedy, M. G. , & Rungruangkonkit, S. (1999). Patterns of use of mental health services by Asian immigrants and refugees. Manuscript in preparation.
34.
McKelvey, R. S. , & Webb, J. A. (1997). A prospective study of psychological distress related to refugee camp experience. Australian and New Zealand Journal of Psychiatry, 31, 549-554.
35.
Ta, K. , Westermeyer, J., & Neider, J. (1996). Physical disorders among Southeast Asian refugee outpatients with psychiatric disorders. Psychiatric Services, 47, 975-979.
36.
Ying, Y. W. , Akutsu, P. D., Zhang, X., & Huang, L. N. (1997). Psychological dysfunction in Southeast Asian refugees as mediated by sense of coherence. American Journal of Community Psychology, 25, 839-859.
37.
Abu-Laban, B. , Derwing, T., Krahn, H., Mulder, M., & Wilkinson, L. (1999, April). The settlement experiences of refugees in Alberta: A study prepared for citizenship and immigration Canada (Vol. 2). Edmonton, Canada: University of Alberta, Prairie Centre of Excellence for Research on Immigration and Integration and Population Research Laboratory.
38.
Chabot, R. (1990). Community development and naturalization rates: Southeast Asian refugees in Canada, Australia and the United States. Washington, DC: American Sociological Association.
39.
Citizen and Immigration Canada . (1998). Building on a strong foundation for the 21st century: New directions for immigration and refugee policy and legislation. Ottawa, Canada: Author.
40.
Desjarlais, R. , Eisenberg, L., Good, B., & Kleinman, A. (1995). World mental health: Problems and priorities in low income countries. Oxford, UK: Oxford University Press.
41.
Figley, C. (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel.
42.
Pearlman, L. , & Maclan, P. (1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology: Research and Practice, 26, 558-565.
43.
van Manen, M. (1999). From meaning to method. Qualitative Health Research, 7(3), 345-369.
44.
Davis, R. (1997). Trauma and addiction experiences of African American women. Western Journal of Nursing Research, 19, 442-460.
