Working with Southeast Asian refugees

Increasingly, refugees from Laos, Cambodia and Viet Nam are coming to Mental Health Centers for help. For the Indo Chinese patient, an emotional problem may have a very different meaning—a meaning not immediately obvious to the Western mind. The emotionally troubled individual may feel that he or she is being punished, and that confiding to a psychotherapist is shaming or betraying the family and the ancestors. Consequently, emotional problems may be converted to somatic complaints, particularly of the respiratory and gastrointestinal variety. Psychotherapy with the refugee involves different techniques as well as different meanings. Confrontation and exploration, for example, may be misunderstood by the patient. In working with the Indo Chinese refugee it is recommended that the clinician be flexible, persevering, and open minded.