Psychiatric and Psychosomatic Problems among Southeast Asian Refugees

  • San Duy Nguyen


Since 1975, over one-half million refugees from Southeast Asia have resettled in North America. Canada has admitted approximately 75,000 of those displaced persons (3). While the majority of the refugees settle successfully, there has been growing evidence that a significant number are experiencing considerable emotional distress. This impedes their smooth integration into the mainstream of the host society and leads at times to serious mental breakdowns requiring psychiatric intervention. The provision of adequate mental health services for this high risk population has been a major area of concern for those involved in refugee resettlement. Unfortunately, because the refugees are dispersed across the continent, only a few psychiatric facilities are in a position to study any sizable number of them.


Somatic Complaint Life Change Refugee Population Wife Beating Adaptational Problem 


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  1. 1.
    Academy of Traditional Chinese Medicine: An Outline of Chinese Acupuncture. Peking, China, 1975.Google Scholar
  2. 2.
    Bourne, P.G. and Nguyen, S.D.: A Comparative Study of Neuropsychiatric Casualties in the U.S. Army and the ARVN. Military Medicine, Vol. 132: 904–909, 1967.PubMedGoogle Scholar
  3. 3.
    Canada Employment and Immigration Commission: Indochinese Refugees, The Canadian Response, 1979 and 1980. Ottawa, December 31, 1980.Google Scholar
  4. 4.
    Chodoff, P.: The Diagnosis of Hysteria: An Overview. Am. J. Psychiatry 131: 1073, 1974.PubMedGoogle Scholar
  5. 5.
    Cohon, J.D,: The Trauma Syndrome: Identification, Treatment, and Referral of Commonly Seen Problems. Paper presented at Northern California Indochinese Refugee Assistance Program Conference, San Francisco, August 1 and 2, 1977.Google Scholar
  6. 6.
    Coleman, Cynthia M.; Miller, Barry: National Mental Health Needs Assessment of Indochinese Refugee Populations, Bureau of Research and Training, Office of Mental Health, Pennsylvania, Department of Public Welfare, July, 1979.Google Scholar
  7. 7.
    Eitinger, L.: The Symptomatology of Mental Disease Among Refugees in Norway. Journal of Mental Science, 106: 947–966, 1960.PubMedGoogle Scholar
  8. 8.
    Engel, G.L.: A Reconsideration of the Role of Conversion in Somatic Disease. Compr. Psychiatry, 9: 316, 1968.PubMedCrossRefGoogle Scholar
  9. 9.
    Holmes, T.H.; Rahe, R.H.: The Social Readjustment Rating Scale. J. Psychosom. Res. 11: 213, 1967.PubMedCrossRefGoogle Scholar
  10. 10.
    Kelly, P.L.: Vietnamese Students on a Small College Campus: Observations and Analysis. Paper presented at the meeting of the National Association of Foreign Student Affairs, Iowa State University, Ames, 1978.Google Scholar
  11. 11.
    Kim, Young Yun: Research Project on Indochinese Refugees in the State of Illinois. The Travelers Aid Society of Metropolitan Chicago, February, 1980.Google Scholar
  12. 12.
    Koranyi, E.K.; Kerenyi, A.; Sarwer-Foner, G.J.: On Adaptive Difficulties of Some Hungarian Immigrants, A Sociopsychiatric Study. Medical Services Journal Canada, Vol. 14: 383–405, 1958.Google Scholar
  13. 13.
    Koranyi, E.K.; Kerenyi, A.B.; Sarwer-Foner, G.J.: On Adaptive Difficulties of Some Hungarian Immigrants. II. Clinical Considerations and the Process of Acculturation. Medical Services Journal Canada, Vol. 19, No. 2: 68–82, Feb. 1963.Google Scholar
  14. 14.
    Koranyi, E.K.: Immigrant’s Adaptation in Aged Population. In Strangers in the World, L. Eitinger, D. Schwarz (Eds.), Hans Huber Verlag Publishers, Bern, Switzerland, pp. 220–232, 1981.Google Scholar
  15. 15.
    Li, K.C.; Coates, D.B.: Vietnamese Refugees in British Columbia: Their Psychosocial Adaptation. Paper presented at the Canadian Psychiatric Association Annual Meeting, Toronto, Canada, October 1, 1980.Google Scholar
  16. 16.
    Lin, Keh-Ming; Masuda, Minoru; Tazuma, Laurie: Adaptational Problems of Vietnamese Refugees. Part III: Case Studies in Clinic and Field: Adaptive and Maladaptive (personal communication).Google Scholar
  17. 17.
    Lin, Keh-Ming; Tazuma, Laurie; Masuda, Minoru: Adaptational Problems of Vietnamese Refugees. Part I: Health and Mental Health Status. Arch. Gen. Psychiatry, Vol. 36: 955–961, Aug. 1979.PubMedCrossRefGoogle Scholar
  18. 18.
    Lin, Keh-Ming; Masuda, Minoru; Tazuma, Laurie: Adaptational Problems of Vietnamese Refugees. Part IV: Three Years Comparison. Paper presented at the 134th Annual Meeting of the American Psychiatric Association, New Orleans, Louisiana, May 9–15, 1981.Google Scholar
  19. 19.
    Lindemann, E.: Mental Health Aspects of Rapid Social Change. In Mental Health Research in Asia and the Pacific, W. Caudill and T. Lin (Eds.), Honolulu, East-West Center Press, 478–487, 1969.Google Scholar
  20. 20.
    Masuda, Minoru; Lin, Keh Ming; Tazuma, Laurie: Adaptational Problems of Vietnamese Refugees. Part II: Life Changes and Perception of Life Events. Arch. Gen. Psychiatry, Vol. 37: 447–450, April 1980.PubMedCrossRefGoogle Scholar
  21. 21.
    Mechanic, D.: Social Psychologic Factors Affecting the Presentation of Bodily Complaints. New Engl. J. Med. 286: 1132, 1972.Google Scholar
  22. 22.
    Mezey, A.G.: Psychiatric Illness in Hungarian Refugees, J. Ment. Sci. 106: 628–637, 1960.Google Scholar
  23. 23.
    Nguyen, S.D.: The Mental Health Needs of Southeast Asian Refugees. Paper presented at the 1980 Annual Meeting of the Canadian Council of Southeast Asian Studies, Windsor, Ontario, Canada, Nov. 6–9, 1980.Google Scholar
  24. 24.
    Nguyen, San Duy: The Refugee Experience: A Conceptual Model of Social Disintegration. Paper presented at the 1980 Refugee Consultation Conference, Toronto, Canada, June 1980.Google Scholar
  25. 25.
    Ontario Psychiatric Association: The proceedings of the Conference on “The Utilization of Mental Health Services by ethnic groups in Ontario”, Toronto, Oct. 7, 1977, Ontario Psychiatric Association, Toronto, Canada.Google Scholar
  26. 26.
    Rahe, R.H.: Life Crisis and Health Change, in Psychotropic Drug Response: Advances in Prediction. Edited by May P.R.A., Wittenborn, J.R., Springfield, C.C.T., 1969.Google Scholar
  27. 27.
    Rahe, R.H.; Arthur, R.J.: Life Change Patterns Surrounding Illness Experience. J. Psychosom. Res. 11: 341, 1968.PubMedCrossRefGoogle Scholar
  28. 28.
    Rahe, R.H.; McKean, J.; Arthur, R.J.: A Longitudinal Study of Life Change and Illness Patterns. J. Psychosom. Res. 10: 355, 1967.PubMedCrossRefGoogle Scholar
  29. 29.
    Rahe, R.H.; Mahan, J.; Arthur, R.J.: Prediction of Near-future Health Change from Subjects’ Preceding Life Changes. J. Psychosom. Res. 14: 401, 1970.PubMedCrossRefGoogle Scholar
  30. 30.
    Rahe, R.H.: Multi-cultural Correlations of Life Change Scaling: America, Japan, Denmark, and Sweden. J. Psychosom. Res. 13: 191, 1969.PubMedCrossRefGoogle Scholar
  31. 31.
    Rahe, R.H.; Lundberg, U.; Bennett, L.; Theorell, T.: The Social Readjustment Rating Scale: A Comparative Study of Swedes and Americans. J. Psychosom. Res. 14: 241, 1971.CrossRefGoogle Scholar
  32. 32.
    Rahe, R.H.; Floistad, I.; Bergan, T.: A Model for Life Changes and Illness Research: Cross-cultural Data from the Norwegian Navy. Arch. Gen. Psych. 31: 172–77, 1974.CrossRefGoogle Scholar
  33. 33.
    Rahe, Richard H.; Looney, J.G.; Ward, H.W.: Psychiatric Consultation in a Vietnamese Refugee Camp. American Journal of Psychiatry 135: 185–190, February 1978.PubMedGoogle Scholar
  34. 34.
    Tran Minh Tung: Indochinese Patients: Cultural Aspects of the Medical and Psychiatric Care of Indochinese Refugees. Action for South East Asians, Inc., Washington, D.C., 1980.Google Scholar
  35. 35.
    Tseng, W.S.; Char, W.F.: The Chinese of Hawaii. In Tseng, W.S., McDermott, J., Maretzki, T.: Peoples and Culture in Hawaii, pp. 24–32, University of Hawaii, School of Medicine, Honolulu, Hawaii, 1974.Google Scholar
  36. 36.
    Tseng, W.S.; McDermott, J.F.: Psychotherapy: Historical Roots, Universal Elements, and Cultural Variations. American Journal of Psychiatry, 132, No. 4: 378–384, April 1975.PubMedGoogle Scholar
  37. 37.
    Tsung-Yi Lin; Mei-Chen Lin: Service Delivery Issues in Asian-North American Communities. American Journal of Psychiatry, Vol. 135, No. 4: 454–456, 1978.Google Scholar
  38. 38.
    Tyhurst, L.: Displacement and migration: A study in social psychiatry. Am. J. Psychiatry, 107: 561–568, 1951.PubMedGoogle Scholar
  39. 39.
    Wittkower, E.D.; Lipowski, Z.J.: Recent Developments in Psychosomatic Medicine. Psychosomatic Medicine 28: 722–737, 1966.Google Scholar
  40. 40.
    Yap, P.M.: Mental Diseases Peculiar to Certain Cultures: A Survey of Comparative Psychiatry. J. Ment. Sci. 97: 313, 1951.PubMedGoogle Scholar

Copyright information

© Plenum Press, New York 1983

Authors and Affiliations

  • San Duy Nguyen
    • 1
  1. 1.Royal Ottawa HospitalUniversity of Ottawa Medical SchoolOttawaCanada

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