New rehabilitation models are taking culture seriously: treating Cambodian survivors in the USA

Four years was all Cambodian dictator Pol Pot and his regime needed to murder 1.5 million people. From 1975 to 1979, starvation, torture, disease and overwork mainly contributed to the deaths that affected the well-being of the entire country.

torture journal

The upcoming edition of the Torture Journal will cover topics related to torture and rehabilitation.

Today Cambodians still come to terms with the Khmer Rouge regime, one which is still being brought to justice, most recently with the life sentences of Nuon Chea and Khieu Samphan, two figureheads of the regime.

For the survivors, justice only does so much. For many their families are destroyed and those who tortured them have already escaped punishment throughout the majority of their lives.

Now, ahead of the upcoming edition of Torture Journal, we hear from a different project in the USA which is helping Cambodian torture survivors there overcome their past through rehabilitation.

The Harvard Program in Refugee Trauma’s Cambodian Health Promotion Program uses health professionals from psychiatry, nutrition, mental health and biomedicine fields to implement group sessions with 126 survivors of torture to help them move on from their past.

The torture survivors themselves are instrumental to their own recovery with much of the onus on each survivor equipping themselves with power and knowledge to resume their lives, under the facilitation of the health professionals and other group members.

Groups discuss their past, their present and, with hope, their future. Heightened healthcare is promoted through Cambodian culture running alongside traditionally western health concepts; depression and sleeping patterns are discussed to analyse the effects these have on the body; the benefits of physical activity in promoting good mental health are explored; and the benefits of good nutrition are outlined also, all within the context of Cambodian cuisine.

What the project attempts to do is to empower victims of torture to improve their own physical and psychological wellbeing without prescribing the correct ways to look at things – at every stage the cultural traditions of Cambodia are synthesised with evidence-based medical developments.

The study documents that survivors of the genocide generally report worse health conditions than those who were not affected by the Khmer Rouge regime. It is estimated that over 50 per-cent of the survivors were tortured, which has led to chronic health conditions.

Across the four-year health promotion group, improvements were reported across the group of survivors in healthcare, health behaviours, sleeping patterns, self-confidence and depression.

Only seven per-cent rated their health-state as poor after the conclusion of the project, down 13 per-cent since the survivors were surveyed at the inception of the project. Incidences of daily nightmares were only reported by three per-cent of the group (down 10%) and self-confidence issues dropped by over 20%.

Projects such as this show the positive impact of rehabilitation. Whether it is in a community setting, a medical setting or otherwise, targeted, tailored rehabilitation has life-changing results.

 

To read the full report click this link.

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