Ghost Encounters Among Traumatized Cambodian Refugees: Severity, Relationship to PTSD, and Phenomenology
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Ghost encounters were found to be a key part of the trauma ontology among Cambodian refugees at a psychiatric clinic, a key idiom of distress. Fifty-four percent of patients had been bothered by ghost encounters in the last month. The severity of being bothered by ghosts in the last month was highly correlated to PTSD severity (r = .8), and among patients bothered by ghosts in the last month, 85.2% had PTSD, versus among those not so bothered, 15.4%, odds ratio of 31.8 (95% confidence level 11.3–89.3), Chi square = 55.0, p < .001. Ghost visitations occurred in multiple experiential modalities that could be classified into three states of consciousness: full sleep (viz., in dream), hypnagogia, that is, upon falling asleep or awakening (viz., in sleep paralysis [SP] and in non-SP hallucinations), and full waking (viz., in hallucinations, visual aura, somatic sensations [chills or goosebumps], and leg cramps). These ghost visitations gave rise to multiple concerns—for example, of being frightened to death or of having the soul called away—as part of an elaborate cosmology. Several heuristic models are presented including a biocultural model of the interaction of trauma and ghost visitation. An extended case illustrates the article’s findings.
KeywordsGhosts Hallucination States of consciousness PTSD Culture Complex trauma
Compliance with Ethical Standards
Conflict of interest
The author has no conflict of interest.
Informed consent was obtained from all participants, and the study was conducted as per in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
- Davis, E. 2016 Deathpower: Buddhism’s Ritual Imagination in Cambodia. New York: Columbia University Press.Google Scholar
- de Leede-Smith, S., and E. Barkus 2013 A Comprehensive Review of Auditory Verbal Hallucinations: Lifetime Prevalence, Correlates and Mechanisms in Healthy and Clinical Individuals. Frontiers Human Neuroscience 7:367.Google Scholar
- Gustafsson, Mai Lan 2009 War and Shadows: The Haunting of Vietnam. Ithaca: Cornell University Press.Google Scholar
- Hinton, D. E., and B. J. Good, eds.2016 Culture and PTSD: Trauma in Historical and Global Perspective. Pennsylvenia: University of Pennsylvenia Press.Google Scholar
- Hinton, D.E., A. Hinton, D. Chhean, V. Pich, J.R. Loeum, and M.H. Pollack 2009aNightmares among Cambodian Refugees: The Breaching of Concentric Ontological Security. Culture, Medicine, and Psychiatry 33:219–265.Google Scholar
- Hinton, D. E., and N. Simons 2015 Somatization, Anxiety Disorders (GAD, Panic Disorder, and PTSD), and the Arousal Complex in Cultural Context: The Multiplex Model and the Cultural Neuroscience of Anxiety Disorders. In Revisioning Psychiatry: Cultural Phenomenology, Critical Neuroscience, and Global Mental Health. L.J. Kirmayer, R. Lemelson, and C. Cummings, eds. pp. 343-374. Cambridge, U.K.: Cambridge University Press. CrossRefGoogle Scholar
- Kwon, H. 2014 The Vietnam War Traumas. In Genocide and Mass Violence: Memory, Symptom, and Recovery. D.E. Hinton and A.L. Hinton, eds. Cambridge: Cambridge University Press.Google Scholar
- McGrath, J. J., S. Saha, C. C. W. Lim, S. Aguilar-Gaxiola, J. Alonso, L. H. Andrade, E. J. Bromet, R. Bruffaerts, J. M. Caldas de Almeida, G. Cardoso, G. de Girolamo, J. Fayyad, S. Florescu, O. Gureje, J. M. Haro, N. Kawakami, K. C. Koenen, V. Kovess-Masfety, S. Lee, J. P. Lepine, K. A. McLaughlin, M. E. Medina-Mora, F. Navarro-Mateu, A. Ojagbemi, J. Posada-Villa, N. Sampson, K. M. Scott, H. Tachimori, M. Ten Have, K. S. Kendler, R. C. Kessler, and W. H. O. World Mental Health Survey Collaborators 2017 Trauma and Psychotic Experiences: Transnational Data from the World Mental Health Survey. British Journal of Psychiatry 211(6): 373–380.CrossRefGoogle Scholar
- Reis, R. 2016 Children’s Idioms of Distress. In The Routledge Handbook of Medical Anthropology. L. Manderson, ed. pp. 36–42. New York, NY: Routledge.Google Scholar