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Transcult Psychiatry ; 45(2): 287-317, 2008 Jun.
Article in English | MEDLINE | ID: mdl-18562496

ABSTRACT

Somatic symptoms are a common clinical presentation of distress among ethnic populations in the USA, particularly traumatized refugees. In this article, we apply a 'multiplex model' of bodily experience to explain how a somatic symptom is evoked, amplified, and generates distress, particularly distress related to post-traumatic stress disorder. We illustrate the multiplex model's applicability to acute episodes of tinnitus (i.e., a buzzing-like sound in the ear) among Cambodian refugees, a common symptom in that group. The article demonstrates the importance of carefully examining somatic symptoms and associated meanings in distressed ethnic populations, especially traumatized refugees, and aims to contribute to a medical anthropology of somatic symptoms.


Subject(s)
Refugees/statistics & numerical data , Somatoform Disorders/ethnology , Somatoform Disorders/physiopathology , Stress Disorders, Post-Traumatic/ethnology , Stress Disorders, Post-Traumatic/psychology , Tinnitus/ethnology , Cambodia/ethnology , Humans , United States
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