Katharina Hesse

ASIA: SUFFERING IN SILENCE

Cambodia's infrastructure, including the health system, was destroyed during the Khmer Rouge reign and years of civil war. Only in recent years ,several non governmental organizations have helped provide mental health services and training in the country in collaboration with local healers. 

Mental health service is relatively new to Cambodia, but much needed. Before the Pol Pot regime Cambodia only had one mental hospital for the whole population which was destroyed during the years of horror. 

Modest by western standards, the first mental health clinic for all of Cambodia was set up in Siem Reap by a team from Harvard University in 1994.  

This is because many refugees settled down in and around Siem Reap. 102 doctors and counsellers were trained by the Harvard specialists in the late nineties as more than 80 percent of the population was traumatized by the Pol Pot years, and even more during their years in the refugee camps. Studies have shown that most Cambodians showed PTSD ( Posttraumatic Stress Disorder) symptoms similiar to the Jewish survivors of concentration camps.  

Due to insufficient funding and the fact that many patients do not want to be reminded of the past, treatment remains difficult. Says a counselor in Siem Reap:" it only would open old wounds. People rather suffer in silence". 

 

  • Siem Reap, February - 2008 : schizophrenic patient
  • Siem Reap , December 2006 : a schizophrenic man lies chained in a village near Siem Reap.
  • Siem Reap, February-2008 : a mentally impaired patient sits listlessly in a vilage nearby SiemReap
  • Siem Reap, December-2006: a 40 year- old schizophrenic man  rests on a chair after his first trial to walk after being locked into a hut for more than one month .
  • Siem Reap, Dec. 2006: schizophrenic patient
  • Siem Reap, December-2006 :a 40 year- old schizophrenic man who's been locked into a smal hut for one month after a fit, tries his firststeps outside .
  • Siem Reap, February - 2008: a  woman who's one of the many refugee returnees, has a mental fit in a street .
  • Siem Reap , Deceber 2006 : a schizophrenic man lies chained in a village near Siem Reap.
  • Siem Reap, December-2006: schizophrenic patient
  • Siem Reap, February - 2008: a  woman who's one of the many refugee returnees, collapses in a street .
  • Siem Reap, December-2006 :a 17 year-old schizophrenic man lies chained in a village near Siem Reap.
  • Siem Reap, February - 2008 : schizophrenic patient
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