At a psychiatric refugee clinic for survivors of the Khmer Rouge genocide, a survey revealed that 42% (38/90) had auditory hallucinations (AHs) in the last month. Of those with AHs, 87% (33/38) had PTSD, whereas of those without AHs, 31% (16/52) had PTSD, giving a chi square of 27.8, p < .001, odds ratio 14.8 (4.8–45). Most AHs were of a “ghost summoning” (khmaoch hao), considered an exhortation to go with a ghost (e.g., hearing “Please come with me, younger sister”), experienced by 73% percent of patients with AHs. The voices were always exterior and usually loud and clear. AHs were heard most often during hypnagogia (i.e., upon falling asleep or awakening), experienced by 72% of patients with AHs, whereas 42% of patients with AHs experienced AHs when fully awake. AHs were almost always attributed to a ghost, giving rise to great fear: of having the “soul” called away or of being frightened to death. AH episodes almost always triggered trauma recall. AHs caused patients to undertake certain actions to address acute episodes and to prevent further ones. To illustrate these processes, cases are provided. AH appears to be a key part of the Cambodian bioculturally shaped trauma subjectivity.

在一家为红色高棉种族灭绝幸存者开设的精神病难民诊所，一项调查显示，42% (38/90) 的人在上个月出现了幻听 (AHs)。在有 AHs 的人中，87% (33/38) 有 PTSD，而在没有 AHs 的人中，31% (16/52) 有 PTSD，卡方为 27.8，p < .001，优势比为 14.8 (4.8-45 ）。大多数AH属于“幽灵召唤”（khmaoch hao），被认为是对鬼魂的劝告（例如，听到“请跟我来，妹妹”），73% 的 AH 患者都经历过。声音总是外在的，通常是响亮而清晰的。AHs 最常在入睡时（即入睡或醒来时）听到，72% 的 AHs 患者经历过，而 42% 的 AHs 患者在完全清醒时经历过 AHs。AHs 几乎总是归因于鬼魂，引起极大的恐惧：被召唤出“灵魂”或被吓死。AH 发作几乎总是引发创伤回忆。AHs 导致患者采取某些行动来解决急性发作并防止进一步发作。为了说明这些过程，提供了案例。AH 似乎是柬埔寨生物文化塑造的创伤主观性的关键部分。