ABSTRACT During the Khmer Rouge reign in Cambodia from 1975 to1979, approximately one-quarter of the country’s population lost their lives by starvation, disease, or execution. Most intellectual and academic institutions, including mental health services, were destroyed during this period by the Khmer Rouge regime who saw them as a threat. About 15 years ago mental health services began to be reinitiated in the country, usually in collaboration with Western academics and mental health experts. The call for these services was often in response to the high prevalence of post-traumatic stress disorders and other psychosocial problems. Today mental health issues still receive insufficient attention in Cambodia, mainly stemming from a lack of resources, knowledge about the general topic of mental health, and stigma. This article presents the results of a survey delivered to the first generation of psychology students since the end of the Khmer Rouge regime regarding their impressions of the current mental health needs in Cambodia. Respondents answered questions about the types of problems people bring to Cambodian counselors and therapist, the clinical populations in their work settings, their views of preferred treatment approaches in Cambodia, barriers to service delivery, and types of training needed to address the concerns of the people of Cambodia. The leading requests for the future development of mental health training included the need for training in marriage and family therapy, assessments, and play therapy. Domestic violence, depression, and anxiety/stress were also placed at the top of the mental health issues reported.

中文翻译：

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柬埔寨种族灭绝后的心理需求：家庭治疗服务的呼吁及其对“世界多数”人口的影响

摘要 在 1975 年至 1979 年柬埔寨红色高棉统治期间，该国大约四分之一的人口因饥饿、疾病或处决而丧生。在此期间，大多数知识和学术机构，包括精神卫生服务机构，都被红色高棉政权摧毁，他们认为它们是一种威胁。大约 15 年前，该国开始重新启动心理健康服务，通常是与西方学者和心理健康专家合作。对这些服务的呼吁通常是为了应对创伤后应激障碍和其他社会心理问题的高发率。今天，柬埔寨的心理健康问题仍然没有得到足够的重视，主要是由于缺乏资源、对心理健康的一般主题的了解以及污名化。本文介绍了自红色高棉政权结束以来第一代心理学学生对柬埔寨当前心理健康需求的印象的调查结果。受访者回答了有关人们向柬埔寨咨询师和治疗师提出的问题类型、工作环境中的临床人群、他们对柬埔寨首选治疗方法的看法、提供服务的障碍以及解决人们关注的问题所需的培训类型的问题柬埔寨。对心理健康培训未来发展的主要要求包括对婚姻和家庭治疗、评估和游戏治疗方面的培训的需求。家庭暴力、抑郁和焦虑/压力也被置于报告的心理健康问题的首位。