Vietnam Trauma Survivors
By: Jackie Bong-Wright
Torture Victims
“I
was forced to confess that I was the chairman of the Front for the Salvation of
the Fatherland. I refused to say anything
to my investigators. They hancuffed my
right hand to my left leg 24 hours a day and threw me into a small box – just enough
for me to stand up and walk back and forth six steps. They put electric shocks on parts of my body,
poured water inside my mouth and submerged my head into a sink full of water. They tried to suffocate me. They beat me up savagely. I spent more than 14 years in 14 different
re-education camps in both North and South Vietnam with my two legs shackled for 4 years, 6 months and
15 days in total darkness. After they relased
me, I contracted tuberculosis. Fortunately,
I have clean lungs right now except that I still have headaches, arthritis,
stomach ulcer, and nightmares.”
These were the painful public recollections of Tran Tu
Thanh, a former South Vietnamese officer who spoke at the National Conference
of Vietnamese Trauma Survivors and Seniors at George Mason University’s Johnson Center on May 24. His
younger brother, Vong Tran, went through the same prison treatment and suffered
from post-traumatic syndrome disease (PTSD).
As their father was a prominent lawyer, a former Minister of Information
as well as Vice Prime Minister and Chairman of the Board of Attorneys in
Vietnam, Thanh and his brother werre tortured and “re-educated” after the North
Vietnamese took over the South in 1975.
What do private and public agencies do to help Thanh, his
brother and the 30,000 torture survivors?
These Vietnamese trauma survivors, former allies of the United States who were left behind at the end of the Vietnam War, were
brought to the U.S. to resettle with their families, a total of 150,000, under a special
program known as HO, for Humanitarian Operation, throughout the 1980s and 1990s.
Mr. Nguyen Ngoc Bich, chair of Boat People SOS (BPSOS), welcomed
the 150 participants from all over the country who registered to attend the three-day
Conference. He addresssed self-help,
peer support, and community partnership.
The objectives of the Conference are to promote access to health, mental
health, and support services.
Scholars,
health experts, service providers and the survivors themselves identified the
needs and developed a joint action plan to address those needs. The conference also offered training to
caregivers, mental health professionals, social service providers, government
officials, and representatives of
community-based and faith-based organizations on cultural competency and
best practices.
Action Plan to Address Needs
Dr. Richard
Mollica, Director of the Harvard Program in Refugee Trauma (HPRT) of Massachussetts General Hospital and Professor of Psychiatry at the Harvard Medical School, is the author of a newly published book, Healing Invisible Wounds: Paths to Hope and Recovery in a Violent
World. He said, “The HPRT was
founded in December 1981 and has treated over 10,000 survivors of mass violence
and torture, with a large majority coming from Indochina (Vietnam, Cambodia and Laos). Over the
past 25 years, our research and training activities have helped clarify the mental
health sequelae of torture. The
consequenses of torture are myriad.
Physical effects of torture range from major orthopedic problems,
chronic pain, fractures, motor impairment and paraplegia to increased risk of
cervical cancer, HIV infection and AIDS.
Due to the humility and brutality of the torture
experience and the frequency of resulting traumatic brain injuries, major
psychiatric diagnosis of PTSD and depression can be readily identified in all
cultures. The humiliation and fear
factor used to annihilate the individual are the most potent and damaging
instrument; it can devastate not only the individual but also spread to whole communities.
The best model for HPRT is the primary health care
system, involving indigenous healing systems and including community elders and
family members, clergy and other religious professionals and traditional
healers. “Rarely do trauma survivors
seek help from the psychiatric system,” Dr. Mollica revealed. “Our program is focused on building working
and training capacity in the primary care system, with strong linkages to other
community agents.”
Another expert, Dr. Robert Weigl, a clinical and
cross-cultural psychologist who interviews and evaluates both re-education camp
survivors and their spouses, added, “There is a peculiar failure to recognize
the physiological impact of what the HO folks suffered. Sometimes, it looks worse among wives, who
were never tortured or imprisoned. There
is a host of factors that may account for what look like neurological problems as
well as psychological symptoms for survivors and spouses, including moderate
dementia and Parkinsons disease, cardiovascular weakening, minor strokes, and
drastically premature aging. I have been
shocked at the frequency of physical problems among the survivors.” He also agreed with Dr. Mollica: “Traditional
western psychotherapies are of secondary importance.”
Nguyen Dinh Thang, Ph.D., Executive Director of BPSOS, devised
cluster workshop sessions of 90 minutes each for partipants to discuss various
topics ranging from parental involvement, women’s health, counseling the
elderly, nutrition, abuse, media training, and peer support to retirement
training and emergency preparedness.
As the workshops’ moderator, he said that several
Vietnamese-American doctors would discuss health risks and diseases with high
prevalence among Vietnamese, such as cervical cancer, prostate cancer,
Hepatitis B, liver cancer, lung cancer, and diabetes. They also spoke about the importance of
preventive health care and a model of collaboration between health
professionals and community organizations.
Basic principles, practices and skills in providing counseling to elders
were discussed in the context of how family members could contribute to the
care of elders. How can they access
services? How can they get family and
community support in terms of translation, transportation and navigation?
Several nutritionists also explained the dietary habits
of the Vietnamese and how to eat in a healthy way and prevent diseases. As the elderly are among the most vulnerable
population in a situation of emergency, American Red Cross and FEMA
representatives shared best practices on how each individual, family, and
community could prepare for the next emergency.
Celebrations
To cap off the Conference, the Academy of Asian
American Performing Arts in Virginia, choreagraphed by Asa Trinh and her
troupe, took the audience back to the mythical birth of Vietnam and wove
through the Indochinese and Vietnam Wars, the exodus of North Vietnamese
fleeing south in 1954, and the wave of boat people fleeing Vietnam in the
aftermath of the Communist takeover.
Accompanied by dramatic music, songs and dances, the story evoked the
heroic sacrifices of the South Vietnamese and their American allies and the
tough times Vietnamese refugees went through to rebuild their lives.
That
musical odyssey took place at the George Mason University Center for the Arts in the afternoon, then a banquet was
held at Lucky Three restaurant in Falls Church, Virginia. This event
honored Cong. Chris Smith, who for the past ten years has campaigned for the
resumption of the HO program, the protection of victims of human trafficking,
the resettlement of Amerasians, and the promotion of human rights and religious
freedom.
Other
honorees included Deputy Assistant Secretary Kelly Ryan, who negotiated the
resumption of the HO program with the Vietnamese government; Cong. Tom Davis,
the author of the McCain-Davis Amendment, which resettled the adult children of
HO refugees; and Senator Frank Lautenberg, the author of the Lautenberg
amendment, which established more generous refugee adjudication criteria for
the HO and HR programs. BPSOS will also
honor Sen. Jim Webb, a former American officer, who has shown that he still
cares for his allies.
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