Understand intergenerational trauma.

The body always remembers. Like other children of Vietnamese war refugees, I understand how hardships and inconceivable loss leave marks. Psychologists in the 1990s found roughly half of Holocaust survivors were still suffering from post-traumatic stress disorder (Dialogues in Clinical Neuroscience). Emerging studies show that, in communities of survivors, trauma may also be passed onto subsequent generations through epigenetic changes, where the mechanism by which our body reads DNA – not DNA itself – is altered (Stanford University). This intergenerational transfer can also be behavioral; parents with severe anxiety may model detrimental patterns of thinking and feeling.

Hello and happy Wednesday. Many of us are waiting expectantly for the U.S. Presidential election results. Yet regardless of who wins, we have to acknowledge the harm that political decisions create. As Georgina emphasizes in today's newsletter, the body keeps the score. Whatever we choose to rally for after this election, healing needs to be at the top of the list.

Because what we do know about this election is that racism is not a dealbreaker for how our country shows up at the polls.

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TAKE ACTION

Advocate for bilingual mental health support: support and donate to grassroots organizations such as Viet-CARE or sign up to volunteer.
Participate in and share the Asian, Pacific Islander, and South Asian American (APISAA) therapist web directory with your peers and connections – you never know who may need it.
Follow @asianmentalhealthcollective and @asiansformentalhealth to broaden your understanding of the individual mental health needs of immigrants and their children.
Encourage compassionate dialogue about mental health.

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By Georgina Quach (she/her)

Intergenerational trauma is manifest amongst Southeast Asian refugees of the Vietnam-American war – a conflict that accounted for three million Vietnamese deaths and more than two million Laotian and Cambodian deaths. A 2015 follow-up study of Cambodian refugees in America found that 97% met the criteria for PTSD (Psychiatric Services). Despite the en masse resettlement of Boat People to the United States after the war, Southeast Asian communities face an ongoing struggle for access to culturally sensitive healthcare.

After the war ended in 1975, the southern capital, Saigon, had fallen to the North Vietnamese communists, who forced thousands of South Vietnamese civilians – including my family – to surrender their homes and possessions. Facing persecution and incarceration in one of the severe “re-education” camps, thousands of Vietnamese fled by makeshift boats to safer states. Many civilians confronted pirate attacks, starvation, drowning and rape, so their children could have a chance at freedom and a future. This generation of Southeast Asian refugees, known as the "Boat People,” constituted the largest mass resettlement of refugees in America. Over 1.1 million arrived between the 1970s and 1990s (SEARAC). Their stories are punctuated by loss, separation, and survival, reminding us that a psychological battle within the Vietnamese diaspora persists long after the physical wounds have healed.

Due to the lack of a unified resettlement infrastructure at the time, Boat People were scattered across isolated areas in the US. Without long-term support, they were expected to achieve economic self-sufficiency and independence quickly (SEARAC). Access to higher education and healthcare for these communities is still blighted by institutional inequities. But these issues have largely been overlooked and masked behind the Asian-American model minority myth, which we covered in a previous newsletter. Past traumas have been compounded by the rise in deportations amongst Vietnamese and Cambodians under Trump’s administration. Between 2017 and 2018, Cambodians saw a 279% climb in deportations (ICE).

Suppressed below the surface, traumatic memories endure not only within survivors, but also within the second generation that they helped save.

Along with ache for the homeland, a paralyzing fear of being judged and rejected by their newfound society can be passed from refugee parents to children. Paul Hoang, founder of the mental health nonprofit Viet-CARE, says children often inherit refugee parents’ anxieties around police (LA Times). In his memoir Sigh, Gone, Phuc Tran grapples with entrenched racial tensions that afflict many Asian-Americans. Despite all his efforts to “fit in” when his family moved to Pennsylvania, Tran was constantly reminded that he wasn’t like everyone else. Sitting inside a McDonald’s to eat – rather than hiding out in the car – could attract racist slurs, or the discomforting attention from Vietnam veterans. "That was my inheritance. The anxiety of being stared at," Tran writes.

While all of us minority settlers have a unique humor and voice, we often feel that we can only speak our mind within family homes. Outside those ethnic walls, the immigrant and the refugee are racially straitjacketed – an ‘othered’ status that even our children struggle to shed.

Therefore it is vital to offer emotional, long-term support that recognizes the complex journey of Southeast Asians, unique from other immigrant groups. Southeast Asian refugees still face many structural barriers to mental healthcare access, including language barriers. In my family, older relatives need my parents to accompany them to hospital appointments.

45% of Southeast Asians have limited English proficiency (SEARAC), and 95% of Cambodian refugees who had seen a psychiatrist had used an interpreter supplied by the provider or clinic (Psychiatric Services). Patients with limited English proficiency experience a lower quality of care, higher rates of medical errors, and worse clinical outcomes than those who are English proficient (American Medical Association Journal of Ethics). This highlights the need for tailored communication methods – fundamental to accessible, effective therapy.

Additionally, while 21% of Vietnamese Americans report depression and anxiety (compared with 10% of whites), mental health remains stigmatized in these communities (UC Irvine Center). In Orange County, home to the largest Vietnamese population outside Vietnam, specialists have observed that Vietnamese Americans take a “morality view” of mental health, where mental illness reflects a person’s character (LA Times). We don’t even have a word for “depression” in the Vietnamese language.

However, in recent years, more Vietnamese and Khmer-focused counseling organizations have gained momentum. Orange County Health Care Agency provides funding for community groups like the Cambodian Family to ensure accessible health knowledge and support. The Nhan Hoa Comprehensive Health Care Clinic, designed for underserved Vietnamese Americans, started a mental health program in 2006 after seeing a need for Vietnamese-targeted programs in the county.

Healing the traumas of our ancestors has implications for the wider community, and our nuanced appreciation of self-care and therapy. I have embraced the responsibility – and honor – of voicing my historically marginalized community. Archiving the “boat people” journey has sparked difficult conversations with my older relatives about intergenerational trauma, which, in turn, helps me preserve and convey Vietnamese stories, in all their complexity.

Georgina Quach is a British-born Vietnamese journalist. Coming from a family of refugees, she gravitates towards the history of movements and exploring ideas of home. Core to her current scholarship granted by The Guardian, her ultimate aim is to foster greater diversity within our newsrooms and media landscape, whilst helping the hardest-to-reach communities get access to independent, fact-checked and inclusive news. She graduated from Oxford University with a BA English Literature degree, and her thesis was on 18th century witchcraft in the West Indies. You can find her on Twitter at @georginaquach and read her writing at georginaquach.com – which also serves as her ever-expanding archive of stories from Vietnamese refugees and camp fieldworkers.

KEY TAKEAWAYS

The Vietnam-American War and Khmer Rouge Regime resulted in trauma that lasts across generations. A 2015 study found 97% of Cambodian refugees in America met the criteria for PTSD, though many still struggle to access culturally competent healthcare (Psychiatric Services).
After the Vietnam-American war, thousands of Vietnamese, known as “Boat People,” escaped the country on boats to flee communist persecution.
Funding bilingual and bicultural therapy will help ensure all refugees have access to healthcare services regardless of their English proficiency.

9/16/2020 | Fight for paid sick leave.

9/13/2020 | Understand representation in vaccine trials.

9/6/2020 | Protect the aging population from COVID-19.

9/3/2020 | Support mental health response services.

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Nicole Cardoza 8/29/20 Nicole Cardoza 8/29/20

Study Hall! The trauma of police brutality videos, active bystander trainings.

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Welcome to our weekly Study Hall. Each week I answer questions and share insights from each of you in our community. We have such a wide range of readers from various different backgrounds and industries, and I always appreciate reading how this work is showing up for you.

This week was the longest year of my life, honestly, and we covered critical issues preventing our collective liberation. Spend some time reviewing the questions and insights below, and resource yourself for the work ahead.

As always, your support is greatly appreciated. These contributions are our only source of funding and help us pay writers and develop new resources. You can give one-time on our website, PayPal or Venmo (@nicoleacardoza), or subscribe for $5/mo on our Patreon.

Nicole

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TAKE ACTION

1. Reflect on the questions prompted by our community.

2. Ask yourself two questions about one of the topics we discussed this week. Discuss these questions with a friend or colleague.

GET EDUCATED

In review: The newsletters we published this week.

Q+A

Q: It seems like there was a lot of misleading information published about the attempted murder of Jacob Blake. How do we know which news sources to trust?

A: I recommend always checking multiple sources to ensure what you read is true. The news is often sensationalized, so move past the headlines you see on social media and read the full article. Also, just because something is shared often doesn't make it true.

I also recommend following local journalists, both in your community and when you're learning more about news that's occuring in a specific area. Many local journalists will report in real-time during a crisis on Twitter, which is what we used to publish our initial report on Jacob Blake on Monday.

U.S. Representative Alexandria Ocasio-Cortez shared more about this on her Instagram, which was reposted on this Twitter thread.

From Demand justice for Jacob Blake. on Monday, August 24.

Insight

We often get questions from readers internationally on how to take action from their countries. Usually you'll find the same injustices occurring closer to home. Here's a note from a Canadian reader on how Tuesday's conversation on racism in. America's art museums is reflected in Canada:

This isn’t specifically related to art galleries or museums but, here in Winnipeg (in Canada), we are home to the Canadian Human Rights Museum. There has been much controversy attached to this museum since its inception but has recently come under fire for racism experienced by employees of colour and censoring content (such as a queer rights display) for different tour groups.

Just wanted to pass this on in case it is helpful for some Canadian content. Here’s a link to the full article: https://www.cbc.ca/news/canada/manitoba/pervasive-and-systemic-racism-at-canadian-museum-for-human-rights-report-says-1.5674468

From Rally against racism in America’s art museums. on Tuesday, August 25.

Insight

Linda shared this quote that embodies the act of an active bystander:

"We must always take sides. Neutrality helps the oppressor, never the victim. Silence encourages the tormentor, never the tormented." Elie Weisel

From Be an active bystander.on Wednesday, August 26.

Insight

Many people also shared that Hollaback has a series of free active bystander trainings that you can take, including one to intervene on harassment to people from AAPI backgrounds, and one to counteract implicit biases. You can learn more here or make a donation to support their work.

From Be an active bystander on Wednesday, August 26.

Q+A

Q: You mentioned that we shouldn't share videos of violence against people of color. But other people are saying that it's important that we "don't look away," because so much of these injustices have been overlooked for decades. How do we balance the two?

Here's the thing. We shouldn't need graphic videos of violence against communities of color for us to be believed. There are already countless graphic examples of the brutalization against us throughout history, available readily on the internet. These videos are proven to be traumatizing for African Americans. It is offensive for anyone to argue that the education of a white person should come before the safety and health of a non-white person; in fact, it's another form of violence.

This argument also forgets the importance of choice. Emmett Till's mother made the brave decision to share the photos of the mutilation of her child's body when he was murdered 65 years ago. But many of these videos circulating were not shared with the consent of the individual or their kin.

I can trust the accounts of eyewitnesses, and do my work to cross-reference sources from journalists. I don't need a video to believe a Black person when they call attention to the injustices so ingrained in our society.

Read more:

https://newrepublic.com/article/153103/videos-police-brutality-traumatize-african-americans-undermine-search-justice

From Be an active bystander on Wednesday, August 26.

Q+A

Q: The threat of incarceration can be powerful motivation for people to not use drugs, or fight a drug addiction. Shouldn't we keep it instead of decriminalizing it?

A: No, y'all. Why would we hold onto a rotten system in the hopes that it will encourage healthier behaviors? It would make much more sense to divest these funds into community support that can provide drug awareness and rehabilitation. In fact, it's believed that decriminalization will further encourage people to seek help.

From Help decriminalize drug possession on Tuesday, August 27.

7/11/2020 | Study Hall! Raising multiracial children and addressing microaggressions.

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Understand intergenerational trauma.

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KEY TAKEAWAYS

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Study Hall! The trauma of police brutality videos, active bystander trainings.

TAKE ACTION

GET EDUCATED

RELATED ISSUES

PLEDGE YOUR SUPPORT