“…Patients often experience increased survival guilt when unable to send sufficient money to parents, siblings, and other relatives in Cambodia; owing to the great poverty of that country, death from crime, illness, and poor nutrition is common. Also, survival guilt for Cambodians frequently presents in a culturally specific form: worry about the spiritual status of relatives who did not receive death ceremonials (Boehnlein, 1987;Cook, 2006; likewise, among Rwandan genocide survivors; see Bagilishya, 2000;Uwanyiligira, 1997). In the Khmer cultural context, death rites, such as chanting and cremation, are thought to ensure the future prosperity of the deceased.…”