This qualitative study investigated individual, contextual, and cultural factors that promote trauma-related resilience and positive growth among Cambodian survivors of the Pol Pot regime who reside in Phnom Penh, Cambodia and Lowell, Massachusetts. A thriving paradigm framed semi-structured interviews that were conducted with 21 Cambodians in Phnom Penh and 21 Cambodians in Lowell. This study reports on the use of the Stress Related Growth Survey, the Posttraumatic Growth Inventory, and the Thriving Scale in examining determinants of stress-related positive outcomes for Cambodian survivors. Content analysis was used to analyze case study data for significant predictors of thriving as well as cultural definitions of thriving and what resources support beneficial processes for Cambodians. Optimism, social support, self-reliance, access to education, and use of Buddhist principles were the major types of predictors of stress related growth, resilience, and thriving identified from the analysis. Cambodian participants reported that coping strategies played both a role in basic survival and later in transforming their profound losses and challenges into strengths. All participants reported that integrating a cultural context in community programs, social resources, and health services are important factors, which support healing and encourage positive growth outcomes for Cambodians. (Contains 51 references.) (Author/JDM)