Monday, June 08, 2020

Local mental illness

The always interesting topic of mental illnesses which are specific to particular countries or cultures is given a detailed discussion at BBC Future.

We get the old favourite "koro" (fear of the penis shrinking away), and a description of an outbreak in Singapore in the 1960's.   But we get a few other examples which I hadn't heard of before:
In the central plateau region of Haiti, people regularly fall sick with “reflechi twòp”, or “thinking too much”, which involves ruminating on your troubles until you can barely leave the house. In South Korea, meanwhile, there’s “Hwa-byung” – loosely translated as “rage virus” – which is caused by bottling up your feelings about things you see as unfair, until you succumb to some alarming physical symptoms, like a burning sensation in the body. Dealing with exasperating family members is a major risk factor – it’s common during divorces and conflicts with in-laws.
"Rage virus" seems to be the common affliction at Catallaxy, but I digress.

Then there is this problem, out of Cambodia:
“I would say that there are definitely instances where the meaning that is attributed to experiences actually changes biologically what that experience is,” says Bonnie Kaiser, an expert in psychological anthropology at the University of California, San Diego. She gives the example of the illness kyol goeu, literally “wind overload”, an enigmatic fainting sickness which is prevalent among Khmer refugees in the US.

In their native Cambodia, it’s commonly believed that the body is riddled with channels that contain a wind-like substance – and if these become blocked, the resulting wind overdose will cause the sufferer to permanently lose the use of a limb or die. Out of 100 Khmer patients at one psychiatric clinic in the US, one study found that 36% had experienced an episode of the illness at some point.

Bouts usually proceed slowly, starting with a general feeling of malaise. Then, one day, the victim will stand up and notice that they feel dizzy – and this is how they know that the attack is starting. Eventually they’ll fall to the ground, unable to move or speak until their relatives have administered the appropriate first aid, which usually consists of massaging their limbs or biting their ankles.
 There's a lot  more at the article, so go read it.

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