The Culture·Bound Syndromes Cul Ture, Illness, and Healing

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The Culture·Bound Syndromes Cul Ture, Illness, and Healing THE CULTURE·BOUND SYNDROMES CUL TURE, ILLNESS, AND HEALING Studies in Comparative Cross-Cultural Research Editor-in-Chief: ARTHUR KLEINMAN Harvard University and Medical School, Cambridge, Massachusetts, U.S.A. Editorial Board: ATWOOD D. GAINES Departments of Anthropology and Psychiatry, Case Western Reserve University and Medical School, Cleveland, Ohio, U.S.A. MARGARET LOCK Departments of Anthropology and Humanities and Social Studies in Medicine, McGill University, Montreal, Canada NUR YALMAN Harvard University, Cambridge, Massachusetts, U.S.A. ALLAN YOUNG Department of Anthropology, Case Western Reserve University, Cleveland, Ohio, U.S.A. THE CULTURE-BOUND SYNDROMES Folk Illnesses of Psychiatric and Anthropological Interest Edited by RONALD C. SIMONS Depts. of Psychiatry and Anthropology, Michigan State University, East Lansing, Michigan, U.S.A. and CHARLES C. HUGHES Dept. of Family and Community Medicine, Medical Center, The University of Utah, Salt Lake City, Utah, U.S.A. D. REIDEL PUBLISHING COMPANY A MEMBER OF THE KLUWER ACADEMIC PUBLISHERS GROUP DORDRECHT I BOSTON I LANCASTER /TOKYO Library of Congress Cataloging-in-Publication Data Main entry under title: The Culture-bound syndromes. (Culture, illness, and healing) Bibliography: p. Indudes indexes. I. Medical anthropology-Addresses, essays, lectures. 2. Ethno­ psychology-Addresses, essays, lectures. 3. Mental illness-Social aspects­ Addresses, essays, lectures. 4. Psychiatry, Transcultural-Addresses, essays, lectures. I. Simons, Ronald C. II. Hughes, Charles C. (Charles Campbell) III. Series. [DNLM: 1. Culture. 2. Ethnic Groups-psychology. 3. Mental Disorders-etiology. 4. Social Environment. WM 31 C9685] GN296.C835 1985 362.1'042 85-14613 ISBN-13: 978-90-277-1859-4 e-ISBN-13: 978-94-009-5251-5 DOl: 10.1007/978-94-009-5251-5 Published by D. Reidel Publishing Company. P.O. Box 17, 3300 AA Dordrecht, Holland. Sold and distributed in the U.S.A. and Canada by Kluwer Academic Publishers, 190 Old Derby Street, Hingham, MA 02043, U.S.A. In all other countries, sold and distributed by Kluwer Academic Publishers Group, P.O. Box 322, 3300 AH Dordrecht, Holland. All Rights Reserved © 1985 by D. Reidel Publishing Company and copyrightholders as specified on appropriate pages within. Softcover reprint of the hardcover I st edition 1985 No part of the material protected by this copyright notice may be reproduced or utilized in any form or by any means, electronic or mechanical, induding photocopying, recording or by any information storage and retrieval system, without written permission from the copyright owner With Appreciation to: Clyde Kluckhohn Alexander H. Leighton Eng-Seong Tan Nathaniel N. Wagner T ABLE OF CONTENTS SOURCES AND ACKNOWLEDGEMENTS xi PREFACE xiii INTRODUCTION CHARLES C. HUGHES / Culture-Bound or Construct-Bound? The Syndromes and DSM-III 3 RONALD C. SIMONS / Sorting the Culture-Bound Syndromes 25 PART I: FOLK ILLNESSES OF PSYCHIATRIC INTEREST IN WHICH SOME EVIDENCE SUPPORTS THE HYPOTHESIS OF A NEUROPHYSIOLOGICAL SHAPING FACTOR A. The Startle Matching Taxon RONALD C. SIMONS / Introduction 41 RONALD C. SIMONS / The Resolution of the Latah Paradox 43 MICHAEL G. KENNY / Paradox Lost: The Latah Problem Revisited 63 RONALD C. SIMONS / Latah II - Problems with a Purely Symbolic Interpretation: A Reply to Michael G. Kenny 77 EMIKO OHNUKI-TIERNEY I Shamans and Imu: Among Two Ainu Groups - Toward a Cross-CulturaI Model of Interpretation 91 CHARLES C. HUGHES / Commentary 111 B. The Sleep Paralysis Taxon RONALD C. SIMONS / Introduction 115 JOSEPH D. BLOOM and RICHARD D. GELARDIN / Uqamairineq and Uqumanigianiq: Eskimo Sleep Paralysis 117 ROBERT C. NESS / The Old Hag Phenomenon as Sleep Paralysis: A Biocultural Interpretation 123 CHARLES C. HUGHES / Commentary 147 vii viii T ABLE OF CONTENTS PART II: FOLK ILLNESSES OF PSYCHIATRIC INTEREST IN WHICH A NEUROPHYSIOLOGICAL SHAPING FACTOR IS ONLY SUSPECTED A. The Genital Retraction Taxon RONALD C. SIMONS / Introduction 151 GWEE AH LENG / Koro - A Cultural Disease 155 o. I. IFABUMUYI and G. G. C. RWEGELLERA / Koro in a Nigerian Male Patient: A Case Report 161 J. GUY EDWARDS / The Koro Pattern of Depersonalization in an American Schizophrenic Patient 165 JAMES W. EDWARDS / Indigenous Koro, A Genital Retraction Syndrome of Insular Southeast Asia: A Critical Review 169 CHARLES C. HUGHES / Commentary 193 B. The Sudden Mass Assault Taxon RONALD C. SIMONS / Introduction 197 JOHN E. CARR / Ethno-Behaviorism and the Culture-Bound Syndromes: The Case of Amok 199 JOSEPH WESTERMEYER / Sudden Mass Assault with Grenade: An Epidemic Amok Form from Laos 225 B. G. BURTON-BRADLEY / The Amok Syndrome in Papua and New Guinea 237 J. ARBOLEDA-FLOREZ / Amok 251 CHARLES C. HUGHES / Commentary 263 C. The Running Taxon RONALD C. SIMONS / Introduction 267 ZACHAR Y GUSSOW / Pibloktoq (Hysteria) Among the Polar Eskimo: An Ethnopsychiatric Study 271 PHILIP A. DENNIS / Grisi Siknis in Miskito Culture 289 EDWARD F. FOULKS / The Transformation of Arctic Hysteria 307 CHARLES C. HUGHES / Commentary 325 TABLE OF CONTENTS ix PART III: FOLK ILLNESSES USUALLY LISTED AS CULTURE-BOUND PSYCHIATRIC SYNDROMES WHICH SHOULD PROBABLY NO LONGER BE SO CONSIDERED A. The Fright fllness Taxon RONALD C. SIMONS I Introduction 329 ARTHUR 1. RUBEL, CARL W. O'NELL, and ROLANDO COLLADO I The Folk Illness Called Susto 333 MARLENE DOBKIN DE RIOS I Saladera - A Culture-Bound Misfortune Syndrome in the Peruvian Amazon 351 DONN V. HART I Lanti, Illness by Fright Among Bisayan Filipinos 371 STEPHEN FRANKEL I Mogo Laya, A New Guinea Fright Illness 399 CHARLES C. HUGHES I Commentary 405 B. The Cannibal Compulsion Taxon RONALD C. SIMONS I Introduction 409 LOU MARANO I Windigo Psychosis: The Anatomy of an Emic-Etic Confusion 411 H. B. M. MURPHY, HAZEL H. WEIDMAN, ROBERT A. BRIGHTMAN, and LOU MARANO I Commentaries and Replies 449 CHARLES C. HUGHES I Commentary 463 APPENDIX CHARLES C. HUGHES I Glossary of 'Culture-Bound' or Folk Psychiatric Syndromes 469 LIST OF CONTRIBUTORS 507 INTRODUCTION TO THE INDEX 509 INDEX 512 SOURCES AND ACKNOWLEDGEMENTS Ronald C. Simons, 'The Resolution of the Latah Paradox' originally appeared in the Journal of Nervous and Mental Disease 168 (1980),195-206. It is reprinted here by permission of the Williams & Wilkins Co., Baltimore. Michael G. Kenny, 'Paradox Lost: The Latah Problem Revisited', and Ronald C. Simons' rejoinder, 'Latah II - Problems with a Purely Symbolic Interpretation', fIrst appeared in the Journal ofNervous and Mental Disease 171 (1983), 159-67 and 168-75 and are both reprinted here by permission of The Williams & Wilkins Co., Baltimore. Emiko Ohnuki-Tierney, 'Shamans and Imu: Among Two Ainu Groups - Toward a Cross-Cultural Model of Interpretation', fIrst appeared in Ethos 8 (1980), 204-28 and is reproduced here by permission of the Society for Psychological Anthropology . Joseph D. Bloom and Richard D. Gelardin, 'Uqamairineq and Uqumanigianiq: Eskimo Sleep Paralysis' originally appeared in Arctic 29(1) (1967), and is re­ printed here by permission of the Arctic Institute of North America_ Gwee Ah Leng, 'Koro - A Cultural Disease' first appeared in the Singapore Medical Journal 4(3) (1963) and is reprinted here by permission of the Singapore Medical Association. O. I. Ifabumuyi and G. G. C. Rwegellera, 'Koro in a Nigerian Male Patient: A Case Report' fIrst appeared in the African Journal of Psychiatry 5 (1979) and is re­ printed here by permission of Literamed Publications Nigeria Ltd. J. Guy Edwards, 'The Koro Pattern of Depersonalization in an American Schizo­ phrenic Patient' originally appeared in The American Journal ofPsychiatry 126 (1970),1171-73 and is reprinted here by permission of the American Psychiatric Association. Burton G. Burton-Bradley, 'The Amok Syndrome in Papua and New Guinea' originally appeared in The Medical Journal of Australia 1 (1968), 252-56 and is reprinted here by permission of The Medical Journal of Australia. J. Arboleda-Florez, 'Amok', first appeared in the Bulletin of the American Academy of Psychiatry and Law 7 (1979), 286-95 and is reprinted here by permission of the American Academy of Psychiatry & the Law. Z. Gussow, 'Pibloktoq (Hysteria) Among the Polar Eskimo' first appeared in The Psychoanalytic Study of Society 1 (1960), 218-36 and is reprinted here by permission of the International Universities Press, Inc., New York. Philip A. Dennis, 'Grisi Siknis in Miskito Culture' is a shorter version of the article entitled: 'Grisi Siknis Among the Miskito', which appeared in Medical Anthro­ pology 5, 445-505 and is reprinted here by permission of Redgrave Publishing Co. xi xii SOURCES AND ACKNOWLEDGEMENTS Lou Marano, 'Windigo Psychosis: The Anatomy of an Emic-Etic Confusion' and the 'Commentaries and Replies' following this article originally appeared in Current Anthropology 23 (1982), 385-412 and 24 (1983), 120-25 and are both reprinted here by permission of The University of Chicago Press. We also wish to acknowledge quotations from the following publications: Alexander H. Leighton, T. Adeoye Lambo, Charles C. Hughes, Dorothea C. Leighton, Jane M. Murphy, and David B. Macklin, Psychiatric Disorder Among the Yoruba: A Report from the Cornell-Aro Mental Health Research Project in the Western Region, Nigeria. © 1963 by Cornell University. Reprinted by permission of the publisher, Cornell University Press. A large quotation from P. M. Yap in M. P. Lau and A. B. Stokes (eds.), Comparative Psychiatry: A Theoretical Framework, 1974. Reprinted by permission of the University of Toronto Press. Parts from the Diagnostic
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