culture bound phenomena

Question 1

amok

Answer 1

Malaysia - dissociative homicidal rage

Question 2

Ataque de nervios

Answer 2

Hispanophone uncontrollable shouting, dissociation, aggression.

Question 3

Dhat syndrome

Answer 3

India- preoccupation with loss of semen in urine

Question 4

Khyâl cap

Answer 4

Cambodian “wind attacks” short of breath and palpitations

Question 5

Ghost sickness

Answer 5

Native American, preoccupation about dead people

Question 6

Kufungisisa

Answer 6

Zimbabwe “thinking too much”

Question 7

Maladi moun

Answer 7

Haiti “human caused illness” - sent by others out of hatred

Question 8

Shenjing shuairuo

Answer 8

Han Chinese, fatigue, irritability and somatic complaints

Question 9

Susto

Answer 9

Latinos- soul leaving body from fright

Question 10

Taijin kyofusho

Answer 10

Japanese - self- consciousnes

Question 11

Brain Fag

Answer 11

Africa, students unable to study

Question 12

saora

Answer 12

india young people with memory loss and insect bites

Question 13

Zar

Answer 13

middle-east - spirit possession , dissosciation

Question 14

byung

Answer 14

Korea- anxiety and somatic complaints

Question 15

latah

Answer 15

indonesia- exaggerated startle

Question 16

koro

Answer 16

china- the unshakable belief that ones sex organs will shrink and disappear

Question 17

pibloktoq

Answer 17

NW Greenland Inuit “arctic hysteria”
sudden dissociative period of extreme excitement in which they often tear off clothes, run naked through the snow, scream, throw things, and perform other wild behaviors.

Question 18

Kuru

Answer 18

Fatal neurodegenerative prion disease, contracted from eating human brains via funeral cannibalism in PNG. Known as ‘laughing sickness.’

Question 19

Windigo

Answer 19

Believes they have transformed into demon with insatiable craving for human flesh when other food is available.
North American

Question 20

Addison’s Disease

Answer 20

Primary hypoadrenalism: hyperpigmentation (pressure areas, palmer creases, knuckles, buccal mucosa, recent scars); vitiligo.

Primary + secondary hypoadrenalism: lassitude, muscle weakness, hypotension, GI symptoms (anorexia, WL, n/v, abdominal pain), decrease in axillary and pubic pain, depression.

Dx: rapid ACTH stimulation test (synacthen)