0
0

Glossary of Cultural Concepts of Distress

DOI: 10.1176/appi.books.9780890425596.223986

Sections

Excerpt

Ataque de nervios (“attack of nerves”) is a syndrome among individuals of Latino descent, characterized by symptoms of intense emotional upset, including acute anxiety, anger, or grief; screaming and shouting uncontrollably; attacks of crying; trembling; heat in the chest rising into the head; and becoming verbally and physically aggressive. Dissociative experiences (e.g., depersonalization, derealization, amnesia), seizure-like or fainting episodes, and suicidal gestures are prominent in some ataques but absent in others. A general feature of an ataque de nervios is a sense of being out of control. Attacks frequently occur as a direct result of a stressful event relating to the family, such as news of the death of a close relative, conflicts with a spouse or children, or witnessing an accident involving a family member. For a minority of individuals, no particular social event triggers their ataques; instead, their vulnerability to losing control comes from the accumulated experience of suffering (Guarnaccia et al. 1993; Guarnaccia et al. 1996; Lewis-Fernández et al. 2010).

Your session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

References

Chang DF, Myers HF, Yeung A, et al: Shenjing shuairuo and the DSM-IV: diagnosis, distress, and disability in a Chinese primary care setting. Transcult Psychiatry 42(2):204–218, 2005
[PubMed]
 
Chinese Medical Association and Nanjing Medical University: Chinese Classification of Mental Disorders, 2nd Edition, Revised (CCMD-2-R). Nanjing, Dong Nan University Press, 1995
 
Chinese Society of Psychiatry: The Chinese Classification and Diagnostic Criteria of Mental Disorders, Version 3 (CCMD-3). Ginan, China, Chinese Society of Psychiatry, 2001
 
Fukuda K, Straus SE, Hickie I, et al: The chronic fatigue syndrome: a comprehensive approach to its definition and study. International Chronic Fatigue Syndrome Study Group. Ann Intern Med 121(12):953–959, 1994
[PubMed]
 
Kleinman A: Social Origins of Distress and Disease: Depression, Neurasthenia, and Pain in Modern China. New Haven, CT, Yale University Press, 1986
 
Lee S: The vicissitudes of Neurasthenia in Chinese societies: where will it go from the ICD-10? Transcultural Psychiatry 31(2):153–172, 1994
[CrossRef]
 
Lee S, Kleinman A: Are somatoform disorders changing with time? The case of neurasthenia in China. Psychosom Med 69(9):846–849, 2007
[PubMed]
 
Leone SS, Wessely S, Huibers MJ, et al: Two sides of the same coin? On the history and phenomenology of chronic fatigue and burnout. Psychol Health 26(4):449–464, 2011
[PubMed]
 
Lewis-Fernández R, Guarnaccia PJ, Ruiz P: Culture-bound syndromes, in Kaplan and Sadock’s Comprehensive Textbook of Psychiatry, 9th Edition. Edited by Sadock VJ, Sadock VA, Ruiz P. Philadelphia, PA, Lippincott Williams & Wilkins, 2009, pp 2519–2538
 
Lin TY: Neurasthenia revisited: its place in modern psychiatry. Cult Med Psychiatry 13(2):105–129, 1989
[PubMed]
 
Ola BA, Igbokwe DO: Factorial validation and reliability analysis of the Brain Fag Syndrome Scale. Afr Health Sci 11(3):334–340, 2011
[PubMed]
 
Paralikar V, Agashe M, Sarmukaddam S, et al: Cultural epidemiology of neurasthenia spectrum disorders in four general hospital outpatient clinics of urban Pune, India. Transcult Psychiatry 48(3):257–283, 2011
[PubMed]
 
Hinton DE, Good BJ (eds): Culture and Panic Disorder. Palo Alto, CA, Stanford University Press, 2009
 
Hinton DE, Um K, Ba P: Kyol goeu (“wind overload”), part I: a cultural syndrome of orthostatic panic among Khmer refugees. Transcult Psychiatry 38(4):403–432, 2001
[PubMed]
 
Hinton DE, Pich V, Marques L, et al: Khy'l attacks: a key idiom of distress among traumatized Cambodia refugees. Cult Med Psychiatry 34(2):244–278, 2010
[PubMed]
 
Hinton DE, Hinton AL, Eng KT, Choung S: PTSD and key somatic complaints and cultural syndromes among rural Cambodians: the results of a needs assessment survey. Med Anthropol Q 26(3):383–407, 2012
[PubMed]
 
Al-Sughayir MA: Public view of the “evil eye” and its role in psychiatry: a study in Saudi society. Arab Journal of Psychiatry 7(2):152–160, 1996
 
Brodwin P: Medicine and Morality in Haiti: The Contest for Healing Power (Cambridge Studies in Medical Anthropology series). Cambridge, UK, Cambridge University Press, 1996
 
DeSantis L, Thomas JT: The immigrant Haitian mother: transcultural nursing perspective on preventive health care for children. J Transcult Nurs 2(1):2–15, 1990
[PubMed]
 
Desrosiers A, St. Fleurose S: Treating Haitian patients: key cultural aspects. Am J Psychother 56(4):508–521, 2002
[PubMed]
 
Farmer P: Sending sickness: sorcery, politics, and changing concepts of AIDS in rural Haiti. Medical Anthropology Quarterly 4(1):6–27, 1990
[CrossRef]
 
Migliore S: Mal’occhiu: Ambiguity, Evil Eye, and the Language of Distress. Toronto, ON, University of Toronto Press, 1997
 
Nicolas G, Desilva AM, Subrebost KL, et al: Expression and treatment of depression among Haitian immigrant women in the United States: clinical observations. Am J Psychother 61(1):83–98, 2007
[PubMed]
 
Risser AL, Mazur LJ: Use of folk remedies in a Hispanic population. Arch Pediatr Adolesc Med 149(9):978–981, 1995
[PubMed]
 
Vonarx N: Vodou: Illness and models in Haiti: from local meanings to broader relations of domination. Anthropology in Action 14(3):18–29, 2007
 
Baer RD, Weller SC, de Alba Garcia JG, et al: A cross-cultural approach to the study of the folk illness nervios. Cult Med Psychiatry 27(3):315–337, 2003
[PubMed]
 
Davis DL: The variable character of nerves in a Newfoundland fishing village. Med Anthropol 11(1):63–78, 1989
[PubMed]
 
Dunk P: Greek women and broken nerves in Montreal. Med Anthropol 11(1):29–45, 1989
[PubMed]
 
Finkler K: Physicians at Work, Patients in Pain: Biomedical Practice and Patient Response in Mexico, 2nd Edition. Durham, NC, Carolina Academic Press, 2001
 
Guarnaccia PJ, Farias P: The social meanings of nervios: a case study of a Central American woman. Soc Sci Med 26(12):1223–1231, 1988
[PubMed]
 
Guarnaccia PJ, Lewis-Fernández R, Marano MR: Toward a Puerto Rican popular nosology: nervios and ataque de nervios. Cult Med Psychiatry 27(3):339–366, 2003
[PubMed]
 
Lewis-Fernández R, Gorritz M, Raggio GA, et al: Association of trauma-related disorders and dissociation with four idioms of distress among Latino psychiatric outpatients. Cult Med Psychiatry 34(2):219–243, 2010
[PubMed]
 
Low SM: The meaning of nervios: a sociocultural analysis of symptom presentation in San Jose, Costa Rica. Cult Med Psychiatry 5(1):25–47, 1981
[PubMed]
 
Migliore S: From illness narratives to social commentary: a Pirandellian approach to “nerves.”Med Anthropol Q 15(1):100–125, 2001
[PubMed]
 
Salgado de Snyder VN, Diaz-Perez MJ, Ojeda VD: The prevalence of nervios and associated symptomatology among inhabitants of Mexican rural communities. Cult Med Psychiatry 24(4):453–470, 2000
[PubMed]
 
Van Schaik E: Paradigms underlying the study of nerves as a popular illness term in eastern Kentucky. Med Anthropol 11(1):15–28, 1989
[PubMed]
 
Weller SC, Baer RD, Garcia de Alba Garcia J, Salcedo Rocha AL: Susto and nervios: expressions for stress and depression. Cult Med Psychiatry 32(3):406–420, 2008
[PubMed]
 
Rubel AJ, O’Nell CW, Collado-Ardón R: Susto: A Folk Illness. Berkeley, University of California Press, 1984
 
Ruíz Velasco ME: La cosmovisión de la salud y los “peligros del alma” en la zona de los Altos de Chiapas [The worldview of health and the “perils of the soul” in the Chiapas Highlands]. Atopos 10:83–100, 2010 Available at: http://www.atopos.es/pdf_10/5_La%20cosmovisi%C3%B3n%20de%20la%20salud%20y%20los%20peligros%20del%20alma.pdf. Accessed December 14, 2012.
 
Simons RC: Introduction: the fright illness taxon, in The Culture-Bound Syndromes: Folk Illnesses of Psychiatric and Anthropological Interest. Edited by Simons RC, Hughes CC. Dordrecht, Holland, D Reidel, 1985, pp 329–331
 
Taub B: Calling the soul back to the heart: soul loss, depression and healing among indigenous Mexicans. Unpublished doctoral dissertation, University of California, Los Angeles, 1992
 
Tousignant M : Espanto: a dialogue with the gods. Cult Med Psychiatry 3(4):347–361, 1979
[PubMed]
 
Villaseñor-Bayardo S: Apuntes para una Etnopsiquiatría mexicana. Guadalajara, Mexico, Universidad de Guadalajara, 2008
 
Weller SC, Baer RD, de Alba Garcia JG, et al: Regional variation in Latino descriptions of susto. Cult Med Psychiatry 26(4):449–472, 2002
[PubMed]
 
Weller SC, Baer RD, Garcia de Alba Garcia J, Salcedo Rocha AL: Susto and nervios: expressions for stress and depression. Cult Med Psychiatry 32(3):406–420, 2008
[PubMed]
 
Zolla C: La medicina tradicional indígena en el México actual [Traditional indigenous medicine in Mexico today]. Arqueología Mexicana 13(74):62–68, 2005 Available at: http://www.arqueomex.com/S2N2SUMARIO74.html. Accessed December 14, 2012.
 
Bhatia MS, Malik SC: Dhat syndrome—a useful diagnostic entity in Indian culture. Br J Psychiatry 159:691–695, 1991
[PubMed]
 
Gautham M, Singh R, Weiss H, et al: Socio-cultural, psychosexual and biomedical factors associated with genital symptoms experienced by men in rural India. Trop Med Int Health 13(3):384–395, 2008
[PubMed]
 
Jadhav S: Dhat syndrome: a re-evaluation. Psychiatry 3(8):14–16, 2004
 
Khan N: Dhat syndrome in relation to demographic characteristics. Indian J Psychiatry 47(1): 54–57, 2005
 
Malhotra HK, Wig NN: Dhat syndrome: a culture-bound sex neurosis of the orient. Arch Sex Behav 4(5):519–528, 1975
[PubMed]
 
Mumford DB: The ‘Dhat syndrome’: a culturally determined symptom of depression? Acta Psychiatr Scand 94(3):163–167, 1996
[PubMed]
 
Murthy RS, Wig NN: Psychiatric diagnosis and classification in developing countries, in Psychiatric Diagnosis and Classification. Edited by Maj M, Gaebel W, López-Ibor JJ, Sartorius N. Chichester, UK, Wiley, 2002, pp 249–279
 
Raguram R, Jadhav S, Weiss MG: Historical perspectives on Dhat syndrome. NIMHANS Journal 12(2):117–124, 1994
 
Sumathipala A, Siribaddana SH, Bhugra D: Culture-bound syndromes: the story of dhat syndrome. Br J Psychiatry 184:200–209, 2004
[PubMed]
 
Trollope-Kumar K: Cultural and biomedical meanings of the complaint of leukorrhea in South Asian women. Trop Med Int Health 6(4):260–266, 2001
[PubMed]
 
Choy Y, Schneier FR, Heimberg RG, et al: Features of the offensive subtype of Taijin-Kyofu-Sho in US and Korean patients with DSM-IV social anxiety disorder. Depress Anxiety 25(3):230–240, 2008
[PubMed]
 
Kim J, Rapee RM, Gaston JE: Symptoms of offensive type Taijin-Kyofusho among Australian social phobics. Depress Anxiety 25(7):601–608, 2008
[PubMed]
 
Kinoshita Y, Chen J, Rapee RM, et al: Cross-cultural study of conviction subtype Taijin Kyofu: proposal and reliability of Nagoya-Osaka diagnostic criteria for social anxiety disorder. J Nerv Ment Dis 196(4):307–313, 2008
[PubMed]
 
Nakamura K, Kitanishi K, Miyake Y, et al: The neurotic versus delusional subtype of taijin-kyofu-sho: their DSM diagnoses. Psychiatry Clin Neurosci 56(6):595–601, 2002
[PubMed]
 
Suzuki K, Takei N, Iwata Y, et al: Do olfactory reference syndrome and jiko-shu-kyofu (a subtype of taijin-kyofu) share a common entity? Acta Psychiatr Scand 109(2):150–155, 2004
[PubMed]
 
Takahashi T: Social phobia syndrome in Japan. Compr Psychiatry 30(1):45–52, 1989
[PubMed]
 
Tarumi S, Ichimiya A, Yamada S, et al: Taijin Kyofusho in university students: patterns of fear and predispositions to the offensive variant. Transcult Psychiatry 41(4):533–546, 2004
[PubMed]
 
Brown RJ, Lewis-Fernández R: Culture and conversion disorder: implications for DSM-5. Psychiatry 74(3):187–206, 2011
[PubMed]
 
Guarnaccia PJ, Canino G, Rubio-Stipec M, Bravo M: The prevalence of ataques de nervios in the Puerto Rico disaster study: the role of culture in psychiatric epidemiology. J Nerv Ment Dis 181(3):157–165, 1993
[PubMed]
 
Guarnaccia PJ, Rivera M, Franco F, Neighbors C: The experiences of ataques de nervios: towards an anthropology of emotions in Puerto Rico. Cult Med Psychiatry 20(3):343–367, 1996
[PubMed]
 
Lewis-Fernández R, Garrido-Castillo P, Bennasar MC, et al: Dissociation, childhood trauma, and ataque de nervios among Puerto Rican psychiatric outpatients. Am J Psychiatry 159(9):1603–1605, 2002a
[PubMed]
 
Lewis-Fernández R, Guarnaccia PJ, Martínez IE, et al: Comparative phenomenology of ataques de nervios, panic attacks, and panic disorder. Cult Med Psychiatry 26(2):199–223, 2002b
[PubMed]
 
Lewis-Fernández R, Horvitz-Lennon M, Blanco C, et al: Significance of endorsement of psychotic symptoms by US Latinos. J Nerv Ment Dis 197(5):337–347, 2009
[PubMed]
 
Lewis-Fernández R, Gorritz M, Raggio GA, et al: Association of trauma-related disorders and dissociation with four idioms of distress among Latino psychiatric outpatients. Cult Med Psychiatry 34(2):219–243, 2010
[PubMed]
 
Weidman HH: Falling-out: a diagnostic and treatment problem viewed from a transcultural perspective. Soc Sci Med Med Anthropol 13B(2):95–112, 1979
[PubMed]
 
Abas MA, Broadhead JC: Depression and anxiety among women in an urban setting in Zimbabwe. Psychol Med 27(1):59–71, 1997
[PubMed]
 
Avotri JY, Walters V: “You just look at our work and see if you have any freedom on earth”: Ghanaian women’s accounts of their work and their health. Soc Sci Med 48(9):1123–1133, 1999
[PubMed]
 
Bolton P, Surkan PJ, Gray AE, Desmousseaux M: The mental health and psychosocial effects of organized violence: a qualitative study in northern Haiti. Transcult Psychiatry 49(3–4):590–612, 2012
[PubMed]
 
Frye BA, D’Avanzo C: Themes in managing culturally defined illness in the Cambodian refugee family. J Community Health Nurs 11(2):89–98, 1994
[PubMed]
 
Hinton DE, Hinton AL, Eng KT, Choung S: PTSD and key somatic complaints and cultural syndromes among rural Cambodians: the results of a needs assessment survey. Medical Anthropology Quarterly 26:383–407, 2012
[CrossRef]
 
Keys HM,Kaiser BN, Kohrt BA, et al: Idioms of distress, ethnopsychology, and the clinical encounter in Haiti's Central Plateau. Soc Sci Med 75(3):555–564, 2012
[PubMed]
 
Kirmayer LJ, Fletcher CM, Boothroyd LJ: Inuit attitudes toward deviant behavior: a vignette study. J Nerv Ment Dis 185(2):78–86, 1997
[PubMed]
 
Ola BA, Igbokwe DO: Factorial validation and reliability analysis of the Brain Fag Syndrome Scale. Afr Health Sci 11(3):334–340, 2011
[PubMed]
 
Ola BA, Morakinyo O, Adewuya AO: Brain fag syndrome—a myth or a reality. Afr J Psychiatry (Johannesbg) 12(2):135–143, 2009
[PubMed]
 
Patel V, Gwanzura F, Simunyu E, et al: The phenomenology and explanatory models of common mental disorder: a study in primary care in Harare, Zimbabwe. Psychol Med 25(6):1191–1199, 1995a
[PubMed]
 
Patel V, Simunyu E, Gwanzura F: Kufungisisa (thinking too much): a Shona idiom for non-psychotic mental illness. Cent Afr J Med 41(7):209–215, 1995b
[PubMed]
 
van der Ham L, Wright P, Van TV, et al: Perceptions of mental health and help-seeking behavior in an urban community in Vietnam: an explorative study. Community Ment Health J 47(5):574–582, 2011
[PubMed]
 
Westermeyer J, Wintrob R: “Folk” explanations of mental illness in rural Laos. Am J Psychiatry 136(7):901–905, 1979
[PubMed]
 
Yang LH, Phillips MR, Lo G, et al: “Excessive thinking” as explanatory model for schizophrenia: impacts on stigma and “moral” status in Mainland China. Schizophr Bull 36(4):836–845, 2010
[PubMed]
 
Yarris KE: The pain of “thinking too much”: dolor de cerebro and the embodiment of social hardship among Nicaraguan women. Ethos 39(2):226–248, 2011
[CrossRef]
 
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Related Content
Articles
Topic Collections
Psychiatric News
PubMed Articles
Culture-bound syndromes. Psychiatr Clin North Am 1995;18(3):523-36.
 
  • Print
  • PDF
  • E-mail
  • Chapter Alerts
  • Get Citation