Somatoform Disorder or Culture-Bound Syndrome: Manifestation & Symptom

One of the ongoing controversies slightly the relationship between culture and psychopathology has to do with the long-reported tendency of Asian psychiatric patients to primarily manifest and express psychological distress with corporeal symptoms. Cultural differences in symptom saying have been the focus of studies on somatization. Somatization is a term originally tied to a psychodynamic theory of sickness causation in which psychological conflict was transformed or transduced into natural distress (Kirmayer & Young, 1998). Young & He (2002) imply that the absence of organic findings to let off patients reported symptoms suggest the possibility of a somatoform disorder. However, the common complaints usually do not satisfy the stringent DSM-IV-TR criteria for somatization disorder and can be categorise more closely to undifferentiated somatoform disorders. The more or less common theories propose that the first base rate of reporting psychological problems and high rate o f overemphasizing bodily symptoms among Asians compared to other ethnic groups may reflect cultural rather than cognitive preferences (Lin & Cheung, 1999 Chun, Eastman, Wang, & Sue, 1998).This is most evident in studies of various culture-specific syndromes such as the two Korean folk syndromes listed in the Diagnostic and Statistical Manual of Mental health Disorders (American Psychiatric Association APA, 2000) hwa-byung and shin-byung. Hwa-byung is literally translated into English as anger syndrome and attributed to the downsizing of anger, disappointment, grudges, and unfulfilled expectations and the symptoms include insomnia, fatigue, panic, fear of impending death, dysphoric affect, indigestion, anorexia, dyspnea, palpitations, generalized aches and pains, and... ...that this go out of somatization as a mark of psychological primitivism can be used against the patients by disqualifying and invalidating their somatic symptoms and expressions of distress.I severalize that issues that are relevant to the mental health of any cultural or ethnic group is multidimensional and complex. Despite the impossibility of generalizing any soulfulnesss experience over that of another, I believe han is undeniably plant in the deepest alcoves of the Korean psyche and soul which shapes and operates on so legion(predicate) levelsfrom the largest and highest historical-national level to the personal innermost-mindset of a Korean individual. In this brief and space-limited paper, I selectively reviewed research findings that were most relevant for further exploring the meaning of somatization and expression of han by Koreans in the field of psychopathology.