What is “KORO/ Genital Retraction Syndrome.”? mA Comprehensive Overview.  Koro is the fear of the genitals shrinking and retracting into the body. Koro is sometimes referred to as genital retraction syndrome. Females occasionally suffer from a variation of koro in which they believe that their nipples are retracting. Interestingly, koro often appears as an epidemic in which multiple cases are reported simultaneously within a specific geographic area. Cases of this fear have been reported around the world in Asia, Africa, Europe, and the U.S. The conclusion is that the psychological disappearance of the penis is a universal syndrome that was described recently in Asia and Africa and already in Medieval Europe. An attempt has been made in this Booklet to present a summarizing overview on ethnomedical aspects of koro (in Chinese called suoyang ), the panic anxiety state in which affected males believe that the penis is shrinking and/or retracting, and perhaps disappearing. …Dr. H. K. Saboowala. M.B.(Bom) .M.R.S.H.(London)

This book provides a definitive account of koro, a topic of long-standing interest in the field of cultural psychiatry in which the patient displays a fear of the genitals shrinking and retracting. Written by Professor A.N. Chowdhury, a leading expert in the field, it provides a comprehensive overview of the cultural, historical and clinical significance of the condition that includes both cutting-edge critique and an analysis of research and accounts from the previous 120 years published literature. The book begins by outlining the definition, etymology of the term, and clinical features of koro as a culture-bound syndrome, and contextualizes the concept with reference to its historical origins and local experience in Southeast Asia, and its subsequent widespread occurrence in South Asia. It also critically examines the concept of culture-bound disorder and the development of the terminology, such as cultural concepts of distress, which is the term that is currently used in the DSM-5. Subsequent chapters elaborate the cultural context of koro in Chinese and South Asian cultures, including cultural symbolic analysis of associations with animals (fox and turtle) and phallic imagery based on troubling self-perceived aspects of body image that is central to the concept. The second section of the book offers a comprehensive, global literature review, before addressing the current status and relevance of koro, clinically relevant questions of risk assessment and forensic issues, and research methodology. This landmark work will provide a unique resource for clinicians and researchers working in cultural psychiatry, cultural psychology, anthropology, medical sociology, social work and psychosexual medicine.

Unusual and Rare Psychological Disorders collects and synthesizes the scientific and clinical literatures for 21 lesser-known conditions.

In the last few years there has been a great revival of interest in culture-bound psychiatric syndromes. A spate of new papers has been published on well known and less familiar syndromes, and there have been a number of attempts to put some order into the field of inquiry. In a review of the literature on culture-bound syndromes up to 1969 Yap made certain suggestions for organizing thinking about them which for the most part have not received general acceptance (see Carr, this volume, p. 199). Through the seventies new descriptive and conceptual work was scarce, but in the last few years books and papers discussing the field were authored or edited by Tseng and McDermott (1981), AI-Issa (1982), Friedman and Faguet (1982) and Murphy (1982). In 1983 Favazza summarized his understanding of the state of current thinking for the fourth edition of the Comprehensive Textbook of Psychiatry, and a symposium on culture-bound syndromes was organized by Kenny for the Eighth International Congress of Anthropology and Ethnology. The strong est impression to emerge from all this recent work is that there is no substantive consensus, and that the very concept, "culture-bound syndrome" could well use some serious reconsideration. As the role of culture-specific beliefs and prac tices in all affliction has come to be increasingly recognized it has become less and less clear what sets the culture-bound syndromes apart.

Why do some men become convinced—despite what doctors tell them—that their penises have, simply, disappeared. Why do people across the world become convinced that they are cursed to die on a particular date—and then do? Why do people in Malaysia suddenly “run amok”? In The Geography of Madness, acclaimed magazine writer Frank Bures investigates these and other “culture-bound” syndromes, tracing each seemingly baffling phenomenon to its source. It’s a fascinating, and at times rollicking, adventure that takes the reader around the world and deep into the oddities of the human psyche. What Bures uncovers along the way is a poignant and stirring story of the persistence of belief, fear, and hope.

Our purpose in assembling the papers in this collection is to introduce readers to studies of normal and abnormal behavior in Chinese culture. We want to offer a sense o/what psychiatrists and social scientists are doing to advance our under standing of this subject, including what fmdings are being made, what questions researched, what conundrums worried over. Since our fund of knowledge is obviously incomplete, we want our readers to be aware of the limits to what we know and to our acquisition of new knowledge. Although the subject is too vast and uncharted to support a comprehensive synthesis, in a few areas - e. g. , psychiatric epidemiology - enough is known for us to be able to present major reviews. The chapters themselves cover a variety of themes that we regard as both intrinsically interesting and deserving of more systematic evaluation. Many of the issues they address we believe to be valid concerns for comparative cross cultural studies. No attempt is made to artificially integrate these chapters, since the editors wish to highlight their distinctive interpretive frameworks as evidence of the rich variety of approaches that scholars take to this subject. 'We see this volume as a modest and self-consciously limited exploration. Here are some accounts and interpretations (but by no means all) of normal and ab normal behavior in the context of Chinese culture that we believe fashion a more discriminating understanding of at least a few important aspects of that subject.

Sleep Paralysis: Historical, Psychological, and Medical Perspectives offers the first comprehensive examination of sleep paralysis from both clinical and cultural perspectives. Dr. Brian Sharpless and Dr. Karl Doghramji provide a thorough and easily readable resource on the phenomenon and present differential diagnosis suggestions, medication guidance, and a new treatment approach for mental health professionals.