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Culture May Be Reflected in Symptoms

• Ainu occurs in Japanese women and includes startle responses, automatic response to commands, and utterances of obscenities.
  
• Hsieh-Ping is a trancelike state in which Chinese men believe they are possessed by dead relatives.
  
• Koro is a panic state experienced by Southeast-Asian men who believe their penis is shrinking.
  
• Hwa-Bung affects people from Korea and includes symptoms that overlap with the DSM-IV criteria for major depression, including dysphoric mood, irritability, anxiety, and difficulty concentrating.
  
• Dhat syndrome occurs in Indian men and is characterized by the belief that semen is lost in the urine, resulting in a depletion of physical and mental energy.
  

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