Hwabyeong

src: i.ytimg.com

Hwabyeong or Hwabyung is a Korean somatization disorder, a mental illness that arises when people can not face their anger as a result of conditions they deem unfair. Hwabyung is a name of everyday and somewhat inaccurate, because it refers to the etiology of disorder rather than obvious symptoms or characteristics. Hwabyung is known as cultural bound syndrome. The word hwabyung consists of hwa (Sino-Korean word for "fire" which can also be contextually meaning "anger") and byung (Sino-Korean word for "syndrome" or "disease"). In South Korea, it may also be called ulhwabyeong ( ??? ), literally "anger disease depression". In one survey, 4.1% of the general population in rural areas of Korea reported having hwabyung. Another survey shows that about 35% of Korean workers are affected by this condition at a time.

Video Hwabyeong

Symptoms

Physical symptoms include:

• palpitations
• anorexia
• dry mouth
• insomnia
• thorax/chest pressure
• respiratory difficulty
• epigastric mass
• headache
• thermal sensation throughout the body (in contrast to heat intolerance, symptoms of hyperthyroidism)

Psychological symptoms include:

• easily startled
• externalization of anger, also known in Korea as "bun" (?,?, "anger eruption"), Korean culture-related sentiments related to social injustice
• generally sad mood
• often sigh
• feelings of "eok-ul" (??, ??, [feelings of injustice]
• easy easy
• feelings of guilt
• upcoming doomsday feelings

Patients diagnosed may also have a prior medical history of major depressive disorder, dysthymic disorder, anxiety disorder, somatoform disorder, or adjustment disorders according to the Diagnostic and Statistical Manual of Mental Disorder , fourth edition (DSM-IV)) criteria.

Diagnosed patients are likely to be middle-aged, post-menopausal women with low socioeconomic status.

Maps Hwabyeong

Cause

The underlying causes may include:

• Han (a depressive sentiment related to Korean culture associated with the harsh life and social injustice produced not only from tragic collective national history, but also from personal trauma)
• previous examples of major depression disorder
• previous examples of anxiety disorders
• previous examples of adjustment disruptions
• previous examples of other somatoform disorders
• suppression of anger/revenge arising from past events

The cause of the trigger is usually an external event, including:

• family pressure, e.g. infidelity or spousal conflict with in-laws
• witness actions/actions/phenomena that conflict with their own moral and/or ethical principles

The syndrome itself is believed to be the result of persistent repression of angry feelings without addressing the source. In holistic medicine, anger detention in hwabyung disrupts the balance of five elements of the body, resulting in the development of psychosomatic symptoms such as panic, insomnia, and depression after a long period of depressed feelings.

It is possible that hormonal imbalances such as those around the time of menopause may also be a major cause of hwabyung in middle-aged women, the most commonly diagnosed demographic.

src: pbs.twimg.com

Treatment

Western doctors are more likely to diagnose it as a kind of stress or depression. The Diagnostics and Statistics Manual of Mental Disorder is currently on the list of hwabyeong amongst bound cultural diseases. Outside Korea, informally may be mistaken as a reference to psychological profiles characterized by short temperament, or explosive, generally combatant behavior. By contrast, hwabyeong is a traditional psychological term used to refer to a condition characterized by passive suffering, roughly proportional to depression, and usually associated with older women. It is important that when diagnosing Hwabyeong, the patient's culture is well understood. Because Hwabyeong can often be misdiagnosed as depression, symptoms and culture must be seen clearly and thoroughly. After Hwabyeong has been diagnosed, past treatment should be reviewed. Treatment for patients can then be a combination of pharmacological interventions, and therapeutic interventions.

The treatment methods used to combat hwabyung include psychotherapy, drug therapy, family therapy, and community approach. To become a more successful psychiatrist may need to combine the teachings of traditional and religious healing methods or the use of the puri-puri, which is a sentiment for solving, loosening, uncovering and defusing negative emotions with positive emotions. One example of hann-puri is a mother who suffers from poverty, lack of education, harsh husbands, or harsh mother-in-law, can be solved several years later by the success of her son with difficulty and sacrifice.

src: i.ytimg.com

References

src: central.oak.go.kr

See also

• Ataque de nervios

src: i.ytimg.com

External links

• Checking Anger in 'Culture-Bound' Syndrome Psychiatric Times
• Health and Health Care of Korean-American Elderly
• Korean Women's Causal Perception of Hwabyung
• Hwabyung: Korea's popular disease development among elderly Korean immigrant women in the United States
• Symptoms of Hwabyeong (in Korean)
• Sung Kil Min, Shin-Young Suh, Ki-Jun Song (2009). Symptoms used for Hwa-Byung Diagnostic Criteria, Anger Syndrome. Psychiatric Investigations. 2009 March; 6 (1): 7-12. Published online 2009 March 31: 10.4306/pi.2009.6.1.7
• Hwa-byung: Culture-related Syndrome
• Hwabyung in Korea: Culture and Dynamic Analysis

Source of the article : Wikipedia