Abstract
This article aims to adduce aframework that will allow for thecross-cultural study of panic disorder. Theauthors take sensation as the key unit ofanalysis, aiming to contribute to a medicalanthropology of sensation. The seven analyticperspectives that are suggested in the articleare the following: the full spectrum of panicattack sensations (the sensation body), thebiological generation of panic sensations (thebiological body), sensation as invoking anethnophysiology (the ethnophysiological body),sensation as metaphor (the metaphoric body),sensation as invoking the landscape (thelandscape body), sensation as invokingcatastrophic cognitions (the catastrophiccognitions body), and sensation as invokingmemory (the memory-associational body).
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REFERENCES
American Psychiatric Association (APA) 1994 Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Washington, D.C.: American Psychiatric Association.
Amering, M. and H. Katschnig 1990 Panic Attacks and Panic Disorder in Cross-Cultural Perspective. Psychiatric Annals 20: 511–516.
Barlow, D. 1988 Anxiety and its Disorders. New York, London: The Guilford Press.
Barsky, A., J. Goodson, R. Lane and P. Cleary 1988 The Amplification of Somatic Symptoms. Psychosomatic Medicine 50: 510–519.
Barksy, A. and G. Wyshak 1990 Hypochondriasis and Somatosensory Amplification. British Journal of Psychiatry 157: 404–409.
Boddy, J. 1989 Wombs and Alien Spirits. Madison: University of Wisconson Press.
Bourdieu, P. 1980 The Logic of Practice. Stanford: Stanford University Press.
1998 La Domination Masculine. Paris: Editions du Seuil.
Cannon, W.B. 1929 Bodily Changes in Pain, Hunger, Fear and Rage, 2nd Edition. New York: Appleton-Century-Crofts.
Carstairs, G. 1958 The Twice-Born; A Study of a Community of High-Caste Hindus. Bloomington, In: Indiana University Press.
Chambles, D., Caputo, G., Bright, P. and R. Gallagher 1984 Assessment of Fear of Fear in Agoraphobics: The Body Sensations Questionnaire and the Agoraphobic Cognitions Questionnaire. Journal of Consulting Clinical Psychology 52: 1090–1097.
Clark, D. A. 1986 Cognitive View Approach to Panic. Behaviour Research and Therapy 24: 461–470.
Cohen, L. 1998 No Aging in India. Berkeley: University of California Press.
Csordas, T. 1994 The Sacred Self. Berkeley: University of California Press.
Delaney, C. 1991 The Seed and the Soil. Gender and Cosmology in Turkish Village Society. Berkeley: University of California Press.
de Saussure, F. 1985 Cours de Linguistique Generale. Paris: Editions Payot.
Drummond, P. and S. Quah 2001 The effect of expressing anger in cardiovascular reactivity and facial blood flow in Chinese and Caucasians. Psychophysiology 38: 190–196.
Ebigbo, P. 1986 A Cross-Sectional Study of Somatic Complaints of Nigerian Females Using the Enugu Somatization Scale. Culture, Medicine, and Psychiatry 10: 167–186.
Gleason, H. 1961 An Introduction to Descriptive Linguistics. New York: Holt, Rinehart and Winston.
Good, B. 1977 The Heart of What's the Matter: The Semantics of Illness in Iran. Culture, Medicine, and Psychiatry 1(1): 25–58.
Good, B. 1994 Medicine, Rationality, and Experience. Cambridge, England: Cambridge University Press.
Good, B. and M.J.D. Good 1982 Toward a Meaning-Centered Analysis of Popular Illness Categories: “Fright Illness” and “Heart Distress” in Iran. In Cultural Conceptions of Mental Health and Therapy. A. Marsella and M. White eds, pp. 141–166. Boston: Reidel.
Good, M.J.D. 1980 Of Blood and Babies: The Relationship of Popular Islamic Physiology to Fertility. Social Science and Medicine 14b: 147–156.
Guarnaccia, P., M. Rivera, F. Franco and C. Neighbors 1996 The Experiences of Ataque de Nervios: Towards an Anthropology of Emotions in Puerto Rico. Culture, Medicine, and Psychiatry 20: 343–346.
Hiller, W., A. Janca and K. Burke 1997 Association Between Tinnitus and Somatoform Disorders. Journal of Pyschosomatic Research 43: 613–624.
Hinton, D. 1999 Musical Healing and Cultural Syndromes in Isan: Landscape, Conceptual Metaphor, and Embodiment. Doctoral Thesis. Ann Arbor: Univeristy Microfilm.
Hinton, D., P. Ba, S. Peou and K. Um 2000 Panic Disorder Among Cambodian Refugees Attending a Psychiatric Clinic: Prevalence and Subtypes. General Hospital Psychiatry 22: 437–444.
Hinton, D., P. Ba and K. Um 2001a Kyol Goeu (“Wind Overload”) Part I: Kyol Goeu and Orthostatic Panic Among Khmer Refugees Attending a Pyschiatric Clinic; or, Cultural Syndromes, Catastrophic Cognitions, and the Generation of Panic. Transcultural Psychiatry 38: 403–432.
2001b Kyol Goeu (“Wind Overload”) Part II: The Prevalence, Characteristics, and Mechanisms of Kyol Goeu (“Wind Overload”) and Near-Kyol Goeu Episodes of Khmer Patients Attending a Pyschiatric Clinic. Transcultural Psychiatry 38: 433–460.
2001c The Sore Neck Syndrome Among Khmer Refugees; A Panic Disorder Equivalent. Culture, Medicine and Psychiatry 25(3): 297–316.
Hinton, D., L. Nguyen, M. Nguyen, T. Pham, S. Quinn and M. Tran 2001d Panic Disorder Among Vietnamese Refugees Attending a Psychiatric Clinic: Prevalence and Subtypes. General Hospital Psychiatry 23: 337–344.
Hinton, D., M. Nathan, B. Bird and L. Park 2002 Panic Probes and the Identification of Panic: a Historical and Cross-Cultural Perspective. Culture, Medicine and Psychiatry 26(2).
Hinton, L., J. Nichols and J. Ohala 1994 Introduction: Sound-Symbolic Processes. In Sound Symbolism. L. Hinton, J. Nichols and J. Ohala eds, pp. 1–12. Cambridge, England: Cambridge University Press.
Howes, David, ed. 1991 The Varieties of Sensory Experience. Toronto, Buffalo, London: University of Toronto Press.
Hudson, J. and H. Pope 1994 The Concept of Affective Spectrum: Relationship to Fibromyalgia and Other Syndromes of Chronic Fatigue and Chronic Muscle Pain. Balliere's Clinical Rheumatology 8: 839–856.
Jackson, M. 1989 Paths Toward a Clearing. Bloomington, Indiana: Indiana University Press.
Jenkins, J. 1991 The State Construction of Affect: Political ethos and Mental Health Among Salvadoran Refugees. Culture, Medicine and Psychiatry 15: 139–165.
Kirmayer, L. 1996 Confusion of the Senses: Implications of Ethnocultural Variations in Somatoform and Dissociative Disorders. In Ethnocultural Aspects of Post-traumatic Stress Disorder. A. Marsella, M. Friedman, E. Gerrity, R. Surfield, eds, pp. 131–165. Washington, D.C.: American Psychological Association.
Klein, D. 1993 False Suffocation Alarms, Spontaneous Panics, and Related Conditions. Archives of General Psychiatry 50: 306–317.
Kleinman, A. 1977 Depression, Somatization, and the “New Cross-Cultural Psychiatry”. Social Science and Medicine 11: 3–10.
Kleinman, A. and B. Good, eds 1985 Culture and Depression. Berkeley: University of California.
Kleinman, A. and J. Kleinman 1994 How Bodies Remember: Social Memory and Bodily Experience of Criticism, Resistance, and Delegitmation Following China's Cultural Revolution. New Literary History 25: 707–723.
Kovecses, Z. 2000 Metaphor and Emotion. Language, Culture, and Body in Human Feeling. Cambridge, England: Cambridge University Press.
Kuriyama, S. 1999 The Expressiveness of the Body and the Divergence of Greek and Chinese Medicine. Zone Books: New York.
Lacey, J., D. Batemen and R. Vanlehn 1953 Autonomic Response Specificity. Psychosomatic Medicine 1: 8–21.
Lakoff, G. and Z. Kovecses 1987 The Cognitive Model of Anger Inherent in American English. In Cultural Models in Language and Thought. D. Holland and N. Quinn eds, pp. 195–222. Cambridge, England: Cambridge University Press.
Leventhal, H., D. Easterling, D. Nerenz and R. Love 1988 The Role of Motion Sickness in Predicting Anticipatory Nausea. Journal of Behavioural Medicine 11: 117–130.
Lewis-Fernández, R., P. Guarnaccia, I. Martínez, E. Salmán, A. Schmidt and M. Liebowitz 2002 Comparative Phenomenology of Ataques de Nervios, Panic Attacks, and Panic Disorder. Culture, Medicine and Psychiatry 26(2).
Liebowitz, M., A. Fyer and J. Gorman 1984 Lactate Provocation of Panic Attacks. Archives of General Psychiatry 41: 764–770
Liebowitz, M., E. Salman, C. Jusino, R. Garfinkel, L. Street, D. Cardenas et al. 1994 Ataque de nervios and Panic Disorder. American Journal of Psychiatry 151: 871–875.
Lin, K.M. 1983 Hwa-Byung: A Korean Culture-Bound Syndrome. American Journal of Pyschiatry 140: 105–107.
Lock, M. 1993 Encounters with Aging. Mythologies of Menapause in Japan and North America. Berkeley: University of California Press.
Lu, A.Y., B.J. Metzger and B. Therrien 1990 Ethnic Differences in Physiological Responses Associated with the Valsalva Maneuver. Research and Nursing Health 13: 9–15.
McNally, R. 1994 Panic Disorder: A Critical Analysis. New York, London: Guilford Press.
Morrow, G. 1991 Anticipatory Nausea Development in Cancer Patients: Replications and Extension of a Learning Model. British Journal of Psychology 82: 61–72.
Nattiez, J.J. 1987 Musicologie Generale et Semiologie. Montreal, Canada: Christian Bourgois.
1988 De la Semiologie a la Musique. Les cahiers du Department D'Etudes Litteraires 10. Montreal, Quebec, Canada: Universite du Quebec à Montreal.
Nichter, M. 1981 Idioms of Distress: Alternatives in the Expression of Psychological Distress: A Case Study from Southern India. Culture, Medicine and Psychiatry 5: 379–408.
Noyes, R. and R. Hoehn-Saric 1998 The Anxiety Disorders. Cambridge, England: Cambridge University Press.
Ohman, A. 2000 Fear and Anxiety: Evolutionary, Cognitive, and Clinical Perspectives. In Handbook of Emotions. M. Lewis and J. Haviland-Jones eds, pp. 573–594. New York: Guilford Press.
Pang, K. 1990 Hwabyung: The Construction of a Korean Popular Illness Among Korean Elderly Immigrant Women in the United States. Culture, Medicine and Psychiatry 14: 495–512.
Pharies, D. 1985 Charles Peirce and the Linguistic Sign. Amsterdam/Philadelphia: John Benjamins Publishing Company.
Porth, C. 1990 Re: Ethnic differences in Physiological Responses Assoicated with Yhalsalva Maneuver. Research and Nursing Health 13: 445–447.
Reich, J., R. Noyes and W. Yates 1988 Anxiety Symptoms Distinguishing Social Phobia from Panic and Generalized Anxiety. Jounal of Nervous and Anxiety Disorders 176: 510–513.
Schepper-Hughes, N. 1992 Death Without Weeping. Berkeley: University of California Press.
Scheper-Hughes, N. and M. Lock 1987 The Mindful Body: A Prolegomenon to Future Work in Medical Anthropology. Medical Anthropology Quarterly 1: 6–41.
Sheehan, D.V. 1999 Appendix 2: The Sheehan Patient-Rated Anxiety Scale. Journal of Clinical Psychiatry 60 (Supplement 18): 63–64.
Stearns, P. 1994 American Cool: Constructing a Twentieth-Century Emotional Style. New York: New York University Press.
Stern, R., S. Hu, M. Uijtdehaage, L. Xu and K. Koch 1996 Asian Hypersusceptibility to Motion Sickness. Human Heredity 46: 7–13.
Stoller, P. 1989 The Taste of Ethnographic Things. Philadelphia: University of Pennsylvania Press.
Strathern, A. 1996 Body Thoughts. Ann Arbour: University of Michigan Press.
Tambiah, S. 1970 Buddhism and the Spirit Cults in Northeast Thailand. London: Cambridge University Press.
Taylor, S. 2000 Understanding and Treating Panic Disorder. Cognitive-Behavioral Approaches. West Sussex, England: Wiley.
Turner, V. 1967 The Forest of Symbols. Ithaca and London: Cornell University Press.
Veith, I. 1993 Hysteria, The History of a Disease. Northvale, London. Jason Aronson.
Yardley, L. 1994 Vertigo and Dizziness. London: Routledge.
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Hinton, D., Hinton, S. Panic Disorder, Somatization, and the New Cross-cultural Psychiatry: The Seven Bodies of a Medical Anthropology of Panic. Cult Med Psychiatry 26, 155–178 (2002). https://doi.org/10.1023/A:1016374801153
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DOI: https://doi.org/10.1023/A:1016374801153