A case report is presented of koro associated with a depressive illness in a 31-year-old male Briton. The specificity or otherwise of koro as culture bound and a distinct nosological entity is discussed.

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http://dx.doi.org/10.1192/bjp.164.4.559DOI Listing

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Article Synopsis
  • Delusional parasitosis (DP) with Koro-like syndrome involves strong beliefs of being infested and experiences of genital retraction, making it a tough challenge for healthcare providers.
  • The combination can severely affect patients' mental health and daily lives, with stigma and misunderstandings adding to their struggles.
  • To effectively treat this rare condition, a holistic approach that includes education, therapy, and medication is necessary to address both aspects of the syndrome.
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PM Yap's most significant intellectual achievement was his development of the concept of the culture-bound syndrome, which synthesized years of research into transcultural psychiatry, and situated this work within this field by drawing on elaborated nosological schema that challenged some of the ethnocentric assumptions made by previous psychiatrists who had tried to understand mental illnesses that presented in non-western cultures. This introduction to Yap's 1951 paper emphasizes that Yap needs to be understood as working within the western tradition of transcultural psychiatry, and argues that his English training and his continual engagement with western psychiatric and philosophical frameworks is the best way to conceive of his contributions to this field. Yap's paper, republished below as the Classic Text, was his first foray into comparative transcultural psychiatry.

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[Koro syndrome : when culture interacts with psychopathology].

Rev Med Brux

September 2018

Laboratoire d'Epidémiologie, Recherche clinique et Santé publique, Faculté de Médecine, Université Mohammed Premier, Oujda, Maroc.

Koro syndrome is a psychiatric disorder specific to certain Asian cultures. It is characterized by acute and intense anxiety with fear of a retraction of the penis into the body and resultant death. We report the case of a 43-year-old Moroccan male presenting with persistent anxiety associated with avoidance behaviors and a chronic belief that his genitalia may shrink or disappear and lead to his death.

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