Puppy pregnancy syndrome (PPS) is a psychosomatic illness in humans brought on by mass hysteria. People suffering from PPS believe that shortly after being bitten by a dog, puppies are conceived within their abdomen. The syndrome is thought to be localized in villages in several states of India. Some psychiatrists believe that PPS meets the criteria for a culture-bound disorder.
Witch doctors offer oral cures, which they claim will dissolve the puppies. Doctors in India have tried to educate the public that this condition is impossible and a superstition, and that treating this condition instead of rabies can be dangerous.
Puppy pregnancy syndrome (PPS) is a psychosomatic illness in humans brought on by mass hysteria. People suffering from PPS believe that shortly after being bitten by a dog, puppies are conceived within their abdomen. [1] This is said to be especially likely if the dog is sexually excited at the time of the attack. [2] Victims are said to bark like dogs and have reported being able to see the puppies inside them when looking at water or hear them growling in their abdomen. [1] [2] [3] It is believed that the victims will eventually die – especially men, who will give birth to their puppies through the penis. [2] [3] Witch doctors offer oral cures, which they claim will dissolve the puppies, allowing them to pass through the digestive system and be excreted "without the knowledge of the patient". [1] [2]
The syndrome is thought to be localized in villages in several states of India, including Assam, Bihar, Chhattisgarh, Jharkhand, Odisha, and West Bengal, and has been reported by tens of thousands of individuals. [1] It is far more prevalent in areas with little access to education. [1] Some psychiatrists believe that PPS meets the criteria for a culture-bound disorder. [2]
Doctors in India have tried to educate the public that this condition is impossible and a superstition. [3] Believing the condition may be dangerous, as a person may have become infected with rabies after a bite, and seeking witch doctor treatment can delay medical treatment. [1] Most sufferers are referred to psychiatric services, but in some instances patients fail to take anti-rabies medication before symptom onset, thinking that they are pregnant with a puppy and that folk medicine will cure them. [1] [2] This misbelief is further compounded by witch doctors who state that their medicine will fail if sufferers seek standard treatment. [1]
Neurosis is a term mainly used today by followers of Freudian thinking to describe mental disorders caused by past anxiety, often that has been repressed. In recent history, the term has been used to refer to anxiety-related conditions more generally.
Psychosomatic medicine is an interdisciplinary medical field exploring the relationships among social, psychological, behavioral factors on bodily processes and quality of life in humans and animals.
Factitious disorder imposed on self, also known as Munchausen syndrome, is a factitious disorder in which those affected feign or induce disease, illness, injury, abuse, or psychological trauma to draw attention, sympathy, or reassurance to themselves. Munchausen syndrome fits within the subclass of factitious disorder with predominantly physical signs and symptoms, but patients also have a history of recurrent hospitalization, travelling, and dramatic, extremely improbable tales of their past experiences. The term Munchausen syndrome derives its name from the fictional character Baron Munchausen.
Hysteria is a term used to mean ungovernable emotional excess and can refer to a temporary state of mind or emotion. In the nineteenth century, female hysteria was considered a diagnosable physical illness in women. It is assumed that the basis for diagnosis operated under the belief that women are predisposed to mental and behavioral conditions; an interpretation of sex-related differences in stress responses. In the twentieth century, it shifted to being considered a mental illness. Many influential people such as Sigmund Freud and Jean-Martin Charcot dedicated research to hysteria patients.
Koro is a culture bound delusional disorder in which individuals have an overpowering belief that their sex organs are retracting and will disappear, despite the lack of any true longstanding changes to the genitals. Koro is also known as shrinking penis, and was listed in the Diagnostic and Statistical Manual of Mental Disorders.
Tension myositis syndrome (TMS), also known as tension myoneural syndrome or mindbody syndrome, is a name given by John E. Sarno to what he claimed was a condition of psychogenic musculoskeletal and nerve symptoms, most notably back pain. Sarno described TMS in four books, and stated that the condition may be involved in other pain disorders as well. The treatment protocol for TMS includes education, writing about emotional issues, resumption of a normal lifestyle and, for some patients, support meetings and/or psychotherapy.
Conversion disorder (CD), or functional neurologic symptom disorder (FNsD), is a functional disorder that causes abnormal sensory experiences and movement problems during periods of high psychological stress. Individuals with CD present with highly distressing neurological symptoms such as numbness, blindness, paralysis, or convulsions, which are not consistent with a well-established organic cause and can be traced back to a psychological trigger.
Neurasthenia is a term that was first used as early as 1829 for a mechanical weakness of the nerves. It became a major diagnosis in North America during the late nineteenth and early twentieth centuries after neurologist George Miller Beard reintroduced the concept in 1869.
Dhat syndrome is a condition found in the cultures of South Asia in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine. The condition has no known organic cause.
False pregnancy is the appearance of clinical or subclinical signs and symptoms associated with pregnancy although the individual is not physically carrying a fetus. The mistaken impression that one is pregnant includes signs and symptoms such as tender breasts with secretions, abdominal growth, delayed menstrual periods, and subjective feelings of a moving fetus. Examination, ultrasound, and pregnancy tests can be used to rule out false pregnancy.
In medicine and medical anthropology, a culture-bound syndrome, culture-specific syndrome, or folk illness is a combination of psychiatric and somatic symptoms that are considered to be a recognizable disease only within a specific society or culture. There are no known objective biochemical or structural alterations of body organs or functions, and the disease is not recognized in other cultures. The term culture-bound syndrome was included in the fourth version of the Diagnostic and Statistical Manual of Mental Disorders which also includes a list of the most common culture-bound conditions. Its counterpart in the framework of ICD-10 is the culture-specific disorders defined in Annex 2 of the Diagnostic criteria for research.
Female hysteria was once a common medical diagnosis for women. It was described as exhibiting a wide array of symptoms, including anxiety, shortness of breath, fainting, nervousness, sexual desire, insomnia, fluid retention, heaviness in the abdomen, irritability, loss of appetite for food or sex, even sexually forward behavior, and a "tendency to cause trouble for others". It is no longer recognized by medical authorities as a medical disorder. Its diagnosis and treatment were routine for hundreds of years in Western Europe.
John Ernest Sarno Jr. was Professor of Rehabilitation Medicine at New York University School of Medicine and an attending physician at the Howard A. Rusk Institute of Rehabilitation Medicine at New York University Medical Center. He graduated from Kalamazoo College in Kalamazoo, Michigan, in 1943, and the Columbia University College of Physicians and Surgeons in 1950. In 1965, he was appointed the director of the outpatient department at the Rusk Institute.
Grisi siknis is a contagious, culture-bound syndrome that occurs predominantly among the Miskito people of eastern Central America, and affects mainly young women. It is also known as "grisi munaia", "Chipil siknis", and "Nil siknis". More recently, cases occurring amongst people of Spanish descent have also been reported.
Rabies is a viral disease that causes encephalitis in humans and other mammals. It was historically referred to as hydrophobia because its victims would panic when offered liquids to drink. Early symptoms can include fever and abnormal sensations at the site of exposure. These symptoms are followed by one or more of the following symptoms: nausea, vomiting, violent movements, uncontrolled excitement, fear of water, an inability to move parts of the body, confusion, and loss of consciousness. Once symptoms appear, the result is virtually always death. The time period between contracting the disease and the start of symptoms is usually one to three months but can vary from less than one week to more than one year. The time depends on the distance the virus must travel along peripheral nerves to reach the central nervous system.
Frigophobia is a phobia pertaining to the pathological concern of hypothermia. Frigophobia is a psychiatric condition that appears mainly in the Chinese culture. Sufferers of this affliction compulsively bundle up in heavy clothes and blankets, regardless of the ambient air temperature. This disorder has been linked to other psychological disorders such as hypochondriasis and obsessive-compulsive disorder. In a 1975 study among ethnic Chinese in Taiwan, it was noted that frigophobia may be culturally linked to koro, where that disorder causes male sufferers to feel that their penis is retracting into the body due to an insufficiency of "male element", male frigophobia sufferers correlate coldness with an over-abundance of "female element".
Somatic symptom disorder, also known as somatoform disorder, or somatization disorder, is defined by one or more chronic physical symptoms that coincide with excessive and maladaptive thoughts, emotions, and behaviors connected to those symptoms. The symptoms are not deliberately produced or feigned, and they may or may not coexist with a known medical ailment.
In the nineteenth and early twentieth century, hysteria was a common psychiatric diagnosis made primarily in women. The existence and nature of a purported male hysteria was a debated topic around the turn of the century. It was originally believed that men could not suffer from hysteria because of their lack of uterus. This belief was discarded in the 17th century when discourse identified the brain or mind, and not reproductive organs, as the root cause of hysteria. During World War I, hysterical men were diagnosed with shell shock or war neurosis, which later went on to shape modern theories on PTSD. The notion of male hysteria was initially connected to the post-traumatic disorder known as railway spine; later, it became associated with war neurosis.
In the folklore of the early United States, a madstone was a special medicinal substance that, when pressed into an animal bite, was believed to prevent rabies by drawing the "poison" out. The Encyclopedia Americana described it as "a vegetable substance or stone". Researchers publishing in 1958 reported "130 cases of healing attributed to the madstone" and "three authenticated stones in the United States today."