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What is shin-byung? Shin-byung is a culture-bound syndrome prevalent among Korean women, [1] including women who have emigrated from Korea. [2] [3] Also known as "shinbyeong," [4] "divine illness," [5] "Mudang illness" (South Korea), [6] and "kangshinmu" (North Korea), [7] shin-byung is literally translated as "spirit possession". [8]

Causes Shin-byung is the physical manifestation of anxiety or panic attacks. [9] Traditional Korean folklore attributes shin-byung to a shamanic initiatory process. [10]

Symptoms Initially, one afflicted with shin-byung might experience feelings of anxiety or panic [11] and/or somatic (bodily[12]) complaints, such as anorexia, dizziness, fear, gastrointestinal problems, general weakness, and/or insomnia. Left untreated, the syndrome eventuates into dissociative behavior and/or possession by ancestral spirits. [13] [14]

Treatment A case-study of a Korean woman living in the United States suggested that the best treatment for shin-byung is the traditional Korean method, which involves shamanism. [15]

References

  1. ^ Legersky, J.P. (2006). Encyclopedia of Multicultural Psychology. Retrieved June 12, 2010, from http://www.mywire.com/a/Multicultural-Psychology/CultureBound-Syndromes-ShinByung/17679743/?&pbl=295&pos=3&relId=17679455/
  2. ^ Shelton, N.S., Matsushita, D., & Levenson, R. (2008). Korean Americans. NKI Center of Excellence in Culturally Competent Mental Health. Retrieved June 26, 2010, from http://ssrdqst.rfmh.org/cecc/index.php?q=node/29/
  3. ^ Yi, K.Y. (2000). Shin-byung (divine illness) in a Korean woman. Culture, Medicine and Psychiatry, 24, 471-486.
  4. ^ In the middle: between the mudang and modern medicine. (n.d.). Alternative Depression Therapy. Retrieved June 26, 2010, from http://www.alternativedepressiontherapy.com/in-the-middle-between-the-mudang-and-modern-medicine.html
  5. ^ Legersky, J.P. (2006). Encyclopedia of Multicultural Psychology. Retrieved June 12, 2010, from http://www.mywire.com/a/Multicultural-Psychology/CultureBound-Syndromes-ShinByung/17679743/?&pbl=295&pos=3&relId=17679455/
  6. ^ In the middle: between the mudang and modern medicine. (n.d.). Alternative Depression Therapy. Retrieved June 26, 2010, from http://www.alternativedepressiontherapy.com/in-the-middle-between-the-mudang-and-modern-medicine.html
  7. ^ In the middle: between the mudang and modern medicine. (n.d.). Alternative Depression Therapy. Retrieved June 26, 2010, from http://www.alternativedepressiontherapy.com/in-the-middle-between-the-mudang-and-modern-medicine.html
  8. ^ Legersky, J.P. (2006). Encyclopedia of Multicultural Psychology. Retrieved June 12, 2010, from http://www.mywire.com/a/Multicultural-Psychology/CultureBound-Syndromes-ShinByung/17679743/?&pbl=295&pos=3&relId=17679455/
  9. ^ Shelton, N.S., Matsushita, D., & Levenson, R. (2008). Korean Americans. NKI Center of Excellence in Culturally Competent Mental Health. Retrieved June 26, 2010, from http://ssrdqst.rfmh.org/cecc/index.php?q=node/29/
  10. ^ Legersky, J.P. (2006). Encyclopedia of Multicultural Psychology. Retrieved June 12, 2010, from http://www.mywire.com/a/Multicultural-Psychology/CultureBound-Syndromes-ShinByung/17679743/?&pbl=295&pos=3&relId=17679455/
  11. ^ Shelton, N.S., Matsushita, D., & Levenson, R. (2008). Korean Americans. NKI Center of Excellence in Culturally Competent Mental Health. Retrieved June 26, 2010, from http://ssrdqst.rfmh.org/cecc/index.php?q=node/29/
  12. ^ Shelton, N.S., Matsushita, D., & Levenson, R. (2008). Korean Americans. NKI Center of Excellence in Culturally Competent Mental Health. Retrieved June 26, 2010, from http://ssrdqst.rfmh.org/cecc/index.php?q=node/29/
  13. ^ American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., rev.). Washington, DC: American Psychiatry Publishing, Inc.
  14. ^ Legersky, J.P. (2006). Encyclopedia of Multicultural Psychology. Retrieved June 12, 2010, from http://www.mywire.com/a/Multicultural-Psychology/CultureBound-Syndromes-ShinByung/17679743/?&pbl=295&pos=3&relId=17679455/
  15. ^ Yi, K.Y. (2000). Shin-byung (divine illness) in a Korean woman. Culture, Medicine and Psychiatry, 24, 471-486.

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