Pang K Y
Howard University, College of Nursing, Washington, DC 20059.
Cult Med Psychiatry. 1990 Dec;14(4):495-512. doi: 10.1007/BF00050823.
The cultural construction of Hwabyung, a Korean culture-bound syndrome, is explored among a sample of 20 elderly Korean immigrant women in the United States. Hwabyung results when distressed emotions associated with the specifically Korean way of perceiving and reacting to intolerable and tragic life situations cause bodily symptoms by interfering with the harmony of "Ki" (vital energy). Korean elderly immigrants report a broad range of symptoms associated with Hwabyung; they less frequently report the epigastric mass, which had been considered the cardinal symptom by cosmopolitan and traditional medical writers. Hwabyung is treated holistically with psychosocial support from family, spiritual comfort, home and popular remedies, traditional Korean medicine, and biomedical treatments. Hwabyung provides a way of conceptualizing and resolving emotional distress through somatization among Korean elderly immigrant women.
在20名美国韩国老年移民女性样本中，对韩国文化特有的综合征——花火病的文化建构进行了探究。当与韩国人感知和应对无法忍受的悲惨生活状况的特定方式相关的痛苦情绪，通过干扰“气”（生命力）的和谐而引发身体症状时，就会产生花火病。韩国老年移民报告了与花火病相关的一系列广泛症状；她们较少报告上腹部肿块，而国际和传统医学作者曾将其视为主要症状。花火病通过家庭的心理社会支持、精神慰藉、家庭和民间疗法、韩国传统医学以及生物医学治疗进行整体治疗。花火病为韩国老年移民女性通过躯体化来概念化和解决情绪困扰提供了一种方式。
