McGill University, Montreal, Canada.
Teaching Hospital, Jaffna, Sri Lanka.
Transcult Psychiatry. 2022 Aug;59(4):448-460. doi: 10.1177/13634615211001701. Epub 2021 Mar 23.
This article introduces Walking Corpse Syndrome, a common idiom of distress in Tamil Sri Lanka that is characterized by a variety of cognitive difficulties, feelings that an individual is functioning reflexively or impulsively, and acute attacks of dissociation that are accompanied with the sensation of empty-headedness. Walking Corpse Syndrome demonstrates some overlap with Western nosology, although it appears to be its own unique illness category, most likely of Ayurvedic provenance. The article comprises two studies. One is a secondary interview analysis of community members that aimed to identify the key symptoms of Walking Corpse Syndrome, allowing us to determine the local ethnopsychology of the syndrome and to elicit illustrative vignettes. The other study is a survey of Sri Lankan Tamil psychiatrists that aimed to investigate their understanding and experience of the disorder. This article outlines how, in certain cultural contexts, such syndromes emphasise the loss of attentional capacity and forgetfulness; it highlights the importance of "thinking a lot" as an idiom across cultures; and it details the many ways that Walking Corpse Syndrome is a key idiom of distress to assess in order to give adequate mental healthcare to Sri Lankan Tamil populations.
本文介绍了行尸综合征,这是斯里兰卡泰米尔地区常见的一种苦恼俗语,其特征是认知困难多种多样,个体感觉自己在反射或冲动地运作,并且会突然出现分离感,伴随着头脑空虚的感觉。行尸综合征与西方分类学有一些重叠,但它似乎是一种独特的疾病类别,很可能源自阿育吠陀医学。本文由两项研究组成。一项是对社区成员的二次访谈分析,旨在确定行尸综合征的关键症状,以便我们确定该综合征的当地民族心理学,并引出说明性的案例。另一项研究是对斯里兰卡泰米尔精神病医生的调查,旨在调查他们对该障碍的理解和经验。本文概述了在某些文化背景下,这种综合征如何强调注意力丧失和健忘;它强调了“思考很多”作为一种跨文化的俗语的重要性;并详细介绍了行尸综合征作为一种关键的苦恼俗语,需要对其进行评估,以便为斯里兰卡泰米尔人群提供足够的精神保健。