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<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">The Khmer ‘Weak Heart’ Syndrome: Fear of Death from Palpitations</title>
<author>
<name sortKey="Hinton, Devon" sort="Hinton, Devon" uniqKey="Hinton D" first="Devon" last="Hinton">Devon Hinton</name>
</author>
<author>
<name sortKey="Hinton, Susan" sort="Hinton, Susan" uniqKey="Hinton S" first="Susan" last="Hinton">Susan Hinton</name>
</author>
<author>
<name sortKey="Um, Khin" sort="Um, Khin" uniqKey="Um K" first="Khin" last="Um">Khin Um</name>
</author>
<author>
<name sortKey="Chea, Audria" sort="Chea, Audria" uniqKey="Chea A" first="Audria" last="Chea">Audria Chea</name>
</author>
<author>
<name sortKey="Sak, Sophia" sort="Sak, Sophia" uniqKey="Sak S" first="Sophia" last="Sak">Sophia Sak</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">20814562</idno>
<idno type="pmc">2931422</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2931422</idno>
<idno type="RBID">PMC:2931422</idno>
<idno type="doi">10.1177/136346150203900303</idno>
<date when="2002">2002</date>
<idno type="wicri:Area/Pmc/Corpus">000091</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000091</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">The Khmer ‘Weak Heart’ Syndrome: Fear of Death from Palpitations</title>
<author>
<name sortKey="Hinton, Devon" sort="Hinton, Devon" uniqKey="Hinton D" first="Devon" last="Hinton">Devon Hinton</name>
</author>
<author>
<name sortKey="Hinton, Susan" sort="Hinton, Susan" uniqKey="Hinton S" first="Susan" last="Hinton">Susan Hinton</name>
</author>
<author>
<name sortKey="Um, Khin" sort="Um, Khin" uniqKey="Um K" first="Khin" last="Um">Khin Um</name>
</author>
<author>
<name sortKey="Chea, Audria" sort="Chea, Audria" uniqKey="Chea A" first="Audria" last="Chea">Audria Chea</name>
</author>
<author>
<name sortKey="Sak, Sophia" sort="Sak, Sophia" uniqKey="Sak S" first="Sophia" last="Sak">Sophia Sak</name>
</author>
</analytic>
<series>
<title level="j">Transcultural psychiatry</title>
<idno type="ISSN">1363-4615</idno>
<idno type="eISSN">1461-7471</idno>
<imprint>
<date when="2002">2002</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p id="P1">According to the Khmer conception, a person suffering ‘weak heart’ (
<italic>khsaoy beh daung</italic>
) has episodes of palpitations on slight provocation (e.g. triggered by orthostasis, anger, a noise, worry, an odor or exercise) and runs the risk of dying of heart arrest during these periods of palpitations; too, the sufferer typically has other symptoms attributed to the purported cardiac dysfunction: fatigue, shortness of breath, and orthostatic dizziness. Many Khmer refugees suffer this cultural syndrome, an anxious–dysphoria ontology, most probably of French colonial provenance. The syndrome demonstrates considerable overlap with those Western illness categories that feature panic attacks, in particular post-traumatic stress disorder (PTSD) and panic disorder. In a psychiatric clinic survey, 60 percent (60/100) of those assessed believed themselves to currently suffer ‘weak heart’; 90 percent (54/60) of those considering themselves to suffer from ‘weak heart’ thought that palpitations (e.g., those resulting from a loud noise or orthostasis) might result in death. The article illustrates the profoundly culturally constructed nature of ‘cardiac sensations,’ located in a specific historical trajectory and episteme; too, the article suggests that trauma may result more in panic disorder than ‘PTSD’ when autonomic arousal symptoms (in the present case, palpitations) are considered potentially life-threatening.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="EN">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">9708119</journal-id>
<journal-id journal-id-type="pubmed-jr-id">30236</journal-id>
<journal-id journal-id-type="nlm-ta">Transcult Psychiatry</journal-id>
<journal-title>Transcultural psychiatry</journal-title>
<issn pub-type="ppub">1363-4615</issn>
<issn pub-type="epub">1461-7471</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">20814562</article-id>
<article-id pub-id-type="pmc">2931422</article-id>
<article-id pub-id-type="doi">10.1177/136346150203900303</article-id>
<article-id pub-id-type="manuscript">NIHMS144178</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>The Khmer ‘Weak Heart’ Syndrome: Fear of Death from Palpitations</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Hinton</surname>
<given-names>Devon</given-names>
</name>
<aff id="A1">Harvard University</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hinton</surname>
<given-names>Susan</given-names>
</name>
<aff id="A2">Harvard University</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Um</surname>
<given-names>Khin</given-names>
</name>
<aff id="A3">Arbour Counseling Services</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chea</surname>
<given-names>Audria</given-names>
</name>
<aff id="A4">North Suffolk Counseling Services</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sak</surname>
<given-names>Sophia</given-names>
</name>
<aff id="A5">Boston University</aff>
</contrib>
</contrib-group>
<author-notes>
<corresp id="cor1">
<italic>Address</italic>
: Southeast Asian Clinic, North Suffolk Counseling Services, 265 Beach Street, Revere, MA 02151, USA. [
<email>devon_hinton@hms.harvard.edu</email>
]</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>9</day>
<month>9</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="ppub">
<month>9</month>
<year>2002</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>9</month>
<year>2010</year>
</pub-date>
<volume>39</volume>
<issue>3</issue>
<fpage>323</fpage>
<lpage>344</lpage>
<permissions>
<copyright-statement>Copyright © 2002 McGill University</copyright-statement>
<copyright-year>2002</copyright-year>
</permissions>
<abstract>
<p id="P1">According to the Khmer conception, a person suffering ‘weak heart’ (
<italic>khsaoy beh daung</italic>
) has episodes of palpitations on slight provocation (e.g. triggered by orthostasis, anger, a noise, worry, an odor or exercise) and runs the risk of dying of heart arrest during these periods of palpitations; too, the sufferer typically has other symptoms attributed to the purported cardiac dysfunction: fatigue, shortness of breath, and orthostatic dizziness. Many Khmer refugees suffer this cultural syndrome, an anxious–dysphoria ontology, most probably of French colonial provenance. The syndrome demonstrates considerable overlap with those Western illness categories that feature panic attacks, in particular post-traumatic stress disorder (PTSD) and panic disorder. In a psychiatric clinic survey, 60 percent (60/100) of those assessed believed themselves to currently suffer ‘weak heart’; 90 percent (54/60) of those considering themselves to suffer from ‘weak heart’ thought that palpitations (e.g., those resulting from a loud noise or orthostasis) might result in death. The article illustrates the profoundly culturally constructed nature of ‘cardiac sensations,’ located in a specific historical trajectory and episteme; too, the article suggests that trauma may result more in panic disorder than ‘PTSD’ when autonomic arousal symptoms (in the present case, palpitations) are considered potentially life-threatening.</p>
</abstract>
<kwd-group>
<kwd>Khmer refugees</kwd>
<kwd>panic attacks</kwd>
<kwd>panic attacks</kwd>
<kwd>PTSD</kwd>
<kwd>trauma</kwd>
</kwd-group>
<contract-num rid="MH1">K23 MH066253-05 ||MH</contract-num>
<contract-sponsor id="MH1">National Institute of Mental Health : NIMH</contract-sponsor>
</article-meta>
</front>
</pmc>
</record>

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