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Yıl:2007; Cilt: 18; Sayı: 3>> Özet
TAM METİN
Türk Psikiyatri Dergisi; 2007;18(3):282-285
İki Koro Sendromu Olgusu veya Genital Organların Geri Çekilmesi Korkusu ile Birlikte Olan Anksiyete Bozukluğu
H Atalay
Yeditepe Ü Hastanesi Psikiyatri Bl., İstanbul
Kültüre bağlı sendromlardan biri olan koro, DSM-IV'te ?penisin (veya kadınlarda vulvanın ve göğüslerin) bedenin içine çekileceği ve bunun belki de ölümüne neden olacağı şeklinde ani ve yoğun kaygı dönemi? olarak tanımlanmıştır. Kimi zaman bu sendrom kısa bir süre içinde yüzlerce, hatta binlerce kişiyi içine alan bir epidemi olarak ortaya çıkabilir. Bireysel olarak bir anksiyete tepkisini ve genital organların ölümcül bir şekilde içeri çekileceği korkusunu içerirken, kolektif olarak epidemi ve kitlesel panik şeklini alabilir. Son zamanlarda genital organların içeri çekilmesinin sadece etno-kültürel inançlarla ilgili olmayıp akut anksiyetenin ve beklenen felaket ya da ölüm korkusunun dramatik bir ifadesi de olduğu konusunda bir fikir birliği olduğu görülmektedir. Biz de burada genital organların içeri çekilmesi hissine bağlı olarak şiddetli anksiyete yaşayan iki koro sendromu olgusu sunuyor ve bu vesileyle genital çekilme korkularının kültürel özgüllüğünü sorguluyoruz.
Two Cases of Koro Syndrome or Anxiety Disorder Associated with Genital Retraction Fear
As a cultural-bound syndrome, koro is described in the DSM-IV as ?an episode of sudden and intense anxiety that the penis (or, in females, the vulva and the nipples) will recede into the body and possibly cause death.? Sometimes the syndrome may occur as an epidemic involving several hundreds to thousands of subjects within a short period of time. While the syndrome individually involves an anxiety reaction and fear of mortal genital retraction, it collectively takes the form of epidemics and mass panic. Recently a consensus has been reached about the fact that genital retraction is intimately related not only with ethno-cultural beliefs but also with the dramatic expression of acute anxiety and fear of impending catastrophe or death. We present two cases of koro syndrome who experienced severe anxiety due to the feeling of genital retraction and thus we question the cultural specifity of fears of genital retraction.

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