In psychology and psychiatry, there are various cultural conditions and syndromes that can affect individuals in different parts of the world. One of these syndromes is known as Hwa-byung, which has its roots in Korean culture and has attracted the attention of mental health experts due to its unique clinical manifestations and its relationship to specific cultural factors.

What is Hwa-byung?

Hwa-byung, which translates as "repressed anger" or "suppressed rage" in Korean, is a cultural syndrome that is characterized by a series of physical and psychological symptoms. Although not recognized as a mental disorder in international diagnostic manuals such as the DSM-5 or ICD-10, Hwa-byung has been studied and described in academic literature as a significant condition in Korean culture.

This syndrome occurs mainly in middle-aged women and is believed to be related to the repression of negative emotions, particularly anger, due to cultural norms that promote emotional containment and submission in interpersonal relationships. Those affected by Hwa-byung often experience physical and psychological symptoms that affect their quality of life and emotional well-being.

Symptoms of Hwa-byung

Hwa-byung symptoms can vary in intensity and presentation, but generally include a combination of physical and psychological symptoms. Some of the most common symptoms of this cultural syndrome are:

  • Heat or burning sensation in the chest or throughout the body.
  • Heart palpitations and increased heart rate respiratory.
  • Insomnia and chronic fatigue.
  • Irritability, anxiety and depression.
  • Sensation of tightness in the throat or chest.
  • Gastrointestinal problems such as abdominal pain or indigestion.

These symptoms can manifest intermittently or chronically, and their impact on the daily life of those affected can vary depending on the severity of the condition. condition and other individual factors.

Causes of Hwa-byung

Hwa-byung is considered a multifactorial condition, influenced by a combination of sociocultural, psychological and biological factors. Possible causes and risk factors for Hwa-byung include:

  • Emotional repression: Korean culture promotes the containment of negative emotions, such as anger, which which can lead to the buildup of resentment and repressed anger in susceptible individuals.
  • Family conflicts: Family problems and intergenerational tensions can contribute to the development of Hwa-byung, especially in women who occupy traditional roles and face conflicting cultural expectations.
  • Chronic stress: Continued stress and social pressure in Korean society can trigger Hwa-byung syndrome in those who have difficulty expressing their emotions in a healthy way.
  • Psychological vulnerability: Individuals with a history of emotional trauma, low self-esteem, or psychological disorders may be more likely to develop Hwa-byung in response to stressful events.

It is important to note that Hwa-byung is not limited exclusively to individuals of Korean origin, since emotional repression and difficulty expressing anger are universal aspects that can affect people from various cultures.

Diagnosis and treatment of Hwa-byung

Due to its cultural nature and the absence of specific diagnostic criteria in Western mental health manuals, the diagnosis of Hwa-byung can be challenging for healthcare professionals. In many cases, the symptoms of Hwa-byung overlap with anxiety, depression, or somatoform disorders, which can make them difficult to properly identify.

Treatment of Hwa-byung focuses on addressing the physical symptoms and psychological, as well as promoting the healthy expression of repressed emotions. Some treatment strategies that may be beneficial for individuals with Hwa-byung include:

Psychological therapy

Individual or group therapy may be helpful in helping those affected by Hwa-byung. -byung to identify and process your repressed emotions, as well as develop effective coping skills to manage stress and anger in a healthy way.

Medication

In some cases, you can prescribe medications such as anxiolytics or antidepressants to treat the symptoms associated with Hwa-byung, especially if anxiety or depression disorders coexist.

Complementary therapies

Practices such as meditation, yoga, Acupuncture or mindfulness can help reduce stress, improve emotional well-being and promote the release of repressed emotions in individuals with Hwa-byung.

It is essential that the treatment of Hwa-byung be individualized and adapts to the specific needs of each person, taking into account their cultural context, their personal experiences and their social support resources.

Conclusions

In summary, Hwa-byung is a unique cultural syndrome that reflects the complex interplay between sociocultural, psychological, and biological factors in the manifestation of repressed anger in Korean culture. Although not recognized as an official mental disorder, Hwa-byung represents a clinical and therapeutic challenge for mental health professionals working with populations of Korean origin or in intercultural contexts.

Raising awareness about the disorder Hwa-byung and understanding its symptoms, causes, and treatment options are critical to effectively addressing this condition and improving the emotional well-being of those who experience it. Through an integrated approach that combines psychological therapy, medication and complementary therapies, it is possible to provide support and relief to people affected by this cultural syndrome.

Ultimately, recognition and validation of repressed emotions, as well as the promotion of healthy emotional expression, are fundamental pillars in addressing Hwa-byung and in promoting mental health in diverse cultural contexts.