Pdf comprehensive questionnaire for assessment of dhat. Pdf dhat syndrome is described as a culture bound syndrome cbs. Indian dhat syndrome which is symptom complex most commonly seen in younger group of patients in between 16 to 23 years of age. What is dhat syndrome dhat syndrome is the condition which occurs generally in indian subcontinent. The impact of cultural differences cultural considerations in. Dhat syndrome is a cultural bound syndrome in which affected individuals have morbid preoccupation with semen loss in their urine and its impact on the body. Abstracts minor psychiatric symptomatology, life events, social support, 2. A study was carried out to investigate the cultural basis of the dhat syndrome. These patients present with whitish discharge with urine patients believe it to be semen. Wig coined the term dhat syndrome, characterized by vague somatic symptoms of fatigue, weakness, anxiety, loss of appetite and guilt attributed to semen loss through nocturnal emissions, urine and masturbation though there is no evidence of loss of semen. Dhat syndrome the british journal of psychiatry cambridge. Dhat syndrome is a clinical condition that is mainly reported on the indian subcontinent.
Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine. Incidence of down syndrome and maternal age maternal age incidence of down syndrome 20 1 in 2000 24 1 in 0 27 1 in 1050 30 1 in 900 33 1 in 600 36 1 in 300 40 1 in 100. Male patients think that they suffer from premature. Advantages of masturbation bad odour bad sex bad smell benefits of masturbation dat syndrome dhat syndrome douching ejaculation erectile dysfunction female.
Everything you need to know about dhat syndrome and its. They were enquired about their primary complaint of dhat, timings of. The indian dhat syndrome is a culturebound symptom complex. These histories, therefore, follow contemporary medical practice in assuming dhat to be a single, unified, pathological reality, be it an independent. If you would like to save the pdf file to your computer, follow these steps. Dhat syndrome is described as a culture bound syndrome cbs. Everything you need to know about dhat syndrome and its treatment. Development and use in patient population dhat syndrome is a culturebound syndrome, characterized by the core belief.
These patients present with whitish discharge with urine. Dhat is authorized to transfer any patient overpayment to one of these associated entities if applicable. Dhat syndrome semen lossrelated psychological distress is a culturebound syndrome seen in the natives of indian subcontinent, but it is prevalent in other cultures also. It was the chinese psychiatrist yap who first introduced the term culture bound syndrome in 1969. A number of papers published on the dhat syndrome in the 1980s and 1990s all report that depressive, anxiety andor somatoform disorders are prevalent in the majority of dhat sufferers. Please visit the project page for details or ask questions at wikipedia talk. However, dhat syndrome is a widely recognized illness. This syndrome is a conglomeration of multiple psychosomatic symptoms, including sexual symptoms in the absence of physical illnesses. The icd10cm alphabetical index is designed to allow medical coders to look up various medical terms and connect them with the appropriate icd codes. There are 0 terms under the parent term dhat syndrome in the icd10cm alphabetical index. Release any information necessary to the insurance company regarding my illness and treatments. It has been also reported among buddhists in srilanka 16 and pakistani muslim expartite workers in the gulfstates 17. Sir, dhat syndrome is a true culture bound sex neurosis quite common in natives of the indian subcontinent. It presents with symptoms that resemble somatization.
The patient experiences depressive and anxiety features which are attributed to the loss of semen as a vital substance during a nocturnal emission, through the urine or as a result of masturbation. Shilajit capsules reverse weaknesses and deficiencies caused by semen leakage in urine to provide longlasting dhat syndrome treatment. Dhat syndrome has been thought to occur primarily upon the indian subcontinent, where cultural and religious beliefs view semen as one of the bodys most precious fluids. Wig, described as a specific syndrome nurtured as a result of culturerelated beliefs. Lessons for postgraduate trainees about dhat syndrome. Dhat syndrome in india anp204 introduction to medical. Dhat syndrome is an example of which of the following. Dhat syndrome semen loss related psychological distress is a culturebound entity seen in natives of indian subcontinent. This is associated most commonly with impotency, marked anxiety, general weakness, premature ejaculations and hypochondriasis. Dhat syndrome is an illness that affects the india culture. It is important to differentiate between disease and illness from an anthropological perspective. Originally thought to be a chinese and indonesian culturebound syndrome, it has recently been noted to occur in indian patients as well. Culture bound syndromes cbs were defined by littlewood and lipsedge as episodic and dramatic reactions specific to a particular community. Dhat syndrome a useful diagnostic entity in indian culture.
Comprehensive questionnaire for assessment of dhat. Request pdf comprehensive questionnaire for assessment of dhat syndrome. It is a semenloss related physical and psychological distress seen mainly in people of indian subcontinent. The narrative finally attempts to discuss the integrated approach for the treatment of this disorder. Dhat syndrome is a condition described in the indian subcontinent, in which patients present with concerns about loss of semen. In internet explorer, rightclick on the link and select save target as. This notion of seminal loss frightens the individual into developing a sense of doom if a single drop. Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are. Jul 18, 20 dhat syndrome is an illness that affects the india culture. Mar 21, 2015 dhat is classified as both a neurotic disorder and a culturebound syndrome by the international classification of diseases, 10th edition icd10. Semen leakage in urine, dhat syndrome ayurvedic treatment. Most available histories of this affliction, however, have been framed by the debate amongst psychiatrists over whether it can be called a culture bound syndrome hereafter cbs or not. Nosological approach towards culture bound syndromes.
This article is within the scope of wikiproject medicine, which recommends that medicinerelated articles follow the manual of style for medicinerelated articles and that biomedical information in any article use highquality medical sources. The dhat syndrome has been found in several cultures and they often go by different names. The concept and epidemiology of dhat syndrome ajit avasthi,om prakash jhirwal abstract culture bound syndromes refer to prevalence of some syndromes in specific cultures. Different cultures and communities exhibit or explain symptoms in various ways. The socalled dhat syndrome assumes that these patients have a psychological disorder and that there is no real discharge.
Due to its clinical significance, it has been included in icd10. Although, it is being researched for more than half a century there is still no clear. The chronicled premise of dhat syndrome can be followed. The clinical picture includes severe anxiety and hypochondriasis. Dhat syndrome in india on 17 jul, 2014 by moriah hill with 2 comments posted in w3 activity dhat syndrome is found in people in cultures in india, it is when males believe thy have premature ejaculation or that they are urinating out semen during urination and also having erectile dysfunctions. The following links will open a pdf file in a new browser window. A culturebound syndrome of the indian subcontinent medical anthropology examines the social, cultural and political factors which shape illness development. Disease is a pathological condition which can be objectively measured whereas illness is a perception of not being healthy. Dhat syndrome is a culture bound syndrome of the indian subcontinent, although this has often been debated. These studies focused on clinical manifestations of dhat syndrome, associated attitude towards passage of dhat. In netscape, rightclick on the link and select save link as. This sex neurosis consists of physical symptoms and psychological distress associated with an excessive loss of semen.
Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine in traditional hindu spirituality, semen is described as a vital fluid. The concept and epidemiology of dhat syndrome ajit avasthi,om. However, the age of the mother may also be a risk factor. Pdf on jan 1, 2005, ajit avasthi and others published the concept and epidemiology of dhat syndrome find, read and cite all the research you need on. The syndrome has been classified as both a neurotic disorder and a culture specific disorder. Pdf dhat syndrome evaluation questionnaire swarnima. For example, semen is considered to be a vital fluid and an integral part of life force. This is a psychological issue caused primarily by social taboos and deeply ingrained beliefs which stem from religious doctrine or social stigma. Down syndrome, it is estimated that the risk of having a second child with down syndrome is about one in 100. In a prospective study of 144 consecutive male patients with psychosexual disorders, comprising 93 with dhat syndrome with or without impotence or premature ejaculation, 21 with premature ejaculation, and 30 suffering only impotence, the commonest associated psychiatric illness was neurotic depression 39% followed by anxiety neurosis 21 %, while 31% did not receive a psychiatric diagnosis. May 21, 2015 dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are. Abstracts 1999 2011 centre for clinical psychology, university of the punjab lahore, 54590 pakistan. In 1969, yap coined the term cbs to delineate a rare and exotic group of disorders that cause little damage to humanity. Comprehensive questionnaire for assessment of dhat syndrome.
Dhat syndrome and its social impact research openventio. It is suggested that such a perception is reflective of the unusual emphasis placed on the qualities of semen in ancient holy treatises. Dhat syndrome semen loss related psychological distress is a culture bound entity seen in natives of indian subcontinent. The chief complaints of these patients usually involve medically unexplained symptoms such as pain and fatigue, features of depression and anxiety, and sexual dysfunction behere and natraj, 1984. Download gender disorders and the paraphilias ebook pdf or read online.
Thinking youre forgetting something and taking forever to leave the house would be. The impact of cultural differences cultural considerations. Down syndrome is a congenital disorder stemming from a chromosomal abnormality appearing in about one of every 800 births. Because of this, it is important for clinicians to be aware of relevant contextual information stemming from a patients culture, race, ethnicity, religion or geographical origin.
The patient is preoccupied with the excessive loss of semen by nocturnal emissions. Immigrants from these countries seen in european and north american clinics 5 do present with this sexrelated disorder. N n wig in1960 wig explained dhat syndrome the symptoms of dhat syndrome fatiguability weakness decreased appetite sexual dysfunction anxiety feeling of guilt the symptoms attribute to semen loss wig n. Abstract koro is a unique psychiatric disorder in which acute anxiety accompanies the perception of genital retraction sometimes unflatteringly called penis panic. Dhat syndrome is a widely recognized clinical condition in the indian subcontinent characterized by excessive preoccupation with semen loss as the main presenting complaint.
Advantages of masturbation bad odour bad sex bad smell benefits of masturbation dat syndrome dhat syndrome douching ejaculation erectile dysfunction female masturbation first night frustration genital herpes guilty hand job herpes human sexuality impotence masturbation music night fall penis size post partum sex premature ejaculation safe sex. Feb 10, 2015 it was the chinese psychiatrist yap who first introduced the term culture bound syndrome in 1969. This case report describes a case of koro syndrome associated with. Dhat syndrome is a widely prevalent culture bound syndrome in india shaped and constructed by inadequate sexual health education, cultural myths and misconceptions and sociodemographics. Cbs were first described outside the west and so were thought to be only nonwestern conditions culturebound syndromes. The syndrome consists of patient complaints of semen loss in any context accompanied by vague symptoms andor discomfort.
A culture bound syndrome the term was coined by dr. Its diagnosis and management issues need to be taught to postgraduates in their teaching program. This condition has been considered to be a culture. Dhat syndrome semen lossrelated psychological distress is a culturebound syndrome seen in the natives of indian subcontinent, but it is prevalent in other. In a prospective study of 144 consecutive male patients with psychosexual disorders, comprising 93 with dhat syndrome with or without impotence or premature ejaculation, 21 with premature ejaculation, and 30 suffering only impotence, the commonest associated psychiatric illness was neurotic depression 39% followed by anxiety neurosis 21 %, while 31% did not receive a. There is an ongoing debate on the nosological status of cbs. Dhat syndrome is widely prevalent in the natives of indian subcontinent 914 including nepal, bangladsh and pakistan 9,15. Dhat may file a claim for services rendered by the physician, facility, pathologist and or anesthesia provider. What would a bi polar person not have during a manic episode. The concept and epidemiology of dhat syndrome ajit avasthi. This mostly occurs in young men, although a variant of the condition unique to women as been reported. Perhaps the term dhat syndrome was first used by wig in 1960 sing, 19850. Dhat syndrome is a culture bound syndrome that is found in the indian subcontinent. A condition described in india which is characterised by anxiety, weakness, exhaustion, and hypochondriasis that may accompany discharge of semen or a whitish discolouration of urine.
Indian story on semen loss and related dhat syndrome. Dhat syndrome, term first used in scientific literature by renowned indian psychiatrist prof. Electronic and manual literature searches were used to gather information on the existence and description of semenloss anxiety in different cultures and settings. Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report vague psychosomatic symptoms of fatigue, weakness, anxiety, loss of appetite, guilt, and sexual dysfunction, attributed by the patient to loss of semen in nocturnal emission, through urine or masturbation. Here are links to possibly useful sources of information about dhat syndrome. Lessons for postgraduate trainees about dhat syndrome ncbi. Incidence of down syndrome and maternal age maternal age incidence of down syndrome 20 1 in 2000 24 1 in 0 27 1 in 1050 30 1 in 900 33 1 in 600. This is a temporary file and hence do not link it from a website, instead link the url of this page if you wish to link the pdf file. The belief is formed from an old hindu spiritual belief that semen is very hard. The term dhat syndrome was first introduced into psychiatric literature by wig malhotra and wig, 1975, to refer to patients who presented with concerns about loss of semen. Though this condition has been conceptualized as a culturebound syndrome, some authors have also considered it a manifestation of depression. Dhat is classified as both a neurotic disorder and a culturebound syndrome by the international classification of diseases, 10th edition icd10. Psychology 32 term definition dhat syndrome is an example. They see semen is a very precious commodity, and an excessive loss of it is feared to result in serious illness.