Mass psychogenic illness
Mass psychogenic illness
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Mass psychogenic illness

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Mass psychogenic illness

Mass psychogenic illness (MPI), also called mass sociogenic illness, mass psychogenic disorder, epidemic hysteria or mass hysteria, involves the spread of illness symptoms through a population where there is no infectious agent responsible for contagion. It is the rapid spread of illness signs and symptoms affecting members of a cohesive group, originating from a nervous system disturbance involving excitation, loss, or alteration of function, whereby physical complaints that are exhibited unconsciously have no corresponding organic causes that are known.

Timothy F. Jones of the Tennessee Department of Health compiled the following symptoms based on their commonality in outbreaks occurring in 1980–1990:

MPI is distinct from other types of collective or mass delusions by involving physical symptoms. Qualities of MPI outbreaks often include:

British psychiatrist Simon Wessely distinguishes between two forms of MPI:

While his definition is sometimes adhered to, others contest Wessely's definition and describe outbreaks with qualities of both mass motor hysteria and mass anxiety hysteria.

The DSM-IV-TR does not define a diagnosis for this condition but the text describing conversion disorder states that "In 'epidemic hysteria', shared symptoms develop in a circumscribed group of people following 'exposure' to a common precipitant."

Cases of MPI frequently involve adolescents and children as the primary affected groups, with females often being disproportionately impacted. The hypothesis that those prone to extraversion or neuroticism, or those with low IQ scores, are more likely to be affected in an outbreak of hysterical epidemic has not been consistently supported by research. Bartholomew and Wessely state that it "seems clear that there is no particular predisposition to mass sociogenic illness and it is a behavioural reaction that anyone can show in the right circumstances."

Intense media coverage seems to exacerbate outbreaks. The illness may also recur after the initial outbreak. John Waller advises that once it is determined that the illness is psychogenic, it should not be given credence by authorities. For example, in the Singapore factory case study, calling in a medicine man to perform an exorcism seemed to perpetuate the outbreak.

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