In 1967 there was a major epidemic of koro in Singapore, which lasted for about ten days of general panic. Emergency rooms filled up with men clutching desperately at themselves in an attempt to stop the syndrome.
In rural parts of China, penises have been
traditionally stolen by a spirit in the form of a fox, who wanders the countryside looking for victims. It sounds whimsical, but in some parts of Africa, people have been lynched for stealing someone's penis.Koro is listed in Appendix I of the DSM-IV-TR. Clearly in the West it corresponds to Panic Disorder, and perhaps to Body Dismorphic Disorder. But what underlies it is more interesting than its classification. In that respect, perhaps a rereading of Freud would be more useful--or perhaps better still Lacan.
Lacan rereads Freud's "penis" as the "Phallus"--not the physical, literal organ, but a metaphor for the power in the world that a man is granted by virtue of being male. Phallus envy makes sense in a way penis envy does not.
In the case of koro, narcissistic injury, symbolised as loss of Phallus (a man's power and status in the world), might be experienced as "my penis is shrinking". Interpreted this way, the disorder becomes less of a curious folktale for and more a deeply comprehensible expression of fear and distress.
Koro From A Taiwanese-American Perspective
This detailed comment was sent to me by Mindy Chang.
In some rural parts of China, there is the belief that fox spirits are responsible for stealing the penises of hapless male victims. The fox spirit is well known in Japanese folklore as a kitsune and in Chinese folklore as hu li jing. Some are good and some are bad. They are often feared because they are powerful and cunning, and if you anger one, you will be punished and cursed. Some of the bad ones appear in the form of beautiful women who seduce young men because they are deficient in yin life force; hence koro.
In some ways, they are similar to the Chinese snake spirits that appear as beautiful young women and seduce men, much like their Western succubae counterparts. The tiger spirit, a.k.a. tiger mother, also is invariably a female spirit that steals young babies to eat; male babies are especially desirable since they are traditionally valued more than girl babies. The snake and tiger spirits are also cunning like their fox spirit sisters.
Either way, these malevolent female spirits represent the unconscious fear Asian men often have of strong Asian women in a predominately patriarchal society. Therefore, it makes sense that a peasant living in rural China might believe these folk tales and be conservative enough to accuse a woman of stealing his penis or masculinity.
According to traditional Chinese medicine, a man’s life force resides in his seed, which is expelled through his penis. This belief is not unlike the passage in the Bible where God chides Onan for spilling his seed upon the ground. One may also recall the passage in Amy Tan’s book “The Joy Luck Club” where the woman who cannot get pregnant is confined to her bed so that her husband’s seed will impregnate her and his yin will not go to waste.
There are some Chinese people who still partake of traditional Chinese remedies that are particularly exotic, such as dried tiger penis. Although officially use of ingredients from exotic animals is illegal, there is a thriving black market trade, thanks to demand, that is met by poachers. The idea is that if a man eats a tiger penis, he will take on the strength and virility of the male tiger; essentially, the tiger’s yin.
When treating koro, it might be beneficial to use traditional Chinese remedies (other than the illegal dried tiger penis). Whether the remedies actually work or the effects are psychosomatic, it matters not so long as the patient believes he will get well because he believes in the remedy.
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