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Piblokto, also known as pibloktoq and Arctic
hysteria Hysteria is a term used colloquially to mean ungovernable emotional excess and can refer to a temporary state of mind or emotion. In the nineteenth century, hysteria was considered a diagnosable physical illness in women. It is assumed that ...
, is a condition most commonly appearing in
Inughuit The Inughuit (also spelled Inuhuit), or the Smith Sound Inuit, historically Arctic Highlanders, are Greenlandic Inuit. Formerly known as "Polar Eskimos", they are the northernmost group of Inuit and the northernmost people in North America, livin ...
(Northwest
Greenlandic Inuit Greenlanders ( kl, Kalaallit / Tunumiit / Inughuit; da, Grønlændere) are people identified with Greenland or the indigenous people, the Greenlandic Inuit (''Grønlansk Inuit''; Kalaallit, Inughuit, and Tunumiit). This connection may be res ...
) societies living within the
Arctic Circle The Arctic Circle is one of the two polar circles, and the most northerly of the five major circles of latitude as shown on maps of Earth. Its southern equivalent is the Antarctic Circle. The Arctic Circle marks the southernmost latitude at w ...
. Piblokto is a culture-specific hysterical reaction in
Inuit Inuit (; iu, ᐃᓄᐃᑦ 'the people', singular: Inuk, , dual: Inuuk, ) are a group of culturally similar indigenous peoples inhabiting the Arctic and subarctic regions of Greenland, Labrador, Quebec, Nunavut, the Northwest Territories ...
, especially women, who may perform irrational or dangerous acts, followed by amnesia for the event. Piblokto may be linked to repression of the personality of
Inuit women The Inuit are indigenous people who live in the Arctic and subarctic regions of North America (parts of Alaska, Canada, and Greenland). The ancestors of the present-day Inuit are culturally related to Iñupiat (northern Alaska) and Yupik (Sib ...
. The condition appears most commonly in winter. It is considered to be a form of a
culture-bound syndrome In medicine and medical anthropology, a culture-bound syndrome, culture-specific syndrome, or folk illness is a combination of psychiatric and somatic symptoms that are considered to be a recognizable disease only within a specific society or cu ...
, although more recent studies (see ''Skepticism'' section) question whether it exists at all. Piblokto is also part of the glossary of cultural bound syndromes found in the
Diagnostic and Statistical Manual of Mental Disorders The ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM; latest edition: DSM-5-TR, published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common langua ...
(DSM-IV).


History

Piblokto was first documented in 1892 and reports by European explorers describe the phenomenon as common to all
Arctic The Arctic ( or ) is a polar regions of Earth, polar region located at the northernmost part of Earth. The Arctic consists of the Arctic Ocean, adjacent seas, and parts of Canada (Yukon, Northwest Territories, Nunavut), Danish Realm (Greenla ...
regions. Explorers were the first to record piblokto in writing. Among these, Admiral
Robert Peary Robert Edwin Peary Sr. (; May 6, 1856 – February 20, 1920) was an American explorer and officer in the United States Navy who made several expeditions to the Arctic in the late 19th and early 20th centuries. He is best known for, in Apri ...
provided a detailed look into the disorder during an expedition to
Greenland Greenland ( kl, Kalaallit Nunaat, ; da, Grønland, ) is an island country in North America that is part of the Kingdom of Denmark. It is located between the Arctic and Atlantic oceans, east of the Canadian Arctic Archipelago. Greenland is t ...
. Peary and his men found the acts they witnessed among the Inuit women entertaining, and, having sent the women's male counterparts out on missions, became sexually involved with the remaining women. Piblokto is not limited to the
indigenous people Indigenous peoples are culturally distinct ethnic groups whose members are directly descended from the earliest known inhabitants of a particular geographic region and, to some extent, maintain the language and culture of those original people ...
; reports of stranded sailors during the 1800s exhibiting the same symptoms have been found. The disorder is said to have existed before Western contact and still occurs today. However, as discussed below, many scholars now hold that culture bound disorders may often be an artifact of colonial encounters, and contemporary discussions of piblokto in
medical anthropology Medical anthropology studies "human health and disease, health care systems, and biocultural adaptation". It views humans from multidimensional and ecological perspectives. It is one of the most highly developed areas of anthropology and applied ...
and
cross-cultural psychiatry Cross-cultural psychiatry (also known as Ethnopsychiatry or transcultural psychiatry or cultural psychiatry) is a branch of psychiatry concerned with the cultural context of mental disorders and the challenges of addressing ethnic diversity in psyc ...
consider it to be an example of the suspect nature of
culture bound syndromes In medicine and medical anthropology, a culture-bound syndrome, culture-specific syndrome, or folk illness is a combination of psychiatric and somatic symptoms that are considered to be a recognizable disease only within a specific society or cu ...
.


Origin

Piblokto is most often found in but not confined to the Inughuit culture in the
polar regions The polar regions, also called the frigid zones or polar zones, of Earth are the regions of the planet that surround its geographical poles (the North and South Poles), lying within the polar circles. These high latitudes are dominated by float ...
of northern Greenland. Similar symptoms have been reported in European sailors stranded in
Arctic The Arctic ( or ) is a polar regions of Earth, polar region located at the northernmost part of Earth. The Arctic consists of the Arctic Ocean, adjacent seas, and parts of Canada (Yukon, Northwest Territories, Nunavut), Danish Realm (Greenla ...
regions in the 1800s. Among the Inughuit, the attacks are not considered out of the ordinary. No native theory of the disorder is currently reported. This condition is most often seen in Inughuit women. Piblokto is most common during long Arctic nights.


Symptoms

Piblokto is an abrupt dissociative episode with four phases: social withdrawal, excitement, convulsions and stupor, and recovery. In his book ''Handbook of Cultural Psychiatry'', Wen-Shing Tseng provides the following example adapted from Foulks:
Mrs. A is a 30-year-old woman who has had periodic episodes of "strange experiences" in the past 3 years (since her mother's death). Three years ago, in the winter, during her first episode, she was acutely assaultive and tried to harm herself. The attack lasted about 15 min and she remembered nothing about it afterward. Two years ago, she had her second attack, which lasted about half an hour, during which time she ran from her home into the snow, tearing off her clothing.


Causes

Although there is no known cause for piblokto, Western scientists have attributed the disorder to the lack of sun, the extreme cold, and the desolate state of most villages in the region. A cause for this disorder present in this culture may be the isolation of their cultural group.Ephron, Sarah. (July–August 2003
''Arctic Hysteria''
fro
Up Here Magazine
archived at SarahEfron.com
This culture-bound syndrome is possibly linked to
vitamin A Vitamin A is a fat-soluble vitamin and an essential nutrient for humans. It is a group of organic compounds that includes retinol, retinal (also known as retinaldehyde), retinoic acid, and several provitamin A carotenoids (most notably bet ...
toxicity (
hypervitaminosis A Hypervitaminosis A refers to the toxic effects of ingesting too much preformed vitamin A (retinyl esters, retinol, and retinal). Symptoms arise as a result of altered bone metabolism and altered metabolism of other fat-soluble vitamins. Hypervit ...
).Smith, S. (2012, December 6)
What is Piblokto?
wiseGEEK: clear answers for common questions. Retrieved March 29, 2013.
The native Inughuit diet or
Eskimo Eskimo () is an exonym used to refer to two closely related Indigenous peoples: the Inuit (including the Alaska Native Iñupiat, the Greenlandic Inuit, and the Canadian Inuit) and the Yupik peoples, Yupik (or Siberian Yupik, Yuit) of eastern Si ...
nutrition provides rich sources of vitamin A through the ingestion of livers, kidneys, and fat of arctic fish and mammals and is possibly the cause or a causative factor. This causative factor is through the toxicity that has been reported for males, females, adults, children, and dogs. The ingestion of
organ meats Offal (), also called variety meats, pluck or organ meats, is the organs of a butchered animal. The word does not refer to a particular list of edible organs, which varies by culture and region, but usually excludes muscle. Offal may also refer ...
, particularly the
livers The liver is a major organ only found in vertebrates which performs many essential biological functions such as detoxification of the organism, and the synthesis of proteins and biochemicals necessary for digestion and growth. In humans, it is ...
of some Arctic mammals, such as the
polar bear The polar bear (''Ursus maritimus'') is a hypercarnivorous bear whose native range lies largely within the Arctic Circle, encompassing the Arctic Ocean, its surrounding seas and surrounding land masses. It is the largest extant bear specie ...
and
bearded seal The bearded seal (''Erignathus barbatus''), also called the square flipper seal, is a medium-sized pinniped that is found in and near to the Arctic Ocean. It gets its generic name from two Greek words (''eri'' and ''gnathos'') that refer to its h ...
, in whom the vitamin is stored at levels toxic to humans, can be fatal to most people. Inughuit tradition states that it is caused by evil spirits possessing the living.
Shamanism Shamanism is a religious practice that involves a practitioner (shaman) interacting with what they believe to be a Spirit world (Spiritualism), spirit world through Altered state of consciousness, altered states of consciousness, such as tranc ...
and
animism Animism (from Latin: ' meaning 'breath, Soul, spirit, life') is the belief that objects, places, and creatures all possess a distinct Spirituality, spiritual essence. Potentially, animism perceives all things—Animal, animals, Plant, plants, Ro ...
are dominant themes in Inughuit traditional beliefs with the
angakkuq The Inuit angakkuq (plural: ''angakkuit'', Inuktitut syllabics ᐊᖓᑦᑯᖅ or ᐊᖓᒃᑯᖅ; Inuvialuktun: '; kl, angakkoq, pl. ''angakkut'') is an intellectual and spiritual figure in Inuit culture who corresponds to a medicine man. Oth ...
(healer) acting as a mediator with the supernatural forces. Angakkuit use trance states to communicate with spirits and carry out
faith healing Faith healing is the practice of prayer and gestures (such as laying on of hands) that are believed by some to elicit divine intervention in spiritual and physical healing, especially the Christian practice. Believers assert that the healing ...
. There is a view among the Inughuit that individuals entering trance states should be treated with respect, given the possibility of a new "revelation" emerging as a result. Treatment in piblokto cases usually involves allowing the episode to run its course without interference. While piblokto can often be confused with other conditions (including
epilepsy Epilepsy is a group of non-communicable neurological disorders characterized by recurrent epileptic seizures. Epileptic seizures can vary from brief and nearly undetectable periods to long periods of vigorous shaking due to abnormal electrical ...
), in which failure to intervene can lead to the victim coming to harm, most cases tend to be benign.


Skepticism

Although piblokto has a place in the historical record and official medical canons, a number of Arctic researchers and Arctic residents doubt its existence. The phenomenon, they suggest, may be more rooted in the experience and behavior of the early European explorers than the Inuit themselves. In 1988
Parks Canada Parks Canada (PC; french: Parcs Canada),Parks Canada is the applied title under the Federal Identity Program; the legal title is Parks Canada Agency (). is the agency of the Government of Canada which manages the country's 48 National Parks, th ...
historian Lyle Dick began a substantial challenge to the concept that piblokto exists at all. Dick examined the original records of the European Arctic explorers, and ethnographic and linguistic reports on Inughuit societies, and discovered that not only is the majority of academic speculation into piblokto based on reports of only eight cases, but the word "piblokto" / "pibloktoq" does not exist within
Inuktun Inuktun ( en, Polar Inuit, kl, avanersuarmiutut, da, nordgrønlandsk, polarinuitisk, thulesproget) is the language of approximately 1,000 indigenous Inughuit (Polar Inuit), inhabiting the world's northernmost settlements in Qaanaaq and the surr ...
(the Inughuit language); possibly, Dick concluded, this may have been the result of errors in
phonetic transcription Phonetic transcription (also known as phonetic script or phonetic notation) is the visual representation of speech sounds (or ''phones'') by means of symbols. The most common type of phonetic transcription uses a phonetic alphabet, such as the ...
. In a 1995 paper published in the journal ''
Arctic Anthropology ''Arctic Anthropology'' is a peer-reviewed academic journal covering research on the archaeology, ethnology, and physical anthropology of arctic and subarctic peoples. It is indexed in the Social Sciences Citation Index and Current Contents/Social ...
'', and in his 2001 book ''Muskox land: Ellesmere Island in the Age of Contact'', Dick suggests that piblokto is a "phantom phenomenon", arising more from the Inuhuit reaction to European explorers in their midst. Similarly, Hughes and Simons have described piblokto as a "catch-all rubric under which explorers lumped various Inuhuit anxiety reactions, expressions of resistance to
patriarchy Patriarchy is a social system in which positions of dominance and privilege are primarily held by men. It is used, both as a technical anthropological term for families or clans controlled by the father or eldest male or group of males a ...
or
sexual coercion Rape is a type of sexual assault usually involving sexual intercourse or other forms of sexual penetration carried out against a person without their consent. The act may be carried out by physical force, coercion, abuse of authority, or agai ...
, and shamanistic practice". Simply put, rather than understanding piblokto as a strange cultural phenomenon, some critical scholars now understand it to be an expression of trauma of colonial violence, including rape. For example, transcultural psychiatry scholar Laurence Kirmayer writes:


See also

*
Wendigo Wendigo () is a mythological creature or evil spirit originating from the folklore of Plains and Great Lakes Natives as well as some First Nations. It is based in and around the East Coast forests of Canada, the Great Plains region of the Uni ...
*
Cabin fever Cabin fever is the distressing claustrophobic irritability or restlessness experienced when a person, or group, is stuck at an isolated location or in confined quarters for an extended time. A person may be referred to as stir-crazy, derived from ...
*
Kayak angst Kayak angst ( da, kajaksvimmelhed, links=no "kayak dizziness" or kajakangst, kl, nangiarneq, links=no) or nangierneq (Inuit languages) is a condition likened to a panic attack which has historically been associated with the Greenlandic Inuit. It h ...
*
Prairie madness Prairie madness or prairie fever was an affliction that affected settlers in the Great Plains during the migration to, and settlement of, the Canadian Prairies and the Western United States in the nineteenth century. Settlers moving from urbaniz ...
* Menerik ( ru) (sometimes ''meryachenie''Also spelled as ''meriachenie'', ''meryacheniye'', ''meryachenye'', ''meriachen'e'', ''meryachen'e'', ''meriachenye'', as well as ''emiryachenie'', ''emiryachenye'', ''emiriachen'e'', ''emeryachenye'', ''emeriachen'e'', ''emiryachen'e'', ''emiriachenie'', ''emeryachenie''.) – a condition similar to piblokto found in Siberia among
Yakuts The Yakuts, or the Sakha ( sah, саха, ; , ), are a Turkic ethnic group who mainly live in the Republic of Sakha in the Russian Federation, with some extending to the Amur, Magadan, Sakhalin regions, and the Taymyr and Evenk Districts ...
, Yukagirs, and
Evenks The Evenks (also spelled Ewenki or Evenki based on their endonym )Autonym: (); russian: Эвенки (); (); formerly known as Tungus or Tunguz; mn, Хамниган () or Aiwenji () are a Tungusic people of North Asia. In Russia, the Even ...
. Sidorov and Davydov draw a distinction between piblokto-like ''menerik'' and
latah Latah is a condition in which abnormal behaviors result from a person experiencing a sudden shock or other external stressor almost exclusively having been observed in persons from Southeast Asia. When induced, the affected person typically engag ...
-like ''meryachenie''. Others use ''meryachenie'' as an umbrella term for both piblokto-like and latah-like states. *
Culture-bound syndrome In medicine and medical anthropology, a culture-bound syndrome, culture-specific syndrome, or folk illness is a combination of psychiatric and somatic symptoms that are considered to be a recognizable disease only within a specific society or cu ...


Notes


References


Further reading

* *{{cite journal , doi=10.1525/aa.1962.64.1.02a00080 , author=Parker, S , title=Eskimo psychopathology in the context of Eskimo personality and culture , journal=American Anthropologist , volume=64 , pages=76–96 , year=1962 , doi-access=free *Higgs, Rachel D. (2011)
Pibloktoq - A study of a culture-bound syndrome in the circumpolar region
" The Macalester Review: Vol. 1: Iss. 1, Article 3. Inuit culture Culture-bound syndromes Inughuit