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    Ganser’s syndrome, buy cialis uk cheap detailed above, is reported in Western culture. Its association with an excessive startle response and its sporadic nature suggests an infectious etiology or manic-depressive illness.45 Amok is a culture-related syndrome associated with south-east Asia, although cases are reported from North America, Britain, and Europe.16 It is characterized by sudden, frenzied, violent, and often murderous attacks on strangers in public settings with multiple victims. Catatonic mannerisms look like compulsions, and catatonia should be suspected when a psychotic patient or a patient with mood disorder is also diagnosed as having obsessive–compulsive disorder. Catatonic cultural variants Several syndromes linked to specific cultures are better considered variations of catatonia buy cialis uk cheap.

    Table 3.4 lists the many mannerisms associated with catatonia. Latah, reported in Arcadian Maine but linked to Malaysia, is characterized by echolalia, echopraxia, coprolalia , and automatic obedience within a manic delirium. A young catatonic man said he was trying to balance special fluids in his body when in response to questions he blew three times over his left shoulder before offering a delayed whispered answer.

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