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Sexual Guilt and Culturally Sanctioned Delusions in Liberia, West Africa

Published Online:https://doi.org/10.1176/ajp.125.1.89

It has been observed that the symptomatology considered to be characteristic of depression in Western cultures is rarely seen among tribal Africans. The two cases discussed here involve young women of tribal background who showed initial depressive symptomatology which shifted rapidly to extreme agitation and paranoia. Their delusional systems, focused on fantasies of snakes and genii, are interpreted as culturally sanctioned ways of dealing with feelings of worthlessness and guilt.

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