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Am J Psychiatry 1975; 132:753-755
Copyright © 1975 by American Psychiatric Association


REGULAR ARTICLES

A syndrome of depression and mutism in the Oglala Sioux

TH Lewis

The wacinko syndrome in the Oglala Sioux varies from a nonclinical reaction to pathological degrees of anger, pouting, withdrawal, depression, psychomotor retardation, mutism, immobility, and even to suicide. Although indigenous proctitioners recognize the syndrome as a distinctive disorder, it has not been described by non-Indian practitioners. The author presents a case report and suggests that most cases are diagnosable as reactive depressive illness.





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