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Mass Sociogenic Illness by Proxy: Parentally Reported Epidemic in an Elementary School

Published online by Cambridge University Press:  02 January 2018

Simon Wessely  and
Christopher J. Wardle
Simon Wessely
Affiliation:
Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
Christopher J. Wardle
Affiliation:
Innermarsh Farm, Clyst Hydon, near Cullompton, Devon EX15 2NF
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Extract

“In a cluster of illness reported among students at an elementary school parents mentioned many signs and symptoms including headache, pallor, dark circles under the eyes, nausea, and vomiting – which they attributed to exposure to recurrent leaks of natural gas at the school. It is likely that the parents spread among themselves the notion of toxic exposure at the school. A questionnaire revealed no spatial clustering, but increased reports of symptoms were related to intense media coverage. A thorough environmental and epidemiological investigation was negative, there being no evidence of a continuing gas leak or other potential causes. At a strictly biological level, the complaints in this reported ‘cluster’ apparently represented the sporadic occurrence of common childhood illnesses. The possibility of an epidemic from toxic exposure at the school caused intense parental concern and led to a major public health problem. The established term ‘mass sociogenic illness' seems inapplicable here because complaints did not come principally from the students and the apparent epidemic illness was not transmitted among them. The term ‘mass sociogenic illness by proxy’ is proposed to describe this incident, in which transmission in one group (the parents) resulted in reports of an epidemic in another group (students).”

Type
The Current Literature
Information
The British Journal of Psychiatry , Volume 157 , Issue 3 , September 1990 , pp. 421 - 424
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

American College of Physicians (1989) Position paper: clinical ecology. Annals of Internal Medicine, 111, 168–178.Google Scholar
Araki, S. & Honma, T. (1986) Mass psychogenic systemic illness in school children in relation to the Tokoyo photochemical smog. Archives of Environmental Health, 41, 159–162.Google Scholar
Bardana, E. (1986) Office epidemics. The Sciences, 26, 39–44.Google Scholar
Barsky, A. (1988) Worried Sick: Our Troubled Quest for Wellness. Boston: Little, Brown & Co.Google Scholar
Bell, D. (1989) “Repetition strain injury” – an iatrogenic epidemic of simulated injury. Medical Journal of Australia, 151, 280–284.CrossRefGoogle ScholarPubMed
Elkins, G., Gamino, L. & Rynearson, R. (1988) Mass psychogenic illness, trance states, and suggestion. American Journal of Clinical Hypnosis, 30, 267–275.Google Scholar
Goh, K. (1987) Epidemiological enquiries into a school outbreak of an unusual illness. International Journal of Epidemiology, 16, 265–270.Google Scholar
Hunter, R. & MacAlpine, I., (eds) (1964) An epidemic of hysterics. In Three Hundred Years of Psychiatry, p. 506. Oxford: Oxford University Press.Google Scholar
Mackay, C. (1841) Extraordinary Popular Delusions and the Madness of Crowds. (Reprinted 1932) New York: L. C. Page & Co.Google Scholar
Mausner, J. & Gezon, H. (1967) Report on a phantom epidemic of gonorrhoea. American Journal of Epidemiology, 85, 320–331.Google Scholar
Moden, B., Swartz, T. A., Tirosh, M., et al (1983) The Arjenyattah epidemic: a mass phenomenon. Lancet, ii, 1472–1474.Google Scholar
Mohr, P. D. & Bond, M. J. (1982) A chronic epidemic of hysterical blackouts in a comprehensive school. British Medical Journal, 284, 961–962.Google Scholar
O'Donnell, H., Bagby, J., Harman, R., et al (1989) Report of an illness outbreak at the Harry S. Truman State Office Building. American Journal of Epidemiology, 129, 550–558.Google Scholar
Philen, R. M., Kibourne, E. M., McKinley, T. W., et al (1989) Mass sociogenic illness by proxy: parentally reported epidemic in an elementary school. Lancet, ii, 1372–1376.Google Scholar
Ruiz, M. & Lopez, J. (1988) Mass hysteria in a secondary school. International Journal of Epidemiology, 17, 475–476.Google Scholar
Selden, B. (1989) Adolescent epidemic hysteria presenting as a mass casualty, toxic exposure incident. Annals of Emergency Medicine, 18, 892–895.CrossRefGoogle ScholarPubMed
Simon, C., Katon, W. & Sparks, P. (1990) Allergic to life: psychologic factors in multiple chemical sensitivity. American Journal of Psychiatry (in press).Google Scholar
Sinks, T., Kerndt, P. & Wallingford, K. (1989) Two episodes of acute illness in a machine shop. American Journal of Public Health, 79, 1024–1028.Google Scholar
Sirois, F. (1974) Epidemic hysteria. Acta Psychiatrica Scandinavica (suppl. 254).Google Scholar
Small, G. W. & Nicholl, A. M. (1982) Mass hysteria among school children: early loss a predisposing factor. Archives of General Psychiatry, 39, 721–724.Google Scholar
Wessely, S. (1987) Mass hysteria: two syndromes? Psychological Medicine, 17, 109–120.Google Scholar
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