Hwabyung in Korea: Culture and Dynamic Analysis

Hwabyung, which means anger (fire) disease, is a culture-related anger syndrome in Korea. The symptoms include a subjective feeling of anger with anger-related bodily and behavioral symptoms. The symptoms seem to symbolize the nature of fire (anger) and its suppression and/or release. According to the patients' explanation, reactive anger, resulting from being a victim of an unfair situation, must be suppressed so as not to jeopardize harmonious family or social relationships. However, if the unfair situations continue, the suppressed anger "accumulates and becomes dense”, and finally causes a disease. Defense mechanisms related to hwabyung were found to be suppression, inhibition, withdrawal, somatization, and oral consumption. The concept of hwabyung seems to have been shaped by Korean people's socio-cultural experiences throughout history. Such historical experiences have developed a unique, collective emotional reaction called ‘haan’, which is a chronic suppressed anger resulting not only from the tragic collective national history, but also from a traumatic personal life. Accordingly, hwabyung shares many components with haan and seems to be a pathologic form of haan. Additionally, hwabyung and haan are commonly related to other Korean cultural heritages including shamanism, traditional medicine, the culture of the relationship (“jeong”) and collectivism, and the traditional philosophy of the ‘han’ in Korea. Finally, a suggestion was made regarding the conceptualization of an “anger disorder” based on the studies of this anger syndrome.