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Koro is a culture-bound syndrome prevalent in South-East Asian cultures. It is characterised by acute anxiety due to the fear of genital retraction which is believed to lead to death. While predominantly observed in men, cases involving women at an early age have been reported during Koro outbreaks. This paper describes a sporadic case of Koro-like syndrome in a South Asian woman in her 70s focusing on the psychological underpinnings contributing to its development and the importance of adopting a comprehensive management plan that addresses both psychiatric symptoms and co-occurring somatic issues.

In this article I consider the implications of our differing psychoanalytic theories of anxiety on clinical technique. Drawing on differentiations between the focus on separation or castration anxiety and the relative neglect of the latter in contemporary writing, I look in detail at two clinical examples of psychoanalysis in borderline young adults to exemplify the issue. 1

Although Freud considered castration to be one of the two major anxieties of human life, the castration complex has been relatively neglected in contemporary psychoanalytic writing and is insufficiently discussed in presentations of clinical cases. This article discusses the relevance of the concept to contemporary psychoanalysis and psychodynamic psychotherapy, in particular the important contributing role of castration conflicts in the pathogenesis of a wide range of clinical symptoms. The author begins by briefly reviewing some classical and contemporary psychoanalytic ideas about castration to show how the concept has broadened and is currently used not only to signify fear of damage to or loss of the genital, but also metaphorically to indicate a threat to or loss of any valued human characteristic or function. He outlines Brenner's distinction between castration anxiety and castration depression, and reviews the role of childhood trauma in intensifying castration conflicts. He then illustrates the clinical application of these ideas by describing aspects of his psychotherapeutic work with three male patients who presented with a variety of symptoms and distressing psychological experiences that were gradually resolved through the analysis of underlying castration anxiety and/or castration depression. Although castration anxiety is frequently intermingled with separation anxiety, the author concludes that with many traumatized patients castration conflicts are in the foreground and the therapist needs to focus on the patient's proneness to humiliation, powerlessness, and shame.

Both inside and outside psychoanalysis, the word, 'seminal', is used to praise a creative contribution to science and culture. Rarely, however, does it refer to male procreativity, to the structures and functions that subserve it or to the anxiety related to a threat to it. This situation becomes evident in the concept of castration anxiety, which typically refers, with Freud, to cutting off the penis and not to extirpating the testicles. This phallic theory has been debated, repudiated and ignored. While there is an alternative literature on non-phallic masculinity, it is scattered and rarely refers to seminal function. Freud's theory meets his requirement for a well-articulated representation of absolute loss as an experience, but this clear structure - and its repudiation - obscure the observation and theory of the internal world of the male. I propose the concepts of 'seminal masculinity' and 'seminal castration', which I ground in Melanie Klein's concept of depressive anxiety. I contrast them with phallic masculinity and phallic castration anxiety, which I ground in her concept of paranoid-schizoid anxiety. I argue that they meet Freud's requirement that castration be a potential experience and that understanding masculinity demands such a basis.

This author suggests that myopia is related to psychogenic factors involving an unconscious representation of, and defense against tension. Further, the argument is made that such tension directly causes the extra-ocular muscles of the eyeball to tighten, ultimately creating the errors of refraction, which define the condition known as myopia. The author makes the case that the specific nature of the tension has to do with an interruption in the separation-individuation process that has occurred, in which the myopic individual experiences separation anxiety, and is now “required” to stay close to the mother for fear of abandonment. Apparently, the only way myopes are then able to achieve some sort of psychological distance is through the development of high-level abstract conceptualization abilities. In addition to separation fears, this author notes that myopes exhibit significantly higher levels of castration anxiety as compared with normal-sighted individuals, matched in IQ. Tables showing empirical findings supporting the above psychoanalytic interpretations are provided for the readers review.

This article builds upon Laura Mulvey’s idea of the Male Gaze to conduct a feminist reading of the video game series Batman: Arkham (2009-2015). It does so by using Bechdel Test to analyze the depiction of the major female characters appearing in the series. The article investigates why portrayal of the women characters in video games is always problematic and how Batman: Arkham franchise becomes yet another transmedia text that fails in showing its female characters accurately. The textual analysis of the games confirms that the video game industry protects and perpetuates male privilege through the hypersexualization and objectification of female characters. As a result, the study further identifies a noticeable lack of compelling female characters in the video game series. Thus, the investigation calls for the necessity of a neutral and unbiased counter gaze for the legitimate portrayal of the women characters in the video game narratives as well as proper gender representation in the fast-growing game industry.

Castration is a lively history of the meaning, function, and act of castration from its place in the early church to its secular reinvention in the Renaissance as a spiritualized form of masculinity in its 20th century position at the core of psychoanalysis. Gary Taylor is Professor of English and Director of the Hudson Strode Program in Renaissance Studies at the University of Alabama. His books include Cultural Selection: Why Some Achievements Stand the Test of Time and Others Don't and Reinventing Shakespeare: A Cultural History from the Restoration to the Present . He is the general editor of the Oxford Shakespeare.

This paper addresses the issue of whose genitalia are involved in the dissolution of the castration complex in boys. Freud and his followers suggested several different possibilities which are elaborated herein, and these alternative models are discussed from the perspective of psychological research regarding children’s emergent gender identity and their awareness of genital differences. The reviewed data show that contrary to Freudian theory, preschool children’s emergent gender identity is not dependent on their awareness of genital differences. However, preschoolers with younger siblings, primarily opposite gender ones, evidence greater understanding of genital differences, as Freud suggested. The discussion emphasizes the importance of children’s family constellation and their awareness of self-other similarity and dissimilarity in the development of their gender identity.

The author presents a case study of a hemophiliac boy in four-times-a-week analysis from the age of four to six and a half years. An extensive narrative of various phases of the analysis including the termination provides the reader access to the material for discussion of therapeutic action. Her analytic technique is based on a developmental point of view and illustrates the use of limits, play, and interpretation based on countertransference. She understands the boy's symptoms of preferring to be a girl, asking to cut his penis off, and wishing to die as defenses against the fear of castration, which in his case is aggravated by the actual threat of repeated medical interventions, and by the underlying fear of a lack of body composition. An unusual feature of the case is the illustration of the symptom, the analysis, and the recovery of the male self, captured in a complex collage that was made over the course of the relatively short analysis.