hi-wa itck hi-wa itck hi-wa itck (mohave: hi:wa itck) is a culture-bound syndrome concerning heartbreak mostly associated with the mohave people. this syndrome is associated with the separation of a loved one with symptoms including insomnia, depression, loss of appetite, and possibly suicide. hi-wa itck is typically experienced by men, especially older men abandoned by their younger wives. it is similar to the condition of abandonment and rejection sensitivity associated with borderline personality disorder combined with a depressive episode. it is identified under culture-bound syndromes originating in native america, which also include pibloktoq or arctic hysteria and wacinko (oglala sioux). notes devereux, george (1961). "the 'heart' neuroses". mohave ethnopsychiatry and suicide: the psychiatric knowledge and the psychic disturbances of an indian tribe, issue 175. us government printing office. p. 91. retrieved 10 february 2022. muscari, mary; brown, kathleen (2010). quick reference to adult and older adult forensics: a guide for nurses and other health care professionals. new york: springer publishing company. p. 12. isbn 9780826124227. "glossary of culture bound syndromes". devereux 95, 103 alarcón, renato; foulks, edward; vakkur, mark (1998). personality disorders and culture: clinical and conceptual interactions. new york: john wiley & sons. pp. 200. isbn 0471149640. weber, janet; kelley, jane (2009). health assessment in nursing (4th ed.). wolters kluwer health/lippincott williams & wilkins. p. 101. isbn 978-0-7817-8160-2.