Culture-Related Diagnostic Issues
The syndrome of taijin kyofusho  (e.g., in Japan and Korea) is often characterized by social-
evaluative concerns, fulfilling criteria for social anxiety di sorder, that are associated with
the fear that the individual makes other  people uncomfortable (e.g., “My gaze upsets peo-
ple so they look away and avoid me”), a fear that is at times experienced with delusional
intensity. This symptom may also be found in non-Asian settings.  Other presentations