{"id":7546,"date":"2021-09-30T08:51:21","date_gmt":"2021-09-30T12:51:21","guid":{"rendered":"https:\/\/latinamericasecurityreport.com\/?p=7546"},"modified":"2021-09-30T08:51:21","modified_gmt":"2021-09-30T12:51:21","slug":"havana-syndrome-fits-the-pattern-of-psychosomatic-illness-but-that-doesnt-mean-the-symptoms-arent-real","status":"publish","type":"post","link":"https:\/\/latinamericasecurityreport.com\/?p=7546","title":{"rendered":"Havana Syndrome Fits the Pattern of Psychosomatic Illness \u2013 but That Doesn\u2019t Mean the Symptoms Aren\u2019t Real"},"content":{"rendered":"<figure style=\"width: 2612px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full\" src=\"https:\/\/images.theconversation.com\/files\/423680\/original\/file-20210928-19356-189xxis.jpg\" width=\"2612\" height=\"1652\"><figcaption class=\"wp-caption-text\">In late 2016, people working and living in the embassy district of Havana, including at the U.S. Embassy seen here, began hearing strange sounds before getting sick. AP Photo\/Desmond Boylan<\/figcaption><\/figure>\n<p>In early September 2021, a <a href=\"https:\/\/www.wsj.com\/articles\/havana-syndrome-attacks-widen-as-cia-officer-is-evacuated-from-serbia-11632844044\">CIA agent was evacuated from Serbia<\/a> in the latest case of what the world now knows as \u201cHavana syndrome.\u201d<\/p>\n<p>Like most people, I first heard about <a href=\"https:\/\/doi.org\/10.1007\/978-3-030-40746-9\">Havana syndrome<\/a> in the summer of 2017. Cuba was allegedly attacking employees of the U.S. Embassy in Havana in their homes and hotel rooms <a href=\"https:\/\/apnews.com\/article\/north-america-ap-top-news-barack-obama-politics-cuba-51828908c6c84d78a29e833d0aae10aa\">using a mysterious weapon<\/a>. The victims reported a variety of symptoms, including headaches, dizziness, hearing loss, fatigue, mental fog and difficulty concentrating after hearing an eerie sound.<\/p>\n<p>Over the next year and a half, many theories were put forward regarding the symptoms and how a weapon may have caused them. Despite the lack of hard evidence, many experts <a href=\"https:\/\/doi.org\/10.1001\/jama.2018.1742\">suggested<\/a> that a <a href=\"https:\/\/doi.org\/10.1002\/lio2.231\">weapon<\/a> of some sort <a href=\"https:\/\/doi.org\/10.17226\/25889\">was causing<\/a> the symptoms.<\/p>\n<p>I am an emeritus <a href=\"https:\/\/www.uclahealth.org\/providers\/robert-baloh\">professor of neurology<\/a> who studies the inner ear, and my clinical focus is on dizziness and hearing loss. When news of these events broke, I was baffled. But after reading descriptions of the patients\u2019 symptoms and test results, I began to doubt that some mysterious weapon was the cause.<\/p>\n<p>I have seen patients with the same symptoms as the embassy employees on a regular basis in my Dizziness Clinic at the University of California, Los Angeles. Most have <a href=\"https:\/\/doi.org\/10.1007\/978-3-030-59181-6\">psychosomatic symptoms<\/a> \u2013 meaning the symptoms are real but arise from stress or emotional causes, not external ones. With a little reassurance and some treatments to lessen their symptoms, they get better.<\/p>\n<p>The available data on Havana syndrome matches closely with mass psychogenic illness \u2013 more commonly known as mass hysteria. So what is really happening with so\u2013called Havana syndrome?<\/p>\n<figure class=\"align-center zoomable\">\n<figure style=\"width: 600px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/423675\/original\/file-20210928-18-omvetv.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"auto, (min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/423675\/original\/file-20210928-18-omvetv.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/423675\/original\/file-20210928-18-omvetv.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/423675\/original\/file-20210928-18-omvetv.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/423675\/original\/file-20210928-18-omvetv.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/423675\/original\/file-20210928-18-omvetv.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/423675\/original\/file-20210928-18-omvetv.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w\" alt=\"A drawing of a brain set above sound waves.\" width=\"600\" height=\"400\"><figcaption class=\"wp-caption-text\">Embassy employees in Cuba and other countries reported hearing loud noises and then experiencing cognitive and hearing issues. Kateryna Kon\/Science Photo Library via Getty Images<\/figcaption><\/figure><\/figure>\n<p><strong>A mysterious illness<\/strong><\/p>\n<p>In late December 2016, an otherwise healthy undercover agent in his 30s arrived at the clinic of the U.S. Embassy in Cuba complaining of headaches, difficulty hearing and acute pain in his ear. The symptoms themselves were not alarming, but the agent reported that they developed after he heard \u201ca beam of sound\u201d that \u201c<a href=\"https:\/\/www.propublica.org\/article\/diplomats-in-cuba\">seemed to have been directed at his home<\/a>\u201d.<\/p>\n<p>As word of the presumed attack spread, other people in the embassy community reported similar experiences. A former CIA officer who was in Cuba at the time later noted that the first patient \u201c<a href=\"https:\/\/www.vanityfair.com\/news\/2019\/01\/the-real-story-behind-the-havana-embassy-mystery\">was lobbying, if not coercing, people to report symptoms and to connect the dots<\/a>.\u201d<\/p>\n<p>Patients from the U.S. Embassy were first sent to ear, nose and throat doctors at the University of Miami and <a href=\"https:\/\/doi.org\/10.1007\/978-3-030-40746-9\">then to brain specialists in Philadelphia<\/a>. Physicians examined the embassy patients using a range of tests to measure hearing, balance and cognition. They also took MRIs of the patients\u2019 brains. In the 21 patients examined, 15 to 18 experienced sleep disturbances and headaches as well as cognitive, auditory, balance and visual dysfunction. Despite these symptoms, <a href=\"https:\/\/doi.org\/10.1001\/jama.2018.1742\">brain MRIs and hearing tests were normal<\/a>.<\/p>\n<p>A flurry of <a href=\"https:\/\/enewspaper.latimes.com\/infinity\/article_share.aspx?guid=77128ec3-11f6-4d5f-a368-739dea563768\">articles<\/a> appeared <a href=\"https:\/\/www.nytimes.com\/2018\/12\/12\/world\/americas\/cuba-embassy-attacks.html\">in the media<\/a>, many <a href=\"https:\/\/www.washingtonpost.com\/world\/national-security\/doctors-find-neurological-damage-to-americans-who-served-in-cuba\/2018\/02\/14\/83c639a2-11de-11e8-9065-e55346f6de81_story.html\">accepting the notion of an attack<\/a>.<\/p>\n<p>From Cuba, Havana syndrome began to spread around the globe to <a href=\"https:\/\/www.independent.co.uk\/news\/world\/americas\/us-politics\/what-is-havana-syndrome-symptoms-cia-b1923886.html\">embassies in China<\/a>, <a href=\"https:\/\/www.economist.com\/the-economist-explains\/2021\/08\/23\/what-is-havana-syndrome-the-puzzling-malady-plaguing-western-diplomats\">Russia<\/a>, <a href=\"https:\/\/www.thetimes.co.uk\/article\/russia-blamed-havana-syndrome-attack-us-embassy-staff-berlin-0ldtkx7x3\">Germany<\/a> and <a href=\"https:\/\/www.newyorker.com\/news\/news-desk\/vienna-is-the-new-havana-syndrome-hotspot\">Austria<\/a>, and even to the <a href=\"https:\/\/www.washingtonpost.com\/world\/2021\/09\/21\/what-is-havana-syndrome-us-cuba-cia-burns\/\">streets of Washington<\/a>.<\/p>\n<figure class=\"align-center zoomable\">\n<figure style=\"width: 600px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/423676\/original\/file-20210928-20-15d0z9t.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"auto, (min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/423676\/original\/file-20210928-20-15d0z9t.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=417&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/423676\/original\/file-20210928-20-15d0z9t.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=417&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/423676\/original\/file-20210928-20-15d0z9t.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=417&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/423676\/original\/file-20210928-20-15d0z9t.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=524&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/423676\/original\/file-20210928-20-15d0z9t.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=524&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/423676\/original\/file-20210928-20-15d0z9t.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=524&amp;fit=crop&amp;dpr=3 2262w\" alt=\"A brown cricket on gravel.\" width=\"600\" height=\"417\"><figcaption class=\"wp-caption-text\">The Associated Press released a recording of the sound in Cuba, and biologists identified it as the call of a species of Cuban cricket. Gail Hampshire\/Flickr, CC BY<\/figcaption><\/figure><\/figure>\n<p><strong>A sonic or microwave weapon?<\/strong><\/p>\n<p>Initially, many experts and some of the physicians suggested that some sort of sonic weapon was to blame. The Miami team\u2019s study in 2018 reported that 19 patients had dizziness caused by <a href=\"https:\/\/doi.org\/10.1002\/lio2.231\">damage to the inner ear from some type of sonic weapon<\/a>.<\/p>\n<p>This hypothesis has for the most part been discredited due to <a href=\"https:\/\/www.latimes.com\/business\/hiltzik\/la-fi-hiltzik-havana-attacks-20180612-story.html\">flaws<\/a> in the <a href=\"https:\/\/doi.org\/10.1016\/j.cortex.2018.10.001\">studies<\/a>, the fact there is no evidence that any <a href=\"https:\/\/www.nytimes.com\/2017\/10\/05\/science\/cuba-sonic-weapon.html\">sonic weapon could selectively damage the brain and nothing else<\/a>, and because biologists identified the <a href=\"https:\/\/apnews.com\/article\/cuba-north-america-ap-top-news-havana-latin-america-b57d889a1ebc425fa6d01002726d912e\">sounds in recordings of the supposed weapon<\/a> to be a <a href=\"https:\/\/carlzimmer.com\/the-sounds-that-haunted-u-s-diplomats-in-cuba-lovelorn-crickets-scientists-say\/\">Cuban species of cricket<\/a>.<\/p>\n<p>Some people have also proposed an alternative idea: a <a href=\"https:\/\/www.nytimes.com\/2018\/09\/01\/science\/sonic-attack-cuba-microwave.html\">microwave radiation weapon<\/a>.<\/p>\n<p>This hypothesis gained credibility when in December 2020, the National Academy of Science released a report concluding that \u201cpulsed radiofrequency energy\u201d was a <a href=\"https:\/\/doi.org\/10.17226\/25889\">likely cause for symptoms in at least some of the patients<\/a>.<\/p>\n<p>If someone is exposed to high energy microwaves, they may <a href=\"https:\/\/journals.physiology.org\/doi\/abs\/10.1152\/jappl.1962.17.4.689\">sometimes briefly hear sounds<\/a>. There is no actual sound, but in what is called the Frey effect, neurons in a person\u2019s ear or brain are directly stimulated by microwaves and the person may \u201chear\u201d a noise. These effects, though, are nothing like the sounds the victims described, and the simple fact that the sounds were recorded by several victims eliminates microwaves as the source. While <a href=\"https:\/\/theconversation.com\/directed-energy-weapons-shoot-painful-but-non-lethal-beams-are-similar-weapons-behind-the-havana-syndrome-167318\">directed energy weapons do exist<\/a>, none that I know of could explain the symptoms or sounds reported by the embassy patients.<\/p>\n<p>Despite all these stories and theories, there is a problem: No physician has found a medical cause for the symptoms. And after five years of extensive searching, <a href=\"https:\/\/apnews.com\/article\/science-cuba-havana-physics-4316989d278ae353c42ef78033d9b2a5\">no evidence of a weapon has been found<\/a>.<\/p>\n<figure class=\"align-center zoomable\">\n<figure style=\"width: 600px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/423679\/original\/file-20210928-24-1exv8l.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"auto, (min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/423679\/original\/file-20210928-24-1exv8l.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=304&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/423679\/original\/file-20210928-24-1exv8l.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=304&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/423679\/original\/file-20210928-24-1exv8l.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=304&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/423679\/original\/file-20210928-24-1exv8l.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=382&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/423679\/original\/file-20210928-24-1exv8l.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=382&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/423679\/original\/file-20210928-24-1exv8l.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=382&amp;fit=crop&amp;dpr=3 2262w\" alt=\"A painting of people carrying other people as they dance uncontrollably.\" width=\"600\" height=\"304\"><figcaption class=\"wp-caption-text\">Mass psychogenic illness \u2013 more commonly known as mass hysteria \u2013 is a well-documented phenomenon throughout history, as seen in this painting of an outbreak of dancing mania in the Middle Ages. Pieter Brueghel the Younger\/WikimediaCommons<\/figcaption><\/figure><\/figure>\n<p><strong>Mass psychogenic illness<\/strong><\/p>\n<p>Mass psychogenic illness is a condition whereby people in a group feel sick because they think they have been exposed to something dangerous \u2013 even though there has been no actual exposure. For example, as telephones became widely available at the turn of the 20th century, numerous telephone operators became sick with concussion-like symptoms attributed to \u201c<a href=\"https:\/\/doi.org\/10.1177\/0022009403038002130\">acoustic shock<\/a>.\u201d But despite decades of reports, no research has ever <a href=\"https:\/\/doi.org\/10.1177\/0022009403038002130\">confirmed the existence of acoustic shock<\/a>.<\/p>\n<p>I believe it is much more likely that mass psychogenic illness \u2013 not an energy weapon \u2013 is behind Havana syndrome.<\/p>\n<p>Mass psychogenic illness typically begins in a stressful environment. Sometimes it <a href=\"https:\/\/www.aafp.org\/afp\/2000\/1215\/p2649.html\">starts when an individual with an unrelated illness<\/a> believes something mysterious caused their symptoms. This person then spreads the idea to the people around them and even to other groups, and it is often <a href=\"https:\/\/doi.org\/10.1258\/jrsm.2012.120053\">amplified by overzealous health workers and the mass media<\/a>. Well-documented cases of mass psychogenic illness \u2013 like the <a href=\"https:\/\/doi.org\/10.1016%2FS0140-6736%2809%2960386-X\">dancing plagues<\/a> of the Middle Ages \u2013 have occurred for centuries and <a href=\"https:\/\/doi.org\/10.1093%2Fbrain%2Fawab316\">continue to occur on a regular basis around the world<\/a>. The symptoms are real, the result of <a href=\"https:\/\/doi.org\/10.1007\/978-3-030-59181-6\">changes in brain connections and chemistry<\/a>. They can also last for years.<\/p>\n<p>The story of Havana syndrome looks to me like a textbook case of mass psychogenic illness. It started from a single undercover agent in Cuba \u2013 a person in what I imagine is a very stressful situation. This person had real symptoms, but blamed them on something mysterious \u2013 the strange sound he heard. He then told his colleagues at the embassy, and the idea spread. With the help of the media and medical community, the idea solidified and spread around the world. It checks all the boxes.<\/p>\n<p>Interestingly, the December 2020 National Academy of Science report concluded that mass psychogenic illness was a reasonable explanation for the patients\u2019 symptoms, particularly the chronic symptoms, but that it <a href=\"https:\/\/doi.org\/10.17226\/25889\">lacked \u201cpatient-level data\u201d to make such a diagnosis<\/a>.<\/p>\n<p>The Cuban government itself has been investigating the supposed attacks over the years as well. The most detailed report, released on Sept. 13, 2021, concludes that there is no evidence of directed energy weapons and says that <a href=\"https:\/\/apnews.com\/article\/science-cuba-havana-physics-4316989d278ae353c42ef78033d9b2a5\">psychological causes are the only ones that cannot be dismissed<\/a>.<\/p>\n<p>While not as sensational as the idea of a new secret weapon, mass psychogenic illness has historical precedents and can explain the wide variety of symptoms, lack of brain or ear damage and the subsequent spread around the world.<!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/robert-baloh-1267208\">Robert Baloh<\/a>, Professor of Neurology, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-california-los-angeles-1301\">University of California, Los Angeles<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In early September 2021, a CIA agent was evacuated from Serbia in the latest case of what the world now knows as \u201cHavana syndrome.\u201d Like most people, I first heard about Havana syndrome in the summer of 2017. Cuba was allegedly attacking employees of the U.S. Embassy in Havana in their homes and hotel rooms&hellip;<\/p>\n","protected":false},"author":124,"featured_media":7548,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"fifu_image_url":"https:\/\/images.theconversation.com\/files\/423680\/original\/file-20210928-19356-189xxis.jpg","fifu_image_alt":"Auto Draft","footnotes":""},"categories":[182],"tags":[],"class_list":["post-7546","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-security-public-safety"],"_links":{"self":[{"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/posts\/7546","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/users\/124"}],"replies":[{"embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7546"}],"version-history":[{"count":1,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/posts\/7546\/revisions"}],"predecessor-version":[{"id":7547,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/posts\/7546\/revisions\/7547"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=\/wp\/v2\/media\/7548"}],"wp:attachment":[{"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7546"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7546"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/latinamericasecurityreport.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}