The Jumping Frenchmen of Maine disorder involves an extreme startle reflex causing sufferers to obey sudden commands
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Peer-reviewed literature establishes that the jumping Frenchmen of Maine disorder manifests as an exaggerated startle response accompanied by features such as automatic obedience.
In the late 19th century, jumping (French Canadians in Maine, USA), miryachit (Siberia), and latah (Southeast Asia) were among a group of similar disorders described around the world, each of which manifests as an exaggerated startle response with additional late-response features that were felt by some to overlap with hysteria or tics. The later features following the exaggerated startle reaction variably include mimesis (e.g., echopraxia, echolalia) and automatic obedience. These reaction patterns tended to persist indefinitely in affected individuals. Because of their dramatic stimulus-driven behaviors, affected individuals were prone to be teased and tormented by being repeatedly and intentionally startled. Despite clinical overlap between jumping and Tourette syndrome, these entities are now recognized as distinct: in jumping, the key feature is an abnormal startle response, the abnormal reaction is always provoked, and tics are absent, whereas in Tourette syndrome, the key feature is spontaneous motor and vocal tics, although patients with Tourette syndrome may occasionally also have an exaggerated startle response. These disorders have been conceptualized from anthropological, psychodynamic, and neurobiologic perspectives, with no complete resolution to date. Attempts at treatment have been generally unsuccessful, including attempts with bromization and hypnosis, although anecdotal reports of successful deconditioning have been published. In population groups affected, these disorders are usually considered as behavioral peculiarities and not as diseases per se, and there is no apparent tendency to develop disabling mental illness or neurodegenerative disorders. The genesis of these disorders, their cultural and social components, and their interactions with the presumed underlying physiological substrate need further study. Careful descriptive and analytic epidemiological studies are also lacking for all of these disorders.
<h4>Background</h4>Miryachit is perhaps the most complex and least understood of the culture-specific startle syndromes that include latah and the jumping Frenchmen of Maine.<h4>Objectives</h4>We carried out a field study to evaluate startle-induced paroxysms in the Saami to determine if it is still endemic and, if so, to contrast it with the available descriptions most of which are in Russian.<h4>Methods</h4>Saami families in the Kola Peninsula, who reported a history of miryachit, were interviewed and examined.<h4>Results</h4>Miryachit was still present in the Saami population. It most commonly began in middle age, in women with a family history of miryachit. In response to being startled the subjects exhibit coprophenomena and peculiar automatisms, lose self-control, and can attack bystanders and sometimes endanger themselves as a result of reckless behavior. Echophenomena were not seen or reported. Behaviors resembled those of miryachit described in Siberia and have similarities to jumping disease and latah. It was of interest that the individuals with miryachit were considered to have clairvoyant powers in the community and to be highly suggestible. Miryachit (miryachenie) was distinct from piblokto, another type of "Arctic hysteria," associated with fatigue and withdrawal prior to a dissociative, "frenzied" state.<h4>Conclusions</h4>The study confirms that miryachit phenomenon was observed in the Saami on the Kola Peninsula, and its manifestations are similar to the historical descriptions from Siberia over 80 years ago. Automatic obedience is waning; however, peculiar startle responses persist in predisposed individuals, particularly in descendants of those who were known to have miryachit.
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