"Culture-Bound Syndromes" is the final chapter of Troublesome Disguises. Bhugra and Jacob's overview of such phenomena as amok, ataque de nervios, and koro strikes an apt final note. The authors observe that rather than being foreign exotica, "culture-bound" syndromes may also include such DSM staples as eating disorders and impulse control disorders. (It is hard to imagine a starving denizen of the developing world running up a credit-card account buying food and then refusing to eat the proceeds.) A proper understanding of the relationship between culture and mental illness, the authors rightly point out, would recognize that for both sufferers and witnesses, doctors and patients, psychiatric disorders—indeed, all illnesses—have individual, social, economic, and political significance. In short, symptoms have meaning. In the present age, few ideas could be more iconoclastic.