He does indeed make the very same point and his review suggest he thinks of the author as more or less a proudly scientifically illiterate witch doctor whose pa

He does indeed make the very same point and his review suggest he thinks of the author as more or less a proudly scientifically illiterate witch doctor whose patients' behavior bears not resemblance to that of his own patients. This does however not prevent him from then recommending the book to one of his patient whom apparently is instantly cured by it. Somehow the intro and ending seem at variance with the rest of the piece and I'm not sure your -- plausible -- reading entirely resolves this. Lots of people presenting with a "disorder" is of course an imperfect indicator that the disorder has some objective basis in fact[1], but there is no real suggestion that Alexander thinks this is the case here. I'm not sure what to make of this piece. [1] https://en.wikipedia.org/wiki/Koro_(medicine) https://en.wikipedia.org/wiki/Koro_(medicine) > Local official records indicate genital retraction endemics in Hainan Island and Leizhou Peninsula in Guangdong, China, as early as the late 19th century.