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This paper explores the commonalities of culture bound syndromes prevalent in hyper-independent cultures starting with Freud’s hysteria and ending with contemporary mass gun violence. Utilizing a complex systems lens this examination frames distress as suffering that goes beyond pathologizing an individual towards a collective cultural expression of pain. This is termed, unsoothability or a co-created, a multi causational, intersubjective systems phenomenon. A case vignette is included and implications for practice are touched upon.