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Smile mask syndrome - Wikipedia
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Smile mask syndrome (Japanese: ????????? , Hepburn: sumairu kamen sh? k? gun , abbreviated SMS , is a psychological disorder filed by professor Makoto Natsume of Osaka Shoin Women's University, where subjects experience depression and illness physical as a result of a prolonged and unnatural smile. Natsume filed a nuisance after counseling the students of the university in practice and noticed that some students had spent so much time pretending their smiles that they were not aware that they were smiling even when telling stories of stressful or upsetting experiences. Natsume attributes this to the very importance of being placed on a smile in the Japanese service industry, especially for young women.

Smiling is an important skill for Japanese women working in the service industry. Almost all service industry companies in Japan require their female staff to smile for long periods of time. Natsume says that her female patients often talk about the importance of smiling when the topic of conversation is in their workplace. She tells the patient examples that they feel their smile has a big influence on whether they are hired or not, and that their boss has emphasized the effect of a good smile on the customer. According to Natsume, this atmosphere sometimes causes women to smile unnaturally for so long that they begin to suppress their real emotions and become depressed.

Japanese writer Tomomi Fujiwara notes that the demand for a general smile in the workplace emerged in Japan around the 1980s, and blamed the cultural changes by Tokyo Disneyland, opened in 1983, to popularize the demand for a mandatory smile in the workplace.

Smile mask syndrome has also been identified in Korea. Korean writer Bae Woo-ri notes that smiling gives one a competitive advantage over another, and has become an attribute that many employees require, such as "tidy uniforms". Yoon-Do-rahm, a psychology counselor, compares today's society, which is full of mask-smiles, to a clown show; both are characterized by an abundant smile, but empty and fake.

Smile mask syndrome can cause physical and mental problems. Natsume recounts that many of his patients suffer from muscle aches and headaches as a result of a prolonged smile, and say that this is similar to repetitive strain injury symptoms.

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