The second category refer to the fact that the victim can literally die from fright. In stressful situation the adrenaline flow increases, preparing the body to fight or run. Rage affects the body as well. Finally, if the victim believes his cursed situation is hopeless, he starts experiencing feelings of helplessness, incompetence, despair and worthlessness. His illness begins, which the victim has no desire to fight, and inevitably he succumbs.
Cultural determinants do play a large factor in hex death alone with the victim's own perceptions.
Once cursed the victim can be forced to withdraw from daily community life, becoming almost invisible to his neighbors. The cursed person becomes despondent, expecting death, and his friends and relatives do not dispute these notions but corroborate with them. Eventually, those not cursed begin to see the victim as already dead, even performing funeral ceremonies over his body, which technically still lives. In Australia, the aborigines actually take food and water from the accused, thinking a dead person needs no sustenance. Suffering from starvation and dehydration in the heat of the Australian bush will certainly cause the victim to die.