Hysteria was known to the ancients and in fact is as old as the
written history of mankind. Considered essentially a disease of
women, it was given its present name which is derived from
"hysteron," the Greek name for the womb. We know to-day that men
also are victims of this malady, though it arises under somewhat
different circumstances than is the case with the other sex. Men
and women, living in the same world and side by side, are placed
in greatly different positions in that world, are governed by
different traditions and are placed under the influences of
differing ambitions, expectations, hopes and fears. Hysteria
arises largely out of the emotional and volitional reactions of
life, and these reactions differ in the sexes.
It was a group of French neurologists, headed by Charcot--and
including very illustrious men, such as Janet and Marie, who paid
the first scientific attention to the disease. Under their
analyses hysteria was defined as a mental disease in which
certain symptoms appeared prominently.
1. Charcot especially paid attention to what are known as the
attacks. The hysteric patient (usually a woman, and so we shall
speak of the patient as "she") under emotional stress and strain,
following a quarrel or a disagreement or perhaps some
disagreeable, humiliating situation, shows alarming symptoms.
Perhaps she falls (never in a way to injure herself) to the floor
and apparently loses consciousness, closes her eyes, rolls her
head from side to side, moans, clenches her fists, lifts her body
from the floor so that it rests on head and heels (opisthotonic
hysteria), shrieks now and then and altogether presents a
terrifying spectacle. Or else she twitches all over, weeps,
moans, laughs and shouts, and rushes around the room, beating her
head on the walls; or she may lie or stand in a very dramatic
pose, perhaps indicating passion or fear or anger. The attacks
are characterized by a few main peculiarities, which are that the
patient usually has had an emotional upset or is in some
disagreeable situation, that she does not hurt herself by her
falls, that consciousness is never completely abolished and
fluctuates so that now she seems almost "awake" and then she
seems almost in a complete stupor, and that the expression of
emotion in the attack is often very prominent. These symptoms are
readily differentiated from what is seen in epilepsy.[1]
[1] The French writers of the school of Babinski deny that the
above symptom and even the majority of the following have a real
existence in hysteria. The English, American and German
neurologists and the rest of the French school describe hysteria
substantially as I am here describing it.
Public-domain text, read in full here on John Shaqi.
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