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February 17, 1934


JAMA. 1934;102(7):510-513. doi:10.1001/jama.1934.02750070008002

One of the oldest questions which trouble the mind of the physician is that pertaining to those frequent and baffling nervous states following trauma. The number and importance of these conditions seem to be increasing with the widespread use of machinery in modern industry and transportation. No physician can escape these cases, and all are daily impressed with the great loss of time and money, both to the employer and to the patient, which they bring about. An age-old conflict is being waged today, as in years gone by, between the exponents of the so-called organic and functional interpretations of these conditions. Before the day of Charcot, the explanation was usually sought in organic disturbances of the nervous system, but this great French neurologist early recognized the potent rôle played by emotional factors. The earliest work of Sigmund Freud, while a student of Charcot's, was in connection with patients exhibiting

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