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November 8, 1913


JAMA. 1913;61(19):1675-1680. doi:10.1001/jama.1913.04350200001001

The neurasthenic is always with us, appealing to our sympathy, knowledge and skill to restore him to comfort and usefulness. His sufferings, however he may exaggerate and distort them, are only too real; his disability is often most serious. We are eager to help him, but his symptoms do not yield to the treatment which would relieve similar symptoms due to other causes, while the indications for general treatment are often vague and uncertain. If we knew the fundamental nature of neurasthenia and could direct all our treatment toward its correction, surely we could do better.

For more than twenty years a large proportion of my daily work has been with neurasthenic patients. The aggregate number of cases has been large, certainly more than a thousand, and each case has been carefully examined and studied, and the results have been recorded, in an effort to ascertain the causes and true

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