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March 9, 1901


Author Affiliations


JAMA. 1901;XXXVI(10):620-624. doi:10.1001/jama.1901.52470100012001c

Indications and Technique.  —Hysteria is a term which I once regarded as a vague excuse for a diagnosis, but for the last six or seven years it has been, I think, somewhat displaced from this proud position of general scapegoat by the word neurasthenia. What are the symptoms which indicate that a hysterical case is one for the rest-treatment? When we find a case in which there is great nervous instability combined with physical weakness, and usually with absence of distinct organic disease, especially if there are present some or all of the moral defects which so commonly accompany pronounced hysterical disease, then we have a symptomcomplex calling for treatment by rest and isolation.I need not dwell on the other hysterical stigmata; the list is a long and varying one, although the more essential points are well known and fairly common: backache, headache, insomnia, constant fatigue, are signs not

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