The conclusion, "Some hysteria, ergo all hysteria," is a clinical conclusion which has proven in numberless instances fatal to correct diagnosis and to the welfare of many patients.
This neurosis may be latent as any other inherent tendency to neuropathic instability may be and often is, until some psychical or pathological cause calls it into morbid activity. While hysteria is essentially an imitative and functional disturbance of the peychomotor, sensory and ganglionic centers, it is no more unreasonable to expect its development in conjunction with grave organic lesions of the cord or brain, than to anticipate pain or spasm from profound central disease or even from multiple neuritis of the motor nerves extending to the cord centers or involving contiguous peripheral sensory nerve fibers.
The time has fully come, in the progress of neural pathology and clinical neurology, to recognize this fact and realize its true significance in our clinical
HUGHES CH. NOTE ON THE HYSTERICAL CONCOMITANTS OF ORGANIC NERVOUS DISEASE. Read in the Section of Neurology and Medical Jurisprudence, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892. JAMA. 1892;XIX(12):347–350. doi:10.1001/jama.1892.02420120021001h
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