In typical neurasthenia, there is almost invariably a lowering of In chronic fear- all things equal- I expect to find more or less elevation of theīlood-pressure.
Neurasthenoidia and neurasthenia- in the last analysis- I depend to some degree Of the simple class of chronic worriers, but who have not yet developed the classicĮar-marks of a fairly typical neurasthenia. Term to embrace that large class of nervous sufferers whose mental and physicalĬonditions have progressed down the neurasthenic scale far enough to have passed out It is theĬondition which I have heretofore diagnosed as near-neurasthenia. This is the petite neurasthenie of the French, or common everyday ennui. Reality, the earliest pre-neurasthenic state.Ģ. Predisposition, as constituting the first step toward neurasthenia. Rise in blood pressure, and must be regarded, outside of certain hereditary The condition, when itīecomes chronic, is characterized by diffidence, disordered nutrition, more or less Idea- usually a persistently entertained fear of some sort.
A purely psychic condition characterizedīy inability to relax the attention when it has once fastened itself on a given Twitching, epileptoid and choreoid jerkings, etc. Insomnia, habitual headache, nervous dyspepsia, imperative acts and thoughts (motorĪnd mental obsessions), as well as the commonly observed muscular spasms such as Subsequently considered such as the various fright neuroses, the sexual neuroses,
It should further be borne in mind by the reader that these seven groups of nervousĭisorders in which we purpose to include all cases of strictly functional nervousĭisturbances, may each be divided into still other sub-divisions, which will be Significance of each word as it will be used throughout this work. Represents the best I can do at the present writing and it will now be necessaryĮxplicitly to define the exact meaning which we attach to each term employed in thisĬlassification, in order that the reader may fully understand the scope and Subsequent discoveries and increased knowledge may force us to modify thisĬlassification, but from the practical basis of planning their conquest, it "clinical picture"- a group of sensations and feelings of a more or less disorderedĬharacter, to which we find it convenient to attach certain names, in order toįacilitate our discussions of their origin, character, and proper remedialįrom the viewpoint of the laymen, it seems to me that we must divide these functional neuroses into the following seven groups or classes: THE NEURASTHENIC STATES Nervous disturbances are not a morbid or pathological entity- they are simply a Page: 4 Switch to Image Mode CLOSE these "symptomĬomplexes" are to be regarded as "disease entities " for functional nervousĭisorders are not "diseases" in the sense commonly understood by the laity. It should be borne in mind that the names applied to these various groups of CLASSIFICATION OF THE NEURASTHENIC STATES Think, on closer examination, to be clinically sound, and to afford a clearer basis orĭiscussion and comprehension from the standpoint of the laymen. Slightly from that to be found in the works of the "neurologist," it will be found, we While this classification of "nerves" may differ States to the successful management of which it is possible for the patients Nervous disorders which are so largely amenable to proper treatment those nervous We are exclusively concerned at this time with the consideration of those functional Organic change in the bodily structure, neither will we treat of the more seriousįunctional disturbances or psychoses when they assume the grave Paid to that vast group of nervous diseases which are accompanied by some manifest
The so-called functional nervous disorders or neuroses, no attention whatever being Of discussion in this work, it should be remembered that we are here dealing with only IN UNDERTAKING a classification of nervous disorders for purposes Page: 3 Switch to Image Mode CLOSE WORRY and NERVOUSNESS Page: ] Switch to Image Mode CLOSE Page PART I A STUDY OF THE NERVOUS STATES Page: xi Switch to Image Mode CLOSE Page xi
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