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Updated: June 3, 2025
"Neurasthenia," said the young man as though he despised the word. The bishop went on buttoning up his coat. "You don't of course want to break your vows about drinking and smoking," said the young man with the very faintest suggestion of derision in his voice. "Not if it can possibly be avoided," the bishop asserted. "Without a loss, that is, of practical efficiency," he added.
Fear of this uncomfortable blushing inhibits many people from making the most of themselves or from properly protecting their own interests. The shame they feel on account of this inferiority leads them, as we have seen, to seek isolation in which hypochondria slowly grows upon them, sure forerunner of that terrible neurasthenia of which the effects are so diverse and so disconcerting.
The husband becomes aware of her decreased admiration, and he is hurt in his tenderest place, his pride. One of the worst cases of neurasthenia I have seen in a housewife arose in such a woman, who struggled between loyalty and contempt until exhausted. For she came of a successful family, she had married against their counsel and her husband, though good, was an entire failure financially.
In civil life, the complex of symptoms Beard jumbled together as neurasthenia, when associated with a loss of self-control, so that the sufferer is incapacitated for the duties of everyday life, has become the popular "nervous breakdown." A sanitarium appears to be one of the necessary components of the condition. It is the last act, the climax of "nerves."
Her voice, her pleasantness, her neurasthenia were expressing that she was one hearing and loving, seeing and loving, hearing and seeing and loving. Her pleasantness which was a present thing was a pleasant thing. Her being one seeing and loving which was a pleasant thing was a pleasant thing. Her being one hearing and loving which was a pleasant thing was a pleasant thing.
Thus Kisch, of Prague, refers to the case of a couple practising coitus interruptus the husband withdrawing before ejaculation in which the wife, a vigorous woman, became liable after some years to attacks termed by Kisch neurasthenia cordis vasomotoria, in which there was at daily or longer intervals palpitation, with feelings of anxiety, headache, dizziness, muscular weakness and tendency to faint.
An overdomestic woman may stick too closely to the house; an underdomestic one may go too often to movies and suffer the fatigue of mind and body that comes from over-indulgence in this most popular indoor sport. Carelessness about the eating and the care of the bowel functions may have started a vicious chain of things leading through irritability and fatigue into neurasthenia.
Above all, the overstrain of function, especially of emotional functions, may lead to that exhaustion which produces the state of neurasthenia. It is true that not a few would doubt whether we have the right to class neurasthenia here where we speak of the harm done to the normal brain.
The physician may have justly diagnosed that the case is "merely" neurasthenia or hysteria and not a brain tumor or paralysis of the brain. Yet that does not mean in the least that a real treatment which remains in harmony with the progress of modern medicine ought to ignore the hundred physical elements which enter daily into the disease.
But was he capable of "thinking"? Was not the epoch of such "freedom" also that of cerebral neurasthenia? Was it not also that epoch when laws for extending social rights to illiterates were under discussion? Now let us take an example: if we told a sick person to choose between disease and health, would this make him free to do so?
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