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Updated: June 3, 2025


"Are you in the habit of changing people's names to suit the dictates of your own disordered fancy?" she demanded sarcastically. "I should think you would find that very confusing." "I do sometimes, Miss Williams-Lawson." "In these days of neurasthenia it is indeed refreshing to meet one of such healthy nerve as you appear to possess," she said icily.

It was not at first obvious either to her or her husband that her own ideal of cleanliness and perfection was responsible for her neurasthenia. If her "stomach was out of order ought she not have some stomach remedy; if her nerves were out of order would the doctor not prescribe a nerve tonic or a sedative?"

But his shrewdness evaporated. It occurred to him that women were peculiar. Particularly Rachel. A direct and vigorous Hazlitt concluded that Rachel had succumbed to his superior guidance. There was nothing else to explain her tolerance. He called it tolerance, for he was still wary and her eyes shining eagerly, hungrily at him might be no more than a new kind of neurasthenia.

It was the usual trouble: neurasthenia, diabetes, all those chronic ailments of which she did not want to be cured, refusing to obey the physicians. She was thinner, but her nerves seemed calmer; she cried less; she maintained a sad silence, simply wanting to be alone and stay in a corner, staring into space. Cotoner shook his head again. Renovales' optimism was not to be wondered at.

The metal-silver ball that hung at the top of the Christmas tree, or, earlier still, the shining thing, necklace or spoon, the thing the baby leans to catch ... the magpie in us.... Mr. Beecher is to be allowed to sleep till eight. He sleeps so badly, he says. He woke up crying this morning, for he has neurasthenia. That is what Sister says. "How morbid of him!" Sister says.

It was his habit to inform her that her sufferings were nothing more than affectations and that her moods were shams and that the whole was a part and parcel of neurasthenia. This unhappy desire of his to browbeat her into a state which he defined as normal, Rachel had accepted in numb helplessness. She had given up commanding him to leave her alone. His presence frequently became a nausea.

The psychologist will be more inclined to emphasize their relation to simple neurasthenia which itself imperceptibly shades over into our normal life. All neurasthenic and psychasthenic disabilities show a certain emotional continuity and uniformity. It is the emotional instability and the quick alternation of symptoms which characterize hysteria or rather the hysterias.

The symptom is so frequently met with that it is strange that it should have attracted so little attention as compared with the contrasting condition of chorea. And yet it is of more serious significance, more difficult to overcome, and with a greater danger that permanent symptoms of neurasthenia will result.

Then I went to Arizona and lived in a tent out on the desert; that did not help me. There was always a sensation of exhaustion and any physical exertion put me on my back, even when it was light and pleasant exercise. Then I went to California; it did me little good. It is a perfect paradise for anyone who has not got neurasthenia. I still have not got myself in hand.

Fourteenth International Congress of Hygiene and Demography, Berlin, September, 1907. Fatigue Resulting from Occupation. Dr. Emil Roth, Regierungsrat, Potsdam. "With the progressive division of labor, work has become more and more mechanical. A definite share of overfatigue and its sequels, especially neurasthenia, must be ascribed to this monotony to the absence of spontaneity or joy in work."

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