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Updated: May 12, 2025
Not infrequently it so happens that the patient returns more jaded than ever. The neurasthenic is not infrequently a confirmed obsessive, with all the faulty mental habits of this temperament. If he cannot make up his mind it is not because he is tired, but because this is his natural mental trend.
A certain amount of sympathy may save a neurasthenic from despair, and only a little more may make his disease much worse and may develop in him a consciousness of misery which makes him a complete invalid. Still more is it true for the religious emotion, from the standpoint of nervous physiology the strongest next to the sexual emotion, that it can be the healing drug or the destructive poison.
This type of woman, neurotic from her very birth, is often the very best product of our civilization from the standpoint of character and ability, just as the male neurasthenic is often the backbone of progress and advancement. But we are concerned with these questions: "What happens to her in marriage?" "How about her fitness for marriage?"
These women and these men may all be improved by proper treatment, and the condition may not develop into arteriosclerosis or nephritis. Neurotic conditions, and in some instances neurasthenic conditions, may show a blood pressure higher than normal.
Amalia was neither the one nor the other. Strong, loud, and active, she wasted no sympathy on her husband's jeremiads; she used to shake him roughly. But no human strength can bear up against living together, and when in a household one or other is neurasthenic, the chances are that in time they will both be so.
Krafft-Ebing divides exhibitionists into four clinical groups: acquired states of mental weakness, with cerebral or spinal disease clouding consciousness and at the same time causing impotence; epileptics, in whom the act is an abnormal organic impulse performed in a state of imperfect consciousness; a somewhat allied group of neurasthenic cases; periodical impulsive cases with deep hereditary taint.
"He might carry a screen around with him and cough behind that," volunteered Helena. "That's enough about the Flopper and Pale Face what about muh? Where do I get off?" "You?" said Doc Madison calmly. "Oh, you're a moral neurasthenic." "And what's that when it's at home?" demanded Helena sharply. Doc Madison threw out his hands in a comically helpless, impotent gesture.
But he considers, nevertheless, that even incomplete and temporary sexual abstinence may produce fairly serious results, and especially neurasthenic disturbances of various kinds, such as nervous irritability, anxiety, depression, disinclination for work; also diurnal emissions, premature ejaculations, and even a state approaching satyriasis; and in women hysteria, hystero-epilepsy, and nymphomaniacal manifestations; all these symptoms may, however, he believes, be cured when the abstinence ceases.
After listening to the evidence for the defence at the trial, he came to the conclusion that he was an epileptic as well as a neurasthenic. He might well believe that life held little for him in these circumstances, and that conviction would strengthen him in his determination to sacrifice his life as a thing of little value for the girl he loved."
He might be neurasthenic, melancholic, insane at times, or even grow permanently so.... It is very sad. He appears to have been a fine young man. But he will die, and that really is best for him." Thus the man of science summed up the biological case of Kurt Dorn. When he had gone Anderson wore the distressed look of one who must abandon his last hope.
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