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Updated: April 30, 2025
And as a matter of fact, a good number of observations conspire for the idea that a certain number of neurasthenics are suffering from insufficiency of the adrenal gland. The chronic state of the acute phenomenon, known as the nervous breakdown, really represents in them a breakdown of the reserves of the adrenals, and an elimination of their factor of safety.
The fin de siècle intelligentsia of the nineteenth century were quite stirred up by a publication of Max Nordau on "Degeneration," in which a number of revered artists and intelligents were held up to public scorn as degenerates and neurasthenics. So wrought up were they, in fact, that Bernard Shaw was moved to compose a defense entitled "The Sanity of Art."
That the conception, as far as it goes, is valid is proved by the fact that it is the neurasthenics who furnish the majority of the clientele of the cults, the Christian Scientists, the osteopaths and the chiropractors, and who are the subjects of the faith and miracle cures, like those of Lourdes.
All neurasthenics and psychasthenics are psychics and their diseases can only be fully understood by the psychologist. The scientist has long ago exhausted his knowledge of the cause and cure of these diseases and this is why all branches of metaphysical healing are overcrowded. To understand this abnormal thing called "insanity," one must fully understand the normal, called "sanity."
Most of Andreyev's characters, like those of Dostoyevsky, are abnormal, madmen and neurasthenics in whom are distinguishable marked traces of degeneration and psychic perversion. They are beings who have been fatally wounded in their life-struggle, whose minds now are completely or partially powerless.
But at the word "neurasthenics" Jane had put down the toaster, and by the time the unconscious young man had reached the O'Shaughnessy she was going out the door with her chin up. He called after her, and finding she did not turn he followed her, shouting apologies at her back until she went into her room.
One day, when in an extremely despondent mood, I was seized with an impulse to kill myself. Neurasthenics, like hysterical women, sometimes talk of suicide, but these threats are usually made to attract attention and gain sympathy. Neither very often make any well-directed efforts to get their threats into execution.
Very different from such neurasthenics, of course, is the lack of attention in the feeble-minded, and suggestion of the ordinary type is hardly advisable, but it is surprising how much can be reached by a systematic psychical régime. I give one typical instance, representative of many. A boy of twelve years when he was brought to me showed the mental powers of a stupid child of four.
Science gives all actions a physical basis, but it is time to know that abnormal states of consciousness, that are only changes in the functional side of the mind and which have no apparent physical basis, are found in thousands. Neurasthenics and psychasthenics present the mildest picture of disordered states of mind.
On the other hand, in neurasthenics the blood pressure is generally lowered. As he points out, there is often a very great increase in the systolic blood pressure at the menopause, while the diastolic pressure may not be high. This makes a very large pressure pulse. This suggests the possibility of disturbances of the glands of internal secretion.
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