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Updated: June 5, 2025
The variety of his agonies was equalled only by the alacrity with which he tested every cure or remedy of which he happened to hear. He agreed enthusiastically with his expensive physicians that he was neurasthenic, psychasthenic and neurotic. His eyes were weak; his voice was weak; his spirit was weak. He shivered all day with terror at the idea of not sleeping at night.
Here it is not real insanity; but all kinds of abnormal impulses or ideas, of psychasthenic emotions, of neurasthenic disturbances, of hysteric inhibition, are the starting points, and it is only natural that such pathological intrusions should bewilder the patient and induce him to form the wildest theories.
A gentleman with a decidedly psychasthenic constitution developed a tendency to hesitate in walking on the street. It was not a complete stumbling but a disturbing inhibition, which set in when he was walking alone and his attention was not absorbed by something on the street. He believed that it came on most strongly when he looked down at the pavement.
The depression of the neurasthenic must not be treated like the depression of the melancholic, the obsession of the psychasthenic must not be mixed with the fixed ideas of a paranoiac, the hysteric inability to walk must not be confused with an injury of the motor nerves; in short, each symptom has to be treated as part of a complete situation.
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