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Female hysteria was once a common medical diagnosis, reserved exclusively for women, that is no longer recognized by medical authorities as a medical disorder. Its diagnosis and treatment were routine for hundreds of years in Western Europe.[1] Hysteria of both men and women was widely discussed in the medical literature of the 19th century. Women considered to have had it exhibited a wide array of symptoms, including faintness, nervousness, sexual desire, insomnia, fluid retention, heaviness in the abdomen, shortness of breath, irritability, loss of appetite for food or sex, and a "tendency to cause trouble".[1]

Female hysteria
Hysteria.jpg
Women with hysteria under the effects of hypnosis
Classification and external resources
Specialty Psychiatry

In extreme cases, the woman may have been forced to enter an insane asylum or to have undergone surgical hysterectomy.[2]

Contents

Early historyEdit

 
Water massages as a treatment for hysteria (c. 1860)
 
Female patient with sleep hysteria

The history of hysteria can be traced to ancient times. In ancient Greece, it was described in the gynecological treatises of the Hippocratic Corpus, which dates back to the 5th and 4th centuries BC. Plato's dialogue Timaeus compares a woman's uterus to a living creature that wanders throughout a woman's body, "blocking passages, obstructing breathing, and causing disease".[3] The concept of a pathological wandering womb was later viewed as the source of the term hysteria,[3] which stems from the Greek cognate of uterus, ὑστέρα (hystera).

Another cause was thought to be the retention of a supposed female semen, thought to have mingled with male semen during intercourse. The female semen was believed to have been stored in the womb. Hysteria was referred to as "the widow's disease", because the female semen was believed to turn venomous if not released through regular climax or intercourse.[4]

19th centuryEdit

In 1859, a physician named George Taylor claimed that a quarter of all women suffered from hysteria.[citation needed] George Beard, a physician who catalogued 75 pages of possible symptoms of hysteria and yet called his list incomplete,[5] claimed that almost any ailment could fit the diagnosis. Physicians thought that the stress associated with the typical female life at the time caused civilized women to be both more susceptible to nervous disorders and to develop faulty reproductive tracts.[6] In the United States, such diagnosed disorders in women provided a step forward for the US to be medically on the same advancement level as Europe.[clarification needed] One American physician expressed pleasure in the fact that the country was "catching up" to Europe in the prevalence of hysteria.[5]

Rachel Maines hypothesized that doctors from the classical era up until the early 20th century commonly treated hysteria by masturbating female patients to orgasm (termed "hysterical paroxysm"), and that the inconvenience of this may have driven the early development of and the market for the vibrator.[1] Although Maines's theory that hysteria was treated by masturbating female patients to orgasm is widely repeated in the literature on female anatomy and sexuality,[7] some historians dispute Maines's claims about the prevalence of this treatment for hysteria and about its relevance to the invention of the vibrator, describing them as a distortion of the evidence or that it was only relevant to an extremely narrow group.[8][9][10] Maines has said that her theory should be treated as a hypothesis rather than a fact.[7]

DeclineEdit

 
The number of French psychiatric theses on hysteria[11]

During the early 20th century, the number of women diagnosed with female hysteria sharply declined. This decline has been attributed to many factors. Some medical authors[who?] claim that the decline was due to laypeople gaining a greater understanding of the psychology behind conversion disorders such as hysteria.[11]

With so many possible symptoms, hysteria was often[when?] considered a catchall diagnosis where any unidentifiable ailment could be assigned.[citation needed] As diagnostic techniques improved, the number of ambiguous cases that might have been attributed to hysteria declined. For instance, before the introduction of electroencephalography, epilepsy was frequently confused with hysteria.[12] Many cases that had previously been labeled hysteria were reclassified by Sigmund Freud as anxiety neuroses.[12]

Today, female hysteria is no longer a recognized illness, but different manifestations of hysteria are recognized in other conditions such as schizophrenia, borderline personality disorder, conversion disorder, and anxiety attacks.[13]

See alsoEdit

ReferencesEdit

  1. ^ a b c Maines, Rachel P. (1998). The Technology of Orgasm: "Hysteria", the Vibrator, and Women's Sexual Satisfaction. Baltimore: The Johns Hopkins University Press. ISBN 0-8018-6646-4. 
  2. ^ Mankiller, Wilma P. (1998). The Reader's Companion to U.S. Women's History. Boston, MA: Houghton Mifflin Co. p. 26. ISBN 0-6180-0182-4. 
  3. ^ a b King, Helen (1993). "Once upon a text: Hysteria from Hippocrates". In Gilman, Sander; King; Porter, Helen; Rousseau, G.S.; Showalter, Elaine. Hysteria beyond Freud. University of California Press. pp. 3–90. ISBN 0-520-08064-5. 
  4. ^ Roach, Mary (2009). Bonk: The Curious Coupling of Science and Sex. New York: W.W. Norton & Co. p. 214. ISBN 9780393334791. 
  5. ^ a b Briggs, Laura (2000). "The Race of Hysteria: "Overcivilization" and the "Savage" Woman in Late Nineteenth-Century Obstetrics and Gynecology". American Quarterly. 52 (2): 246–73. PMID 16858900. doi:10.1353/aq.2000.0013. 
  6. ^ Morantz, Regina M.; Zschoche, Sue (1980). "Professionalism, Feminism, and Gender Roles: A Comparative Study of Nineteenth-Century Medical Therapeutics". The Journal of American History. 67 (3): 568–88. JSTOR 1889868. PMID 11614687. doi:10.2307/1889868. 
  7. ^ a b Maines, Rachel. "Big Think Interview with Rachel Maines". bigthink.com. Retrieved 16 November 2016. 
  8. ^ King, Helen (2011). "Galen and the Widow: Towards a history of therapeutic masturbation in ancient gynaecology" (PDF). EuGeStA: Journal on Gender Studies in Antiquity. 1: 205–235. 
  9. ^ Hall, Lesley. "Doctors masturbating women as a cure for hysteria/'Victorian vibrators'". lesleyahall.net. Retrieved 29 October 2016. 
  10. ^ Riddell, Fern (10 November 2014). "No, no, no! Victorians didn't invent the vibrator". The Guardian. Retrieved 29 October 2016. 
  11. ^ a b Micale, Mark S. (1993). "On the "Disappearance" of Hysteria: A Study in the Clinical Deconstruction of a Diagnosis". Isis. 84 (3): 496–526. PMID 8282518. doi:10.1086/356549. 
  12. ^ a b Micale, Mark S. (July 2000). "The Decline of Hysteria". Harvard Mental Health Letter. 17 (1): 4–6. PMID 10877868. 
  13. ^ Costa, Dayse Santos; Lang, Charles Elias (2016). "Hysteria Today, Why?". Psicologia USP. 27 (1): 115–124 – via SciELO. 

Further readingEdit

External linksEdit