{"agent_id":"charcot","agent_name":"Jean-Martin Charcot","slug":"the-grande-hyst-rie","label":"The grande hystérie: is hysteria a fixed neurological disease, or an artifact of the Salpêtrière?","topic":"The grande hystérie","question":"Is hysteria a fixed neurological disease, or an artifact of the Salpêtrière?","position":"Hysteria is a real disease of the nervous system, not simulation and not the malady of the womb the ancients supposed. What I observed at the Salpêtrière — the regular attacks, their phases, their stigmata — I observed as a clinician observes any natural form, and I described what appeared before me with the same eye that found the lesions of sclerosis.","paragraphs":[[{"t":"Hysteria is a real disease of the nervous system, not simulation and not the malady of the womb the ancients supposed.","n":[]},{"t":"What I observed at the Salpêtrière — the regular attacks, their phases, their stigmata — I observed as a clinician observes any natural form, and I described what appeared before me with the same eye that found the lesions of sclerosis.","n":[1,2,3,4,5]}]],"texts":"The Lectures on the Diseases of the Nervous System (Sigerson tr.) on hysteria and its four regular phases; the leçons du mardi and the photographic iconography. Reception: the demonstration, largely after his death, that the star patients were coached and that suggestion within the clinic produced the very phases observed as natural disease; Babinski's dismantling of the grande hystérie and his replacement concept of pithiatism (curable by persuasion).","works":["The Lectures on the Diseases of the Nervous System (Sigerson tr.) on hysteria and its four regular phases","the leçons du mardi and the photographic iconography"],"reception":"the demonstration, largely after his death, that the star patients were coached and that suggestion within the clinic produced the very phases observed as natural disease; Babinski's dismantling of the grande hystérie and his replacement concept of pithiatism (curable by persuasion).","status":"That hysteria is real and neurological, and occurs in men, I hold and time has confirmed. That the grande hystérie unfolds in fixed regular phases stood in tension with a force I did not reckon with — suggestion, working within the very clinic that displayed the disease — and the schema of four phases did not survive the scrutiny of those who came after. The phases were real to my observation; their regularity, I did not see, was partly the making of the setting.","era":"1825-1893","discipline":"Psychology","refs":[{"n":1,"work":"Lectures on Diseases of the Nervous System, Series III","page":"","canonical":"","quote":"Then, seeing his mother crying, he called out, '' I will kill myself if you weep.'^ And after that, ti-ansient attacks of delirium supervened, duriug which he muttered, pronounced incohérent words, saw brigands and assassins whom he wished to strike. It was on December the gth that the distracted father AND HYSTERIA.","label":"Lectures on Diseases of the Nervous System, Series III"},{"n":2,"work":"Lectures on Diseases of the Nervous System, Series III","page":"","canonical":"","quote":"She appears to me to hâve grown and developed dui-ing the montli. In anycase her gênerai conditionhas become moresatisfactory. As for the hysteria, you will remember that she had on ' Sec vipon this subjoct (i) Bourneville et llegnard, ' Iconogr. photogr. do la Salpêtrière,' vol. i, p. 49, and vol. ii, p. 202, and (2) Jiounieville, ' Recherches clin, etthérap.","label":"Lectures on Diseases of the Nervous System, Series III"},{"n":3,"work":"Clinical Lectures on Certain Diseases of the Nervous System","page":"","canonical":"","quote":"While thus engaged we shall bring to view the likenesses and the differences that exist be- tween the symptoms of hysteria observed in men and those with which we are familiar every day in the cor- responding form of the disease in women. Lastly, I intend to present after the manner of a summary, cer- tain general considerations on the great hysteria (hys- teria major) as seen in the male sex.","label":"Clinical Lectures on Certain Diseases of the Nervous System"},{"n":4,"work":"Lectures on Diseases of the Nervous System, Series I","page":"","canonical":"","quote":"Accordiug to M. Galezowski: •' There is reason to suppose that ail thèse disorders are due to spasmodic contraction of the arteries in some places, and their dilatation in otliers. Hence the occurrence of papillary congestion in some parts, and of ansemia in otliers, a state of things resulting in ]3eri-papillary serous infiltration.\" (B.) See also the case recorded by M.","label":"Lectures on Diseases of the Nervous System, Series I"},{"n":5,"work":"Clinical Lectures on Certain Diseases of the Nervous System","page":"","canonical":"","quote":"And what is very remarkable, while the spontaneous attacks localize themselves in the usual place of elec- tion, the supplementary attack will have for its seat the shoulder or the knee, or whatever one of the joints has been the subject of the contusion or sprain. This is a fact which is to-day well understood, and the last few years Prof.","label":"Clinical Lectures on Certain Diseases of the Nervous System"}],"answer":null,"siblings":[{"slug":"hypnosis","label":"Hypnosis: is it a pathological state peculiar to hysterics, or a general effect of suggestion?"},{"slug":"traumatic-paralysis-and-the-dynamic-lesion","label":"Traumatic paralysis and the dynamic lesion: can an idea produce a bodily disease?"}]}