We now have to consider a point which is being continually urged by Feminists in the present day when confronted with the pathological mental symptoms so commonly observed in women which are usually regarded as having their origin in hysteria. We often hear it said by Feminists in answer to arguments based on the above fact: “Oh, but men can also suffer from hysteria!” “In England,” says Dr Buzzard, “hysteria is

comparatively rarely met with in males, the female sex being much more prone to the affection.” The proportion of males to females in hysteria is, according to Dr Pitrè (“Clinical Essay on Hysteria,” 1891), 1 to 3; according to Bodensheim, 1 to 10; and according to Briquet, 1 to 20. The author of the article on Hysteria in The Encyclopædia Britannica (11th edition, 1911) also gives 1 to 20 as the numerical proportion between male and female cases. Dr Pitrè, in the work above cited, gives 82 per cent. of cases of convulsions in women as against 22 in men. But in all this, under the concept hysteria are included, and indeed chiefly referred to, various physical symptoms of a convulsive and epileptic character which are quite distinct from the mental conditions rightly or wrongly connected, or even identified, with hysteria in the popular mind, and by many medical authorities. But even as regards hysteria in the former sense of the word, a sharp line of distinction based on a diagnosis of cases was long ago drawn by medical men between hysteria masculina and hysteria fœminina, and in the present day eminent authorities—e.g. Dr Bernard Holländer—would deny that the symptoms occasionally diagnosed as hysteria in men are identical with or due to the same causes as the somewhat similar conditions known in women under the name.

After all, this whole question in its broader

bearings is more a question of common-sense observation than one for medical experts.

What we are here chiefly concerned with as “hysteria” (in accordance with popular usage of the term) are certain pathological mental symptoms in women open to everybody’s observation, and denied by no one unprejudiced by Feminist views. Every impartial person has only to cast his eye round his female acquaintance, and to recall the various women, of all classes, conditions and nationalities, that he may have come in contact with in the course of his life, to recognise those symptoms of mental instability commonly called hysterical, as obtaining in at least a proportion of one to every four or five women he has known, in a marked and unmistakable degree. The proportion given is, in fact, stated in an official report to the Prussian Government issued some ten years back as that noticeable among female clerks, post office servants and other women employed in the Prussian Civil Service. Certainly as regards women in general, the observation of the present writer, and others whom he has questioned on the subject, would seem to indicate that the proportions given in the Prussian Civil Service report as regards the number of women afflicted in this way are rather under than over stated.[44:1] There are many medical

men who aver that no woman is entirely free from such symptoms at least immediately before and during the menstrual period. The head surgeon at a well-known London hospital informed a friend of mine that he could always tell when this period was on or approaching with his nurses, by the mental change which came over them.

[44:1] The insanities mentioned above are the extremes. There are mental disturbances of less severity constantly occurring which are connected with the regular menstrual period as well as with disordered menstruation, with pregnancy, with parturition, with lactation, and especially with the change of life.

Now these pathological symptoms noticeable in a slight and more or less unimportant degree in the vast majority, if not indeed in all women, and in a marked pathological degree in a large proportion of women, it is scarcely too much to say do not occur at all in men. I have indeed known, I think, two men, and only two, in the course of my life, exhibiting mental symptoms analogous to those commonly called “hysterical” in women. On the other hand my own experience, and it is not alone, is that very few women with whom I have come into more or less frequent contact, socially or otherwise, have not at times shown the symptoms referred to in a marked degree. If, therefore, we are to admit the bare possibility of men being afflicted in a similar way it must be conceded that such cases represent such raræ aves as to be negligible for practical purposes.

A curious thing in pronounced examples of this

mental instability in women is that the symptoms are often so very similar in women of quite different birth, surroundings and nationality. I can recall at the present moment three cases, each different as regards birth, class, and in one case nationality, and yet who are liable to develop the same symptoms under the influence of quite similar idées fixes.