CHAPTER IX

HYSTERIA

The word 'hysteria', like 'lunacy', is evidence of a belief now discarded. When the theory of demoniacal possession ceased to satisfy the desire for reasons, and material explanations were sought for certain conditions, it was supposed that the uterus (Greek, hystera) came adrift from its position and wandered about the body, producing the condition thenceforward known as hysteria. Advancing knowledge killed this theory, but the influence of the word remained and the disease was attributed to some derangement or irritation of the uterus and its associated organs. Charcot, of Paris, showed the mental origin of hysteria, but, becoming lost in a maze of hypnotism and suggestion, he described as symptoms of the disease various manifestations which were really called up by himself or his assistants. There are medical men who still insist on a bodily cause, but such causes serve merely as pegs on which to hang the symptoms.

As usual, I shrink from a definition, but in this case I have good reason. Every writer who describes hysteria expresses his own ideas about it, and as the ideas of no two writers are alike some definitions scarcely seem to refer to the same subject.

Here is a definition by Babinski, a French writer of international reputation:—

'Hysteria is a peculiar psychical state capable of giving rise to certain conditions which have features of their own. It manifests itself in primary and secondary symptoms. The former can be exactly reproduced by suggestion in certain subjects and can be made to disappear under the sole influence of suggestion.'

And here is one by Pierre Janet, a man of equal eminence:—

'Hysteria is a form of mental depression characterised by retraction of the field of personal consciousness, and a tendency to complete division of the personality, and subconscious mental conditions grow and form a kind of second personality.'

And here are a few words from Ernest Jones, the chief exponent of Freud's views in this country:—

'It is in the excessive tendency to displace affects by means of superficial associations that the final key to the explanation of abnormal suggestion is to be sought. Even if it were true, which it certainly is not, that most hysterical symptoms are the product of verbal suggestion, the observation would be of hardly any practical or theoretical interest.'