Hysteria

Hysteria: Its symptoms, diagnosis, and cure

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Hysteria was once considered to be a respected mental health disorder. Its understanding and categorization have evolved over the years, changing from its early recognized state to something very similar today, although no longer considered a respectable condition of study. It remains greatly studied in the areas of psychology and psychiatry in the 19th and early twentieth centuries. but, since its time is long past, the term "hysteria" is essentially regarded as obsolete and replaced by more specific diagnostic classes, but its historic legacy still continues to influence how we grasp some mental phenomena.

The objective of this newsletter is to follow the concept of hysteria-to delve into its ancient roots, traditionally identified symptoms, analysis across extraordinary timescales, and remedies used over time. Discussion will also be made on how hysteria evolved into modern psychiatric diagnoses, which are termed as conversion disease and somatic symptom disorder, and how these conditions are viewed nowadays in mental health settings.


CHAPTER 1: The old history of hysteria

The word "hysteria" is taken from the Greek word hystera, which simply means "womb." As they believed then in old Greece, hysteria was a condition caused by the movement or agitation of the womb within the female body.
Hippocrates, also regarded as the father of contemporary medicine, was among the first people to describe and theorize about hysteria. in line using Hippocrates, the womb could get misplaced and bring about various signs and symptoms in females, ranging from intellectual disturbances for example melancholy or fretfulness towards actual illnesses, including epilepsy or even stomach disorders. This concept laid the basis for hundreds of years of medical and cultural thinking about the condition.
Hysteria became predominantly a woman illness in ancient instances and their signs have been often interpreted because of the womb "wandering" inside the body.
That concept became highly influenced by the perception that women's bodies and their behaviors were subservient to the capricious nature of the uterus. Hysteria, as a diagnosis, was typically made to women who showed emotional fragility, fainting spells, nervousness, or sudden changes in behavior, all of which were deemed results of a 'badly behaving' uterus.

Chapter 2: Symptoms of anxiety

at one or two point during the past, the manifestation of hysteria had been highly diverse and can range from slight psychic misery to deep mental and physical disturbances. in the 19th century, hysteria became a widely recognized medical disorder, especially in women, and it was marked by a variety of symptoms that often blurred the line between somatic and psychic investigations.

1. Somatic symptoms

Paralysis and Pseudo-neurological symptoms: with hysteria patients usually presented with physical symptoms and signs such as paralysis or numbness especially at the limbs. these symptoms were no longer due to physical injury or disease, however had been instead psychological in origin.


Convulsions and Seizures: Hysteria began to be very often associated with suits or convulsions that had taken on the characteristics of epileptic seizures. such convulsions ceased to be generally caused by ordinary brain activity but became manifestations of psychic malfunction.


Tremors and Shaking: Shaking or quivering of the body, especially the limbs, was another common symptom associated with hysteria.

Respiratory Complications and Choking Sensations: a number of patients with hysteria complained of a feeling of inability to breathe or choking sensation, frequently called "globus hystericus," an "actual sensation of a lump in the throat."


blindness or Loss of Vision: acute loss of sight or impaired vision are very common signs of hysteria, though there was no organic cause for the loss of vision.

Paralysis of the Limbs or Facial muscle mass: Hysteria may cause temporary paralysis or weakening of limbs or facial muscles, though no physical cause for this loss of characteristic.


2. Psychical symptoms

Emotional instability: The patients diagnosed with hysteria have been largely described as emotionally unstable. This can be termed as exaggerated crying, laughter or anger fits without appearing to have any reason.

Hallucinations and delusions: Some patients diagnosed with hysteria have been known to report vivid hallucinations or delusional thinking, though these are not found in all cases.

Anxiety and Panic attacks: Panic and anxiety have been not rare psychic abilities of anxiety. the feelings would be intense, acute, and paralyzing.


Memory Loss: memory disturbances, such as amnesia or selective memory loss, were often found in patients with hysteria.


Dissociation and Depersonalization: a feeling of estrangement from one's body or self was also quite typical, which even led to the concept of "hysterical dissociation".

3. Somatic symptoms

Abdominal distress: this can come with abdominal pain, nausea, or vomiting without apparent explanations.

Complications: recurrent or chronic headache frequently related to hysteria, sometimes combined with other somatic complaints.

Bankruptcy 3: Prognosis of Tension

The prognosis of tension has seen drastic changes in the course of centuries. Initially, its concept conceptualized hysteria as typically a physiological disorder notion to be related to woman anatomy. By the 19th century, it had become an extensively used psychiatric diagnosis that was frequently applied to girls displaying an expansion of unexplained mental and bodily signs and symptoms.


1. Pre-current Diagnostic tactics

In earliest medical science, experts on the matter understood hysteria in reference to female biology, and from this understanding was born both an analysis and a remedy. Greek physicians ascribed the condition to movements of the womb when its theories later involved the anxious contraption.
For example, during the medieval ages, due to the belief of hysteria as related to possession or demonic agencies, treatments for such disorders have today evolved into spiritual or psychic in nature and can comprise exorcisms.

2. Rise of Psychosomatic factors

in the 17th and 18th centuries, doctors learned to study hysteria much more accurately in its psychological sense and with greater focus on the emotional and psychic states of patients. Doctors as early as Franz Mesmer (1734–1815) indicated that hysteria can be treated by hypnotism, of which he coined the term "mesmerism." In Mesmer's view, hysteria was due to disturbances in the magnetic fields of the body and could be cured if a person's sense of consciousness could be inducted into a trance-like state. three. The impact of Sigmund Freud

perhaps the most influential figure in the identification and treatment of hysteria become Sigmund Freud, who, along with his collaborator Joseph Breuer, developed a psychoanalytic model to the disease. Freud's writings at the end of the 19th and early 20th century signified a significant shift in the thinking about anxiety from being a purely medical disease to one that is psychologically-oriented, based upon repressed memories and undischarged emotional conflicts.


Freud's seminal works, Treatment of Hysteria (1895), formed the basis of the psychoanalytic theory of anxiety.

According to Freud, hysterical manifestations were no longer caused by somatic malfunctioning but were in reality representations of unworked-through sexual and emotional trauma. According to Freud, such unconscious conflicts could find expression as somatic manifestations within the body, a process he coined conversion.
The treatment he proposed evolved into psychoanalysis, trying to find and deal with those suppressed memories. 4. The Demise of hysteria as a diagnosis in the 20th century, the analysis of tension started falling out of fashion.

Advances in scientific research and psychology facilitated a more differentiated view of intellectual fitness, and most of the signs once diagnosed with hysteria had been relegated under one of these new diagnoses, which include conversion sickness, somatic symptom sickness, and borderline character disease.


hysteria is no longer considered a legitimate diagnosis in contemporary psychiatry.

Chapter 4. Treatment and cure of anxiety

This treatment of anxiety has flourished vastly throughout the records, reflecting the hegemonic medical and mental theories of their periods.

1. historic and Medieval treatments

In historic Greece and Rome, treatments for hysteria were obviously linked to the notion that the uterus became the cause of the problem.


remedies have often been focused on "calming" or "restoring" the uterus to its rightful function.

This preserved the application of aromatic oils, herbal medicines, and other types of vaginal insertion in the hope of "flushing out" the uterus.

In the Middle Ages in Europe, hysteria became often treated with spiritual or religious interventions, such as exorcism, prayer, or visits to sacred places.

2. Emergence of psychotherapeutic treatments

Just like medical science was advancing, so did the treatment. Franz Mesmer's hypnoses used in the 18th century are considered to be the earliest recorded event where psychological intervention was applied for the treatment of symptoms hysterical. Even though the theory of Mesmer was scandalous and later came to be rejected, hypnosis was one of the most significant modalities in treatment for hysteria in the following decades.

3. Psychoanalysis and the emergence of modern therapy

Freud's psychoanalytic theory changed the face of the treatment of hysterics.Freud believed that the symptoms were due to repressed recollections and conflicts-respecially those dealing with sexual trauma or forbidden dreams. The treatment, therefore entailed the bringing forth of these repressed recollections with such techniques as free affiliation, dream analysis, and interpretation of transference.

Freud's ideas about hysteria and its therapy served as a foundation for modern psychotherapy. However, it was realized quickly that some hysterical symptoms and signs could not be explained by traumatic repression.
As such, more intensive therapies had to be developed.

4. Modern techniques to therapy

today, therapy for conditions that were previously defined in the catch-all category of hysteria usually entails some combination of CBT, anti-depressants and anxiolytics, and


Psychodynamic therapy of patients with untreated trauma.
Conversion disorder, now recognized as a distinct diagnostic entity, is commonly approached with psychotherapy designed to address the pathogenic psychic stressor. In some cases, mindfulness-based therapies or stress management techniques can be used to help reduce the psychological and physiological symptoms in these patients.

5: The Legacy of tension in contemporary Psychiatry

although hysteria is no longer diagnosed, it still lives inside the theses of modern psychiatric classifications. its symptoms and signs that were once diagnosed under the diagnosis of hysteria are actually defined under other diagnosis, among which are conversion illness, somatic symptom disorder, and dissociative disorders.
these comprise the intricate play among the brain and body and the ways how mental discomfort itself can appear with bodily symptoms.

The study of anxiety has also assisted in developing psychological treatments. The work done by Freud on hysteria and the improvement of psychoanalysis became a key step within the history of psychotherapy, influencing the later therapeutic procedures and remedies.


Conclusion

Concept of hysteria has been developed extensively throughout history, from its early roots in Greek and Roman medicine to later psychoanalytic interpretation.



Even though the term is no longer in use in current psychiatric practice, the symptoms and syndromes that have traditionally been attributed to hysteria still relate to current mental health treatment.

Conversion disorder, somatic symptom disorder, and other related conditions mirror the complex interaction of thoughts and body, and the psychology of anxiety continues to speak to the field of psychology and psychiatry today.

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