
[New Latin : HYSTER(IC) + -IA1.]
Since the rise of the so-called ‘psychodynamic psychiatries’ early in the twentieth century, hysteria has been regarded as a psychological malady par excellence. Through most of its long medical history, however, the concept was interpreted as a disorder purely of the body, with specific causes, symptoms, and treatments that were organic.
The modern English word ‘hysteria’ derives from the Greek ‘hystera’ — uterus — which in turn derives from the Sanskrit word for stomach or belly. Inherent in these simple etymological facts is the meaning of the earliest views on the nature and origin of the disease. According to some historians, an Egyptian medical papyrus dating from around 1990 bc — one of the oldest surviving documents known to medical history — records a series of curious behavioural disturbances in adult women. As the ancient Egyptians interpreted it, the cause of these abnormalities was the movement of the uterus, which they believed to be an autonomous, free-floating organism that could move upward from its normal pelvic position. Such a dislocation, they reasoned, applied pressure on the diaphragm and gave rise to bizarre physical and mental symptoms. Egyptian doctors developed an array of medications to entice the errant womb back down into its correct position. Foremost among these measures were the vulvar placement of aromatic substances to draw the womb downward, and swallowing foul-tasting substances to repel the uterus away from the upper parts.
Hysteria in ancient history
This ancient Middle Eastern source furnished the basis for classical Greek medical and philosophical theories of hysteria. The ancient Greeks adopted the notion of the migratory uterus and embroidered upon the connections between hysteria and sexual dissatisfaction. In an often-cited passage in the Timaeus, Plato wrote colourfully about the vagaries of female reproductive physiology:
‘the animal within them [women] is desirous of procreating children, and when remaining unfruitful long beyond its proper time, gets discontented and angry, and wandering in every direction through the body, closes up the passages of the breath, and by obstructing respiration, drives them to extremity, causing all varieties of disease …’Various texts of the school of Hippocrates, from the fifth century bc onward, explain similarly that a mature women's deprivation of sexual relations causes a restless womb to move upward in search of gratification. As the female reproductive parts move or function irregularly — ascending or descending, convulsing or prolapsing — they cause dizziness, motor paralyses, sensory losses, and respiratory distress (including globus hystericus, the sensation of a ball lodged in the throat) as well as extravagant emotional behaviours. Ancient Greek therapies included uterine fumigations, the application of tight abdominal bandages, and a regular regimen of marital fornicatio.
Christian attitudes
The coming of Christian civilization in the Latin West initiated a major paradigm shift in the history of hysteria. From the fifth to the thirteenth centuries, naturalistic pagan construals of the disease were increasingly displaced by supernatural formulations. In the writings of St Augustine, human suffering, including organic and mental illness, was perceived as a manifestation of innate evil consequent upon original sin. Hysteria in particular, with its shifting and highly dramatic symptomatology, was viewed as a sign of possession by the devil. The hysterical female was now interpreted alternately as a victim of bewitchment, to be pitied, or the devil's soulmate, to be despised. No less powerfully mythopoetic than the classical image of the disease, the demonological model envisioned the hysterical anesthesias, mutisms, and convulsions as stigmati diaboli or marks of the devil.
This sea change in thinking about the disorder brought with it changes in treatment. The elaborate pharmacopeia of ancient times was now replaced by supernatural invocations — prayers, incantations, amulets, and exorcisms. Furthermore, with the demonization of the diagnosis came the widespread persecution of the afflicted. During the late medieval and Renaissance periods, the scene of interrogation of the female hysteric shifted from the hospital and sick bed to the church and the court room, which now became the loci of spectacular interrogations. Official manuals for the detection of witches, often virulently misogynistic, supplied instructions for the detection, torture, and at times execution of the witch/hysteric.
Early medical theories
The late Renaissance, which witnessed the height of the witchcraft craze in continental Europe, also produced in reaction several substantial efforts to renaturalize the idea of hysteria. Advances in understanding the structure and function of the human nervous system provided a new model for many previously baffling nervous disorders, including hysteria. Gynecological and demonological theories waned; in their place, new neurocentric theories combined with fashionable mechanical and iatrochemical ideas from the physical and chemical sciences.
In Britain, which dominated medical thinking about the subject during the early modern period, the neuroanatomist Thomas Willis propounded a theory according to which an excess of ‘animal spirits’ was released from the brain and carried by the nerves to the spleen and abdomen, where it entered the bloodstream to circulate through the body. Robert Whytt thought the disorder was caused by a weakness of the nerve fibres, and William Cullen attributed it to a slowing of the nervous fluids through the brain. In the 1680s, the famous physician Thomas Sydenham hypothesized that the condition was caused by an imbalance in the distribution of the animal spirits between body and mind, brought on by sudden and violent emotions, such as anger, fear, grief, and love. English and Scottish medical literature about hysteria during the seventeenth and eighteenth centuries offers memorable clinical descriptions of classic hysterical phenomena, including the hysterical attack in the arched back position and the clavus hystericus, or feeling of a nail being driven into the forehead. In the 1700s in particular, in France and Britain, these ideas provided the basis for an entire ‘nervous culture’ in which men and women of high society fashioned themselves as refined, sensible, and civilized.
The 1800s brought a multiplication of theories about hysteria, including new uterine, neurological, and characterological models. During the final quarter of the century — hysteria's famous heroic age — the centre of attention shifted to France. In the 1880s, the Parisian clinical neurologist Jean-Martin Charcot, formulated a comprehensive, neurogenic model of ‘the great neurosis’. For Charcot, hysteria was strictly a dysfunction of the central nervous system, akin to epilepsy, syphilis, and other neurological diseases. Like these ailments, hysterical neuropathy, he held, was the result of a lesion of an undetermined structural or functional nature that could be studied through the methods of pathological anatomy and that resulted from defective heredity. Charcot lavished his attention on the descriptive neurosymptomatology of his cases. He developed a schematized, four-stage model of the hysterical fit, and he mapped a series of ‘hysterogenic zones’ onto the body of the hysteric.
Emergence of psychology
Socially, the late nineteenth century witnessed the appearance of ‘the Victorian nervous invalid.’ Significant numbers of men and women modelled their sickness behaviour on the contemporary teachings of hysteria doctors like Charcot until these nervous disorders seemed to reach epidemic proportions. Culturally, the character of the nervous invalid figured prominently in fictional prose writing of the time. By the time of Charcot's death in 1893, medical thinking about hysteria had reached an impasse. The search for the missing lesion of hysteria, and therefore for its somatic basis, remained fruitless. As a consequence, physicians turned to alternative conceptualizations of these mysterious, multiform disorders, including to psychological theories.
The psychologization of the hysteria concept a century ago is associated foremostly with Sigmund Freud, who worked in Vienna in the late Victorian mould of the private nerve specialist. Psychoanalysis began as a theory and therapy of hysteria. In a series of essays and monographs written between 1885 and 1900, Freud radically reconceptualized hysteria. He reversed the previously projected direction of mind-body causality, claiming that hysteria was a psychological disease with quasi-physical symptoms. Furthermore, Freud placed the emphasis on the psychological mechanism of hysterical symptom formation. According to his formulation, hysterogenesis rests in the repression of traumatic memories. These memories are usually remote in the emotional past of the individual and invariably libidinal, or sexual, in content. Because these remembrances are painful or unpleasant, they are unable to find conscious psychological expression. Freud postulated further that the negative emotional energy, or ‘strangulated affect’, associated with these memories is then unconsciously converted into the somatic manifestations of hysteria. Moreover, in this process of hysterical conversion, symptoms are not arbitrary and meaningless phenomena but complex symbolizations of repressed psychological experiences. In psychoanalytic psychology, the body is the physical field on which the wishes, anxieties, and traumas of the hysteric are dramatized.
Recent trends
The most consequential development in the history of hysteria in the last century was the rapid decline in the medically recorded incidence of the disorder. In part, this diminution is due to the liberalization of gender norms, permitting freer social, emotional, and sexual expression among women. It also traces to a process whereby many symptoms and behaviours formerly constitutive of hysteria have been reassigned to other diagnostic categories, including organic disorders, psychoses, and psychoneuroses. Since the 1970s, hysteria as an independent diagnostic entity has been deleted from the official manuals of medical diagnosis. In Anglo-American psychiatry, much of what was characterized as conversion hysteria in psychodynamic psychiatry is now classified under the more scientific-sounding rubric of somatization disorder. An exception to this rule can be found in French medicine, which continues widely to employ the concept of hysteria in psychological theory and clinical practice.
Conclusions
Several conclusions may be drawn from hysteria's long and colourful past. First, it is most likely impossible in this instance to project a single, unchanging pathological entity through history. The clinical descriptions lumped under the heading through the ages have been highly diverse, and the theoretical structures for understanding these behaviours have varied enormously. Many different morbid phenomena have no doubt been gathered under the umbrella of ‘hysteria’. Second, what has been called hysteria in the past may clearly be read as a kind of cross-gender portraiture in the field of medicine. To a very great extent, ‘the history of hysteria’ consists of a body of writing by men about women. Feminist-informed scholars of the later twentieth century emphasize that this literature often depicts, in the descriptive language of the clinic, features of the opposite sex that male élites in past patriarchal societies found irritating, incomprehensible, or unmanageable. Hysteria theory literally embodies these ideas, attitudes, and biases.
A third conclusion concerns the distinctive blend of science, sexuality, and sensationalism in the story of hysteria. Given the extravagant physical symptoms, emotional outbursts, and erotic undercurrents involved in many cases carrying this label, it is hardly surprising that hysterics have often been forced into lurid roles and vaudevillian performances. In short, hysteria has been the vehicle for astute clinical observation, pioneering neuropathological research, and brilliant psychological theorizing; it has equally been the site of much misogyny, sensationalism, and mistreatment. Fourth and finally, hysteria's history may be read as an ongoing attempt to theorize the mind-body relation within the medical sciences. Is hysteria fundamentally a psychological disorder with physical manifestations; an organic disease with mental and emotional epiphenomena; or some inseparable intermixture of the two? Studying the subject through the ages has involved a continual, relational reconfiguring of the role of psyche and soma in human mental life. Within the clinical human sciences, hysteria represents the shifting and diversely theorized interface between the history of the body and the history of the mind.
Some scholars have argued that hysteria is the oldest and most important category of neurosis in recorded medical history. Similarly, perhaps no non-fatal disorder boasts a richer metaphorical and mythological past. Over the centuries and in many different cultures, thinking and writing about the subject has mirrored dominant attitudes about health and sickness, the natural and the supernatural, the sexual and the spiritual, mind and body, and masculinity and femininity. Now, it appears, hysteria — construed variously as a term, theory, and behaviour — is vanishing. Given the remarkable cultural indispensability of the concept in the past, readers can only speculate on what will take its place in the future.
— M. S. Micale
Bibliography
See also nervousness; psychological disorders.
Definition: state of extreme upset
Antonyms: calm, calmness, control, self-possession, sereneness
1. A temporary state of tension or overexcitement in which there is loss of control over emotions.
2. A neurotic condition marked by emotional instability, which may be converted into physical symptoms such as paralysis of an arm or leg.
Bibliography
See A. Roy, ed., Hysteria (1982); E. Showalter, Hystories: Hysterical Epidemics and Modern Culture (1997).
Hysteria refers both to a personality type and to a cluster of psychoneurotic symptom formations. Its manifestations—dramatic, physical, and affective—may be viewed as an attempt to express and symbolize a psychosexual conflict and, at the same time, to defend against acknowledging that conflict. Symptoms range from mental anxiety and phobia to the physical signs of conversion disorder.
The term derives from hustera, the Greek word for uterus, and was historically considered a female disorder. Writings on hysteria date to ancient Egypt and the Kahun papyrus (ca.1900 BCE), which described the disturbances caused by the "wandering uterus" that manifested as symptoms in various parts of the body. Greco-Roman doctors continued to associate hysteria with the uterus and to treat it as a female complaint. From the end of antiquity through the Middle Ages and the Inquisition, recourse to supernatural explanations made it possible to consider hysteria a form of demoniacal possession or witchcraft. The theatrical and contagious nature of hysterical symptoms may have been at the root of phenomena such as the "possessed" nuns of Loudun, the convulsionaries of Saint-Médard, and the Salem witches. Hysterics and their putative victims were often burned at the stake.
Identification of hysteria as a distinct entity dates to 1870, when Jean Martin Charcot, a doctor at the largest hospice in France, the La Salpêtrière, segregated hysterics from other mental patients for purposes of research and investigation.
As a concept hysteria acquired several meanings:
Broadly speaking, conversion hysteria led to the discovery of psychoanalysis as a method of understanding and treating psychopathological symptoms. Freud, who famously attended clinical demonstrations by Charcot, was struck by the indifference that hysterical patients displayed toward their suffering. Although for a time he suspected traumatic childhood seduction to be at the root of hysteria, he came to view such patients suffering "mainly from reminiscences" (1895d, p. 7)—that is, from a repressed traumatic event that remained mnemonically unintegrated, and could therefore only be expressed by conversion—through a corporeal memory, so to speak.
The death of his father in 1897 and subsequent self-analysis with Wilhelm Fliess led Freud to the discovery of his childhood passion for his mother and of his hostile feelings toward his father. Although the Oedipus complex did not appear as part of Freudian theory until later, he abandoned the theory of traumatic seduction; his key discovery was the notion of infantile sexuality, together with the importance of fantasy as a force that was both creative and disorganizing. At the same time he developed the concept of psychic defense and discovered in dreams and dream-work a link with hysteria.
In psychoanalytic theory, a hysterical crisis might be thought of as the embodiment of a dream. Its symptoms included the same mechanisms of condensation, displacement, symbolization, and disguise through censorship. Hysteria expressed a conflict that, incapable of being elaborated mentally, is translated in altogether enigmatic fashion into physical symptoms. The associative method of psychoanalysis could be used to identify the fantasies and symbolic pathways within it. Thus Freud described a hysterical woman who, with one hand, tore off her clothes, and with the other, held them against her body, simultaneously expressing the struggle between impulse and defense, enacting in effect a sexual scene in which she represented partners of both sexes (1908a). Hysterical neurosis and hysterical relationships involve identification, constant repression, and counter-cathexis that uses the Other as the theater of conflict.
Due to the absence of an organic lesion and the tendency for symptoms to disappear without a trace, as mysteriously as they came, hysterical conversion represented a provocative challenge to medicine. In general, hysterics have historically triggered irritation, accusations of lying and malingering, and rejection.
Hysteria has always defied medicine and the social order because sexuality is mixed up in it—in particular, female sexuality and the associated desire for sexual pleasure. Freud, in 1937, referred to the "repudiation of femininity" (p. 252) in both sexes as "bedrock," a stumbling block because of the mental association of the female with castration. Symptomatically, hysteria is an illness of repudiated femininity. More specifically, the anxiety that leads to this repudiation reflects the considerable libidinal energy required by the constant pressure of libido, a pressure that may be destructive of the ego.
Bibliography
Freud, Sigmund. (1937). Analysis terminable and interminable. SE, 23: 209-253.
Freud, Sigmund, and Breuer, Josef. (1895d). Studies in hysteria. SE,2.
Jeanneau, Augustin. (1985). L'hystérie, unité et diversité. Revue française de psychanalyse, 49 (1), 258-283.
Schaeffer, Jacqueline. (1986). Le rubis a horreur du rouge. Relation et contre-investissement hystériques. Revue française de psychanalyse, 50 (3), 923-944.
——. (1997). Le refus du feminine. Paris: Presses Universitaires de France.
Further Reading
Britton, Ronald. (1999). Getting in on the act: The hysterical solution. International Journal of Psychoanalysis, 80, 1-14.
Halberstadt-Freud, Hendrika. (1996). Studies on hysteria one hundred years on: a century of psychoanalysis. International Journal of Psychoanalysis, 77, 983-996.
Kohon, Gregory. (1984). Reflections on Dora: The case of hysteria. International Journal of Psychoanalysis, 5, 73-84.
—JACQUELINE SCHAEFFER
— F. A. Whitlock
That comedian was good at telling hysterical jokes.
Tutor's tip: The "historical" (refers to history; from the past) novel's main character was often "hysterical" (extremely emotional).
LearnThatWord.com is a free vocabulary and spelling program where you only pay for results!
A state of excitement or tension in which there is a temporary loss of control over the emotions. The term is probably an inappropriate one for use in animals. It has common usage for conditions in which animals are assumed to have lost control of their emotions because of their atypical, excessively active behavior, e.g. a sow savaging her piglets at parturition. See also farrowing hysteria.
1. a disease or disorder of the nervous system, more common in females than males, not originating in lesions and resulting from psychic rather than physical causes. n 2. a psychoneurosis characterized by lack of control over emotions or acts, exaggeration of sensory impression, and simulation of disease or pain associated with disease. In some patients, trismus, neuralgia, and temporomandibular joint disturbance may be hysterical in origin.

Hysteria, in its colloquial use, describes unmanageable emotional excesses. People who are "hysterical" often lose self-control due to an overwhelming fear that may be caused by multiple events in one's past[citation needed] that involved some sort of severe conflict; the fear can be centered on a body part, or, most commonly, on an imagined problem with that body part. Disease is a common complaint; see also Body dysmorphic disorder and Hypochondriasis. Generally, modern medical professionals have given up the use of "hysteria" as a diagnostic category, replacing it with more precisely defined categories such as somatization disorder. In 1980, the American Psychiatric Association officially changed the diagnosis of "hysterical neurosis, conversion type" to "conversion disorder".
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For at least two thousand years of European history until the late nineteenth century hysteria referred to a medical condition thought to be particular to women and caused by disturbances of the uterus (from the Greek ὑστέρα "hystera" = uterus), such as when a neonate emerges from the female birth canal. The origin of the term hysteria is commonly attributed to Hippocrates, even though the term isn't used in the writings that are collectively known as the Hippocratic corpus.[1] The Hippocratic corpus refers to a variety of illness symptoms, such as suffocation and Heracles' disease, that were supposedly caused by the movement of a woman's uterus to various locations within her body as it became light and dry due to a lack of bodily fluids.[1] One passage recommends pregnancy to cure such symptoms, ostensibly because intercourse will "moisten" the womb and facilitate blood circulation within the body.[1] The "wandering womb" theory persisted in European medicine for centuries.
By the mid to late 19th century, hysteria (or sometimes female hysteria) came to refer to what is today generally considered to be sexual dysfunction.[2] Typical treatment was massage of the patient's genitalia by the physician and, later, by vibrators or water sprays to cause orgasm.[2]
A more modern understanding of hysteria as a psychological disorder was advanced by the work of Jean-Martin Charcot, a French neurologist. In his 1893 obituary of Charcot, Sigmund Freud attributed the rehabilitation of hysteria as a topic for scientific study to the positive attention generated by Charcot’s neuropathological investigations of hysteria during the last ten years of his life.[3] Freud questioned Charcot’s claim that heredity is the unique cause of hysteria, but he lauded his innovative clinical use of hypnosis to demonstrate how hysterical paralysis could result from psychological factors produced by non-organic traumas (psychological factors that Charcot believed could be simulated through hypnosis).[3] To Freud, this discovery allowed subsequent investigators such as Pierre Janet and Josef Breuer to develop new theories of hysteria that were essentially similar to the medieval conception of a split consciousness, but with the non-scientific terminology of demonic possession replaced with modern psychological concepts.[3]
In the early 1890s Freud published a series of articles on hysteria which popularized Charcot's earlier work and began the development of his own views of hysteria. By the 1920s Freud's theory was influential in Britain and the USA. The Freudian psychoanalytic school of psychology uses its own, somewhat controversial, ways to treat hysteria. Freudian psychoanalytic theory attributed hysterical symptoms to the unconscious mind's attempt to protect the patient from psychic stress. Unconscious motives include primary gain, in which the symptom directly relieves the stress (as when a patient coughs to release energy pent up from keeping a secret), and secondary gain, in which the symptom provides an independent advantage, such as staying home from a hated job. More recent critics have noted the possibility of tertiary gain, when a patient is induced unconsciously to display a symptom because of the desires of others (as when a controlling husband enjoys the docility of his sick wife). There need be no gain at all, however, in a hysterical symptom. A child playing hockey may fall and for several hours believe they are unable to move, because they have recently heard of a famous hockey player who fell and broke their neck.
Many now consider hysteria to be a legacy diagnosis (i.e., a catch-all junk diagnosis),[4] particularly due to its long list of possible manifestations: one Victorian physician cataloged 75 pages of possible symptoms of hysteria and called the list incomplete.[5]
Current psychiatric terminology distinguishes two types of disorder that were previously labelled 'hysteria': somatoform and dissociative. The dissociative disorders in DSM-IV-TR include dissociative amnesia, dissociative fugue, dissociative identity disorder, depersonalization disorder, and dissociative disorder not otherwise specified. Somatoform disorders include conversion disorder, somatization disorder, pain disorder, hypochondriasis, and body dysmorphic disorder. In somatoform disorders, the patient exhibits physical symptoms such as low back pain or limb paralysis, without apparent physical cause. Additionally, certain culture-bound syndromes such as "ataques de nervios" ("attacks of nerves") identified in Hispanic populations, and popularized by the Almodóvar film Women on the Verge of a Nervous Breakdown, exemplify psychiatric phenomena that encompass both somatoform and dissociative symptoms and that have been linked to psychological trauma.[6] Recent neuroscientific research, however, is starting to show that there are characteristic patterns of brain activity associated with these states.[7] All these disorders are thought to be unconscious, not feigned or intentional malingering.
Jungian psychologist Laurie Layton Schapira explored what she labels a "Cassandra Complex" suffered by those traditionally diagnosed with hysteria, denoting a tendency for those with hysteria to be disbelieved or dismissed when relating the facts of their experiences to others.[8] Based on clinical experience, she delineates three factors which constitute the Cassandra complex in hysterics: (a) dysfunctional relationships with social manifestations of rationality, order, and reason, leading to; (b) emotional or physical suffering, particularly in the form of somatic, often gynaecological complaints, and (c) being disbelieved or dismissed when attempting to relate the facticity of these experiences to others.[8]
The term also occurs in the phrase "mass hysteria" to describe mass public near-panic reactions. It is commonly applied to the waves of popular medical problems that "everyone gets" in response to news articles. A similar usage refers to any sort of "public wave" phenomenon, and has been used to describe the periodic widespread reappearance and public interest in UFO reports, crop circles, and similar examples. Hysteria was often associated with events like the Salem Witch Trials, or slave revolt conspiracies, where it is better understood through the related sociological term of moral panic.
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Nederlands (Dutch)
hysterie, uitzinnigheid, zenuwziekte
Français (French)
n. - hystérie
Deutsch (German)
n. - Hysterie
Italiano (Italian)
isterismo, frenesia
Português (Portuguese)
n. - histeria (f) (Psiq.)
Español (Spanish)
n. - histeria, histerismo, ataque de nervios
Svenska (Swedish)
n. - hysteri
中文(简体)(Chinese (Simplified))
歇斯底里症, 不正常的兴奋
中文(繁體)(Chinese (Traditional))
n. - 歇斯底里症, 不正常的興奮
한국어 (Korean)
n. - 히스테리, 병적 흥분, 광란
日本語 (Japanese)
n. - ヒステリー, 病的興奮, 熱狂
العربيه (Arabic)
(الاسم) الهستيريا أو الهرع, اضطراب عصبي يسبب نوبات عنيفه من الضحك أو البكاء أو يسبب ضروبا من الامراض الوهميه, أو فقدان السيطرة على الذات, خوف أو اهتياج عصبي لا سبيل إلى كبحه
עברית (Hebrew)
n. - היסטריה, התפרצות רגשות, יפחת, הפרעה פסיכו-נאורוטית בתיפקוד מערכת העצבים
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