Neurasthenia | |
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Pronunciation | |
Specialty | Psychiatry, psychology, psychotherapy ![]() |
Neurasthenia is a term that was first used at least as early as 1829[1] to label a mechanical weakness of the nerves and would become a major diagnosis in North America during the late nineteenth and early twentieth centuries after neurologist George Miller Beard reintroduced the concept in 1869.
As a psychopathological term, the first to publish on neurasthenia was Michigan alienist E. H. Van Deusen of the Kalamazoo asylum in 1869,[2] followed a few months later by New York neurologist George Beard, also in 1869[3] to denote a condition with symptoms of fatigue, anxiety, headache, heart palpitations, high blood pressure, neuralgia, and depressed mood. Van Deusen associated the condition with farm wives made sick by isolation and a lack of engaging activity, while Beard connected the condition to busy society women and overworked businessmen.
Neurasthenia is currently a diagnosis in the World Health Organization's International Classification of Diseases (and the Chinese Society of Psychiatry's Chinese Classification of Mental Disorders). However, it is no longer included as a diagnosis in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders.[4]
Americans were said to be particularly prone to neurasthenia, which resulted in the nickname "Americanitis"[5] (popularized by William James[6]). Another, rarely used, term for neurasthenia is nervosism.[7]