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Hysteria has generated a vivid popular mythology as well as a vast scientific literature over its long history. In this spirited book, Martha Noel Evans sheds new light on the significance of hysteria both as an actual psychological disorder and as a cultural statement about gender. Drawing on medical and psychoanalytic texts from Charcot to Lacan and Irigaray, Evans traces the evolution of the concept of hysteria in France from the rise of modern psychiatry in the late nineteenth century to the present. Evans focuses her attention on the intertwining of politics, history, and culture. What she finds most striking is that, in spite of its constancy in the nomenclature of mental disorder, hysteria has persistently been defined as indefinable. She illuminates the processes of denial and projection at work in specialists' encounters with hysteria, showing how even in the discourse of modern science, hysteria itself has been transformed metaphorically into the tricky, oversexed, and elusive woman its sufferers had once been thought to be. Disputing claims that hysteria no longer exists as an illness, Evans links its recent resurgence in France to its function as a locus of repression of cultural anxieties. Fits and Starts will be rewarding reading for anyone concerned with the history of psychoanalysis and with the relationship between psychoanalysis and literature, including scholars and students in the fields of women's studies, gender studies, cultural history, and literary theory.
This book is concerned with one of the major areas of misdiagnosis in medicine today. It has been estimated that as many as thirty percent of children typed as "epileptic" when presenting with loss of consciousness, falls or other paroxysmal episodes have, in fact, non-epileptic attacks. Yet because of the stigma attached to this label, and the frequent side effects of anti-epileptic drugs, it is important that the alternative etiological mechanisms be recognized. The most common of these conditions, the vagalmediated anoxic seizure or fainting fit, is so frequent that it will be encountered by anyone involved in the practice of clinical medicine in its widest sense. These seizures are discussed in depth using original data and extensively reviewing the literature. Many other less common, but nonetheless important, varieties of fits, faints and "funny turns" are self-induced by a Valsalva maneuver, and motor events ranging from day-dreaming to the effects of suffocation and brain swelling. As Jean Aicardi writes in his foreword to this volume: "Over 140 case histories...bring the flavor of real life into an exhaustive, yet highly readable account...This monograph is undoubtedly the most comprehensive source of information available about the various types of anoxic attacks, their clinical and EEG features, mechanisms and prognosis...This is a delightful book that anyone involved in clinical medicine in general and child neurology in particular will enjoy reading."
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