Posted in Psychology & Medicine

Hysteria

Hysteria is a disease that was believed until the late 19th century to be a disease unique to women due to a pathology of the uterus (hystera is Greek for uterus). The most common symptom was mental disturbance (such as extreme moods) accompanied by shortness of breath, vaginal dryness, nervousness, insomnia, oedema, faintness and many more. The treatment back then was for a physician to massage or stimulate the patient’s vagina to induce an orgasm. By the 19th century, the treatment evolved and involved vibrators and water massage machines.

This disease was first noted by Hippocrates, the father of modern medicine. Galen, another famous physician in the 2nd century, believed it to be caused by sexual deprivation. Thus, sexual intercourse was prescribed as treatment in the Middle Ages.

Modern medicine no longer recognises hysteria as a medical condition and is now referred to as sexual dysfunction (the sexual treatments described above are no longer used either). However, there is a condition called mass hysteria that indeed exists.
This is a psychological phenomenon rather than a disease, commonly occurring in closed spaces such as planes or in crowds in a state of panic. When a high tension situation arises, people easily become delusional and believe that they are suffering from a disease. The body reacts to this with actual symptoms such as a psychosomatic rash. These symptoms can be as severe as fevers, vomiting and even paralysis.

If many people are all complaining of similar symptoms and infectious disease seems unlikely, there is an easy way of diagnosing mass hysteria. Tell the patients that they have a rare disease and begin listing the symptoms they complain of. At the end, make up a false symptom (e.g. “shaking of the left hand”). If the patients all suddenly start to shake their left hands (which causes them to panic more), it is likely that their panicking brain is causing the symptoms rather than some pathogen. Symptoms subside after the patients relax.

Interestingly, mass hysteria affects women much more than men.

Posted in Psychology & Medicine

Couvade Syndrome

A patient comes to a doctor complaining of the following symptoms: “I can’t sleep because my teeth have been aching for the past few weeks. My head is killing me and whenever I wake up in the morning my stomach hurts and I feel nauseous and want to vomit. Sometimes I have no appetite and sometimes I crave a certain food. My breasts have gotten bigger and my stomach is bulging quite a bit.”
The patient has been married for three years and in a few months will have a beautiful daughter.
What is the diagnosis?

Most people would immediately say “Pregnancy!”. But there is one small detail that was left out: the patient is a man.
It is common sense that men cannot be pregnant. So what is this man suffering from?

Couvade syndrome is also known as sympathetic pregnancy. In other words, the husband subconsciously copies his wife’s pregnancy and suffer the same symptoms. This syndrome can be severe enough to cause labour pains, nosebleeds and even post-partum depression.
The cause has not been established, but it is likely to be psychosomatic, where psychological symptoms are expressed through physical symptoms, or due to changes in hormone levels.