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п»ї<title>Is there such a thing as male hysteria?</title>
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Today, the concept of "hysteria" has dissolved into other diagnoses. Earlier, during the 19th century, it gained great popularity as a frequently diagnosed disorder, especially in women. Now, Jean-Martin Charcot himself, Freud's mentor, once defined male hysteria by describing very clear cases in order to "defeminize" the condition.
If there is one thing that is undoubtedly curious, it is how history tends to sexualize certain categories, disorders or dimensions by pigeonholing them into a certain gender. Thus, any sign of instability, emotional effusiveness, nervous disorder accompanied by migraines, abdominal pains, decay, etc., had for a long time a clear female exclusivity.
During the 18th century it was fashionable to be a hysterical man. Under that term was sought to encapsulate more refined, sensitive and civilized behavior.
It was perhaps overlooked that Sigmund Freud tried to convince the Vienna Medical Society in 1886 of the existence of male hysteria and of the clinical label he himself had defined in his day. However, his colleagues did not want to accept or pay interest to this diagnostic dimension inherited from Hippocrates and which originally alluded to how - supposedly - the female uterus came to alter the behavior and will of women.
How to accept that the male gender could present the same nervous alterations, somatizations and dissociative behaviors? It seems that male hysteria existed and exists; however, all this set of symptoms are nowadays collected under other clinical labels more adjusted.
A study carried out by the University of Toronto and published in the journal European Neurology explains that the concept of "hysteria" has been with us for more than four thousand years. There are Egyptian papyri that speak of the phenomenon of the "shrewish uterus" and how this organ could reach the woman's throat if she was very passionate and suffered from sexual deprivation.
However, the first historical reference to male hysteria appears in a play by William Shakespeare: King Lear himself defines his affliction as that passionate pain generated by hysteria. Later, we would have to wait until the 19th century for Jean-Martin Charcot to focus his interest on this dimension between 1865 and 1893.
In order to carry out his work, he relied on other works carried out by colleagues such as that of Paul Briquet and his book TraitГ
clinique et therapeutique de l'hystГrie. In this treatise, the relationship between hysteria and the uterus was left aside, to speak already of a mental disorder that for Dr. Briquet would have a cerebral origin. He defined it as "neurosis of the brain" and it affected men and women equally.Although Charcot and Freud made an effort to be impartial when describing the symptomatology of hysteria without differentiating between female and male hysteria, popularly there was another idea. Hysterical women, for example, presented passionate, highly emotional and sexually deviant behaviors. Therefore, male hysteria attributed to the male gender the most stereotypical feminine traits: sensitivity, emotional changes and effeminate behaviors.
Likewise, and as a curiosity, in the 19th century it was believed that male hysteria was caused by anxiety. A deep anxiety for not manifesting that attitude and those clearly "masculine" roles demanded by society. Now, from a clinical and objective point of view, Charcot defined male hysteria as follows:
Hysteria, both female and male, had nothing to do with sexual problems.
The patients showed extreme behaviors or on the contrary evidenced mutism and repression. Some of them stopped walking, stopped eating or even became vegetative. These extreme emotional changes appeared just after a critical event, such as an accident, serious falls, and also as a result of alcoholism.
It should be noted that for Charcot there was no difference between male and female hysteria. Later, Sigmund Freud took up his legacy and deepened the concept of trauma; however, he preferred to focus at all times on female hysteria.
From male hysteria to post-traumatic stress disorderIf you have read the book "Mrs. Dalloway" by Virginia Woolf, the term male hysteria will undoubtedly ring a bell. In this 1925 novel, Woolf describes this term, associating it with an idea that is more clinically accurate.
She used it to describe traumatized men returning from the war. In fact, it was precisely because of these situations in which thousands of young people returned from the front without being able to react, that another term began to be used: "shell shock".
Little by little, the label of hysteria has been changing to adjust to clinical realities, where neurosis, conversion disorder or post-traumatic stress disorders give a better idea of this type of symptomatology, which undoubtedly appears in both sexes. However, there are still traces of this pejorative and misogynistic categorization.
In conclusion, it is worth noting the great evolution that this term has undergone. After all, behind that feminine and masculine hysteria what we had was someone incapable of assimilating a trauma. A person with a latent anxiety that did not know how to channel or express...
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