Clinical Management of the Patient With Fatigue and Nervousness

Wilbur, Dwight L.

doi:10.1001/jama.1949.02910170001001

Cited by 10 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…140 In return believers gave as good as they got-Weir Mitchell once reacted to a copy of Freud by saying 'Throw that nonsense on the fire'. 141 The accounts of the Congris des Midicin Alienists et Neurologist de France 142 (in which such figures as Bernheim, Dubois and Dejerine argued against well known organicists, such as De Fleury and Hartenburg), the American Neurological Association on numerous occasions between 1880 and 1914, the American Medical Association in 1944 81 and so on, follow a similar pattern, and will be familiar to those who have attended recent meetings on CFS/ME. Disputes also split the two camps-on the one hand Dubois and Dejerine devote much space to criticising Bernheim and Freud (and vice versa), whilst on the organic side the arguments between Althaus and Arndt, and between Beard and Hammond, about the nature of the pathology were even more ill tempered.…”

Section: Dissent and Dismissalmentioning

confidence: 94%

See 1 more Smart Citation

History of postviral fatigue syndrome

Wessely

1991

British Medical Bulletin

View full text Add to dashboard Cite

In writing a history of any illness there is always a dilemma whether to attempt the story of the condition 'itself', the medical attempts to define its nature, or to glimpse it via our changing reactions. The easiest is a straightforward account of the attempts of scientists to solve a problem--the classic medical detective story. However, this is often more fiction than fact. Medicine rarely moves smoothly from ignorance to knowledge, but often in a more circular fashion. A historical approach is thus not solely a record of who did what, but also contributes to our understanding of the problems under scrutiny in this issue. Terminology is never easy in this subject, but the following conventions will be used: The terms neurasthenia and ME will be used in their actual context (as authors themselves used them), without defining either. Post-infectious fatigue syndrome (PIFS) will cover similar conditions when related to infective episodes. All will be used in a neutral fashion, to refer to changing realities as understood by doctors and historians. This chapter attempts both chronological description and social analysis. The justification for this approach is clear in the case of neurasthenia, since 'as so little was known of its pathological basis physicians' statements regarding the disease were composed more of social and cultural elements than of scientific knowledge'. Although much has changed, a contemporary account still reveals as much about cultural attitudes as the advance of science.

show abstract

Section: Dissent and Dismissalmentioning

confidence: 94%

“…Perhaps mindful of the neurasthenia experience, rather than develop specific nosological entities physicians generally resorted to descriptive labels, such as 'chronic nervous exhaustion', 78 'tired, weak and toxic', 79 'Fatigue and weakness' 80 or 'Fatigue and nervousness'. 81 However, the main emphasis was on psychological mechanisms.…”

mentioning

confidence: 99%

History of postviral fatigue syndrome

Wessely

1991

British Medical Bulletin

View full text Add to dashboard Cite

show abstract

Distribution, Form, and Extent of Psychiatric Consultations

Blain¹,

Gayle²

1954

JAMA

View full text Add to dashboard Cite

In the history of medicine, the consultation is an old and honored function, participated in by two or more members of the profession with the idea of assistance, exchange of information, and the passing from one to the other of advice gained from special knowledge and experience. In the past, it has been a matter of honorable recognition that certain teachers and elders of the profession have been approached by their younger colleagues to assist them in special problems relating to diagnosis or planning of a treatment regimen. It has been a form of teaching and a form of friendly assistance. The increase of knowledge concerning the great mass of medical information and the growth of specialties and subspecialties has expanded the need for consultation generally throughout the profession.The word "consultation" is, of course, used to express a number of different functions. When it refers to the meeting of physician and patient, it frequently assumes the meaning of the treatment process. The consulting rooms are the places where the physician meets a patient and takes care of him. The phrase "consultation by appointment" also usually refers to the meeting of the physician and the patient in regular diagnostic and treat¬ ment procedures.In this paper, the word "consultation" is specifically restricted to the following definition: "the request for an opinion concerning diagnosis and advice concerning treatment, and not referral for treatment." The consulta¬ tion implies that the advice concerning a diagnosis and treatment shall be given to the physician in charge of the case, who, in most instances, will proceed to carry out the advice of the more learned consultant. The plan for treat¬ ment, of course, may involve specialized hospitalization and the selection of a hospital or specialized treatment, which the referring physician may not be able to carryout. An attempt is made to differentiate between the assistance in diagnosing and planning for treatment and the actual carrying out of the treatment itself. MODERN PSYCHIATRYIn the field of psychiatry, one is dealing with a problem that, though old as antiquity, nevertheless has only re¬ cently become a distinct and separate branch of medi¬ cine. Psychiatry is encumbered with the burden of vast clinical needs, vast institutionalism, and insufficient knowledge concerning etiology and specific treatment. This is mitigated by great progress in treatment in more generalized ways. The specialty suffers from difficulties of measurement, both of the quality and quantity of its symptomatology and pathological processes. The relationship between what can be seen and what can be deduced from observations makes it a far more difficult field in which to work than others in which well-known measuring devices, technical instruments, laboratory pro¬ cedures, and, particularly, the microscope and the roent¬ gen ray assist the general observation and deduction processes.The scope of psychiatry has grown from a relatively narrow, limited area of concentration to an interest in every ...

show abstract

The Use of Vitamin B12 in the Syndrome of Non-specific Hepatic Fatigue, a Common Condition Simulating Psychoneurosis

Ross

Ernst

1952

Acta Neurovegetativa

View full text Add to dashboard Cite

Clinical Management of the Patient With Fatigue and Nervousness

Cited by 10 publications

References 7 publications

History of postviral fatigue syndrome

History of postviral fatigue syndrome

Distribution, Form, and Extent of Psychiatric Consultations

The Use of Vitamin B12 in the Syndrome of Non-specific Hepatic Fatigue, a Common Condition Simulating Psychoneurosis

Contact Info

Product

Resources

About