Was late-nineteenth-century nervous vomiting an early variant of bulimia nervosa?
Identifieur interne : 000926 ( Main/Exploration ); précédent : 000925; suivant : 000927Was late-nineteenth-century nervous vomiting an early variant of bulimia nervosa?
Auteurs : Ron Van Deth ; Walter Vandereycken [Belgique]Source :
- History of psychiatry [ 0957-154X ] ; 1995-09.
English descriptors
- Teeft :
- Allgemeine diagnostik, American journal, Anorexia, Anorexia nervosa, Behavioural features, Binge, Body shape, Body weight, Bouveret, Brudenell carter, Bulimia, Bulimia nervosa, Bulimic, Bulimic disorder, Bulimic disorders, Caelius aurelianus, Case histories, Case history, Classic hysteria, Clinical entity, Clinical lecture, Clinical picture, Clinical society, Clinician, Constant hunger, Disorder, Food abstinence, Food intake, Food refusal, Functional disorders, Further evidence, Gastric neuroses, Globus hystericus, Graily hewitt, Habermas, Historical continuities, Historical sources, Hysterical, Hysterical patients, Hysterical symptoms, Hysterical vomiters, Incoercibles, International journal, Lauder brunton, Malady, Many clinicians, Medical accounts, Medical therapy, Mental disorders, Modern bulimia nervosa, Modern bulimic patients, Modern forms, Nervosa, Nervous consumption, Nervous dyspepsia, Nervous system, Nineteenth century, Other times, Overeating, Painful digestion, Praktischen medicin, Psychiatric disorders, Psychiatric history, Psychogenic, Psychogenic bulimia, Psychological medicine, Psychologie physiologique, Recurrent episodes, Retrospective identification, Rosenthal, Several cases, Severe case, Speciellen therapie, Sudden death, Syndrome, Systematic treatment, Tuckwell, Vandereycken, Vomissements, Vomissements incoercibles, Vomiter, Walter vandereycken.
Abstract
We studied a wide variety of medical publications to find out whether late- nineteenth-century nervous or hysterical vomiting was clinically consistent with modern bulimia nervosa. Since modern diagnostic criteria of bulimia nervosa may be time- and culture-bound, we made use of adapted criteria, focusing on the more overt, physical and behavioural features of the syndrome. In retrospect, it became obvious that only some of these specific diagnostic requirements were met. Indeed, late-nineteenth-century nervous or hysterical vomiters most likely have been non-organically-ill neurotics. However, their disorder was more closely associated with food abstinence in general and anorexia nervosa in particular than with overeating. Only in a few cases doctors made mention of recurrent episodes of binge eating, but there was no convincing evidence of any concern for body shape and weight. Obviously, late-nineteenth-century nervous or hysterical vomiting was still located at the crossing between classic hysteria, the 'new' clinical entity of anorexia nervosa, and forms of psychogenic vomiting.
Url:
DOI: 10.1177/0957154X9500602304
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">We studied a wide variety of medical publications to find out whether late- nineteenth-century nervous or hysterical vomiting was clinically consistent with modern bulimia nervosa. Since modern diagnostic criteria of bulimia nervosa may be time- and culture-bound, we made use of adapted criteria, focusing on the more overt, physical and behavioural features of the syndrome. In retrospect, it became obvious that only some of these specific diagnostic requirements were met. Indeed, late-nineteenth-century nervous or hysterical vomiters most likely have been non-organically-ill neurotics. However, their disorder was more closely associated with food abstinence in general and anorexia nervosa in particular than with overeating. Only in a few cases doctors made mention of recurrent episodes of binge eating, but there was no convincing evidence of any concern for body shape and weight. Obviously, late-nineteenth-century nervous or hysterical vomiting was still located at the crossing between classic hysteria, the 'new' clinical entity of anorexia nervosa, and forms of psychogenic vomiting.</div>
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