Overview

This fascinating history of psychosomatic disorders shows how patients throughout the centuries have produced symptoms in tandem with the cultural shifts of the larger society. Newly popularized diseases such as ""chronic fatigue syndrome"" and ""total allergy syndrome"" are only the most recent examples of patients complaining of ailments that express the truths about the culture in which they live.

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9780029286678

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Like other cultural phenomena, psychosomatic illnesses are subject to changes in fashion; here, Shorter (The Healthy Century, 1987, etc.) has applied his considerable skill in researching medical history to an examination of these trends from the mid-18th century to the present. Shorter defines psychosomatic illness as any illness in which physical symptoms, produced by the action of the unconscious mind, are defined by the individual as evidence of organic disease and for which medical help is sought. He identifies doctors' attitudes and beliefs as major cultural factors in determining what symptoms the unconscious mind selects, and examines how doctors' ideas have changed as new theories about disease have evolved. He also looks at the changing doctor-patient relationship over the past two-and-a-half centuries, making clear why the vapors and hysteric fits of paralysis, once especially common among women, are now quite unacceptable (as are the horrific treatments devised by some doctors to deal with them). Shorter notes that today chronic fatigue syndrome (CFS) is perhaps the most fashionable psychosomatic complaint in a spectrum that includes yeast infections, food allergies, and what has been called the twentieth-century disease, or total allergy syndrome. Using CFS as an example, the author traces how a psychosomatic illness becomes fashionable as the mass media, supplanting medical authority, disseminate pseudoscientific information about genuine, difficult-to-diagnose organic diseases to suggestible individuals with quite different symptoms. Whereas the stifling intimacy of family life in Victorian times increased the propensity for certain psychosomatic illnesses, he explains, today social isolation and exposure to media sensationalism produce others. A fine, example-filled account of how different times and different mores produce different psychosomatic illnesses. (Kirkus Reviews)

Author Information

Edward Lazare Shorter is a historian who is Professor & Hannah Chair in the History of Medicine in the Faculty of Medicine at the University of Toronto. His specializations are in the history of medicine and psychiatry.

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