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Neurasthenia: tracing the journey of a protean malady
International Review of Psychiatry ( IF 3.7 ) Pub Date : 2020-05-07 , DOI: 10.1080/09540261.2020.1758638
Poornima Bhola 1 , Santosh K Chaturvedi 2
Affiliation  

Abstract Neuresthenia has had its popularity waxing and waning over the years. This review article traces the path and trajectory of the concept of this disorder, how it changed and varied over time, to the current times, when it has been almost forgotten and the concept is heading towards oblivion. Although its place in the diagnostic systems is currently in question, neurasthenia is still part of professional conversations and practice. The concept of neurasthenia emerged at the intersections of clinical, cultural and sociological dimensions of society. A deeper examination of how neurasthenia was situated at the intersections of race, class and gender exemplifies how psychiatric diagnoses may reflect and shape societal biases. The neurasthenia label has all but disappeared from contemporary nosological frameworks, however, there is a proliferation of other disorders, e.g. chronic fatigue syndrome, fibromyalgia, that try to capture the experience of fatigue, pain, weakness, and distress even in the absence of clear-cut medical aetiologies. Only time will tell, if this concept has indeed been buried, or will rise as a phoenix in the years to come. Newer nervous fatigue syndromes are expected to emerge from the use of technology, screen time and the virtual world.

中文翻译:

神经衰弱:追踪多变疾病的旅程

摘要 多年来,神经衰弱的流行程度有增有减。这篇评论文章追溯了这种疾病概念的路径和轨迹,它是如何随着时间的推移而变化和变化的,直到现在,它几乎被遗忘并且这个概念正走向遗忘。尽管神经衰弱在诊断系统中的地位目前存在问题,但它仍然是专业对话和实践的一部分。神经衰弱的概念出现在社会的临床、文化和社会学维度的交叉点。对神经衰弱如何位于种族、阶级和性别的交叉点进行更深入的研究,举例说明了精神病学诊断如何反映和塑造社会偏见。然而,神经衰弱的标签几乎从当代疾病分类框架中消失了,即使在没有明确的医学病因的情况下,其他疾病也在激增,例如慢性疲劳综合征、纤维肌痛,它们试图捕捉疲劳、疼痛、虚弱和痛苦的经历。只有时间会证明,这个概念是否真的被埋没了,或者在未来几年会像凤凰一样崛起。新技术的使用、屏幕时间和虚拟世界预计会出现新的神经疲劳综合症。
更新日期:2020-05-07
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