From Hysteria to Anorexia Nervosa: An Evolution of Medical Terminology

– by Julia Jablonowski

 

Most people in our contemporary society are familiar with anorexia nervosa –more commonly known as just “anorexia.” Yet few know the development of medical thought and the advancement of medical etymologies in the Victorian era that led to the emergence of what we know today as anorexia nervosa.

Prior to the pathological conception of anorexia nervosa, its fundamental symptoms, which are grounded in self-inflicted food aversions, were not thought of as an independent disorder until the nineteenth century. A common diagnosis that was used in the days before anorexia nervosa was hysteria, a disease historically exclusive to the female gender.[1]

In the Victoria era, a woman was societally understood to be passive, feeble, emotional, and fragile.[2]  These beliefs as espoused by Victorian culture created a space in which women were understood to be societally, and medically, more susceptible to illness. From mood swings to fevers, light-headedness to exhaustion, it seemed that almost any physical or mental affliction residing within the body and psyche of a woman could be met with the diagnosis of hysteria. Other symptoms included a vast array of nervous and erratic behavior projected by women in the form of fatigue, food refusal or self-starvation, depression, bodily pains, anxiety, and the general feeling of unwellness.[3]  Because of the broad symptoms of hysteria, it was applied to a large expanse of medical, mental, and emotional cases troubling the fragile Victorian female.

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