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Hysteria 1 : The Convulsive Attack and Double Personality

Hysteria 1 : The Convulsive Attack and Double Personality. Jean-Martin Charcot (1825-1893) . Clinico-Anatomic Method. Inscribed to Freud, on the day he left the Salp êtrière. Charcot (profile, far left) at theatrical reading, with writers Emile Zola and Edmond de Goncourt.

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Hysteria 1 : The Convulsive Attack and Double Personality

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  1. Hysteria 1 : The Convulsive Attack and Double Personality

  2. Jean-Martin Charcot (1825-1893) Clinico-Anatomic Method Inscribed to Freud, on the day he left the Salpêtrière

  3. Charcot (profile, far left) at theatrical reading, with writers Emile Zola and Edmond de Goncourt

  4. Photographic Iconography of theSalpêtrière (1876-77)

  5. Charcot’s Four Stages of Grand Hysteria • Tonic rigidity: limb contractures that mimicked a typical epileptic fit. • Dramatic body movements: contortions, illogical movements; clownism. 3. Passionate Attitudes: expressions of vivid emotional states. 4. State of delirium

  6. Stages of the Hysterical Attack

  7. “AUGUSTINE”

  8. Beginning of the Attack

  9. Tonic Rigidity—Stage 1

  10. Contracture of the Face Stage 1

  11. Stage 2—Clownisms, Illogical Movements “Circular Arch”

  12. Passionate Attitudes Stage 3 “Menace”

  13. Passionate Attitudes Stage 3 “Menace”

  14. Passionate Attitudes Stage 3 “Aural Hallucinations”

  15. Passionate Attitudes: “Loving Supplication”

  16. Passionate Attitudes “Ecstasy”

  17. Passionate Attitudes: Crucifixion

  18. Metalloscopy: Use of Magnets to shift areas of anaesthesia Zones of Hysterical Anesthesia

  19. Artificial Contracture

  20. Catalepsy produced by sound

  21. Charcot and Blanche Wittman

  22. A Case of Traumatic Male Hysteria

  23. Hippolyte Bernheim (1840-1919) Suggestive Therapeutics (1886) head of the Nancy School

  24. Pierre Janet (1859-1947) Dissociation— Traumatic event and accompanying memories split off from consciousness Imperative Suggestion— suggestion that these memories didn’t exist

  25. Janet’s Somnabulisms • Monoideic—dominated by one idea, usually a transient episode. • Polyideic--complex states or ideas; called fugue states, could involve a loss of identity for extended period. • Recriprocal or Dominating Somnabulism (double personalities)—relatively permanent transition into another state; memory impaired across these states

  26. Reciprocal Somnambulism Lady MacNish/Mary Reynolds

  27. Alfred Binet (1857-1911) On Double Consciousness (1890) Alterations of the Personality (1896)

  28. Examples of Automatic Writing with an anesthetic hand Binet (1890 and 1896)

  29. Insensible Arm—hearing a Metronome Sensible arm Insensible arm while subject counted to five Sensible Arm Subject held dynamometer, connected to a recording cylinder. Binet (1896, p. 201)

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