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History of Psychiatry
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Classic Text No. 66

‘Madness from the Womb’

German E. Berrios

Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital (Box 189), Hills Road, Cambridge, CB2 2QQ, UK geb11{at}cam.ac.uk

The word ‘nymphomania’, the concept of ‘madness from the womb’ and the belief in the existence of a behaviour consisting in an abnormally high female sexual drive converged during the second half of the seventeenth century to give rise to a new clinical category which, with minor changes, has survived until the present (e.g., in ICD-10).

This Classic Text, an excerpt from the work of Lazare Rivière, provides a glimpse into the process whereby medical categories are constructed. According to Rivière (and many others) ‘madness from the womb’ was a disease which resulted from overheating and putrefaction of accumulated seed (female sperm) in the womb. Like all medical constructs, ‘madness from the womb’ (and soon nymphomania) included a symptomatology, natural history, aetiology, prognosis and cure. It is also clear that it was rehash of the earlier moral notion of ‘satyriasis’ (a male category applied to women) and the expression of seventeenth-century changing male attitudes towards, and fears of, female sexuality.

Key Words: Cole • Culpeper • erotomania • female sexuality • history • hysteria • nymphomania • Rivière • satyriasis • womb • 17th century

History of Psychiatry, Vol. 17, No. 2, 223-230 (2006)
DOI: 10.1177/0957154X06065699


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