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History of Psychiatry
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The making of `American': race and nation in neurasthenic discourse

Brad Campbell

California Polytechnic State University, bcampb02{at}calpoly.edu

This paper considers the underexamined racial and nationalistic components of late nineteenth- and early twentieth-centur y neurasthenic discourse to propose that neurasthenia was as much a discourse of moder n American identity as it was a discourse of disease. By closely reading the medical and general texts which helped to popularize it, and by scr utinizing the context of its vogue and supposed subsequent decline, this paper shows how neurasthenia was intimately bound up with the era's politics of race, nationalism and citizenship. Countering traditional understandings of the disease, this study suggests that neurasthenia did not simply anticipate but was pre-eminently preoccupied with the questions and crises of modernity; that it was not, after all, a quintessentially Victorian but a fundamentally moder nist discourse, and a paradigmatic example of how the construction of a neurotic American subject was necessarily and inevitably a constr uction of a moder n American subject.

Key Words: African-American • George Beard • insanity • nationalism • neurasthenia • race • USA

History of Psychiatry, Vol. 18, No. 2, 157-178 (2007)
DOI: 10.1177/0957154X06075214


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This article has been cited by other articles:


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M. Gambino
'These strangers within our gates': race, psychiatry and mental illness among black Americans at St Elizabeths Hospital in Washington, DC, 1900-40.
History of Psychiatry, December 1, 2008; 19(76 Pt 4): 387 - 408.
[Abstract] [PDF]