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Mitchell, S. Weir (Silas Weir), 1829-1914

"Fat and Blood An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria"

In this case, if the
battery be started and the poles moved about on the surface as usual,
but without any connection being made, one of two things will
happen,--either the patient will naturally find it very mild, and will
submit fearlessly to a gentle and increasing treatment, or else her
apprehensions will so dominate her as to cause her to complain of the
effects as exciting or tiring her, or as spoiling her sleep. A few words
of kindly explanation will suffice to show her how much expectation has
to do with the apparent results, and she will be found, if the matter be
managed with tact, to have learned a lesson of wide usefulness
throughout her treatment.
However, there are occasional, though very rare, cases in which it is
impossible to use faradism at all by reason of the insomnia and
nervousness which result even after very careful and gentle application
of the current. On the other hand, some patients find the effect of the
electric application so soothing as to promote sleep, and will ask to
have it repeated or regularly given in the evening.


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