The major symptoms of hysteria : fifteen lectures given in the Medical School of Harvard University [between the fifteenth of October and the end of November, 1906] . salso a phenomenon in relation with the disturbances ofalimentation. It is the same with the last inspiratory tic, the hiccough,which is also very frequent. The hiccough is nothingbut a very rapid inspiration with a certain degree ofspasm of the glottis. The air cannot reenter quicklyenough, because the inspiration is too rapid and alsobecause the glottis is a little closed; this results first ina certain characteristic noise, an
The major symptoms of hysteria : fifteen lectures given in the Medical School of Harvard University [between the fifteenth of October and the end of November, 1906] . salso a phenomenon in relation with the disturbances ofalimentation. It is the same with the last inspiratory tic, the hiccough,which is also very frequent. The hiccough is nothingbut a very rapid inspiration with a certain degree ofspasm of the glottis. The air cannot reenter quicklyenough, because the inspiration is too rapid and alsobecause the glottis is a little closed; this results first ina certain characteristic noise, and also in a certainthoracic vacuum, which causes an aspiration in all theorgans. You can see this fact in the graphic of hiccough(Figure 20): when the hiccough appears at the beginningof each inspiration, the abdomen is aspirated and the 260 The Major Symptoms of Hysteria graphics of both respirations, thoracic T and abdominalA, are momentarily This will presently play a great part in the phe-nomenon of aerophagia, with patients who swallow air,and in vomition. Let us only remark that the hiccoughis one of the most frequent phenomena. When looking. Fig. 20. — Graphic of respiration in a case of continuous hicough, A hic-cough in each respiration at the beginning of the inspiration. over my notes to prepare this course of lectures, Icounted twenty-nine great observations of hystericalhiccough that had lasted for months together. Among the expiratory tics, we shall first range thehysterical cough, that little phenomenon so frequent atthe outset of the disease. There are, in this connection,clinical observations on the evolution, which are factsof experience and cannot very well be accounted for. 1 Nevroses et Idees fixes, II, Observation 100, p. 360. Tics of Respiration and Alimentation 261 Thus the hysterical hiccough is, to my mind, a rather seri-ous phenomenon of bad prognosis. It points to a greathysteria; the hysterical cough, which is almost like it,is a more
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