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volition, but rather that the function of " volition " is suspended.
Therefore, if electric currents are applied to the spine to re-
establish this function, it affords the cure. (See App. E, F.)
Hysterical Affections of Joints. — Sir Benjamin Brodie states
the remarkable fact, which no one is so well able correctly to
ascertain as a surgeon of his great experience, that four fifths
of the supposed cases of joint diseases which occur among the
better classes are truly hysterical. You may always expect to
find in these cases other indications of the hysterical state. See
his practical little volume on " Local Nervous Affections." He
says there is always exceeding tenderness. The joints most fre-
quently affected are the hip and the knee. The patient keeps
the painful joint quite at rest, and always yielding to a partial
flexed position, and being fearful of the least disturbance. When
the joint is moved by you, she will call out with much more ex-
pression of pain than if there were actual ulcerative disease of
the cartilages.
Dr. Balman, of Liverpool, gives an interesting account of a case
of hysterical paralysis in a young lady of seventeen,that had heen
treated for three years for curvature of the spine. The curva-
ture at first appeared to be lateral, but subsequently angular
curvature came on. When he first saw her, she was upon the
sofa, looking pale, but otherwise appearing well. Her attendant
said she had been unable to stand, walk, or speak, since the fit of
the previous day. " Upon examination," he says, " I found the
spine very crooked, with an angular curvature of the last two
dorsal vertebra; on passing my fingers down the median line,
there appeared to be distinct tenderness both between the scapu-
las and over and about the seat of the projecting spine, extend-
ing down to the sacrum ; the feet and limbs were cold, livid, and
completely insensible to the prick of a needle, as far as the knees;
the hands were in a similar condition, but the loss of sensation
did not extend beyond the wrists.
" Although unable to stand or support the body for a moment
without assistance, I soon afterwards learned she was enabled to
turn the feet about in almost any direction when lying down in
bed; her nights were restless and without sleep, and the eyes