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The British Journal of Psychiatry (1968) 114: 1115-1119. doi: 10.1192/bjp.114.514.1115
© 1968 The Royal College of Psychiatrists
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Hysteria: An Evaluation of Objective Diagnostic Criteria by the Study of Women with Chronic Medical Illnesses

ROBERT A. WOODRUFF Jr. M.D.1

1 Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, 63110, U.S.A.

All patients admitted to one female medical ward in a university hospital were screened until 50 women were collected who had been disabled by symptoms continuously during the preceding five years. These women were given a structured interview to determine how many filled the Perley and Guze criteria for hysteria. Only one patient met the full triad of criteria.

This study indicates that there is little overlap between hysteria and chronic medical illness; the Perley and Guze criteria distinguish between the two effectively. If the three criteria are not used in full, their diagnostic effectiveness is diminished.

These findings serve as further evidence that hysteria, as defined by Perley and Guze, is a valid, independent syndrome.

Submitted on April 27, 1967




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