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s of the affliction is painful and increases the chasm between wife and husband. That some of the sweetest marriages result where the wife is of this type does not change the general situation that such a marriage is an increased risk. Should a man knowingly marry such a woman? The question is futile in the overwhelming majority of cases. He will marry her, is the answer. For the fascinating woman is frequently of this type. Witness the charm of the neuropathic eye with its widely dilated pupil that changes with each emotion, the mobile face,--delicate, with a play of color, red and white, that is charming to look at, but which the grim physician calls "Vasomotor instability." There is nothing neutral about this type; she is either very lovely or a freak. So all advice in the matter is of little avail. And racially speaking it is good that it is of no avail. I believe firmly that such a woman is more often the mother of high ability than her more placid sister; that something of the delicacy of feeling and intensity of reaction of neurasthenia is a condition of genius. We are too far away from any real knowledge of heredity to advise for or against marriage in the most of cases on this basis, and certainly we must not repeat Lombroso and Nordau's errors and call all variations from stupidity degeneration. But this does not change the domestic situation of the man who is usually much more concerned with his own comfort than the mathematical possibilities of his offspring being geniuses. Certainly such a woman as the type now considered is not a poor man's wife, for she really needs what only the rich can have,--servants, variety, frequent vacations, and freedom from worry. Now worry cannot be shut out of even the richest home, for illness, old age, and death are grim visitors who ask no man's leave. But poverty and its worries are kept away by wealth, and poverty is perhaps the most persistent tormentor of man. Essential in the study of "nervousness" is the physical examination, and we here pass to the physically ill housewife. It is important to remember that the diagnosis of neurasthenia is, properly speaking, what is called by physicians a diagnosis of exclusion. That is to say, after one has excluded all possible illnesses that give rise to symptoms like neurasthenia, then and then only is the diagnosis justified. That is, a woman physically ill, with heart, lung, or kidney disease, or with derangements of t
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