Page:Freud - Selected papers on hysteria and other psychoneuroses.djvu/151

Rh transitory arrythmia, with longer continued tachycardia up to grave states of heart weakness, the differentiation of which from organic heart affection is not always easy; among such we have the pseudo-angina pectoris, a delicate diagnostic sphere!

(b) With disturbances of respiration, many forms of nervous dyspnoea, asthma-like attacks, etc. I assert that even these attacks are not always accompanied by conscious anxiety;

(c) Of profuse perspiration, often nocturnal;

(d) Of trembling and shaking which may readily be mistaken for hysterical attacks;

(e) Of inordinate appetite, often combined with dizziness;

(f) Of attack-like appearing diarrhoea;

(g) Of locomotor dizziness;

(h) Of so called congestions, embracing all that was called vasomotor neurasthenia; and,

(i) Of paresthesias (these are seldom without anxiety or a similar discomfort).

5. Very frequently the nocturnal frights (pavor nocturnus of adults) usually combined with anxiety, dyspnea, perspiration, etc., is nothing other than a variety of the attack of anxiety. This disturbance determines a second form of insomnia in the sphere of the anxiety neurosis. Moreover I became convinced that even the pavor nocturnus of children evinces a form belonging to the anxiety neurosis. The hysterical tinge and the connection of the fear with the reproduction of appropriate experience or dream, makes the pavor nocturnus of children appear as something peculiar, but it also occurs alone without a dream or a recurring hallucination.

5. "Vertigo."—This in its lightest forms is better designated as "dizziness," assumes a prominent place in the group of symptoms of anxiety neurosis. In its severer forms the "attack of vertigo," with or without fear, belongs to the gravest symptoms of the neurosis. The vertigo of the anxiety neurosis is neither a rotatory dizziness nor is it confined to certain planes or lines like Menier's vertigo. It belongs to the locomotor or coordinating vertigo, like the vertigo in paralysis of the ocular muscles; it consists in a specific feeling of discomfort which is accompanied by sensations of a heaving ground, sinking legs, of the impossibility to continue in an upright position, and at the same