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Felice Lieh Mak

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date: 29 June 2022

The term neurasthenia has had a variegated history, and although retained as a diagnostic entity in the ICD-10 it does not appear in the DSM-IV. In cultures where neurasthenia still enjoys popular professional and lay acceptance it has a variety of usages: ♦ a nosological entity ♦ an idiom for expressing distress ♦ a culturally sanctioned illness behaviour ♦ an explanatory model for a constellation of somatic symptoms ♦ an euphemism for avoiding the stigma of mental disorder. Therefore, in diagnosing, understanding, and managing neurasthenia the clinician has to be aware of the context in which the term is used.

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