More specifically, the face of hysteria has itself altered, at least implicitly, in light of the work of such psycholinguists and psychoanalysts as Jacques Lacan, Hélène Cixous, and Julia Kristeva. No less important, the role played by language and discourse in the analysis of virtually all medical conditions, ancient and modern, has been magisterially enlarged and problematized, and recent discourse theory has taught historians of all territories, medical and nonmedical, that the social history of language cannot be overlooked when tracing the rise and fall of medical conditions: plague, gout, dropsy, consumption, cholera, influenza, as well as the more psychosomatic conditions. And above all, feminist scholarship has lavished great attention upon demystifying the gender and social control encoded in women's diseases, especially the hysteria diagnosis, in the age of Freud. One could claim without exaggeration that in our time the social construction of both mind and body have come into their own. The mind/body problem is no longer regarded as a technical or logical problem, focusing on canonical texts, for historians of philosophy or philosophers of mind to study. The history of therapeutics now takes more account of the complex dynamics of doctor/patient relationships. Medical history has moved from a positivist to a critical phase and has begun to shift from the scientific history of disease to the cultural history of diseases and the study of illness as metaphor. Over the last decade, scholarship has, of course, been changing-enormously. In any case, because it was published in France, never translated into English, and not widely publicized, Histoire de l'Hysterie had little impact on the anglophone academic community. Tual, or discursive resonances that have come to preoccupy humanists and historians in the last decade.
Trillat too took an internalist approach, meticulously consulting the history of a medical condition without considering the cultural, contex. Veith wrote as an internalist medical historian who construed the history of hysteria in its realist dimension only, without casting an eye on its forms of representation or its broad social and cultural subtleties of class, gender politics, and ideology. In the late 1960s, broad cultural and contextual approaches had not yet been developed within medical history, and there was little sense of the wider implications of Veith's newly published and widely praised history. Yet these two books have had a curious lack of influence. There have been, of course, other approaches, for example, in the work of practicing doctors, amateur historians, and psychoanalytic theorists. In this light, it is odd that only two full-length scholarly surveys of its history have been published within the last half century: Ilza Veith's Hysteria: The History of a Disease (Chicago: University of Chicago Press, 1965), and Etienne Trillat's Histoire de l'Hysterie (Paris: Seghers, 1986). It posed in direct and personal form the key questions of gender and mind/body relations, and, as Henri Ellenberger has shown in his Discovery of the Unconscious, it formed the springboard for the discovery of the unconscious in psychoanalysis. Yet hysteria was extraordinarily prominent in nineteenth-century medicine and culture. And accompanying its alleged disappearance there has been a declining interest in its history among most historians. Hysteria, it is often said, has disappeared this century, its problems solved by Freud, or its investigation discredited by the antics of Charcot.