What Was Tropical about Tropical Neurasthenia? The Utility of the Diagnosis in the Management of British East Africa

Crozier, Anna

Abstract

During the first quarter of the twentieth century, tropical neurasthenia was a popular diagnosis for a nervous condition experienced by Europeans in the topics. Tropical neurasthenia was not psychosis or madness, but was rather an ennui or loss of “edge” brought about by the strains of tropical life, especially the unfamiliar, hot climate. A catch-all for a wide range of symptoms, many missionaries, colonial staff, and settlers throughout Empire were repatriated because of it, although this article concentrates on Colonial Service employees working in British East Africa. While histories of tropical neurasthenia have usefully (and correctly) explained this diagnosis as an expression of the anxieties of the colonial regime, this article adds a new dimension to the historiography by arguing that tropical neurasthenia can only be properly understood as a hybrid form, dependent not only upon the peculiarities of the colonial situation, but also descended from British and American clinical understandings of neurasthenia. Moreover, once tropical neurasthenia is properly acknowledged as being typical of clinical understandings of the time, other reasons for its comparatively long endurance in the colonial situation emerge. This article shows that tropical neurasthenia remained a popular diagnosis in East Africa not only because (as historians have argued previously) it dovetailed with prevalent ideas of colonial acclimatization, but also because it was a practically useful tool in the management and regulation of colonial personnel.

Citation

Crozier, A. (2009). What Was Tropical about Tropical Neurasthenia? The Utility of the Diagnosis in the Management of British East Africa. Journal of the History of Medicine and Allied Sciences, 64(4), 518-548. https://doi.org/10.1093/jhmas/jrp017

• Journal Article Type: Article
• Online Publication Date: Jun 16, 2009
• Publication Date: 2009-10
• Deposit Date: Feb 28, 2022
• Publicly Available Date: Feb 28, 2022
• Print ISSN: 0022-5045
• Electronic ISSN: 1468-4373
• Publisher: Oxford University Press (OUP)
• Peer Reviewed: Peer Reviewed
• Volume: 64
• Issue: 4
• Pages: 518-548
• DOI: https://doi.org/10.1093/jhmas/jrp017
• Public URL: https://nottingham-repository.worktribe.com/output/2214034
• Publisher URL: https://academic.oup.com/jhmas/article-abstract/64/4/518/667888?redirectedFrom=fulltext
• Additional Information: This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of the History of Medicine and Allied Sciences following peer review. The version of record Anna Crozier, What Was Tropical about Tropical Neurasthenia? The Utility of the Diagnosis in the Management of British East Africa, Journal of the History of Medicine and Allied Sciences, Volume 64, Issue 4, October 2009, Pages 518–548, is available online at: https://doi.org/10.1093/jhmas/jrp017