The migraine interactive kind

How did psychological theories come this far in migraine medicine? Judy Segal has argued that the explanatory power and popularity of the migraine personality could be attributed to its expansiveness — the migraine personality could describe almost anyone. The migraine personality became what Ian Hacking refers to as an “interactive kind.” Interactive kinds are categories that not only define but also constitute people. That is, some classifications organize individuals’ experiences in such a way that they adapt or respond to their classification. Such was the case with the migraine personality. People with migraine began to adapt to Wolff’s concept of the “migraine personality”: the category altered how they thought, behaved, and classified themselves.

Joanna Kempner in Not Tonight

How has migraine changed me? How has your idea of migraine changed me?

Just get me a fainting couch

He worried that so many migrainous women sought diagnostic tests and spent so much money on doctors when doctors had so few effective migraine treatments. The more appropriate role for the physician, he argued, would be to spend time with the patient, “in talking over her life problems and in showing her how to live more calmly and happily, than in making useless examinations.” “It is an axiom with me, he added, “that whenever a woman is having three attacks of migraine a week, it means that she is either psychopathic or else she is overworking or worrying or fretting, or otherwise using her brain wrongly.

Joanna Kempner in Not Tonight

Yes, 8 year old me must have been reading too many Redwall novels. And programming is definitely too much for my poor lady brain.

Also everyone, their mother, and my GP want me to go to therapy regularly. Therapy that is $100-200/session when only $300/yr is covered.

Men are sick, women are hysterical

…Wolff’s discussions of women and migraine were intriguingly limited, especially given that by then most physicians had agreed that women experienced migraines more often than men. Much like his Victorian predecessors, Wolff preferred to talk about headache disorders in the masculine. Likewise, his descriptions of migraine emphasized masculine anxieties about the rigors of work life.

Joanna Kempner in Not Tonight

The “father of headache medicine” basically ignored ¾ of patients.