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In page Opium:

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Opium addiction in the later 19th century received a hereditary definition. Dr. George Beard in 1869 proposed his theory of neurasthenia, a hereditary nervous system deficiency that could predispose an individual to addiction. Neurasthenia was increasingly tied in medical rhetoric to the "nervous exhaustion" suffered by many a white-collar worker in the increasingly hectic and industrialized U.S. life—the most likely potential clients of physicians.[citation needed]