"This extreme treatment was among the proliferating regimens developed in response to the stunning increase in nervous disorders diagnosed around the turn of the century. Commentators and clinicians cited a number of factors related to the stresses of modern civilization: the increased speed of communication facilitated by the telegraph and railroad; the "unmelodious" clamor of city life replacing the "rhythmical" sounds of nature; and the rise of the tabloid press that exploded "local horrors" into national news. These nervous diseases became an epidemic among "the ultracompetitive businessman and the socially active woman."