Outwitting Our Nerves: A Primer of PsychotherapyJackson, Josephine A. (Josephine Agnes)
Science
Outwitting Our Nerves: A Primer of Psychotherapy
Jackson, Josephine A. (Josephine Agnes)
Nervous system -- Diseases; Psychoanalysis; Therapeutics, Suggestive
So far as the modern laboratory can discover, the nerves of the most
confirmed neurotic are perfectly healthy. They are not starved, nor
depleted, nor exhausted; the fat-sheath is not wanting, there is no
inflammation, there is nothing lacking in the cell itself, and there
is no accumulation of fatigue products. Paradoxical as it may sound,
there is nothing the matter with a nervous person's nerves. The
faithful messengers have borne the blame for so long that their name
has gotten itself woven into the very language as symbolic of disease.
When we speak of nervous prostration, neurasthenia, neuroses,
nervousness, and "nerves" we mean that body and mind are behaving
badly because of functional disorder. These terms are good enough as
figures of speech, so long as we are not fooled by them; but accepting
them in their literal sense has been a costly procedure.
Thanks to the investigations of physiologist and psychologist, usually
combined in the person of a physician, "nervousness" has been found to
be not an organic disease but a functional one. This is a very
important distinction, for an organic disease implies impairment of
the tissues of the organ, while a functional disorder means only a
disturbance of its action. In a purely nervous disorder there seems to
be no trouble with what the nerves and organs are, but only with what
they do; it is behavior and not tissue that is at fault. Of course, in
real life, things are seldom as clear-cut as they are in books, and
so it happens that often there is a combination of organic and
functional disease that is puzzling even to a skilled diagnostician.
The first essential is a diagnosis as to whether it be an organic
disease, with accompanying nervous symptoms, or a functional
disturbance complicated by some minor organic trouble. If the main
cause is organic, only physical means can cure it, but if the trouble
is functional, no amount of medicine or surgery, diet or rest, will
touch it; yet the symptoms are so similar and the dividing line is so
elusive, that great skill is sometimes required to determine whether a
given symptom points to a disturbance of physical tissue or only to
behavior.
Public-domain text, read in full here on John Shaqi.
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