In a parallel line comes the effective aid by the stimulation of hope
and the suppression of fear, by suggestion of a feeling of encouragement
and the inhibition of the emotions of worry. This is a field where even
the average physician is most easily inclined to play the amateur
psychotherapist. He knows how convalescence is disturbed by psychical
depression and how much more quickly health returns, if it is
confidently expected; he knows how many dangerous operations are
disturbed by despondency and helped by bravery; he knows what a blessed
change has come into the treatment of tuberculosis since a psychical
factor of social interest has set in; he knows how many ills disappear
when regular occupation and interesting work are established or the
strain of distasteful work removed. Even the mere suppression of the
pain works backwards on the bodily disease which produces it. The pain
was a starting point for disturbing reactions; with its disappearance
through psychotherapeutic influence, the reactions of the irritated
brain come to rest, the diseased body can carry on its struggle without
interference and may win the day. Often the psychical influence may not
even change the symptoms at all but may remove other troublesome
effects. The sufferer from locomotor ataxia may learn to walk again
through mental education without any restitution of his spinal cord. In
short, there are endless ways in which psychical influence may work
towards the general health and towards the victory over bodily disease;
and all that may be acknowledged without the slightest concession to the
metaphysical creeds of mental healers and Christian Scientists. But to
make use of those means and to harness such influences, it cannot be
enough to rely on the common-sense of the physician any more than we
should trust the common-sense of the surgeon to use his knife without
condescending to the study of anatomy. The psychological study of the
anatomy of the soul shows a not less complicated system of mental
tissues and mental elements.
Public-domain text, read in full here on John Shaqi.
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