Often it is wise to give the suggestion, not from without but to
prescribe it in the form of autosuggestions. For instance, advise the
patient not only to have the good will and intention of suppressing a
certain fixed idea or by producing a certain inhibited impulse but to
speak to himself in an audible voice, every morning and every evening,
saying that he will overcome it now. Here, too, the autosuggestion may
become effective by the frequency of the repetition or by the urgency of
the expression or by the accompanying motor reactions. As a matter of
course any associations which reenforce the idea may be used for
assistance. Especially near-lying is the appeal to the man's conscience,
but just such associations which touch the idea of the own personality
and its deepest layers of feelings are always risky. They may touch and
stir up old memories which interfere with success or they may awaken a
feeling of contrast between duty and fulfillment which may disturb the
whole equilibrium. If the physician knows that the good-will of the
patient is insufficient to overcome the pathological disturbance, he
ought not to make him feel ashamed or guilty, and that not only for
moral reasons but also for strictly psychotherapeutic reasons.
In certain easily recognizable cases, it is essential to give the
suggestion with avoidance of any emphasis, only as a hint, passing as if
the suggestion almost slipped from the tongue of the doctor without his
real intention. The hysteric who is resisting the suggestion which is
intentionally given to her is sometimes surprisingly trapped by a
half-hidden suggestion, perhaps not spoken to the patient herself at all
but spoken in a low voice to a colleague in the room. Sometimes we have
to trick those who suffer by "negativism," that is by an obstinacy which
exaggerates that of the ordinary stubborn man. In such cases the
suggestion not to perform an action works best if we want the action
performed. There is hardly an end to the list of such methods for
bringing beliefs and attitudes with suggestive power to the mind of the
sufferer. Definitely to describe the conditions under which the one or
the other form ought to be applied would be no wiser than to tell a
statesman what steps are to be taken in every possible diplomatic
situation. The instinctive selection of the right means among the many
possible ones characterizes both the true statesman and the true doctor.
Public-domain text, read in full here on John Shaqi.
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