A promising way to this end is the inexhaustible association test which
we mentioned when we discussed the contributions of the psychological
laboratory to the medical diagnosis. A series of short words are spoken
to the patient and, as soon as he hears one, he is to pronounce as
quickly as possible the first word which comes to his mind. If we use
fifty words, we should be able to learn something as to the inner states
of the man and as to the working of his mind, if we analyze carefully
his particular choices. But two further conditions ought to be
fulfilled. The time of the association ought to be measured. Of course
there will be wide differences. A word which is often in a certain
connection will quickly bring the habitual association. Abstract words
will call forth their associations more slowly than concrete words,
familiar words more rapidly than unfamiliar words. To measure such
association time with fullest accuracy, as it is necessary for the
purpose of scientific investigations, delicate electrical instruments
are needed that indicate thousandths parts of a second. For the purpose
of the practical physician such accuracy would be superfluous. His
examination will be perfectly successful if it is carefully done with a
stop-watch which shows the fifth part of a second, like those which are
used at races. He speaks a word, presses at the same time the button of
the watch, and presses the stopper when he sees the lips of the patient
moving. He is thus able to examine not only the involuntary choice of
association but also the time of every associative process. But a second
condition ought also to be fulfilled. After some indifferent words,
others ought to be mixed into the series which touch in a tentative way
on various spheres corresponding to the possible suspicions. The groups
to which the hidden thoughts of psychasthenics, for instance, belong are
not many. As soon as our series of words strikes such a group, the
reaction of the mind may be discriminated. The effect may be a general
perturbation resulting either in an unusual delay of the fitting
association or in an effort to cover the sore spot by an unfitting
association. Sometimes the dangerous association may rush forward even
with unusual rapidity but, as soon as it is uttered, it gives a shock to
the mental system, brings the whole associative process into disorder,
and the result is that the next following associations are abnormally
delayed. The skilled psychologist will quickly take such a change as a
cue for the selection of the later words in his series. Of course, he
will at first return to neutral words, but as soon as he has found a
danger spot, he will approach it from various sides, perhaps in every
fourth or fifth word, and may then find out which particular experiences
are disquieting the patient. Words like women or money or career or
family or disease are often sufficient to get the first inkling of a
mental story.
Public-domain text, read in full here on John Shaqi.
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