We see from here the direction in which many psychotherapeutic efforts
must lie, efforts which are entirely within the limits of the daily
normal experience, and belong to the medical practice of every
physician, yes, to the helpful influence of every man in practical life.
The intemperate man may suffer from his inability to resist his desire
for whiskey. The idea of his visit to the saloon finds the channels of
discharge open. We argue with him, we tempt him by attractions which
lead to other ways, we suggest to him that he spend those evening hours
perhaps with friends or with books for which we awaken his interest; we
do it as impressively as we can, we appeal to his friendly feeling for
us; and if again the hour comes in which the desire for the artificial
stimulation sets in with a motor impulse towards the bottle, the
channels for discharge have now been blocked. The idea of the opposite
action arises, it associates itself with the emotions which we stirred
up in his mind, it associates itself with the respect for the adviser,
and thus new clusters of thought reenforce that idea of action which we
suggested, and this opposite line of action now finds a minimum
resistance because our appeal has opened beforehand the gate. The desire
for the book works itself out into action while the desire for the cup
finds increased resistance.
Just this is the kind of suggestion with which we correct faulty action
everywhere in our social circle; and yet small steps lead on from here
to the case where perhaps the desire for alcohol has reached that
pathological intensity in which the equilibrium is entirely disturbed
and cannot be repaired without suggestions of a much more powerful
character, given in a state of artificially increased suggestibility--in
hypnotism. The principle of opening certain channels of discharge for
the purpose of closing the opposite channels remains in the extreme case
the same as in the more ordinary cases. The impulse to drink is a
positive one, but the principle is not different where the impulse is
negative. A friend who comes from the quiet country may feel unable to
pass the busy square of the city. The fear of an accident holds back his
steps, he cannot give the impulse to walk through the crowded rush of
vehicles. Now either by words of advice, by persuasion or by showing the
way, we may apply our suggestion, we open the channels of discharge for
the necessary movements and thus decrease the excitability of those
centers in which nervous fear was playing. And again small steps lead
from here to the case of the psychasthenic sufferer whose phobia does
not allow him to cross any square and where reenforced suggestion has to
break open the ways for the walking movement when the square is reached.
Public-domain text, read in full here on John Shaqi.
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