Psychotherapy: Including the History of the Use of Mental Influence, Directly and Indirectly, in Healing and the Principles for the Application of Energies Derived from the Mind to the Treatment of DiseaseWalsh, James J. (James Joseph)
Science
Psychotherapy: Including the History of the Use of Mental Influence, Directly and Indirectly, in Healing and the Principles for the Application of Energies Derived from the Mind to the Treatment of Disease
Walsh, James J. (James Joseph)
Mental healing
The securing of personal information is of the utmost importance in
determining the affections that psychotherapy will relieve, because
very often details of life and habits are discovered that can be so
modified by instruction as to bring about a disappearance of
unfavorable physical influences. It is indeed surprising to find how
many unreasonable things people do from habit, from unfortunate
persuasion, or from lack of knowledge. In many of the minor chronic
ailments that are the source of so much mental discomfort to patients,
the physician finds that a change in the patients' habits, not
necessarily of marked degree, may make all the difference between
cheerful health and rather despondent low-spirited feeling. Now that
epidemic disease has become rarer, a physician's practice, especially
among the better classes, is much more taken up with these minor
ailments than with the typical classical diseases.
The ordinary history of their ailments, as patients commonly present
them, especially when there are neurotic elements, is likely to be
meager in what is objective, but consists mostly of the subjective.
Such patients have much to say of their sensations, their feelings,
their dreads, their surmises, their conclusions as to their particular
condition, and especially the hereditary elements in it, but
comparatively little of the objective realities of their ills and of
their environment. What the physician needs to know about them is
their habits of life, their daily routine of existence, just as
minutely as it is possible to obtain the information. There is just
one way to get the latter details, and that is to inquire particularly
with regard to actual happenings. In chronic conditions of many kinds,
it is so helpful that it will always be worth the physician's while to
get at these details, especially in supposedly puzzling cases for
which various forms of treatment have been already tried.
In spite of every precaution in this matter, the physician sometimes
finds, after a series of consultations, that some point which when
brought to light he considers to be of great importance, has been
thought so trivial by the patient that it was never mentioned, in
spite of the most careful questioning. In all medical practice the
rule is that mistakes of diagnosis are much more due to neglect in
eliciting necessary information than either to lack of expertness in
diagnosis, or lack of knowledge of the significance of symptoms.
Public-domain text, read in full here on John Shaqi.
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