"Of only one sect can I recall no example. It is not in my memory that a professing Quaker ever came into my hands to be treated for nervousness. If the opinion I have already stated so often is correct, namely that {219} want of control of the emotions and the overexpression of the feelings are prime causes of nervousness, then the fact that discipline of the emotions is a lesson early and constantly taught by the Friends would help to account for the infrequency of this disorder among them and adds emphasis to the belief in such a causation." In writing a "Textbook of Psychotherapy" [Footnote 8] eight years ago one of the appendices was devoted to the relations between religion and psychotherapy. One of the paragraphs, written for physicians, and I may say that it has been read by many thousands of them, puts my own opinion on the dual subject of the nexus between religion, insanity and nervous disease, as succinctly as I can hope to put it. There is no doubt that an abiding sense of religion does much for people in the midst of their ailments and, above all, keeps them from developing those symptoms due to nervous worry and solicitude which so often are more annoying to the patient than the actual sufferings he or she may have to bear. While religion is often said to predispose to certain mental troubles, it is now well appreciated by psychiatrists that it is not religion that has the tendency to disturb the mind, but a disequilibrated mind has the tendency to exaggerate out of all reason its interest in anything that it takes up seriously. Whether the object of the attention be business, or pleasure, or sexuality, or religion, the unbalanced mind pays too much attention to it, becomes too exclusively occupied with it, and this overindulgence helps to form a vicious circle of unfavorable influence. [Footnote 8: Appleton.] While many people in their insanity, then, show exaggerated interest in religion, this is only like other {220} exaggerated interests of the disequilibrated, and religion itself is not the cause but only a coincidence in the matter. Some who are interested particularly in this subject, on reading this will at once revert to the fact that scruples are extremely common among the religiously inclined and that these are, after all, as a rule, only nervous symptoms which are surely fostered by religion. To say this, however, is to misapprehend the real meaning of scruples. The word is a very old one and means a little sharp stone, as if in trying to make progress the scrupulous found themselves hindered by having to walk over little sharp stones which so disturbed them that they were hampered in getting on. Above all, scruples put them into a state of mind where they hesitate as to whether they can go on at all or not.