Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
It is sometimes urged that if this be all that is meant by
psychological analysis, alienists have been doing this ever since
insanity was first treated, nay, further, doctors have been practising
it since the time of Hippocrates. It is pointed out that when a patient
is first interviewed by the physician, an inquiry is always made into
his mental state and behaviour, and into the presence of delusions and
hallucinations or other unusual mental phenomena. His relatives are
questioned concerning the relation of his recent behaviour to that
at the time when he was considered normal. Now the answer to this
assertion is that such an investigation is useful, indispensable in
fact, but it cannot be called psychological analysis.
The point may become clearer to the untechnical reader if he will
imagine for a moment that a carver, skilled in separating the legs and
wings from the body of a bird, should claim to be practising anatomy.
The anatomist would at once object that while such separation of
limbs from trunk is a small detail which sometimes forms part of the
anatomist’s task, it can scarcely be called more than a preliminary to
his study. For first of all, while to a carver a leg is an ultimate
unit, to the anatomist it is, for the naked eye, a collection of
bones, muscles, tendons, skin, nerves, veins, arteries, nails and the
rest, and, seen through the microscope, a tremendous organisation of
infinitely more complex structures. Furthermore, it might be pointed
out that merely to separate these more minute structures into their
constituent parts and to name them, by no means constitutes the whole
of the work of the intelligent anatomist. He wishes to study the
inter-relations of these parts, the way in which they work together for
the common good of the leg. And lastly, the leg must not be studied
only in separation from the trunk, for its functions are subordinate to
the requirements of the body as a whole.
So, in the same way, to record that a man is suffering from a delusion
of persecution or an unreasonable fear of open spaces is merely
to “carve up” the condition of his mind. First of all it must be
ascertained how far that delusion has interpenetrated with the rest of
his mental life; whether, for example, his false belief is restricted
to a specific kind of persecution from a particular person, or is a
general delusion that everybody and everything in the world is against
him. And again, if the delusion is strictly specific, it is important
to know whether it has been the cause of secondary false beliefs,
produced by rationalisation, to buttress the primary delusion against
the inevitable contradiction from facts which it would otherwise
suffer.
Public-domain text, read in full here on John Shaqi.
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