Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
Further, the nature of the delusion must be analysed. Why is it of this
and not of that persecution? Why is this particular person feared or
hated? Is it a constant factor in the patient’s existence, or does it
break out at certain times? If so, the patient’s life at these critical
periods must be carefully examined. The doctor must discover where the
patient was at the time, what he was doing and thinking, who were his
companions, and so on.
Next comes the important inquiry into the history of the delusion. And
here, just as the anatomist is able nowadays to mobilise for service
all his knowledge of comparative anatomy and evolution, so if the
physician has really scientific knowledge, not only of the delusions
in other patients, but also of the development of ordinary beliefs in
sane people,[37] he will be immensely helped in his search, and may be
enabled thereby to make many short cuts to the essential facts. He will
endeavour to date the important stages of development of the delusion;
to find a time when, so far as the patient knows, his mind was free
from it.
Thus we may say that a psychological investigation of a case of mental
disorder dissects its normal as well as its abnormal phenomena into
their functional elements. Compared with the procedure which merely
records such gross units as delusions or hallucinations, it is as
anatomy to mere carving, however skilful the latter may be.
But the psychological investigation is not merely comparable to
anatomical dissection. We have also compared the mind to a chemical
compound, rather than a mechanical mixture. Especially is this true not
only of the normal but also of the abnormal mind, when the latter has
had time to settle down into its new position of relative equilibrium
and integration; when, for example, a delusion has become so fixed
that the patient’s life is entirely ordered in obedience to it, and
he has ceased to have any doubts as to its reality or to struggle
against its domination.[38] It is only when the warring elements in
the mind are relatively independent, and before they have succeeded in
“making terms” with each other, that the mind even remotely resembles a
mechanical mixture. It follows, therefore, that psychological analysis
of a case of mental disorder is usually comparable to _chemical
analysis_ as well as to anatomical dissection.
Now the most striking result of chemical analysis is to show that the
appearance and general properties of the elements composing a compound
are different from the appearance and properties of the compound
itself. This is exactly the case, too, with mental analysis. A mere
dissection of an abnormal condition is sometimes sufficient in the
milder cases to serve as the basis for curative measures,[39] but in
more advanced cases, or those of longer standing, real analysis is
necessary in order to get at the unknown factors.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account