Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
The origin of the first, the æsthetic aspect, is easily seen. It is
quite clear that in the investigation of the inmost secrets of a
person’s life (and particularly of a life which has become so entangled
and complicated that the help of another is sought for its restoration
to ‘mental tidiness’) there must emerge frequently much that the
patient finds unpleasant to relate. When we remember that a neurosis
often (perhaps always) occurs as a result of the patient’s inability to
adjust his instinctive demands to the opportunities of his environment,
it becomes clear that in the investigation of his history discussion
is inevitable of mental events in which the fundamental instincts have
played a great part. Now, of those important instinctive impulses, it
is obvious that in a civilised community few are so often thwarted,
deliberately repressed, or otherwise obstructed as the powerful one
of sex. It therefore follows that in a large number of cases the
discussion of sexual matters becomes unavoidable. Some critics have
seized on this point as the weak spot against which to launch their
attacks, descanting upon the unpleasantness, even the nauseousness, of
such discussion. Not all of them, however, make it clear whether in
their opinion it is the patient or the doctor who should be shielded
from such unpleasant experiences. If the latter, the verdict of society
would probably be that the sooner a man requiring such protection was
excused not only from these uncongenial duties, but from all medical
obligations whatever, the better for the community. If the former, it
may be pointed out that every reasonable person will agree that the
man who does not tell the whole truth to his doctor or his lawyer is a
fool. Furthermore, even under present conditions, if it be considered
advisable in the interests of the patient’s bodily health, the doctor
does not hesitate to ask, and the patient to answer, questions about
the most intimate matters, some of them literally and not merely
metaphorically nauseous.
We may therefore dismiss the æsthetic objection as unworthy of the
consideration either of a conscientious doctor, or of a reasonable
patient.
We may turn now to what we have designated the social aspect of the
objection. It should need little explanation. There has arisen a
convention, subscribed to consciously or unconsciously by many, that
the doctor shall ask and the patient answer quite freely questions
relating to the patient’s bodily well-being, but that any unusual
mental occurrences must be considered the patient’s private affair into
which it is not the business of the doctor to pry.
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