Traumatic neuroses; War neuroses; World War, 1914-1918 -- Health aspects; World War, 1914-1918 -- Veterans -- Mental health
We pass now to a difficult task; the consideration of the moral
objections to the procedure of psychological analysis. The difficulty
obviously lies in the circumstance that, while in the discussion of the
other objections one could continually point to facts upon which at
least, the great majority of civilised people are in cordial agreement,
such unanimity is not so complete upon moral questions. Some of the
varieties of the moral objection, however, are not based on such
disputable grounds. For example, there is the argument that it is bad
for the patient that he should have his inmost mental life dissected
and analysed in the thoroughgoing way which we have described, since
it is important for the preservation of his self-regard that, as far
as possible, he should consider himself “master of his soul.” With the
latter sentiment no reasonable person would quarrel. And where it is
possible (as it often is) for a slight mental tangle to be straightened
out without an extensive and lengthy inquisition, we hold that it is
urgent in the patient’s interest that his privacy shall be respected.
It should be pointed out, however, that since this procedure is equally
in the interests of the honest physician—for it will save him time and
trouble—it is likely to be adopted wherever possible. In the special
military hospitals, for instance, it was often found unnecessary, in
mild cases, to press the inquiry very far; the patient “learning his
lesson” successfully at an early stage of the proceedings.
But it obviously does not follow that the fact of a man having for very
sufficient reasons, admitted the physician into his confidence, must
necessarily bring as a consequence a diminution in his self-respect. On
the contrary, he often emerges from such an examination with increased
confidence and a better opinion of himself, especially if, as so
often happens, his self-reproaches have been unfounded. The civilised
world contains a relatively large proportion of people who habitually
confess their shortcomings to priests. One may recognise that the
confessional has its defects, but the assumption that to have recourse
to it inevitably promotes mental flabbiness is obviously unfounded.
The business man who, when faced with the necessity of successfully
meeting an entirely new situation, consults his legal adviser, is not
usually blamed for his lack of self-reliance. Conducting one’s own
legal transactions, like doctoring oneself, may appear (to the vulgar)
to show independence, but its results are not always happy.
It is therefore perfectly fair to claim that none of the arguments
against the use of psychological analysis have any very great
significance. In some cases, however, they express valuable reminders
that this delicate and powerful instrument, like all others with these
attributes, must be used with care and discretion.
Public-domain text, read in full here on John Shaqi.
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