2. The hysteric paralyses which are featured in all the
literatures of the world are curious manifestations and often
very stubborn. Following an accident (especially in industry and
in war) and after some emotional difficulty there is a paralysis
of some part of the body. The arm or some particular part of the
arm cannot be moved by the will, is paralyzed; or else the
difficulty involves one or both legs. Sometimes speech is gone,
or the power of moving the head; occasionally the difficulty is
with one side of the face, etc. Usually the paralysis comes on
suddenly, but often it comes on gradually. Modern neurology soon
discovered that these paralyses were quite unlike those seen when
there is "real" injury to the brain, spinal cord or the
peripheral nerves. They corresponded to the layman's idea of a
part. Thus a paralysis of the arm ends at the shoulder, a
paralysis of the feet at the ankle, and in ways not necessary to
detail here differ from what occurs when the organic structure of
the nervous system is involved. For example, the reflexes in
hysteria are unaltered, and stiffness when it occurs is not the
stiffness of organic disease. If a neurologist were to have a
hysteric paralysis a very interesting problem in diagnosis would
be presented.
Further, the paralysis yields in spectacular fashion to various
procedures or else disappears spontaneously in remarkable fashion
overnight. Paralyses of this type have disappeared under
hypnosis, violent electric shocks, "magical" liniments, threats,
prayers, the healer's, the fakir's, the doctor's personal
influence; under circumstances of danger (a fire, a row, etc.);
by pilgrimages to Lourdes, St. Anne de Beaupre, the Temple of
Diana, the relic of a saint; by the influence of sudden joy,
fear, anger; by the work of the psychoanalyst and by that of the
osteopath! Every great religious leader and every savage medicine
man beating a tom-tom has had to, prove his pretensions to
greatness by healing the sick--so intensely practical is man--and
he has proved his divinity by curing the hysterics, so that they
threw away their crutches, or jumped blithely out of bed, or used
their arms, perhaps for the first time in years. Hysteria has
caused more talk of the influence of mind over body than all
other manifestations of mental peculiarity put together. Wherever
there is anything to be gained by hysteric paralyses, these
appear in much greater frequency than under ordinary
circumstances. Thus the possibility of recovering damages seems
to play a role in bringing about a paralysis that defies
treatment until the litigation is settled; similarly the
possibility of being removed from the fighting line played a
large part in the causation of war hysteric paralysis.
Public-domain text, read in full here on John Shaqi.
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