DR. TOM A. WILLIAMS, Washington, D. C: Dr. Hall has cited the cat-phobia in
illustration that the belief that Dr. MacCurdy developed may be one in which
there may be philogenetic reasons for the phenomena. It seems to me that
before we use such data we need analyses more complete than has been given
for any of them. His citation brought to my mind a case I am working with
now, a cat-phobia. The cat does not represent sharp eyes and claws. The cat
is a definite symbol of definite sexual occurrences in childhood. I should
like to ask whether it would be here desired to draw philogenetic
conclusions. I think not without the further analysis which would be
necessary. I have a very strong distrust of the efforts which Jung and
Abrahams have made, followed by some of us, to draw analogy between the
morphological changes and the psychological experiences of the race as
reproductions in the life history of the individual.
DR. E. E. SOUTHARD: I should be inclined to feel that much of the
disturbance in the constructive delusion group would be structurally founded
upon normal or abnormal conditions in the parietal lobe. At any rate cases
with hyperphantasia in my recent Dementia Praecox series (American Journal
of Insanity, 1914-15) appear to be correlated with parietal lobe anomalies
and atrophies. It is a curious thing that such subjects with
hyperphantastic delusions are very often good institutional workers.
Although a delusion of persecution by poison is an exceedingly simple
delusion, it is in a sense far more harmful to the organism and may be often
far more productive of motor results in a patient than an elaborate
psuedo-scientific theory such as constructed by Dr. MacCurdy's patient. It
is obvious that the degree of disease does not vary directly with the
simplicity of the delusion.
It seems to me that Dr. MacCurdy's work has not only theoretical interest
but also practical importance from the standpoint of prognosis.
DR. WALTER B. SWIFT, Boston: I often wonder if we are not a little inclined
to go too far back for explanations. In football it is recognized that the
men on the field have two sets of reflexes out of which they play under
different circumstances. One is a set that they have learned in the lower
schools; and the other is the reflex circle that they use after they have
been trained differently in college. When these men get tired it is a
psychological observation that they go back to those first learned reflex
mechanisms. That is, when tired, they play the football of the secondary
schools. Something similar occurs in stammering. When a case is trained to
have a higher reflex vocalization, and they learn to vocalize spontaneously,
it inhibits their stammering. But when they get tired they revert again. In
the subject under discussion are we not reaching too far back for sources?
Should we not go to infancy or early childhood (to the old reflex circle
there) rather than to ones we suppose are inherited?
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