I need not enter into a description of the characteristics of tics in this
place. I may merely mention that tics have two aspects--a psychic and a
physical. It is, in other words, a psychoneurosis. The characteristic
mental state is one of doubt, of indecision, of inadequacy, of restlessness,
of tension, of discomfort and of dissatisfaction, which is more or less
unappeasable and irrepressible and uncontrollable until it finds vent in a
rather explosive series of motor expressions which, as it were, are the
safety valve for the peculiar feeling of tension and discomfort which the
individual has been experiencing and which is accompanied by a sense of
relief, satisfaction and a relative degree of comfort and mental rest. The
mental imperfection (Charcot) of the ticquer is a polymorphic psychic defect
(Brissaud, Meige and Feindel) characterized by mental infantilism; for
ticquers, like other psychoneurotics, are like big children. They have the
mind of children, in respect to the emotional make-up.
The mental condition of ticquers is especially characterized by the
imperfection or weakness of volition, by a certain degree of mental
instability and lack of inhibitory control of the desires, tendencies,
activities and motor expressions of the individual, this defect laying the
groundwork for the impulsions and obsessions, as also for hysterical,
so-called neurasthenic, hypochondriacal, depressive and so-called dementia
praecox reactions. The tic movement is the symbol of the psychic defect or
degeneration or instability.
The earlier investigators were responsible for the differentiation of the
tics from such other conditions as Sydenham's chorea, Huntington's chorea,
the spasms, the stereotypies, the habit movements, the myoclonias, and other
allied conditions. It is due to their pioneer work that tics were
recognized as a definite and distinct clinical entity. The process of
disintegration of these various movements and their differentiation one from
the other cannot be overvalued. Among those who have contributed most to
this subject may be mentioned Magnan and his pupils, especially Saury and
Legrain, Gilles de la Tourette, Letulle, Guinon Noir, Pitres, Cruchet,
Grasset, Trousseau, Charcot, Brissaud Meige and Feindel. Although Trousseau
recognized the the ticquer was mentally abnormal, it was Charcot who first
called definite attention to the psychic origin of the condition and to the
fact that tic was indeed a mental disorder, a psychoneurosis, a psychomotor
reaction. His lead was subsequently followed up by Brissaud, and by the
latter's pupils Meige and Feindel, the latter two authors giving us a
comprehensive discussion of the subject in their well-known classic. [1]More
recently the Freudian school has attempted to dig down into the roots of the
tree which ultimately sends forth its branches in the guise of tics.
Public-domain text, read in full here on John Shaqi.
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