Scattered references to emotional shock acting as a possible exciting cause
of tics, as at times of obsessions, can be found in the literature. Dupre[2]
has made such reference. Meige and. Feindel[3] themselves make the
statement that "Fear may elicit a movement of defense, to persist as a tic
after the exciting cause has vanished." They also state that "in ticquers
the impulse to seek a sensation is common and also to repeat to excess a
functional act."
[2] Soc. de Neur. de Paris, April 18, 1901, quoted by Meige and Feindel,
page 54, of the English translation (reference 1).
[3] Loc. cit., p. 62.
Bresler[4] has called attention to the fact that the movements are in the
nature of defensive and protective movements of expression and mimicry and
originally in reaction to some external irritant or as the result of some
idea, and he proposed the name "mimische Krampfneurose" for them. This is
somewhat allied to Breuer and Freud's theory of hysteria.
[4] Quoted by Meige and Feindel, Loc. cit., p. 267.
The object of tic is some imaginary end, the influence of the will always
being present in the beginning, although later it may be absent. Tics are of
cortical origin, being coordinated and synergic, clonic or at times tonic[*]
muscular movements, physiologically and not anatomically grouped,
premeditated, purposive, of abnormal intensity, apparently causeless and
inopportune.
[*] Cruchet objects to calling these tonic reactions tics.
Insufficiency of inhibition is the cause of the beginning and of the
persistence of bad habits and of tics.
Tic is a sign of degeneration, in the biological and evolutionary sense, a
degenerative neuropathic and psychopathic basis, as mentioned previously,
being present, although often latent.
The maladie des tics is but the extreme form.
The onset is as a rule insidious, with a tendency to spread.
Spontaneous cures may occur, while Gilles de la Tourette's disease is but
the extreme form of a condition in which antagonistic gestures are
frequently adopted by the patient to adapt himself and to get to a state of
rest.
This, as I see the situation, is as far as the French students of this
subject (including Brissaud, Meige and Feindel, and even Janet) have
permitted themselves to go. And, in my opinion, their observations and
conclusions seem to be quite accurate.
VIEWS OF THE FREUDIAN SCHOOL
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