The modern malady : $b or, Sufferers from "nerves"Bennett, Cyril
Science
The modern malady : $b or, Sufferers from "nerves"
Bennett, Cyril
Neurasthenia
To be dogmatic about that which is least known would appear to be an
ineradicable characteristic of human nature in its present imperfect
state. “Fools rush in where angels fear to tread” is still a true
saying. In the treatment of nervous disease it is amply exemplified.
Where we are most ignorant, there we are most uncompromising in our
dealings. When we understood absolutely nothing of insanity, seeing
little connection between madness and disease, we resorted to the whip
and the chain. On waking to some conception of nervous disorder, we
perceive similarities more readily than differences, and proceed to lump
together all diseases of the nerves in the earlier stages under the name
of “hysteria.” Having already some vague foolish fixed idea in our heads
about “hysteria” being synonymous with idleness and general depravity,
we drag our patients about, beat them with wet towels, give them
frightful shocks, galvanic or otherwise, and then get rid of them as
quickly as possible, so as not to have the burden of remote
consequences.
But when more serious mischief is set up, what then? Why, then comes
tardily a perception of differences, and we divide nervous disorders
into hard and fast diseases, concluding that all had been different from
the very first. The later perception of underlying similarity has as yet
scarcely dawned. Some of these maladies are considered curable; others,
without rhyme or reason, are considered incurable.
With regard to the curability of nervous disease, let us consider what
happens when we travel by train from Eastbourne to London, and again
from Eastbourne to Brighton. In each case we pass through Willingdon and
Polegate, and stop at Lewes. We can get out at Lewes or at either of the
previous stations and return to Eastbourne, but if we proceed as far as
Lewes, our return journey will be longer than if we had got out at
Polegate. In the same way nervous disease is more quickly cured in the
early stages than in the later stages. Now, suppose that we are in a
train which does not stop between Lewes and London. It is evident in
this case that, if we have missed our chance of alighting at Lewes, we
must go on to the final goal; no return being possible. Thus, there is a
point in certain nervous diseases beyond which recovery is impossible.
On the other hand, in travelling from Eastbourne to Brighton, we have
several chances of retracing our steps even after leaving Lewes, where
the ways diverge; and so we find that, in some cases of nervous disease,
incurability is reached sooner than in others. And just as we must be
content to take longer to return from Lewes than from Polegate, so we
must be content with a slow cure in advanced nervous disorders, and
remember that, in administering nerve-tonics, the weaker the patient,
the weaker should be the dose; all attempts to hurry the cure being
fatal to success. Moreover, just as, in journeying from Eastbourne to
Public-domain text, read in full here on John Shaqi.
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