All schemes for fixation lose their virtue through time, but they may be
abandoned for other reasons, one of the principal of which is the
development of pain. By dint of rubbing or pressing his nose or his chin
on the knob of his cane and the back of his chair, O. has produced
little excoriations and sores on the parts concerned, the pain of which
acts as a deterrent, but his tics and para-tics break out afresh
whenever it has gone. The game has been carried to such an extent that
under the chin and at the root of the nose there have appeared actual
corns--strange stigmata of one's "profession."
The details in the mental process are similar to what has been already
noted:
It was the craving to keep my head in a correct position that
induced the habit of leaning my chin on something, and I found it
essential to feel the contact; familiarity, however, soon ended in
my failing to perceive it, and a new movement was made that I might
experience the sensation once more. And so on the ball rolled, till
augmentation of the force I exerted, under a constant incitement to
feel something more or something else, resulted in the formation of
callosities on nose and chin.
In this way factitious wants come into being, which may be described as
a sort of _parasitic function_ of which the patient is alike the creator
and the dupe.
O.'s therapeutic ingenuity, however, could not rest satisfied except
when some fresh contrivance was being put to the test. Needless to say,
at one time he experimented with the stiff collars affected by some
sufferers from mental torticollis.
Public-domain text, read in full here on John Shaqi.
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