We who tic are consumed with a desire for the forbidden fruit. It
is when we are required to keep quiet that we are tempted to
restlessness; it is when silence is compulsory that we feel we must
talk. Now, when one is learning his lessons, conversation is
prohibited, the natural consequence being that he seeks to evade
the galling interdict by giving vent to some inarticulate sound. In
this fashion did my "cluck" come into being. Moreover, we abhor a
vacuum, and fill it as we may. Various are the artifices we might
employ--such, for instance, as speaking aloud; but that is much too
obvious, and does not satisfy: to make a little grunt or cluck, on
the other hand--what a comfort in a tic like that!
We need not smile at these explanations, for they are corroborated by
the facts of clinical observation. Fear of silence is nothing else than
a form of phobia, comparable to the fear of open spaces.
O.'s account of the origin of his tics supplies further evidence of the
mental infantilism of those with whom we are at present concerned. It is
the prerogative of "spoilt children" to wish to do exactly what they are
forbidden to do. They seem to be animated by a spirit of contrariness
and of resistance; and if in normal individuals reason and reflection
prevail with the approach of maturity, in these "big babies" many traces
of childhood persist, in spite of the march of years.
In the strict sense of the words there never has been any echolalia or
coprolalia in O.'s case, though it has happened that expressions lacking
in refinement have escaped him; but he never has been consciously yet
irresistibly urged to utter a gross word. The sole vestige of anything
of the kind is a sort of _fruste_ coprolalia that consists in an impulse
to use slang--an impulse which he cannot withstand and which he finds
consolation in obeying.
* * * * *
Some additional details may be submitted to illustrate the intimate
analogies between tics and obsessions.
Public-domain text, read in full here on John Shaqi.
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