To begin with, we may quote the case of mental torticollis. The
sufferer's head is irresistibly driven to the right, say, yet he
replaces it immediately by the mere application of his right forefinger
to his chin, and the correct attitude is maintained so long as the
finger is applied. Of the variants of this efficacious antagonistic
gesture the most common is the grasping of the head in the hands, or its
support in the palm, or the simple contact of the fingers with chin, or
cheek, or temple. In some cases the mere threat of this gesture suffices
for the purpose. S. approximates his hand to his left ear, but before he
has actually touched it his head turns spontaneously to the right. It
would be difficult to find more conclusive evidence of the purely
psychical value of such corrective acts.
Sometimes the resources at the patient's disposal are confined to one
measure, though more frequently he avails himself of several, as in a
case recorded by Sgobbo.[141] The antagonistic gesture may fail of its
object if some one other than the patient put it to the test. Even with
the expenditure of considerable force he may make no impression on the
tonic contraction; this rule, however, is by no means general.
One of our patients, whose head used to be strongly tilted on to his
elevated right shoulder, while his right arm was flexed, his left
shoulder depressed, and his whole trunk deviated to the former side, was
able instantaneously to resume his normal attitude by merely placing his
thumbs one on either side of his head. If any one else sought to correct
his vicious position he could do so by applying his fingers to two
well-defined spots on the occiput, towards the base of the mastoid
processes.[142]
Occasionally the antagonistic gesture is of the nature of a paradox. We
may cite an example from Raymond and Janet.[143]
If we ask the patient whether she cannot sometimes prevent her head
from rotating, she declares she can, and demonstrates how it is
done by lightly touching her forehead with her finger tips. Now, in
view of the fact that her head is deviated to the left and
backwards, it will be seen that no pressure exerted in front could
obviate this. What really happens is that at the moment of contact
not only does she inhibit the movement by the aid of her will, but
she also makes a slight forward inclination of her head to rest it
on the point of support. No performance of this description could
have any efficacy in the case of a genuine spasm due to irritation
on a reflex arc.
Public-domain text, read in full here on John Shaqi.
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