The statement may be taken to imply that no tic abandoned to itself ever
vanishes completely, but the generalisation is inaccurate. Systematic
treatment may lead not only to amelioration, but also to cure. Certain
tics of children are by nature ephemeral, and disappear spontaneously,
never to return. It is easy to understand how that may be. Psychical
evolution and physical evolution alike are liable to singular
variations. Hence the development of a tic in early life is no reason
for despair, seeing that we are not justified in the assumption that the
volitional debility which it proclaims is to persist. We must believe
that volition may be reinforced, and we must further the attainment of
this end by every means at our disposal. Negligence on our part is
highly culpable.
Tics of childhood are curable: we draw attention to the fact afresh.
Their spontaneous dissolution is not unknown, but parents must not
consider the question merely one of time. They must impress on their
children the sobering effect of good behaviour and decorum. Discipline
of this kind may be a long and delicate task, but to condone indulgence
in untimely movements, on the pretext that they are merely quaint, is a
mistake fraught with the gravest consequences.
When a child holds its knife or fork incorrectly, or puts its elbows on
the table, or its finger in its nose, we feel that the habit is
displeasing; but how much more serious the outlook if the trick consists
in biting the lips, or tossing the head, or blinking the eyes! The
former is an offence against good taste; the latter is a tic in embryo.
It may be said, as a general rule, that the chances of spontaneous cure
are in inverse proportion to the age of the patient and the duration of
his tic.
Tics of adult life may also be cured, less often, it is true, than in
the case of children. Oppenheim gives the history of a woman with a
rebellious facial tic of twelve years' duration, which ceased on the
occasion of a certain happy event in the family life. Of course one
wants to know whether it ever returned, for many so-called cures are
simply remissions.
T. had suffered from torticollis for a whole year, but on the eve of her
son's marriage it stopped entirely for three days, and she deemed the
cure permanent; it was not long, unfortunately, ere she underwent a
relapse.
Brissaud[192] quotes an instructive case of temporary cessation of tic.
A patient afflicted with mental torticollis of three years' standing
learned that his son had been injured and had been removed to hospital
to undergo an operation. In an instant his torticollis disappeared, but
a reassuring report from the surgeon a few days later was followed by a
recrudescence of the condition.
Public-domain text, read in full here on John Shaqi.
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