In the domain of his affections there does not appear to be any
abnormality. O. is an excellent paterfamilias, adoring his children, but
spoiling them badly at the same time. In this part of our examination we
did not press for details, but as far as we have gathered he is capable
of sympathies keenly felt though rarely sustained.
Thus, whatever be the circumstances, changeableness, versatility, want
of balance, are manifested clearly in all his mental operations; and
when he remarks himself on the youthfulness of his disposition, he is
simply stating a truism as far as those who tic are concerned, for, in
spite of the advance of years, their mental condition is one of
infantilism.
Under our direction O. has devoted several months to the eradication of
his tics, and he has not been slow to appreciate the aim of the method
or to acquire its technique. One of the first results was the
repudiation of various procedures more harmful than otherwise, and the
successful endeavour to maintain absolute immobility for an increasing
space of time. The outcome of it all has been a gradual diminution of
the tics in number, frequency, and violence, and a corresponding
physical and mental amelioration.
We do not intend in this place to enlarge on the details of our
treatment: suffice it to say that it consisted in a combination of
Brissaud's "movements of immobilisation" and "immobilisation of
movements" with Pitres's respiratory exercises and the mirror drill
advocated by one of us. To-day the utility of these measures is an
accepted fact; but at the same time we rely on an inseparable adjunct in
the shape of mental therapeusis, seeking to make the patient understand
the rationale of the discipline imposed.
Our task has been lightened to an unusual degree through O.'s intimate
acquaintance with the beginnings of his tics and his striking faculty of
assimilation. On many occasions he has anticipated our intentions and of
his own accord outlined a programme in harmony with the indications we
were about to give him. Thanks to this happy combination of
circumstances, the improvement effected by our treatment has been
quickly manifested.
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