Simultaneously with this discipline of immobilisation the
subject must be taught the discipline of movements. The idea is to make
him perform slow, regular, and accurate movements to order, addressing
oneself to the muscles of the area in which the tic is localised. They
must be very simple at first, and the exercises must be very short. The
séance should never be prolonged beyond a few minutes, making, with the
immobilisation, not more than half an hour. This time will, of course,
soon be increased, but it is of prime importance to avoid fatigue. The
performances should be gone through three, four, or five times a day,
and always at the same hours. One of them at least ought to be under the
personal direction of the physician, whose duty it is to modify,
instruct, exhort, reprimand, as the case may be. In his absence the
supervision of the exercises must be left to some responsible
individual, who has an eye for faults as well as for progress.
Statements by the patients themselves are to be considered with reserve.
The repetition of the prescribed exercises should take place in front of
a looking-glass, whereby the patient may be exactly informed of any
mistakes in gesture or attitude. He cannot otherwise judge of the degree
of immobility attained, and may deceive himself, although he has the
best intentions in the world, as to the real state of affairs. He does
not know whether he is holding himself straight or not, as a general
rule, but a glance in the mirror will correct his fault. A careful
register must be kept of the progress he makes. Little by little the
jurisdiction of the physician will be reduced, provided the patient
maintains his interest in his own treatment. Indifference and
discouragement are fatal, and it must be the physician's aim to prevent
their occurrence.
Séglas has reported the history of a woman with mental torticollis, who
submitted to treatment by Brissaud's method, and a remarkably quick
alleviation was the result. At the end of three weeks, however, she
allowed her interest to slacken, and ere long the benefits obtained were
entirely frustrated.
It cannot be too often repeated that even though the tic disappear, the
patient must not be abandoned to himself, but must be persuaded to
continue his exercises. This is the price of success. As time goes on,
it is true, he encounters fewer difficulties in his way, and once he is
conversant with the method, he may be able to work out his own
salvation.
Public-domain text, read in full here on John Shaqi.
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