Further, the advance he has made has reacted profitably on his
mental condition, and if his fickleness and vacillation persist, at
the least the trend of the educative exercises has been in the
direction of reinforcement of the will. Hence is it that he is now
more attentive, less introspective, less capricious; he is no
longer overwhelmed at the gravity of his condition; he is
conscious of having taken its measure, and of his power to master
it.
We have also applied Brissaud's method to the treatment of variable
chorea, with no less encouraging results. Its worth in cases of mental
torticollis has been noted by several authors as well as by ourselves. A
cure resulted in a peculiarly difficult instance recorded by
Martin[230]:
A young man of twenty-six suffered from melancholia and
hypochondriasis. He used to complain that his limbs were hopelessly
rotten, that his hands, feet, legs, were gone, vanished; his head
and neck had ceased to exist. So easily was he irritated that to
most questions he vouchsafed no answer. His sentiments of affection
were much blunted; a visit from his mother evoked no pleasurable
sensation. All day long he used to lounge on a couch, his head sunk
on his breast, and inclined somewhat to the right. The attitude was
exaggerated if he was addressed, but while he could raise his head,
by the help of his hand, to regard his interlocutor, it resumed its
position of flexion as soon as he withdrew the support. Confined to
the left side of his face was a tic which consisted in abrupt and
jerky elevation of the corner of the mouth. On request, he would
gain his feet laboriously and walk with abdomen protuberant, back
arched, and legs apart. From time to time the neck musculature on
the left side was the seat of convulsive movements. The left
sternomastoid and trapezius were in a state of tonic contraction,
and on any attempt being made to correct this vicious attitude,
spasm occurred, and the patient resisted to his utmost.
On March 10, 1900, treatment was begun; an effort was made to gain
the patient's confidence by explaining that a cure was within the
bounds of possibility, and by demonstrating to him that his limbs,
which were in a state of slight contracture, could be moved by his
hand. The procedure was renewed three times a day, and followed by
baths and massage.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account