Doubtless physiologists and pathologists are not invariably at one as
regards the proper characters of the two, and subdivisions into
continuous tonic contractions as opposed to intermittent tonic
contractions have been deemed necessary; but without burdening the
subject with a plethora of detail, we think it simple, suggestive, and
clinically satisfactory to uphold Willis's generalisations and to enlist
their help in the exposition of the tics. Hence, unless under special
circumstances, we consider recourse to the epithet "convulsive"
superfluous, and we shall employ the word tic by itself, except when
there may be occasion to indicate the form of muscular contraction. The
gain in conciseness is not likely to be neutralised by any loss of
precision.
From our rapid survey of the vicissitudes through which the tic has
passed, we may profitably gather one or two lessons.
In so far as is compatible with its nature, the schematisation of tic is
indispensable. The inevitable variability of the personal factor and the
absence of a real breach of continuity between any two essentially
differing morbid affections ought not to deter us from the attempt to
project a line of demarcation between them. Natural science is pledged
to the labour of differentiation. It is the glory of Charcot's
alternately synthetic and analytic work to have demonstrated the value
of this method in the sphere of neuropathology. At the same time, the
wisdom of attaching only a provisional importance to any scheme and of
welcoming possible modification is of course self-evident. Inexact and
undiscriminating inference may be a stumbling-block in the path of
progress and inimical to the cultivation of the faculty of observation.
Further, inaccuracy of definition not only exaggerates the liability to
misunderstanding, but has sometimes also the disadvantage of promoting
an illusory belief in the possession of the truth.
CHAPTER III
THE PATHOGENY OF TIC
TIC AND SPASM
Our study of tic can be approached only after a preliminary
understanding as to the meaning of two words too frequently confounded
even in scientific literature--_tic_ and _spasm_. Let us explain, then,
once for all, exactly what we intend by the latter.
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