This aspect of the question is of deep significance. If we define a
habit, in the words of Littré, as a "disposition acquired by the
repetition of the same acts," we can easily conceive how intimate is the
relation between habit and automatism, and how constant rehearsal of the
same movement in the same manner will create a mode of motor reaction
independent of the function of the will. It has been made clear already
that the phenomena of tic, regarded from the motor standpoint, reveal an
identical process at work; but the fundamental difference between the
habits of normal individuals and those of tic subjects is that the
former can be checked or modified by voluntary effort, whereas the
latter gradually acquire the pathological features of tenacity and
irresistibility.
In a typical case of tic (says Dupré)[14] the establishment of a
reflex sensorimotor diastaltic arc, viâ the cortex, between
peripheral stimuli of whatever nature and corresponding muscular
reaction, is a sign that predisposition has changed the
physiological to the pathological, and transformed a habit into a
tic.
Guinon argues, however, that tic ought not to be cited in the catalogue
of diseases, since it is ultimately a deep-rooted "bad habit" only, not
a pathological fact.
We are not prepared to maintain, of course, that all motor "bad habits"
are tics, for a whole host of familiar gestures, tricks, and mannerisms
do not merit the name, superfluous and even detestable though they may
be. It is true they are the product of education, and become, since the
will has less and less to do with their appearing, at the last purely
automatic; they may thus developmentally bear a close resemblance to
tics. As Letulle says:
The infant who is constantly sucking its thumb, the individual who
never ceases picking his teeth, or rubbing his eyes, or lips, or
chin, or ear, who is for ever scratching his head or his beard--all
have no doubt, originally, been driven to the repetition of the
trick by some real necessity in the shape of dental caries, or
ciliary blepharitis, or pityriasis capitis; but removal of the
cause is not followed by cessation of the gesture. A man will learn
the habit of perpetually smoothing his hair, and will not desist
from his favourite trick though he become absolutely bald.
But such automatic habits and mannerisms are not genuine tics so long as
the movement executed conserves in form the characters of a normal
gesture. Be it never so inopportune or absurd, it is not a tic. It comes
rather under the heading of _stereotyped acts_, whose kinship with, and
difference from, the tics, have been well demonstrated by Séglas.
Public-domain text, read in full here on John Shaqi.
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