Our object in publishing these studies has been twofold: first, to make
known various facts of clinical observation, which will always possess
at the least an intrinsic value; secondly, to endeavour to assign to the
tics their due place among the numerous motor affections consequent on
nervous or mental disease. With this end in view we sought to free
ourselves of preconceived notions, avoiding at the same time the other
extreme of eclecticism. Independently we have been led to adhere to the
doctrine hallowed by the authority of Charcot, and since advocated by
Professor Brissaud--a doctrine that seems to us to be in harmony with
accepted clinical data.
We have thought it advisable to indicate, by the way, more than one
misconception whose perpetuation is but a stumbling-block in the path of
progress.
Since the eighteenth century the word _tic_ has faced the perils of
definition many a time, and has as often all but succumbed. The limits
of its application have been alternately enlarged and narrowed to an
excessive degree; its original signification has been so obscured that
the inclination to-day is either to hesitate in the use of the word at
all, or to employ it indiscriminately through ignorance of its real
meaning. But if its interpretation be not specified, everything that is
said or written on the subject will remain fatally open to dispute.
Want of precision in words leads inevitably to confusion of ideas and
endless misunderstanding. In this respect the word tic is a great
culprit; its promiscuous use implies looseness in its connotation--a
fruitful source of controversies which, when all is said and done, are
nothing more than regrettable quid pro quos. On fundamental points there
is almost complete unanimity of opinion; any divergence is purely
superficial, and to be ascribed to disagreement in terms.
Hence it has seemed to us essential to adopt a vocabulary, and to employ
any term only after clearly particularising the sense we attribute to
it. Our verbal conventions will not meet with universal acceptance, it
may be, but we shall be the first to abandon them if common consent
assign to the expressions that replace them the exact shade of meaning
we meant to convey.
Our work will not be superfluous if we succeed in allotting to the word
a definite position in medical terminology, or if any information we
have amassed prove of service to future observers. And should we be
enabled to demonstrate how unmerited is the reputation the tics enjoy of
being irremediable, how they may, on the contrary, be mitigated and
sometimes even cured under appropriate treatment, the practical value of
the conclusion will, we hope, justify the importance we have attached to
the subject.
NOTE BY THE TRANSLATOR
Public-domain text, read in full here on John Shaqi.
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