According to Guinon, proof that "convulsive" tic is conscious is
furnished by the accurate description and rational explanation patients
supply of their affliction. Similarly Letulle's "co-ordinated" tic is a
conscious act, at least in its commencement; it is a "bad habit" which
finally passes beyond the limit of consciousness.
Now, while no doubt most subjects show a keen appreciation of their tic
when their attention is directed to it, they are none the less
unconscious of it at the moment of its manifestation. This is the ground
on which Letulle bases his statement that all tics, of whatsoever
variety, are habitually outside the domain of consciousness. To this
fact so much importance has been attached that the attempt has been
made, more especially by Blocq and Onanoff,[15] to differentiate the
conscious from the unconscious tic.
In our opinion, the distinction is ambiguous and tends needlessly to
complicate our ideas on the subject. The patient with "convulsive" tic
is conscious of it in the sense that he is well aware of its existence,
yet how can the gesture be a conscious one if it is synchronous with
mental preoccupation? On the other hand, the patient with "co-ordinated"
tic may bite his lips unconsciously, but he is by no means ignorant of
his little failing.
This divergence of opinion depends entirely on the possibility of
regarding the phenomena at different moments during their production.
The subject is in a position to appreciate his state both before and
after the tic, not during it. In a sense it may be said that tic is
alternately conscious and unconscious, in which respect it is comparable
to the obsession; the close analogy between the two conditions we shall
indicate more fully later. As a matter of fact, the same holds true for
every variety of spasm.
We are not disposed to introduce here a term sacred to the psychologist
and to speak of the tic as subconscious. Pierre Janet does not admit the
absolute unconsciousness of habit; even when the latter has degenerated
into a tic, it is not outwith the realm of consciousness. We prefer not
to venture, however, into the perilous region of the subconscious, in
spite of our appreciation of the happy results attributable to its
careful and discerning exploration by observers such as Janet himself.
According to Cruchet, certain so-called psychical tics are always
subliminal--for instance, the imitation tics common in children and in
idiots.
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.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account