Finally, let us take once more the case of the child.
As he grows up he passes by easy transitions from the voluntary to the
automatic stage. He is taught to swim, and swimming soon rivals walking
in the unconcern with which the movements are executed; he learns to
write, and no less rapidly does the act become one of unconscious
familiarity; his games, his exercises, the labour of his hands--be it
digging or typewriting--all reach the level of regular automatism; in
short, they are functional acts as truly as locomotion or even
respiration, with the qualification of being neither essential nor
general.
Such examples serve to illustrate the comprehensiveness of the term
functional, and embody all the intermediate forms between what is
inherently vital and what is purely acquired. When we have to deal in
practice with a case of functional disease, discrimination is obligatory
from the standpoint of prognosis. We are alarmed at our patient's
respiratory embarrassment, not at his impaired caligraphy.
A distinction has also been drawn between _functional_ and
_professional_ affections, profession being conceived as a function of
the individual in relation to society. But the latter term has the
drawback of being too exclusive. As a matter of fact, scriveners' palsy
is met with in people who, so far from being professional writers, do
not use the pen much at all. Nor is it necessary to be a professional
pianist to develop pianists' cramp. It would be more accurate to speak
of disturbances in "occupation acts," it being understood that these
have by dint of repetition acquired the automatic characters of true
functional acts.
* * * * *
Let us consider for a moment the salient features and component elements
in our conception of function.
First and foremost is repetition. It is an absolute law, this of the
periodicity of function, and strikingly exemplified in the case of the
circulation, digestion, urination, etc. Regularity of rhythm is no less
obvious in the muscular activity of mastication, locomotion, and
respiration, and its degree seems to be in direct proportion to the
duration and vital importance of the particular function.
The characters of this rhythm may be influenced by various extraneous
causes. A painful stimulus makes us blink or quickens our respiration.
The will may intervene, to accelerate or retard. The personal factor
accounts for individual differences, but for each individual a certain
rhythm and amplitude of movement, suited exactly to the end in view and
conforming to the natural law of least effort, may be regarded as
normal. It is only in pathological cases that this law admits of
exceptions, and these we shall now proceed to investigate.
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