To add to her misfortunes, her head has now begun to rotate to the
right. She used four times a day to cross the narrow and little
frequented road that separated her father's house from her place of
employment; but since her last accident she has remained strictly
within doors, trifling away the time in a chair, and finding in the
petty life of a side-street all that she wants to attract her gaze
or arouse her interest.
In this microcosm her father has been reduced to the position of a
slave. He anticipates her slightest want and indulges her most
fanciful whim; his commiseration for her woes is only equalled by
his unselfishness in foregoing his own pleasure and his ingenuity
in vindicating her weaknesses. In short, his ready acceptance of
his daughter's instability argues a lack of mental balance on his
own part.
Brain fatigue is another element in the formation of tics whose
influence ought not to be underestimated. In the case of young D.,
nineteen years old, a clucking tic supervened during the period of
preparation for an examination, to disappear at its close.
No less fruitful are anguish, anxiety, worry, disappointment, as will
freely be conceded. Any prolonged concentration of the attention on a
particular act or a particular idea presupposes a concomitant weakening
of inhibitory power over other acts and ideas, which then become corrupt
and inopportune, are incapable of further repression, and blossom into
tics.
Indolence, too--the mother of all the vices, according to the
adage--favours the outbreak of tics, and accelerates their growth. The
idle patient's thoughts are all for his tic; its perfecting taxes his
inventiveness.
Mention may be made in passing of the effect of "professional movements"
in predisposing to the subsequent apparition of a tic in the muscles
concerned. We have already alluded to the relation between tics and
certain cramps or occupation neuroses, and we shall refer to the topic
again at a later stage.
It would appear that even the memory of a familiar gesture sometimes
suffices to initiate the condition: witness Grasset's case of
post-professional colporteur tic, where the subject reproduced the
movement of swinging a bag over his shoulder, a souvenir of his former
avocation.[37]
A final example, none the less instructive though it occur in lay
literature, may be cited from Alfred de Vigny[38]:
Public-domain text, read in full here on John Shaqi.
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