The suggestion that the hypochondriac devotes undue attention to his own
condition is met by him with indignant denial. Proposals that he should
exercise, travel, engage in games, or otherwise occupy himself, fall on
deaf ears, but he is always ready to try a new drug. If a medicine is found
with whose ingredients the patient is not already familiar, its use is
likely to produce a beneficial effect for a few days, after which the old
complaint returns.
The case has come to my attention of a young man who, for fear of taking
cold, remains in bed, with the windows of the room tightly closed and a
fire constantly burning. He has allowed his hair to grow until it reaches
his waist, he is covered with several blankets, wears underclothing under
his nightshirt, and refuses to extend his wrist from under the bed-clothes
to have his pulse taken.
Such faulty mental habits in minor degree are common. There are those who
will not drink from a bottle without first inspecting its mouth for flakes
of glass; some will not smoke a cigar which has been touched by another
since leaving the factory; some will not shake hands if it can possibly be
avoided; another pads his clothing lest he injure himself in falling. Many
decline to share the occupations and pleasures of others through fear of
possible wet feet, drafts of air, exhaustion, or other calamity. Such
tendencies, though falling short of hypochondria, pave the way for it, and,
in any event, gradually narrow the sphere of usefulness and pleasure.
No part of the body is exempt from the fears of the hypochondriac, but he
is prone to centre his attention upon the obscure and inaccessible organs.
The anecdote is told of a physician who had a patient of this type--a
robust woman who was never without a long list of ailments. The last time
she sent for the doctor, he lost patience with her. As she was telling him
how she was suffering from rheumatism, sore throat, nervous indigestion,
heart-burn, pains in the back of the head, and what not, he interrupted
her:
"Ah," he said in an admiring tone, "what splendid health you must have in
order to be able to stand all these complaints!"
The phobias are so closely allied to hypochondria that it will not be out
of place to discuss them here. A phobia is an insistent and engrossing
fear, without adequate cause as judged by ordinary standards. Familiar
instances are fear of open places (agoraphobia), fear of closed places
(claustrophobia), and fear of contamination (mysophobia).
The sufferer from agoraphobia cannot bring himself to cross alone an open
field or square. The sufferer from claustrophobia will invent any excuse
to avoid an elevator or the theatre. When a certain lady was asked if she
disliked to go to the theatre or church, she answered, "Not at all, but of
course I like to have one foot in the aisle; I suppose everyone does that."
Public-domain text, read in full here on John Shaqi.
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