The more attention is paid to the sensations, the more they demand. Nor can
the degree of attention they deserve be measured by their own insistence.
If one tries the experiment of thinking intently of the end of his thumb,
and imagines it is going to sleep, the chances are ten to one that in five
minutes it will have all the sensations of going to sleep. If this is true
of the healthy-minded individual, how much more must it be so in the person
who allows his thoughts to dwell with anxious attention on such parts of
his body as may be the immediate seat of his fears. The next step is for
various sensations (boring, burning, prickling, stabbing, and the like)
to appear spontaneously, and, if attention is paid to them, rapidly to
increase in intensity.
It is probable that the mere pressure of part upon part in the body, even
the ordinary activity of its organs, would give rise to sensations if we
encouraged them. Given an anomalous sensation, or even a pain, for which
the physician finds no physical basis, and which, after a term of years,
has produced no further appreciable effect than to make one nervous, it is
always in place to ask one's self whether the sensation or the pain may not
be of this nature.
Medical instructors are continually consulted by students who fear that
they have the diseases they are studying. The knowledge that pneumonia
produces pain in a certain spot leads to a concentration of attention
upon that region which causes any sensation there to give alarm. The mere
knowledge of the location of the appendix transforms the most harmless
sensations in that region into symptoms of serious menace. The sensible
student learns to quiet these fears, but the victim of "hypos" returns
again and again for examination, and perhaps finally reaches the point of
imparting, instead of obtaining, information, like the patient in a recent
anecdote from the _Youth's Companion_:
It seems that a man who was constantly changing physicians at last called
in a young doctor who was just beginning his practice.
"I lose my breath when I climb a hill or a steep flight of stairs," said
the patient. "If I hurry, I often get a sharp pain in my side. Those are
the symptoms of a serious heart trouble."
"Not necessarily, sir," began the physician, but he was interrupted.
"I beg your pardon!" said the patient irritably. "It isn't for a young
physician like you to disagree with an old and experienced invalid like me,
sir!"
* * * * *
There is no absolute standard for the proper degree of solicitude regarding
one's health, but if the habitual invalid possess a physique which would
not preclude the average normal individual from being out and about, even
at the expense of a pain, a stomach ache, or a cold, there is probably a
hypochondriacal element in the case. It is a question of adjustment of
effect to cause.
Public-domain text, read in full here on John Shaqi.
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