The term "imaginary" is too loosely applied to the sensations of the
hypochondriac. This designation is unjustified, and only irritates the
sufferer, rouses his antagonism, and undermines his confidence in the
judgment of his adviser. He knows that the sensations are there. To call
them imaginary is like telling one who inspects an insect through
a microscope that the claws do not look enormous; they _do_ look
enormous--through the microscope--but this does not make them so. The
worrier must learn to realize that he is looking at his sensations, as he
does everything else, _through a microscope_.
If a person living near a waterfall ignores the sound, he soon ceases to
notice it, but if he listens for it, it increases, and becomes finally
unbearable. Common sense teaches him to concentrate his attention
elsewhere; similarly, it demands that the victim of "hypos" disregard his
various sensations and devote his attention to outside affairs, unless the
sensations are accompanied by obvious physical signs. Instead of running
to the doctor, let him _do_ something--ride horseback, play golf, anything
requiring exercise out of doors. Let him devote his entire energy to the
exercise, and thus substitute the healthy sensations of fatigue and hunger
for the exaggerated pains and the anomalous sensations which are fostered
by self-study. Let him remember moreover, that nature will stand an
enormous amount of outside abuse, but resents being kept under close
surveillance.
In practicing the neglect of the sensations, one should not allow his mind
to dwell on the possibility that he is overlooking something serious, but
rather on the danger of his becoming "hipped," a prey to his own doubts and
fears, and unable to accomplish anything in life beyond catering to his own
morbid fancies.
* * * * *
Turning now to the bibliographic study of hypochondria, an interesting and
characteristic contrast is offered between Huxley, who called himself
a hypochondriac, but apparently was not, and Carlyle, who resented the
imputation, though it apparently had some justification in fact.
With regard to Huxley,--the only basis for the diagnosis hypochondria in
a given case, is undoubted evidence, by letter or conversation, that the
question of health is given undue prominence. I have looked carefully
through the volume of Huxley's letters (published by his son), without
definitely establishing this diagnosis. The state of his health and the
question of his personal comfort received comparatively little attention.
Whatever suffering Huxley endured he seems to have accepted in a
philosophical and happy spirit, thus:
"It is a bore to be converted into a troublesome invalid even for a few
weeks, but I comfort myself with my usual reflection on the chances of
life, 'Lucky it is no worse.' Any impatience would have been checked by
what I heard about ... this morning ... that he has sunk into hopeless
idiocy. A man in the prime of life!"
Public-domain text, read in full here on John Shaqi.
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