قراءة كتاب Outwitting Our Nerves: A Primer of Psychotherapy
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Outwitting Our Nerves: A Primer of Psychotherapy
between two half-truths, even if they have not realized the dilemma. It has remained for modern psychotherapy to strike the balance—to treat the whole man. Solidly planted on the rock of the physical sciences, with its laboratories, physiological and psychological, and with a long record of investigation and treatment of pathological cases, it resembles the mind cure of earlier days or the assertions of Christian Science about as much as modern medicine resembles the old bloodletting, leeching practices of our forefathers.
For the last quarter-century there have been scattered groups of physicians,—brilliant, patient pioneers,—who,
recognizing man as spirit inhabiting body, have explored the realm of man's mind and charted its paths. These pioneers, beginning with Charcot, have been men of acknowledged scientific training and spirit, whose word must be respected and whose success in treating functional troubles stands out in sharp contrast to the fumblings of the average practitioner in this field. The results of their work have been positive, not negative. They have not merely asserted that nervous disorders are not physical; they have discovered what the trouble is and have found it to be discoverable and removable in almost every case, provided only that the right method is used.
Ourselves and Our Bodies. If the statement that "nervous troubles are neither physical nor imaginary but a disease of the personality," sounds rather mystifying to the average person, it is only because the average person is not very conversant with his own inner life. We shall hope, later on, to find some definite guide-posts and landmarks which will help us feel more at home in this fascinating realm. At present, we are not attempting anything more than a suggestion of the itinerary which we shall follow. A book on physical hygiene can presuppose at least a rudimentary knowledge of heart and lungs and circulation, but a book on mental hygiene must begin at the beginning, and even before the beginning must clear away misconceptions
and make clear certain fundamental principles. But the gist of the whole matter is this: in a neurosis, certain forces of the personality—instincts and their accompanying emotions—which ought to work harmoniously, having become tangled up with some erroneous ideas, have lost their power of coöperation and are working at cross purposes, leaving the individual mis-adapted to his environment, the prey of all sorts of mental and physical disturbances.
The fact that the cause is mental while the result is often physical, should cause no surprise. In the physiological realm we are used to the idea that cause and effect are often widely separated. A headache may be caused by faulty eyes, or it may result from trouble in the intestines. In the same way, we should not be too much surprised if the cause of nervous troubles is found to be even more remote, provided there is some connecting link between cause and effect. The difficulty in this case is the apparent gulf between the realm of the spirit and the realm of the body. It is hard to see how an intangible thing like a thought can produce a pain in the arm or nausea in the stomach. Philosophers are still arguing concerning the nature of the relation between mind and body, but no one denies that the closest relation does exist. Every year science is learning that ideas count and that they count physically, as well as spiritually.
Such Stuff as "Nerves" are Made Of. Dr. Tom A. Williams in the little composite volume "Psychotherapeutics" says that the neuroses are based not on inherently weak nervous constitutions but on ignorance and on false ideas. What, then, are some of these erroneous ideas, these misconceptions, that cause so much trouble? We shall want to examine them more carefully in later chapters, but we might glance now at a few examples of these popular bugaboos that need to be slain by the sword of cold, hard fact.
Popular Misconceptions about the Body.
1 "Eight hours' sleep is essential to health. All insomnia is dangerous and is incompatible with health. Nervous insomnia leads to shattered nerves and ultimately to insanity."
2 "Overwork leads to nervous breakdown. Fatigue accumulates from day to day and necessitates a long rest for recuperation."
3 "A carefully planned diet is essential to health, especially for the nervous person. A variety of food, eaten at the same time, is harmful. Acid and milk—for example, oranges and milk—are difficult to digest. Sour stomach is a sign of indigestion."
4 "Modern life is so strenuous that our nerves cannot stand the strain."
5 "Brain work is very fatiguing. It causes brain-fag and exhaustion."
6 "Constipation is at the root of most physical ailments and is caused by eating the wrong kind of food."
Some of these misconceptions are household words and are so all but universally believed that the thought that they can be challenged is enough to bewilder one. However, it is ideas like this that furnish the material out of which many a nervous trouble is made. Based on a half-knowledge of the human body, on logical conclusions from faulty premises, on hastily swallowed notions passed on from one person to another, they tend by the very power of an idea to work themselves out to fulfilment.
The Power Behind Ideas
Ideas Count. Ideas are not the lifeless things they may appear. They are not merely intellectual property that can be locked up and ignored at will, nor are they playthings that can be taken up or discarded according to the caprice of the moment. Ideas work themselves into the very fiber of our being. They are part of us and they do things. If they are true, in line with things as they are, they do things that are for our good, but if they are false, we often discover that they have an altogether unsuspected power for harm and are capable of astonishing results, results which have no apparent relation to the ideas responsible for them and which are, therefore, laid to physical causes. Thinking
straight, then, becomes a hygienic as well as a moral duty.
Ideas and Emotions. Ideas do not depend upon themselves for their driving-power. Life is not a cold intellectual process; it is a vivid experience, vibrant with feeling and emotion. It therefore happens that the experiences of life tend to bring ideas and emotions together and when an idea and an emotion get linked up together, they tend to stay together, especially if the emotion be intense or the experience is often repeated.
The word emotion means outgoing motion, discharging force. This force is like live steam. An emotion is the driving part of an instinct. It is the dynamic force, the electric current which supplies the power for every thought and every action of a human life.
Man is not a passive creature. The words that describe him are not passive words. Indeed, it is almost impossible to think about man at all except in terms of desire, impulse, purpose, action, energy. There are three things that may be done with energy: First, it may be frittered away, allowed to leak, to escape. Secondly, it may be locked up; this results usually in an explosion, a finding of destructive outlets. Finally, it may be harnessed, controlled, used in beneficent ways. Health and happiness depend upon which one of the three courses is taken.
Evidently, it is highly important to have a working knowledge of these emotions and instincts; important to know enough about them and their purpose to handle them rightly if they do not spontaneously work together for our best character and health. The problems of character and the problems of health so overlap that it is impossible to write a book about nervous disorders which does not at the same time deal with