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+The Project Gutenberg EBook of Why Worry?, by George Lincoln Walton, M.D.
+
+This eBook is for the use of anyone anywhere at no cost and with
+almost no restrictions whatsoever. You may copy it, give it away or
+re-use it under the terms of the Project Gutenberg License included
+with this eBook or online at www.gutenberg.org
+
+
+Title: Why Worry?
+
+Author: George Lincoln Walton, M.D.
+
+
+Release Date: July, 2005 [EBook #8554]
+This file was first posted on July 22, 2003
+Last Updated: May 14, 2013
+
+Language: English
+
+Character set encoding: ISO-8859-1
+
+*** START OF THIS PROJECT GUTENBERG EBOOK WHY WORRY? ***
+
+
+
+
+Produced by Charles Aldarondo, Tiffany Vergon, Charles
+Franks and the Online Distributed Proofreading Team
+
+
+
+
+
+
+
+
+
+WHY WORRY?
+
+By George Lincoln Walton, M.D.
+
+Consulting Neurologist To The Massachusetts General Hospital
+
+
+
+The legs of the stork are long, the legs of the duck are short; you cannot
+make the legs of the stork short, neither can you make the legs of the duck
+long. Why worry?--_Chwang Tsze_.
+
+
+TO MY LONG-SUFFERING FAMILY AND CIRCLE OF FRIENDS, WHOSE PATIENCE HAS
+BEEN TRIED BY MY EFFORTS TO ELIMINATE WORRY, THIS BOOK IS AFFECTIONATELY
+DEDICATED.
+
+
+
+
+PREFACE.
+
+No apology is needed for adding another to the treatises on a subject whose
+importance is evidenced by the number already offered the public.
+
+The habit of worry is not to be overcome by unaided resolution. It is hoped
+that the victim of this unfortunate tendency may find, among the homely
+illustrations and commonplace suggestions here offered, something to turn
+his mind into more healthy channels. It is not the aim of the writer to
+transform the busy man into a philosopher of the indolent and contemplative
+type, but rather to enable him to do his work more effectively by
+eliminating undue solicitude. This elimination is consistent even with the
+"strenuous life."
+
+One writer has distinguished between normal and abnormal worry, and
+directed his efforts against the latter. Webster's definition of worry (A
+state of undue solicitude) obviates the necessity of deciding what degree
+and kind of worry is abnormal, and directs attention rather to deciding
+what degree of solicitude may be fairly adjudged undue.
+
+In the treatment of a subject of this character a certain amount of
+repetition is unavoidable. But it is hoped that the reiteration of
+fundamental principles and of practical hints will aid in the application
+of the latter. The aim is the gradual establishment of a _frame of mind_.
+The reader who looks for the annihilation of individual worries, or who
+hopes to influence another by the direct application of the suggestions,
+may prepare, in the first instance for disappointment, in the second, for
+trouble.
+
+The thanks of the writer are due to Miss Amy Morris Homans, Director of
+the Boston Normal School of Gymnastics, for requesting him to make to her
+students the address which forms the nucleus of these pages.
+
+GEORGE L. WALTON.
+
+BOSTON, April, 1908.
+
+
+
+
+CONTENTS
+
+
+ I. INTRODUCTORY
+ II. EPICURUS AS A MENTAL HEALER
+ III. THE PSYCHO-THERAPY OF MARCUS AURELIUS
+ IV. ANALYSIS OF WORRY
+ V. WORRY AND OBSESSION
+ VI. THE DOUBTING FOLLY
+ VII. HYPOCHONDRIA
+ VIII. NEURASTHENIA
+ IX. SLEEPLESSNESS
+ X. OCCUPATION NEUROSIS
+ XI. THE WORRIER AT HOME
+ XII. THE WORRIER ON HIS TRAVELS
+ XIII. THE WORRIER AT THE TABLE
+ XIV. THE FEAR OF BECOMING INSANE
+ XV. RECAPITULATORY
+ XVI. MAXIMS MISAPPLIED
+ XVII. THE FAD
+XVIII. HOME TREATMENT
+ XIX. HOME TREATMENT CONTINUED
+
+
+
+
+DEFINITIONS.
+
+
+WORRY. A state of undue solicitude.
+
+HYPOCHONDRIA. A morbid mental condition characterized by undue solicitude
+regarding the health, and undue attention to matters thereto pertaining.
+
+OBSESSION. An unduly insistent and compulsive thought, habit of mind, or
+tendency to action.
+
+DOUBTING FOLLY (_Folie du doute_.) A state of mind characterized by a
+tendency unduly to question, argue and speculate upon ordinary matters.
+
+NEURASTHENIA. A form of nervous disturbance characterized by exhaustion and
+irritability.
+
+PHOBIA. An insistent and engrossing fear without adequate cause, as judged
+by ordinary standards.
+
+OCCUPATION NEUROSIS. A nervous disorder in which pain, sometimes with
+weakness and cramp, results from continued use of a part.
+
+PSYCHO-THERAPY. Treatment through the mind.
+
+No other technical terms are used.
+
+
+
+
+I.
+
+INTRODUCTORY
+
+When Thales was asked what was difficult he said, "To know oneself"; and
+what was easy, "To advise another."
+
+
+Marcus Aurelius counselled, "Let another pray, 'Save Thou my child,' but do
+thou pray, 'Let me not fear to lose him.'"
+
+Few of us are likely to attain this level; few, perhaps, aspire to do
+so. Nevertheless, the training which falls short of producing complete
+self-control may yet accomplish something in the way of fitting us,
+by taking the edge off our worry, to react more comfortably to our
+surroundings, thus not only rendering us more desirable companions, but
+contributing directly to our own health and happiness.
+
+Under the ills produced by faulty mental tendencies I do not include cancer
+and the like. This inclusion seems to me as subversive of the laws of
+nature as the cure of such disease by mental treatment would be miraculous.
+At the same time, serious disorders surely result from faulty mental
+tendencies.
+
+In this category we must include, for example, hypochondria, a disturbance
+shown by undue anxiety concerning one's own physical and mental condition.
+This disorder, with the allied fears resulting from the urgent desire to
+be always absolutely safe, absolutely well, and absolutely comfortable, is
+capable, in extreme cases, of so narrowing the circle of pleasure and of
+usefulness that the sufferer might almost as well have organic disease.
+
+Neurasthenia (nervous prostration) has for its immediate exciting cause
+some overwork or stress of circumstance, but the sufferer not infrequently
+was already so far handicapped by regrets for the past, doubts for the
+present, and anxieties for the future, by attention to minute details
+and by unwillingness to delegate responsibilities to others, that he was
+exhausted by his own mental travail before commencing upon the overwork
+which precipitated his breakdown. In such cases the occasion of the
+collapse may have been his work, but the underlying cause was deeper. Many
+neurasthenics who think they are "all run down" are really "all wound up."
+They carry their stress with them.
+
+Among the serious results of faulty mental habit must be included also
+the doubting folly (_folie du doute_). The victim of this disorder is so
+querulously anxious to make no mistake that he is forever returning to see
+if he has turned out the gas, locked the door, and the like; in extreme
+cases he finally doubts the actuality of his own sensations, and so far
+succumbs to chronic indecision as seriously to handicap his efforts. This
+condition has been aptly termed a "spasm of the attention."
+
+The apprehensive and fretful may show, in varying degree, signs of either
+or all these conditions, according as circumstances may direct their
+attention.
+
+Passing from serious disorders to minor sources of daily discomfort, there
+are few individuals so mentally gifted that they are impervious to the
+distress occasioned by variations of temperature and of weather; to the
+annoyance caused by criticism, neglect, and lack of appreciation on the
+part of their associates; to active resentment, even anger, upon moderate
+provocation; to loss of temper when exhausted; to embarrassment in unusual
+situations; to chronic indecision; to the sleeplessness resulting from
+mental preoccupation; and above all, to the futile regrets, the querulous
+doubts, and the undue anxiety included under the term _worry_, designated
+by a recent author "the disease of the age."
+
+Something may be accomplished in the way of lessening all these ills by
+continuous, properly directed effort on the part of the individual. Every
+inroad upon one faulty habit strengthens the attack upon all, and each gain
+means a step toward the acquisition of a mental poise that shall give its
+possessor comparative immunity from the petty annoyances of daily life.
+
+In modern psycho-therapy the _suggestion_, whether on the part of the
+physician or of the patient, plays a prominent part, and it is in this
+direction, aside from the advice regarding occupation and relaxation, that
+my propositions will trend. I shall not include, however, suggestions
+depending for their efficacy upon self-deceit, such as might spring, for
+example, from the proposition that if we think there is a fire in the stove
+it warms us, or that if we break a pane in the bookcase thinking it
+a window, we inhale with pleasure the resulting change of air. The
+suggestions are intended to appeal to the reason, rather than to the
+imagination.
+
+The special aim will be to pay attention to the different varieties of
+worry, and to offer easily understood and commonplace suggestions which any
+one may practice daily and continuously, at last automatically, without
+interfering with his routine work or recreation. Indeed the tranquil mind
+aids, rather than hinders, efficient work, by enabling its possessor to
+pass from duty to duty without the hindrance of undue solicitude.
+
+In advising the constitutional worrier the chief trouble the physician
+finds is an active opposition on the part of the patient. Instead of
+accepting another's estimate of his condition, and another's suggestions
+for its relief, he comes with a preconceived notion of his own
+difficulties, and with an insistent demand for their instant relief by drug
+or otherwise. He uses up his mental energy, and loses his temper, in the
+effort to convince his physician that he is _not_ argumentative. In a less
+unreasonable, but equally difficult class, come those who recognize the
+likeness in the portrait painted by the consultant, but who say they have
+tried everything he suggests, but simply "can't."
+
+It is my hope that some of the argumentative class may recognize, in my
+description, their own case instead of their neighbor's, and may of their
+own initiative adopt some of the suggestions; moreover, that some of the
+acquiescent, but despairing class will renew their efforts in a different
+spirit. The aim is, not to accomplish a complete and sudden cure, but to
+gain something every day, or if losing a little to-day, to gain a little
+to-morrow, and ultimately to find one's self on a somewhat higher plane,
+without discouragement though not completely freed from the trammels
+entailed by faulty mental habit.
+
+
+
+
+II.
+
+EPICURUS AS A MENTAL HEALER
+
+'Tis to believe what men inspired of old, Faithful, and faithfully
+informed, unfold.
+
+_Cowper_.
+
+
+The suggestions offered in the following pages are not new. Many of them
+were voiced by Epicurus three hundred years before Christ, and even then
+were ancient history. Unfortunately Epicurus had his detractors. One,
+Timocrates, in particular, a renegade from his school, spread malicious and
+unfounded reports of his doings and sayings, reports too easily credited
+then, and starting, perhaps, the misconception which to-day prevails
+regarding the aims of this philosopher.
+
+But when Marcus Aurelius, nearly five centuries later, decided to endow a
+philosophical professoriate he established the Epicurean as one of the four
+standard schools. The endorsement of such a one should surely predispose
+us to believe the authentic commentators of Epicurus, and to discredit the
+popular notion which makes his cult synonymous with the gratification of
+the appetites, instead of with the mental tranquility to which he regarded
+sensual pleasures so detrimental that he practically limited his diet, and
+that of his disciples, to bread and water.
+
+It is of special encouragement to such of us as painfully realize our
+meagre equipment for reaching a high plane of self-control, to learn that
+Epicurus was by nature delicate and sensitive. At seven years of age, we
+are told, he could not support himself on tiptoe, and called himself the
+feeblest of boys. It is said that in his boyhood he had to be lifted from
+his chair, that he could not look on the sun or a fire, and that his skin
+was so tender as to prevent his wearing any dress beyond a simple tunic.
+These physical characteristics suggest the makings of a first class "fuss"
+and inveterate worrier. In this event his emancipation from such tendencies
+must have been due to the practice of his own philosophy.
+
+As an antidote for the fear of death and the miraculous in the heavens
+Epicurus urges the study of Nature, showing his appreciation of the fact
+that one thought can only be driven out by another, as well as of the
+importance of the open air treatment of depressing fears.
+
+That he recognized the doubting folly and its evils is shown by the
+following Maxim for the Wise man:
+
+"He shall be steady in his opinion and not wavering and doubtful in
+everything."
+
+To the hypochondriac he said:
+
+"Health in the opinion of some is a precious thing; others rank it among
+the indifferent." Again:
+
+"If the body be attacked by a violent pain the evil soon has an end; if, on
+the contrary, the pain be languishing and of long duration it is sensible
+beyond all doubt of some pleasure therefrom. Thus, most chronical
+distempers have intervals that afford us more satisfaction and ease than
+the distempers we labor under cause pain." And further:
+
+"The Wise man takes care to preserve the unequivocable blessing of an
+undisturbed and quiet mind even amidst the groans and complaints which
+excess of pain extorts from him." He states, again, that one can be happy
+though blind.
+
+Regarding insomnia, he recognized the futility of expecting restful sleep
+to follow a day of fret and worry. He says:
+
+"He shall enjoy the same tranquility in his sleep as when awake."
+
+Epicurus realized that the apparent inability of the old to acquire
+new habits is due rather to lack of attention, and to indifference or
+preoccupation, than to lack of aptitude. He placed, in fact, no limit to
+the age for learning new methods, stating in his letter to Meneceus,--
+
+"Youth is no obstacle to the study of philosophy--neither ought we to be
+ashamed to concentrate our later years to the labor of speculation. Man has
+no time limit for learning, and ought never to want strength to cure his
+mind of all the evils that afflict it."
+
+Epicurus does not counsel seclusion for the cultivation of tranquility, but
+holds that mental equipoise "may be maintained though one mingles with the
+world, provided he keeps within the bounds of temperance, and limits his
+desires to what is easily obtained."
+
+Curiously enough, in view of the idea of epicureanism which has become
+proverbial, Epicurus regards the avoidance of excess a logical and
+necessary step toward the tranquil life, and among other admonitions is
+found the following Maxim:
+
+"The Wise man ought never to drink to excess, neither must he spend the
+nights revelling and feasting."
+
+We may conclude our selection from the Maxims of Epicurus by one which
+strikes a body-blow at worry and the allied faulty mental habits:
+
+"That being who is happy and immortal is in no way solicitous or uneasy on
+any account, neither does he torment or tease others; anger is unworthy of
+his greatness ... for all these things are the property of weakness."
+
+Such then, was the real Epicurus, not a seeker after effeminate luxury, but
+a chaste and frugal philosopher, serene of mien, and of gentle disposition,
+firm in his friendships, but sacrificing to them none of the high ideals
+which characterized his thought. He erred, doubtless, in the avoidance of
+responsibilities and in narrowing his efforts to promoting the happiness
+of his own immediate circle, but he was fearless in the defence of his
+principles and steadfast in the pursuit of the tranquility which for him
+included truth.
+
+
+
+
+III.
+
+MARCUS AURELIUS
+
+Such a body of teachers distinguished by their acquirements and character
+will hardly be collected again; and as to the pupil, we have not had
+another like him since.
+
+_Long_.
+
+
+Marcus Aurelius Antoninus, the philosopher-Emperor, showed by practice as
+well as by precept that the tranquil mind is not incompatible with a life
+of action. Destined from birth to stand at the head of a great empire
+engaged in distant wars, threatened by barbaric invasion, and not without
+internal dissention, he was prepared not only to command armies but to
+govern himself. Fortunately we are not without a clue to his methods--he
+not only had the best of teachers, but continued his training all through
+his life. When we consider his labors, the claim of the busy man of to-day
+that he has "no time" seems almost frivolous.
+
+The thoughts of Marcus Aurelius (of which the following citations are
+from Long's translation) were written, not for self exploration, nor from
+delight in rounded periods, but for his own guidance. That he was in fact
+guided by his principles no better illustration offers than his magnanimity
+toward the adherents of one who would have usurped the throne of the
+Cęsars. The observation of Long that fine thoughts and moral dissertations
+from men who have not worked and suffered may be read, but will be
+forgotten, seems to have been exemplified in the comparative oblivion into
+which the philosophy of Epicurus has fallen.
+
+It is with the ethical side of the philosophy of Marcus Aurelius that we
+are concerned, and with that portion only which bears on the question of
+mental equipoise.
+
+"Begin the morning," he says, "by saying to thyself, I shall meet with the
+busybody, the ungrateful, arrogant, deceitful, envious, unsocial. All these
+things happen to them by reason of their ignorance of what is good and
+evil."
+
+With regard to the habit of seclusion common among the self-conscious, he
+says:
+
+"If thou didst ever see a hand cut off, or a foot, or a head, lying
+anywhere apart from the rest of the body, such does a man make himself, as
+far as he can, who is not content with what happens, and separates himself
+from others, or does any thing unsocial. Suppose that thou hast detached
+thyself from the natural unity--for thou wast made by nature a part, but
+now thou hast cut thyself off--yet here there is this beautiful provision,
+that it is in thy power again to unite thyself. God has allowed this to no
+other part, after it has been separated and cut asunder, to come together
+again. But consider the kindness by which he has distinguished man, for he
+has put it in his power not to be separated at all from the universal; and
+when he has been separated, he has allowed him to return and to resume his
+place as a part."
+
+On the futile foreboding which plays so large a part in the tribulation of
+the worrier, he says:
+
+"Do not disturb thyself by thinking of the whole of thy life. Let not thy
+thoughts at once embrace all the various troubles which thou mayest expect
+to befall thee; but on every occasion ask thyself, What is there in this
+which is intolerable and past bearing? for thou wilt be ashamed to confess.
+In the next place remember that neither the future nor the past pains thee,
+but only the present. But this is reduced to a very little, if thou only
+circumscribest it, and chidest thy mind, if it is unable to hold out
+against even this." Again: "Let not future things disturb thee, for thou
+wilt come to them, if it shall be necessary, having with thee the same
+reason which now thou usest for present things."
+
+On the dismissal of useless fret, and concentration upon the work in hand,
+he says:
+
+"Labor not as one who is wretched, nor yet as one who would be pitied or
+admired; but direct thy will to one thing only, to put thyself in motion
+and to check thyself, as the social reason requires."
+
+Regarding senseless fears he counsels:
+
+"What need is there of suspicious fear, since it is in thy power to inquire
+what ought to be done? And if thou seest clear, go by this way content,
+without turning back: but if thou dost not see clear, stop and take the
+best advisers. But if any other things oppose thee, go on according to thy
+powers with due consideration, keeping to that which appears to be just.
+For it is best to reach this object, and if thou dost fail, let thy failure
+be in attempting this. He who follows reason in all things is both tranquil
+and active at the same time, and also cheerful and collected."
+
+On irritation at the conduct of others:
+
+"When thou art offended with any man's shameless conduct, immediately ask
+thyself, Is it possible, then, that shameless men should not be in the
+world? It is not possible. Do not, then, require what is impossible. For
+this man also is one of those shameless men who must of necessity be in the
+world. Let the same considerations be present in thy mind in the case of
+the knave and the faithless man, and of every man who does wrong in any
+way."
+
+Regarding the hypochondriacal tendency he reverts to Epicurus, thus:
+
+"Epicurus says, In my sickness my conversation was not about my bodily
+sufferings, nor did I talk on such subjects to those who visited me; but I
+continued to discourse on the nature of things as before, keeping to this
+main point, how the mind, while participating in such movements as go on in
+the poor flesh, shall be free from perturbations and maintain its proper
+good.... Do, then, the same that he did both in sickness, if thou art sick,
+and in any other circumstances;... but to be intent only on that which thou
+art now doing and on the instrument by which thou doest it."
+
+These quotations will serve to show the trend of the reflections of this
+remarkable man. After reviewing this epitome of ethical philosophy I might
+stop and counsel the worrier to study the thoughts of Marcus Aurelius
+and other philosophers, whose practical suggestions are similar,
+notwithstanding their diversity of views regarding the ultimate object of
+the training. I shall venture, however, to elaborate the subject from the
+present view-point, even though the principles of Marcus Aurelius are as
+applicable now as they were in the days of the Roman Empire.
+
+No reminder is needed of the wealth and efficacy of suggestion in the Book
+which contains the statement that "the Kingdom of God is within you," and
+that "A merry heart doeth good like a medicine; but a broken spirit drieth
+the bones." One of its suggestions was paralleled by the philosopher-poet
+when he wrote:
+
+ "Latius regnes avidum domando
+ Spiritum, quam si Libyam remotis
+ Gadibus iungas et uterque Poenus
+ Serviat uni."
+
+
+
+
+IV.
+
+ANALYSIS OF WORRY
+
+Of these points the principal and most urgent is that which reaches the
+passions; for passion is produced no otherwise than by a disappointment
+of one's desires and an incurring of one's aversions. It is this which
+introduces perturbations, tumults, misfortunes, and calamities; this is
+the spring of sorrow, lamentation and envy; this renders us envious and
+emulous, and incapable of hearing reason.
+
+_Epictetus_.
+
+
+Under this rather pretentious title an attempt is made to indicate certain
+elements of worry. No claim is made that the treatment of the subject is
+exhaustive.
+
+The motto "Don't Worry" has inspired many homilies. But the mere resolve to
+follow this guide to happiness will no more instantaneously free one from
+the meshes of worry than the resolve to perform a difficult gymnastic feat
+will insure its immediate accomplishment.
+
+The evils of worry as well as of its frequent associate, anger, have been
+dwelt upon by writers philosophical, religious, and medical. "Worry," says
+one author, "is the root of all cowardly passions,--jealousy, fear, the
+belittling of self, and all the introspective forms of depression are the
+children of worry." The symptoms and the evil results seem to receive
+more elaborate and detailed attention than the treatment. "Eliminate it,"
+counsels this writer; "Don't worry," advises another. "Such advice is
+superficial," says their critic, "it can only be subdued by our ascending
+into a higher atmosphere, where we are able to look down and comprehend the
+just proportions of life." "Cultivate a quiet and peaceful frame of mind,"
+urges another; and still another advises us to "occupy the mind with better
+things, and the best--is a habit of confidence and repose."
+
+From such counsel the average individual succeeds in extracting nothing
+tangible. The last writer of those I have quoted comes perhaps the nearest
+to something definite in directing us to occupy the mind with better
+things; in the suggestions I have to offer the important feature is the
+effort to replace one thought by another, though not necessarily by a
+better one. If we succeed in doing this, we are making a step toward
+acquiring the habit of confidence and repose.
+
+The simple admonition not to worry is like advising one not to walk
+awkwardly who has never learned to walk otherwise. If we can find some of
+the simpler elements out of which worry is constructed, and can learn to
+direct our attack against these, the proposition "Don't worry" will begin
+to assume a tangible form.
+
+We can at least go back one step, and realize that it is by way of the
+_unduly insistent thought_ that most of these faulty mental habits become
+established. It might be claimed that fear deserves first mention, but the
+insistent thought in a way includes fear, and in many cases is independent
+of it.
+
+The insistent thought magnifies by concentration of attention, and by
+repetition, the origin of the worry. If my thoughts dwell on my desire for
+an automobile this subject finally excludes all others, and the automobile
+becomes, for the time being, the most important thing in the world, hence I
+worry. Into this worry comes no suggestion of fear--this emotion would be
+more appropriate, perhaps, if I acquired the automobile and attempted
+to run it. If, now, I have trained myself to concentrate my attention
+elsewhere before such thoughts become coercive, the automobile quickly
+assumes its proper relation to other things, and there is no occasion for
+worry. This habit of mind once acquired regarding the unessentials of life,
+it is remarkable how quickly it adapts itself to really important matters.
+
+Take a somewhat more serious question. I fear I may make a blunder. If I
+harbor the thought, my mind is so filled with the disastrous consequences
+of the possible blunder that I finally either abandon the undertaking or
+approach it with a trepidation that invites failure. If, on the other hand,
+I have learned to say that even if I make a blunder it will only add to
+my experience, then apply myself whole-minded to the task, I have made a
+direct attack on worry.
+
+The qualification _unduly_ is not to be forgotten; a certain discrimination
+must be exercised before entirely condemning the insistent thought. The
+insistent thought that one's family must be fed is not a morbid sign. In
+fact, he also errs who can eliminate this thought and enjoy the ball game.
+It is not for the deviate of this type that I am writing. Nevertheless, the
+over-solicitous victim of the "New England Conscience" can almost afford to
+take a few lessons from the ne'er-do-weel.
+
+The practical bearing of this attempt to analyze worry is obvious. If it is
+through the insistent desire for an automobile that I worry, I must bring
+my training to bear, not on the worry, which is elusive, but on the desire,
+which is definite. I must fortify myself with what philosophy I can
+acquire, and must console myself with such compensations as my situation
+may offer; and above all, I must _get busy_, and occupy hands and brain
+with something else. If, on my travels, I worry over the sluggish movement
+of the train, it is because of the insistent thought that I must arrive
+on time. In this event I should practice subduing the insistent thought,
+rather than vaguely direct my efforts against the worry. In the majority of
+cases I can bring myself to realize that the question of my arrival is not
+vital. Even in case I am missing an important engagement I may modify the
+dominance of the thought by reflecting that I cannot expect to be wholly
+immune from the misfortunes of mankind; it is due me, at least once in a
+lifetime, to miss an important engagement,--why fret because this happens
+to be the appointed time? Why not occupy my thoughts more profitably than
+in rehearsing the varied features of this unavoidable annoyance?
+
+If we fret about the weather it is because of an insistent desire that the
+weather shall conform to our idea of its seasonableness. If we complain
+of the chill of May it is not because the cold is really unbearable, but
+because we wonder if spring will ever come. If we fume on a hot day in July
+it is because the weather is altogether _too_ seasonable to suit us.
+
+We spend far too much thought on the weather, a subject that really
+deserves little attention except by those whose livelihood and safety
+depend upon it. Suppose a runaway passes the window at which we are
+sitting, with collar off, handkerchief to our heated brow, squirming to
+escape our moist and clinging garments, and being generally miserable. We
+rush out of doors to watch his course, and for the next few minutes we do
+not know whether it is hot or cold, perspiring less during our exertions, I
+strongly suspect, than we did while sitting in the chair. At all events, it
+is obvious that our thoughts played quite as great a part in our discomfort
+as did the heat of the day.
+
+Suppose now, instead of devoting all our attention to the weather we should
+reason somewhat as follows:
+
+As long as I live on this particular planet, I shall be subject perhaps
+three days out of four, to atmospheric conditions which do not suit me.
+Is it worth my while to fret during those three days and to make it up by
+being elated on the fourth? Why not occupy myself with something else and
+leave the weather for those who have no other resource? Or, as someone has
+said, why not "make friends with the weather?" If one will cultivate this
+frame of mind he will be surprised to find that a certain physical relief
+will follow. In the first place, he will lessen the excessive perspiration
+which is the invariable accompaniment of fret, and which in its turn
+produces more discomfort than the heat itself.
+
+We have selected, so far, the comparatively unimportant sources of mental
+discomfort, fret, and worry. The reader who can truthfully say that such
+annoyances play no part in his mental tribulations may pass them and accept
+congratulations. The reader who cannot be thus congratulated, but who is
+impatient to attack the major sources of worry, must be reminded at this
+point that he must practice on the little worries before he can accomplish
+anything with the great. The method is the same. The philosophy that will
+make us content with the weather will do something toward establishing the
+mental poise which shall enable us to withstand with comparative equanimity
+the most tragic of misfortunes that may fall to our lot.
+
+To draw an example from the more serious disorders, let us consider the
+hypochondriac, who harbors the insistent thought that he must be always
+perfectly well, that each of his sensations must conform to his ideal, and
+that each function must follow regulations imposed by himself. If he
+can learn to ignore this thought by realizing that an acute illness is
+preferable to life-long mental captivity; if he can learn to do what others
+do, and to concentrate his energies on outside affairs which shall displace
+the question of health; if he can learn to say "What I am _doing_ is more
+important than how I am _feeling_;" he will have cured his hypochondria.
+
+In the foundation of the structure we are studying is found _exaggerated
+self-consciousness_. Whatever is said, done, or left undone, by others is
+analyzed by the worrier with reference to its bearing on himself. If others
+are indifferent it depresses him, if they appear interested they have an
+ulterior motive, if they look serious he must have displeased them, if they
+smile it is because he is ridiculous. That they are thinking of their own
+affairs is the last thought to enter his mind.
+
+I suppose it would be an affectation for any of us to deny that, as far as
+we are concerned, we are the centre of the universe. This conceit does
+us no harm so long as we remember that there are as many centres of the
+universe as there are people, cats, mice and other thinking animals. When
+we forget this our troubles begin. If I enter a strange shop and find they
+desire security, need I take this as a reflection on _my_ credit? Need I
+expect to be invited to every entertainment I should like to attend, and to
+be excused from those that bore me, and shall I make no allowance for the
+attitude of my host? Is it not rather egotistic for me to suppose that
+others are vitally interested in the fact that I blush, tremble, or am
+awkward? Why then should I allow my conduct to be influenced by such
+trivial matters?
+
+The order of training is, then, generally, to modify our self-consciousness
+by externalizing our thoughts and broadening our interests; specifically,
+to eliminate the unduly insistent habit of thought.
+
+This analysis of worry and allied mental states may facilitate such
+training, but the practical value of the suggestions does not depend upon
+the acceptance of these theoretical considerations.
+
+
+
+
+V.
+
+WORRY AND OBSESSION
+
+So much are men enured in their miserable estate, that no condition is so
+poore, but they will accept; so they may continue in the same.
+
+_Florio's Montaigne_.
+
+
+"You may as well be eaten by the fishes as by the worms," said the daughter
+of a naval commander to me one day, when discussing the perils of the sea.
+Such philosophy, applied to each of the vexatious and dangerous situations
+of daily life, would go far toward casting out worry.
+
+We have already referred to two important elements at the foundation,
+and in the framework, of the elaborate superstructures we rear with such
+material as worry, doubts, fears and scruples. The first is _exaggerated
+self-consciousness_, the second the tendency to succumb to the compelling
+thought or impulse, technically termed _obsession_.
+
+With regard to self-consciousness, the worrier will generally realize that
+even as a child he was exceptionally sensitive to criticism, censure,
+ridicule and neglect. He was prone to brood over his wrongs, to play the
+martyr, and to suffer with peculiar keenness the "slings and arrows of
+outrageous fortune." I remember once leaving the table on account of some
+censure or careless remark. I fancied I had thrown the whole family into a
+panic of contrition. On the first opportunity, I asked what they had said
+about it, and was told that they had apparently not noticed my departure.
+This salutary lesson prevented repetition of the act.
+
+To the self-conscious person the mere entrance into a public vehicle may
+prove an ordeal. It is hard for him to realize that the general gaze has no
+peculiar relation to himself, and that if the gaze is prolonged this is due
+to no peculiarity of his beyond the blush or the trepidation that betrays
+his feeling. If he can acquire indifference to this feature of his case,
+through the reflection that to others it is only a passing incident, the
+blush and the trepidation will promptly disappear, and a step will have
+been taken towards gaining the self-control for which he aims.
+
+The usual cause of stage-fright is exaggerated self-consciousness. The
+sufferer from stage-fright can hardly fail to be a worrier. A certain
+shyness, it would seem, may also result from too acute a consciousness of
+one's audience, as in the case of Tennyson, whom Benson quotes thus:
+
+"I am never the least shy before great men. Each of them has a personality
+for which he or she is responsible; but before a crowd which consists of
+many personalities, of which I know nothing, I am infinitely shy. The great
+orator cares nothing about all this. I think of the good man, and the bad
+man, and the mad man, that may be among them, and can say nothing. _He_
+takes them all as one man. _He_ sways them as one man."
+
+This, I take it, hardly spelled stage-fright. At the same time, it
+is improbable that one so sensitive to criticism meant to convey the
+impression that it was of his audience alone he thought in shrinking from
+the effort.
+
+It appears that Washington Irving suffered from actual stage-fright.
+
+In the Library edition of Irving's works appears the following anecdote
+from the reminiscences of Mrs. Julia Ward Howe, then a young woman of
+twenty-three:
+
+"I was present, with other ladies, at a public dinner given in honor of
+Charles Dickens by prominent citizens of New York. The ladies were not
+bidden to the feast, but were allowed to occupy a small ante-room which,
+through an open door, commanded a view of the tables. When the speaking was
+about to begin, a message came suggesting that we take possession of some
+vacant seats at the great table. This we were glad to do. Washington
+Irving was president of the evening, and upon him devolved the duty of
+inaugurating the proceedings by an address of welcome to the distinguished
+guest. People who sat near me whispered, 'He'll break down,--he always
+does.' Mr. Irving rose and uttered a sentence or two. His friends
+interrupted him by applause, which was intended to encourage him, but which
+entirely overthrew his self-possession. He hesitated, stammered, and sat
+down, saying, 'I cannot go on.'"
+
+Cavendish, the chemist, suffered from a constitutional shyness attributable
+only to self-consciousness. He is said to have carried so far his aversion
+to contact with others, outside of his colleagues, that his dinner was
+always ordered by means of a note, and instant dismissal awaited the female
+domestic who should venture within his range of vision.
+
+Lombroso cites, among his "Men of Genius," quite a list--Corneille,
+Descartes, Virgil, Addison, La Fontaine, Dryden, Manzoni, and Newton--of
+those who could not express themselves in public. Whatever part
+self-consciousness played in the individual case, we must class the
+peculiarity among the defects, not signs, of genius. "A tender heel makes
+no man an Achilles."
+
+To the second faulty habit, obsession, I wish to devote special attention.
+This word we have already defined as an unduly insistent and compulsive
+thought, habit of mind, or tendency to action. The person so burdened is
+said to be obsessed.
+
+Few children are quite free from obsession. Some must step on stones;
+others must walk on, or avoid, cracks; some must ascend the stairs with the
+right foot first; many must kick posts or touch objects a certain number of
+times. Some must count the windows, pictures, and figures on the wallpaper;
+some must bite the nails or pull the eye-winkers. Consider the nail-biter.
+It cannot be said that he toils not, but to what end? Merely to gratify an
+obsession. He nibbles a little here and a little there, he frowns, elevates
+his elbow, and inverts his finger to reach an otherwise inaccessible
+corner. Does he enjoy it? No, not exactly; but he would be miserable if he
+discontinued.
+
+An unusual, but characteristic obsession is told by a lady in describing
+her own childhood. She thought that on retiring she must touch nothing with
+her hands, after she had washed them, until she touched the inside of the
+sheets. In case she failed she must return and wash the hands again. The
+resulting manoeuvres are still fresh in her mind, particularly when her
+sister had preceded her to bed and she had to climb the footboard.
+
+It is during childhood that we form most of the automatic habits which are
+to save time and thought in later life, and it is not surprising that some
+foolish habits creep in. As a rule, children drop these tendencies at need,
+just as they drop the rōles assumed in play, though they are sometimes so
+absorbing as to cause inconvenience. An interesting instance was that of
+the boy who had to touch every one wearing anything red. On one occasion
+his whole family lost their train because of the prevalence of this color
+among those waiting in the station.
+
+The longer these tendencies are retained in adult life, the greater the
+danger of their becoming coercive; and so far as the well-established case
+is concerned the obsessive act must be performed, though the business,
+social, and political world should come to a stand-still. Among the stories
+told in illustration of compulsive tendency in the great, may be instanced
+the touching of posts, and the placing of a certain foot first, in the
+case of Dr. Johnson, who, it appears, would actually retrace his steps and
+repeat the act which failed to satisfy his requirements, with the air of
+one with something off his mind.
+
+A child who must kick posts is father to the man who cannot eat an egg
+which has been boiled either more or less than four minutes; who cannot
+work without absolute silence; who cannot sleep if steam-pipes crackle; and
+who must straighten out all the tangles of his life, past, present, and
+future, before he can close his eyes in slumber or take a vacation. The boy
+Carlyle, proud, shy, sensitive, and pugnacious, was father to the man who
+made war upon the neighbor's poultry, and had a room, proof against sound,
+specially constructed for his literary labors.
+
+The passive obsessions are peculiarly provocative of worry. Such are
+extreme aversions to certain animals, foods, smells, sounds, and sights, or
+insistent discomfort if affairs are not ordered to our liking. A gentleman
+once told me that at the concert he did not mind if his neighbor followed
+the score, but when he consulted his programme during the performance it
+distressed him greatly.
+
+Such instances illustrate the fact that when our obsessions rule us it is
+not the noise or the sight, but our idea of the fitness of things, that
+determines the degree of our annoyance. A person who cannot endure the
+crackling of the steam-pipe can listen with pleasure to the crackling of an
+open fire or the noise of a running brook.
+
+It is said that the sensitive and emotional Erasmus had so delicate a
+digestion that he could neither eat fish nor endure the smell of it; but
+we are led to suspect that obsession played a part in his troubles when we
+further learn that he could not bear an iron stove in the room in which he
+worked, but had to have either a porcelain stove or an open fire.
+
+If we can trust the sources from which Charles Reade drew his deductions
+regarding the character of the parental stock, Erasmus came fairly by his
+sensitive disposition. In "The Cloister and the Hearth" we find the father
+of Erasmus, fleeing from his native land, in fear of his life on account of
+a crime he thought he had committed, frozen, famished and exhausted, unable
+to enter the door of a friendly inn on account of his aversion to the
+issuing odors. Forced by his sufferings at last to enter the inn, he visits
+each corner in turn, analyzing its peculiar smell and choosing finally the
+one which seems to him the least obnoxious.
+
+I have heard somewhere, but cannot place, the story of a prominent writer
+who was so disturbed by the mechanical lawn-mower of his neighbor that he
+insisted upon the privilege of defraying the expense of its replacement by
+the scythe.
+
+Peculiar sensitiveness to sights, sounds and smells seems to be a common
+attribute of genius. This sort of sensitiveness has even been credited with
+being the main-spring of genius, but it is improbable that the curbing of
+such aversions would in any way endanger it. However this may be, such
+supersensitiveness ill becomes the rest of us, and these extreme aversions
+surely clog, rather than accelerate, our efforts.
+
+ * * * * *
+
+The natural tendency of the healthy mind is to accustom itself to new
+sensations, as the ring on the finger, or the spectacles on the nose. The
+obsessive individual resists this tendency; he starts with the fixed idea
+that he cannot stand the annoyance, his resentment increases, and his
+sensations become more, instead of less, acute. His reaction to criticism,
+slight, and ridicule is similar; he is prepared to start, blush, and show
+anger on moderate provocation, and can often reproduce both the sensation
+and its accompanying physical signs by merely recalling the circumstance.
+
+The passive as well as the active obsessions can be overcome by cultivating
+the commonplace, or average normal, attitude, and resolving gradually to
+accustom one's self to the disagreeable. This change of attitude can be
+made in adult life as well as in youth. "You cannot teach an old dog new
+tricks," we are told. The reason is not that the old dog cannot learn them,
+but that he does not want to. I met in Germany a British matron who was
+obsessed with the belief that she could not learn the language. At the
+end of four years' sojourn she entered a store and asked the price of an
+article.
+
+"Four marks," was the answer.
+
+"How much in English money?" she inquired.
+
+"Why, madam, a mark is the same as a shilling."
+
+"I don't know anything about that; how much is it in English?"
+
+"Four shillings."
+
+"Ah, quite so; you might have told me at once."
+
+Experience has shown that no time in life precludes the acquirement of
+new knowledge and new habits by one who thinks it worth while to make the
+attempt. The elderly person will be surprised at his progress if he will
+bring to bear upon a new subject a mind free from doubts of its usefulness,
+doubts of his own ability, worry lest he is wasting valuable time, regrets
+for the past and plans for the future.
+
+It is not always possible to say just where useful habit merges into
+obsession. A certain individual, we will say, invariably puts on the
+left shoe before the right. This is a useful habit, fixed by constant
+repetition, useful because it relieves the brain of conscious effort. But
+suppose he decides some morning to put on the right shoe before the left;
+this new order so offends his sense of the fitness of things that he finds
+it hard to proceed; if he perseveres, his feet feel wrong to him; the
+discomfort grows until finally he is impelled to remove the shoes and
+replace them in the usual order. In this case an act which started as a
+useful habit has been replaced by an obsession.
+
+Suppose, again, a person obsessed by the fear of poison is prevented from
+washing his hands before eating. He sits down, perhaps, fully intending to
+proceed as if nothing had happened, but the thought occurs to him that he
+may have touched something poisonous, though his reason tells him this
+is most improbable. He reviews the events of the day and can find no
+suggestion of poison; still the thought of poison obtrudes itself, and he
+finds it impossible to put anything which he touches into his mouth. He
+next wonders if he has not already put something into his mouth. This
+thought produces a mental panic, the blood mounts to his head, he becomes
+incapable of coherent thought or speech, and the task of finishing his
+dinner would now be beyond his power even if he had not lost all taste for
+it.
+
+Such illustrations of obsession in daily life, by no means rare, could be
+multiplied indefinitely, and may be perhaps better appreciated than the
+text-book illustration of the man who neglected to flick off with his whip
+a certain stone from the top of a wall, and who could not sleep until he
+had returned to the spot and performed the act.
+
+Suppose a man has always worn high boots and is accustomed to a feeling of
+warmth about the ankles. The desire for warm ankles may finally so dominate
+him that he not only cannot wear low shoes in mid-summer, but he cannot
+wear slippers, even in a warm room; and finally, perhaps, finds that he
+must wear woollen socks to bed. By this time the desire for a certain
+sensation is in a fair way to become an obsession. When you assure him that
+many wear low shoes throughout the winter, he asks if their ankles really
+feel warm. That is not the question. The question is, can one accustom
+himself to the ankles feeling cool, just as he accustoms himself to his
+face feeling cool. If he can, he has conquered a sensory obsession, and has
+made a step toward fitting himself to meet more serious vicissitudes with
+equanimity.
+
+Similar instances can be adduced in all realms of sensation, both general
+and special. One person cannot bear the light, and wears blue glasses;
+another cannot breathe out-door air, and wears a respirator; another cannot
+bear to see a person rock or to hear a person drum.
+
+If a family or circle of friends is so constituted that some are obsessed
+to _do_ certain things and others are obsessed _not to stand them_ the
+foundation is laid for a degree of irritability inconsistent with mental
+health. Mrs. X. simply cannot stand hearing Mr. X. tap the floor, and if he
+continues, her discomfort becomes acute; the sound so dominates her that
+she can think of nothing else and can accomplish nothing until the sound is
+stopped. She can stand _anything_ but _that_. The daughter, Miss X., hardly
+hears the tapping, and is irritated and impatient to the last degree on
+account of her mother's "silly" notion. What Miss X. simply cannot bear is
+hearing her brother continually clear his throat, and if he does not stop
+she must leave the room or "go wild." Unfortunately, meantime, Mr. X. is so
+obsessed to tap the floor that he cannot follow his task without it, and
+Master X. _must_ clear his throat every few moments with a peculiar note
+because he "has catarrh."
+
+Here we have a common starting-point for family discomfort, and here we
+have a clue to the advice of the physician who advises isolation as a step
+toward the cure of the member of the family who first breaks down, not
+simply under the stress of occupation, but of occupation plus the wear and
+tear of minor but constant sources of irritation.
+
+ * * * * *
+
+It is said that the victim of jiu jitsu, by breaking one hold, places
+himself in the greater danger from the next. Similarly, after having
+conquered a few obsessions, one is overwhelmed with the obsession to set
+every one straight. Soukanhoff was right in warning the obsessive to beware
+of pedantry.
+
+The question here presents itself whether this line of thought does not
+foster, rather than lessen, the pedantry and the self-study which it is
+intended to combat. Why not simply drop the worry and the doubt without
+further argument? The difficulty is that the mental processes of the
+over-scrupulous person are such that he cannot summarily drop a habit of
+thought. He must reason himself out of it. There is no limit to his ability
+if properly directed; he can gradually modify all his faulty tendencies,
+and may even finally acquire the habit of automatically dismissing worry,
+but it would be too much to expect that he suddenly change his very nature
+at command.
+
+Soukanhoff's description of obsessives is peculiarly apt: "over-scrupulous,
+disquieted over trifles, indecisive in action, and anxious about their
+affairs. They are given early to morbid introspection, and are easily
+worried about their own indispositions or the illnesses of their friends.
+They are often timorous and apprehensive, and prone to pedantism. The
+moral sentiments are pronounced in most cases, and if they are, as a rule,
+somewhat exigent and egotistic, they have a lively sense of their own
+defects."
+
+A common obsession is the compulsion to dwell upon the past, to reproduce
+the circumstances, and painfully to retrace the steps which we took in
+coming to an erroneous decision which led to a foolish, unnecessary, or
+perhaps even a wrong decision. One of my earliest impressions in golf was
+the remark of a veteran who was good enough to make a round with me. "If
+I had only approached better, I should have made that hole in five," I
+remarked, after taking seven strokes for a hole.
+
+"Perhaps not," he replied; "if you had _approached better_, perhaps you
+would have _putted worse_ and taken _eight_ strokes for the hole. At all
+events, that hole is ancient history now, and you will play this one better
+if you leave that one alone."
+
+He little realized how many times his advice would recur to me elsewhere
+than on the links. Retrospective worry can be absolutely eliminated from
+the most obsessive mind by the practice of the veteran's philosophy.
+
+Mercier says the greatest intellectual gift is the ability to forget.
+
+The conscientious self-analyst spends too much time in weighing his ability
+or inability to perform some task. Between his fear, his worry over the
+past, and his indecision whether the task should be attempted, he starts
+with an overwhelming handicap. If he learns to say, "Other people fail;
+it will not matter if I do this time," he will find the task already half
+accomplished.
+
+The Rev. Francis Tiffany has observed that if a ship could think, and
+should imagine itself submerged by all the waves between here and Europe,
+it would dread to leave its moorings; but in reality it has to meet but one
+wave at a time.
+
+The tendency of the average American in this bustling age, whether he is
+obsessive or not, is to live at least several hours in advance. On the
+train he takes no comfort and makes no observations, for his mind is upon
+his destination rather than on his journey.
+
+ * * * * *
+
+Though the immediate object of these chapters is the promotion of the
+mental, and indirectly the physical, health of the individual, I cannot
+forbear referring to the effect of this training on the position of the
+individual in society and his relation toward his surroundings.
+
+The endeavor to overcome obsessions is likely to be ignored by two classes:
+the self-centered individuals who see no reason for learning what they do
+not want to learn, and the individuals who have no time for, or interest
+in, self-training because of absorption in subjects of wider relation, as
+art, or science, or reform. The philosophy of Haeckel applies to both:
+
+"Man belongs to the social vertebrates, and has, therefore, like all social
+animals, two sets of duties--first to himself, and secondly to the society
+to which he belongs. The former are the behests of self-love, or egoism,
+the latter love for one's fellows, or altruism. The two sets of precepts
+are equally just, equally natural, and equally indispensable. If a man
+desires to have the advantage of living in an organized community, he has
+to consult not only his own fortune, but also that of the society, and of
+the 'neighbors' who form the society. He must realize that its prosperity
+is his own prosperity, and that it cannot suffer without his own injury."
+
+The individual who is ruled by his obsessions not only paves the way for
+needless and ultimate breakdown, but is in danger of gradually narrowing
+his field of usefulness and pleasure until he is in little better case than
+Simeon Stylites, who spent nearly half a century on the top of a monument.
+Nor has he even Simeon's consolation that he could come down if he chose;
+for it seems that the authorities sent messengers demanding his return,
+with orders to let him stay if he showed willingness to come down--and he
+stayed.
+
+
+
+
+VI.
+
+THE DOUBTING FOLLY
+
+_Jatgeir_. I needed sorrow; others there may be who need faith, or joy--or
+doubt--
+
+_King Skule_. Doubt as well?
+
+_Jatgeir_. Ay; but then must the doubter be strong and sound.
+
+_King Skule_. And whom call you the unsound doubter?
+
+_Jatgeir_. He who doubts of his own doubt.
+
+_King Skule_ (slowly). That methinks were death.
+
+_Jatgeir_. 'T is worse; 't is neither day nor night.
+
+_King Skule_ (quickly, as if shaking off his thoughts). Where are my
+weapons? I will fight and act, not think.
+
+IBSEN: _The Pretenders_, Act iv.
+
+
+A gentleman once told me that he rarely passed another in the street
+without wondering if he had not accosted him in an improper manner. He knew
+very well that he had not, but the more he dwelt upon the possibility, the
+more doubtful he became, until the impulse to settle the question became
+so strong that he would retrace his steps and inquire. He asked if _nux
+vomica_ would help this trouble! I told him he needed mental training.
+
+"I have tried that," he answered. "I keep saying to myself, 'I will not
+think of it,' but it is no use; my head becomes hot, my sight blurred, my
+thoughts confused, and the only relief I find is to settle the question."
+
+I tried to point out the direction in which he was tending, and told him he
+must remind himself that even if he had accosted another improperly, it was
+a trifling matter compared to the injury to himself of giving way to this
+compulsion; moreover, the impression he would make upon the other by going
+back would be even worse than that of having so accosted him; and, finally,
+he must dwell upon the _probability_ that he had not offended the man,
+instead of the _possibility_ that he had. Having pursued this line of
+thought, he must force himself to think of something else until the
+besetting impulse was obliterated. I suggested that if a baseball player
+should become incapacitated for the game, he would not lessen his
+disappointment by reiterating, "I will not think of baseball," but if he
+persistently turned his thoughts and his practice to billiards he might in
+time forget baseball.
+
+"I never played baseball," he replied, "and don't even know the rules."
+
+This represents an extreme case of "doubting folly" a case in which the
+victim could no longer concentrate his thoughts on the simplest proposition
+outside the narrow circle to which his doubts had restricted him.
+
+If we once allow ourselves to wonder whether we have turned off the
+water, enclosed the check, or mailed the letter, it is but a step to an
+uncomfortable frame of mind which can be relieved only by investigating the
+matter. This compulsion once acceded to, it becomes more and more easy to
+succumb. The next step is to blur, by constant repetition, the mental image
+of the act. In extreme cases the doubter, after turning the gas on and off
+a dozen times, is finally in doubt whether he can trust his own senses. A
+certain officer in a bank never succeeded in reaching home after closing
+hours without returning to try the door of the bank. Upon finding it
+locked, he would unlock it and disappear within, to open the vault, inspect
+the securities, and lock them up again. I once saw a victim of this form of
+doubt spend at least ten minutes in writing a check, and ten minutes more
+inspecting it, and, after all, he had spelled his own name wrong!
+
+Constant supervision only impairs acts which should have become automatic.
+We have all heard of the centipede who could no longer proceed upon his
+journey when it occurred to him to question which foot he should next
+advance.
+
+To other doubts are often added the doubt of one's own mental balance;
+but it is a long step from these faulty habits of mind to real mental
+unbalance, which involves an inability to plan and carry out a line of
+conduct consistent with one's station.
+
+It took a young man at least fifteen minutes, in my presence, to button his
+waistcoat. He felt the lower button to reassure himself, then proceeded
+to the next. He then returned to the lower one, either distrusting his
+previous observation, or fearing it had become unbuttoned. He then held the
+lower two with one hand while he buttoned the third with the other. When
+this point was reached he called his sight to the aid of his feeling, and
+glued his eyes to the lower while he buttoned the upper, unbuttoning many
+meantime, to assure himself that he had buttoned them. This young man said
+he would sometimes stop on his way to the store in doubt whether he was
+on the right street, a doubt not quieted either by reading the sign or by
+asking a stranger, because the doubt would obtrude itself whether he could
+trust his sight and his hearing, indeed, whether he was really there or
+dreaming. Even this victim of extreme doubting folly conducted his business
+successfully so long as I knew him, and so comported himself in general as
+to attract no further comment than that he was "fussy."
+
+These doubts lead to chronic indecision. How often, in deciding which of
+two tasks to take up, we waste the time which would have sufficed for the
+accomplishment of one, if not both.
+
+The doubt and the indecision result directly from over-conscientiousness.
+It is because of an undue anxiety to do the right thing, even in trivial
+matters, that the doubter ponders indefinitely over the proper sequence of
+two equally important (or unimportant) tasks. In the majority of instances
+it is the right thing for _him_ to pounce upon _either_. If he pounces
+upon the wrong one, and completes it without misgiving, he has at least
+accomplished something in the way of mental training. The chances are,
+moreover, that the harm done by doing the wrong thing first was not to be
+compared to the harm of giving way to his doubt, and either drifting into
+a state of ineffective revery or fretting himself into a frenzy of anxious
+uncertainty.
+
+A gentleman once told me that after mailing a letter he would often linger
+about the box until the postman arrived, and ask permission to inspect
+his letter, ostensibly to see if he had put on the stamp, but in fact to
+reassure himself that he had really mailed the missive, although he knew
+perfectly well that he had done so. The life of the chronic doubter is
+full of these small deceits, though in most matters such persons are
+exceptionally conscientious.
+
+This form of over-solicitude is peculiarly liable to attack those in whose
+hands are important affairs affecting the finances, the lives, or the
+health of others. I have known more than one case of the abandonment of a
+chosen occupation on account of the constant anxiety entailed by doubts of
+this nature. Nor are these doubts limited to the question whether one has
+done or left undone some particular act. An equally insistent doubt is that
+regarding one's general fitness for the undertaking. _The doubter may spend
+upon this question more time than it would take to acquire the needed
+facility and experience_.
+
+Some one has said there are two things that no one should worry about:
+first, the thing that can't be helped; second, the thing that can. This is
+peculiarly true of the former.
+
+Reflection upon the past is wise; solicitude concerning it is an
+anachronism. Suppose one has accepted a certain position and finds himself
+in doubt of his fitness for that position. Nothing can be more important
+than for him to decide upon his next line of conduct. Shall he resign
+or continue? Is he fit for the position, or, if not, can he acquire the
+fitness without detriment to the office? These are legitimate doubts. But
+the doubter who finds himself in this predicament adds to these legitimate
+doubts the question, "Ought I to have accepted the office?" This is the
+doubt he must learn to eliminate. He must remind himself that he has
+accepted the position, whether rightly or wrongly, and that the acceptance
+is ancient history. The question what shall he do next is sufficiently
+weighty to occupy all his attention without loading his mind with anxious
+doubts regarding the irrevocable past.
+
+Suppose, in fact, the doubter has made a mistake; how shall he banish the
+worry? By reminding himself that others have made mistakes, why should not
+he, and that it is somewhat egotistic on his part to insist that, whatever
+others may do, _he_ must do everything right. If this line of reasoning
+fails to console him, let him think of the greater mistakes he might have
+made. A financial magnate was once asked how he succeeded in keeping his
+mind free from worry. He replied, by contemplating the two worst things
+that could happen to him: losing all his property and going to jail. He had
+learned the lesson that _one thought can be driven out only by another_.
+
+With regard to immediate doubts. If the over-scrupulous business or
+professional man, worn out after an exacting day's work, will stop and
+reflect, he will realize that much of his exhaustion is due to his having
+filled the day with such doubts as whether he is doing the wrong thing, or
+the right thing at the wrong time, whether he or someone else will miss an
+appointment or fail to meet obligations, and whether he or his assistants
+may make blunders.
+
+Let him resolve some morning that he will proceed that day from task to
+task without allowing such thoughts to intrude. If he does so he will find
+that he has succeeded in his work at least as well as usual, and that he is
+comparatively fresh in the evening.
+
+Why not try this every day?
+
+ * * * * *
+
+So far we have only considered the most obvious and simple among the
+evidences of doubting folly. A still more obstinate tendency of the doubter
+is the insistent habit interminably to argue over the simplest proposition,
+particularly regarding matters pertaining to the health, comfort, and life
+of the individual himself. A certain patient, of this type, attempts to
+describe to his physician a peculiar, hitherto undescribed, and even now
+indescribable sensation "through his right lung." He traces this sensation
+to what he believes to have been the absorption of a poison some years ago.
+His line of reasoning is somewhat as follows: 1. The drug was a poison. 2.
+If he absorbed it he must have been poisoned. 3. If he was poisoned then,
+he is poisoned now. 4. There is no proof that such a poison cannot produce
+such a sensation. 5. He has the sensation. Conclusion: He is suffering from
+poison. In support of this proposition he will spend hours with anyone
+who will listen. The physician who allows himself to be drawn into the
+controversy speedily finds himself, instead of giving advice to listening
+ears, involved in a battle of wits in which he is quite likely to come
+off second best. He assures the patient, for example, that, as far as
+scientific methods can establish the fact, the lung is sound.
+
+"But has science established everything? And if it had, is such negative
+evidence to be weighed against the positive evidence of the sensation in my
+lung?"
+
+"But the sensation may not be in your lung."
+
+"Can you prove that it is _not_ in my lung?" Folly scores!
+
+On being urged to direct his attention to some other part of his body, he
+promptly inquires,
+
+"How can I direct my thoughts elsewhere, when the sensation is there to
+occupy my attention?" Obviously he can not without changing his mental
+attitude, so folly scores again.
+
+He is assured that if the poison had been absorbed the effects would have
+passed away long before this time.
+
+"But do the effects of poison _always_ pass away? And can you _prove_ that
+they have passed away in my case? Is not the sensation positive evidence,
+since you have allowed that you cannot prove that the sensation does _not_
+come from the poison?"
+
+Folly scores again, but the victory is an empty one. The vicious circle
+continues: Attention magnifies sensation--sensation produces fear--fear
+increases attention; and throughout runs the insistent thought that his
+sensations shall conform to his ideal.
+
+If the discussion of such comparatively tangible matters can occupy a large
+part of one's attention, imagine the result of the insistent desire, on the
+part of the doubter, to solve such problems as "What is thought?" "What is
+existence?"
+
+If the windings of this intellectual labyrinth have not too far involved
+us, we have only to recognize the futility of such arguments, and exercise
+our will-power in the right direction. If we can bring ourselves to take
+the initiative, it is as easy to step out of the vicious circle, as for
+the squirrel to leave his wheel. But unless we grasp the logic of the
+situation, and take this initiative, no amount of abuse, persuasion, or
+ridicule will effect our freedom.
+
+ * * * * *
+
+A word may be in place regarding the anthropological status of the doubting
+folly and allied mental states. Men of genius have suffered from them all.
+A long list may be found in Lombroso's "Man of Genius." Under _folie du
+doute_ we find, for example, Tolstoi, Manzoni, Flaubert and Amiel.
+
+Lombroso regards genius as degenerative, and places among the signs of
+degeneration, deviations from the average normal, whether physical or
+mental. This plan has been quite generally followed. The nomenclature seems
+to me unfortunate and hardly justified by the facts. I can think of no more
+potent objection to such inclusive use of the term degenerate, than the
+fact that Lombroso includes, under the signs of degeneration, the enormous
+development of the cerebral speech-area in the case of an accomplished
+orator. If such evolutional spurts are to be deemed degenerative, the fate
+of the four-leaved clover is sealed.
+
+The application of the term degeneration may be, and should be, it seems
+to me, limited to the signs, whether physical or mental, which indicate an
+obviously downward tendency. I have elsewhere suggested, and the suggestion
+has already found some acceptance, that when the variation is not
+definitely downward, _deviation_ and _deviate_ be substituted for the
+unnecessarily opprobrious and often inappropriate terms, _degeneration_ and
+_degenerate_.
+
+
+
+
+VII.
+
+HYPOCHONDRIA
+
+Il marche, dort, mange et boit comme tous les autres; mais cela n'empeche
+pas qu'il soit fort malade.
+
+MOLIERE: _Le Malade imaginaire_.
+
+
+The victim of hypochondria may present the picture of health, or may have
+some real ill regarding which he is unduly anxious. His consultation with
+a physician is likely to be preceded by letters explaining his exact
+condition, naming his various consultants and describing the various
+remedies he has taken. At the time of his visit notes are consulted, lest
+some detail be omitted. In his description anatomical terms abound; thus,
+he has pain in his lungs, heart, or kidney, not in his chest or back.
+Demonstration by the physician of the soundness of these organs is met by
+argument, at which the hypochondriac is generally adept.
+
+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."
+
+The victim of mysophobia will wash the hands after touching any object,
+and will, so far as possible, avoid touching objects which he thinks may
+possibly convey infection. Some use tissue paper to turn the door-knob,
+some extract coins from the pocket-book with pincers. I have seen a lady in
+a public conveyance carefully open a piece of paper containing her fare,
+pour the money into the conductor's hand, carefully fold up the paper so
+that she should not touch the inside, and afterwards drop it from the tips
+of her fingers into a rubbish barrel.
+
+The case of a nurse who was dominated by fear of infection has come to my
+attention. If her handkerchief touched the table it was discarded. She
+became very adept at moving objects about with her elbows, was finally
+reduced to helplessness and had to be cared for by others.
+
+Unreasoning fear of one or another mode of conveyance is not rare. It is
+said that Rossini found it impossible to travel by rail, and that the
+attempt of a friend to accustom him to it resulted in an attack of
+faintness (Lombroso).
+
+The sufferer himself realizes, in such cases, that there is no reason in
+his fear--he knows he can undergo greater dangers with equanimity. Even
+doubting folly finds no answer to the question why should this danger be
+shunned and that accepted. The nearest approach to an answer is "I can't,"
+which really means "I haven't."
+
+The origin of the phobia is not always clear, but given the necessary
+susceptibility, circumstances doubtless dictate the direction the phobia
+shall take. A startling personal experience, or even reading or hearing of
+such an experience may start the fear which the insistent thought finally
+moulds into a fixed habit.
+
+To the hypochondriac who concentrates his attention upon the digestive
+tract, this part of his body occupies the foreground of all his thoughts.
+He exaggerates its delicacy of structure and the serious consequences of
+disturbing it even by an attack of indigestion. A patient to whom a certain
+fruit was suggested said he could not eat it. Asked what the effect would
+be, he answered that he did not know, he had not eaten any for twenty years
+and dared not risk the experiment.
+
+Extreme antipathies to various foods are fostered among this class. A lady
+told me that she perfectly abominated cereals, that she could not stand
+vegetables, that she could not bear anything in the shape of an apple, that
+she could not abide spinach, and that baked beans made her sick at the
+stomach.
+
+The heart is perhaps the organ most often the object of solicitude on the
+part of the hypochondriac. When we realize that the pulse may vary in the
+healthy individual from 60 to over 100, according to circumstances, and
+that mere excitement may send it to the latter figure, we may appreciate
+the feelings of one who counts his pulse at frequent intervals and is
+alarmed if it varies from a given figure.
+
+Inspection of the tongue is a common occupation of the hypochondriac, who
+is generally more familiar than his medical attendant with the anatomy of
+this organ.
+
+Insistent desire regarding the temperature is common not only among
+hypochondriacs, but among others. I do not allude to the internal
+temperature (though I have been surprised to learn how many people carry a
+clinical thermometer and use it on themselves from time to time); I refer
+to the temperature of the room or of the outside air. The wish to feel a
+certain degree of warmth is so overpowering in some cases that neither work
+nor play can be carried on unless the thermometer registers the desired
+figure. A person with this tendency does not venture to mail a letter
+without donning hat and overcoat; the mere thought of a cold bath causes
+him to shudder.
+
+Golf has cured many a victim of this obsession. It takes only a few games
+to teach the most delicately constructed that he can remain for hours in
+his shirt-sleeves on quite a cold day, and that the cold shower (preferably
+preceded by a warm one) invigorates instead of depresses him. Further
+experiment will convince him that he can wear thin underwear and low shoes
+all winter. Such experiences may encourage him to risk a cold plunge in
+the morning, followed by a brisk rub and a few simple exercises before
+dressing.
+
+Morbid fears in themselves produce physical manifestations which add to the
+discomfort and alarm of the hypochondriac. I allude to the rush of blood
+to the head, the chill, the mental confusion, and the palpitation. These
+symptoms are perfectly harmless, and denote only normal circulatory
+changes. It is true that one cannot at will materially alter his
+circulation, but he can do so gradually by habit of thought. To convince
+ourselves of this fact, we need only remember to what a degree blushing
+becomes modified by change of mental attitude. Similarly, the person who
+has practiced mental and physical relaxation will find that the blood
+no longer rushes to his head upon hearing a criticism or remembering a
+possible source of worry.
+
+The automatic processes of the body are in general performed best when the
+attention is directed elsewhere. After ordinary care is taken, too minute
+attention to the digestive apparatus, for example, may retard rather than
+aid it. Watching the digestion too closely is like pulling up seeds to see
+if they are growing.
+
+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.
+
+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!"
+
+With regard to Carlyle,--it is true, as claimed by Gould (_Biographic
+Clinics_, 1903) that he showed every evidence of eyestrain with resulting
+symptoms, particularly headache. This does not, however, preclude his
+having had hypochondria also, and in view of the violent and reiterated
+complaints running through his letters it seems quite credible that
+Froude's estimate of his condition was not far wrong. Surely, unless
+Carlyle was merely trying his pen without intending to be taken seriously,
+he devoted to the question of health a degree of attention which may be
+fairly adjudged undue.
+
+The first letter I quote (from those cited by Gould in fortifying his
+position) is of special interest as presenting in rather lurid terms
+Carlyle's ideal of health. After reading this letter one cannot help
+suspecting that the discomforts so vividly described in his other letters
+were compared by him with this ideal rather than with those of the average
+individual.
+
+"In the midst of your zeal and ardor,... remember the care of health.... It
+would have been a very great thing for me if I had been able to consider
+that health is a thing to be attended to continually, that you are to
+regard that as the very highest of all temporal things for you. There is no
+kind of achievement you could make in the world that is equal to perfect
+health. What to it are nuggets and millions'? The French financier said
+'Why is there no sleep to be sold!' Sleep was not in the market at any
+quotation.... I find that you could not get any better definition of what
+'holy' really is than 'healthy.' Completely healthy; _mens sana in corpore
+sano_. A man all lucid, and in equilibrium. His intellect a clear mirror
+geometrically plane, brilliantly sensitive to all objects and impressions
+made on it and imaging all things in their correct proportions; not twisted
+up into convex or concave, and distorting everything so that he cannot see
+the truth of the matter, without endless groping and manipulation: healthy,
+clear, and free and discerning truly all around him."
+
+The following extracts illustrate his attitude toward his physical
+shortcomings, whatever they may have been.
+
+... "A prey to nameless struggles and miseries, which have yet a kind of
+horror in them to my thoughts, three weeks without any kind of sleep, from
+impossibility to be free from noise."
+
+"I sleep irregularly here, and feel a little, very little, more than my
+usual share of torture every day. What the cause is would puzzle me
+to explain. I take exercise sufficient daily; I attend with rigorous
+minuteness to the quality of my food; I take all the precautions that I
+can, yet still the disease abates not."
+
+"Ill-health, the most terrific of all miseries."
+
+"Grown sicker and sicker.... I want health, health, health! On this subject
+I am becoming quite furious.... If I do not soon recover, I am miserable
+forever and ever. They talk of the benefit of health from a moral point of
+view. I declare solemnly, without exaggeration, that I impute nine-tenths
+of my present wretchedness, and rather more than nine-tenths of all my
+faults, to this infernal disorder in the stomach."
+
+"Bilious, too, in these smothering windless days."
+
+"Broke down in the park; _konnte_ _nichts mehr_, being sick and weak beyond
+measure."
+
+"Many days of suffering, of darkness, of despondency.... Ill-health has
+much to do with it."
+
+"Occasionally sharp pain (something cutting hard, grasping me around the
+heart).... Something from time to time tying me tight as it were, all
+around the region of the heart, and strange dreams haunting me."
+
+"There is a shivering precipitancy in me, which makes _emotion_ of any kind
+a thing to be shunned. It is my nerves, my nerves.... Such a nervous system
+as I have.... Thomas feeling in his breast for comfort and finding bilious
+fever.... All palpitating, fluttered with sleeplessness and drug-taking,
+etc.... Weary and worn with dull blockheadism, chagrin (next to no sleep
+the night before)."
+
+"A head _full of air_; you know that wretched physical feeling; I had been
+concerned with drugs, had awakened at five, etc. It is absolute martyrdom."
+
+"A huge nightmare of indigestion, insomnia, and fits of black impatience
+with myself and others,--self chiefly.... I am heartily sick of my
+dyspeptic bewilderment and imprisonment."
+
+"Alas! Alas! I ought to be wrapped in cotton wool, and laid in a locked
+drawer at present. I can stand nothing. I am really ashamed of the figure I
+cut."
+
+Froude's statements regarding Carlyle's condition are as follows:
+
+"... The simple natural life, the 'wholesome air, the daily rides or
+drives, the poor food,... had restored completely the functions of a
+stomach never so far wrong as he had imagined.... Afterwards he was always
+impatient, moody, irritable, violent. These humours were in his nature, and
+he could no more be separated from them than his body could leap off its
+shadow.... He looked back to it as the happiest and wholesomest home that
+he had ever known. He could do fully twice as much work there, he said, as
+he could ever do afterwards in London."
+
+"... If his liver occasionally troubled him, livers trouble most of us as
+we advance in life, and his actual constitution was a great deal stronger
+than that of ordinary men.... Why could not Carlyle, with fame and honor
+and troops of friends, and the gates of a great career flung open before
+him, and a great intellect and a conscience untroubled by a single act
+which he need regret, bear and forget too? Why indeed! The only answer is
+that Carlyle was Carlyle."
+
+These observations carry weight as representing the impartial and judicial
+estimate of a careful observer desiring only accurately to picture Carlyle
+as he was. The only logical conclusion, it seems to me, was that Carlyle,
+in addition to ocular defect with its legitimate consequences, was weighed
+down by worry over the failure to realize his own exaggerated ideal of
+health, that he devoted an undue degree of attention to this subject
+and was unduly anxious about it--in other words, that he had decided
+hypochondriacal tendencies.
+
+
+
+
+VIII.
+
+NEURASTHENIA
+
+It was a common saying of Myson that men ought not to investigate things
+from words, but words from things; for that things are not made for the
+sake of words, but words for things.
+
+_Diogenes Laertius_.
+
+
+This term (properly, though not commonly, accented upon the penult), was
+introduced by Beard to designate the large class of over-worked and worried
+who crowded his consulting room. The word is derived from the Greek
+_neuron_ nerve, and _astheneia_ weakness.
+
+Among the symptoms of this disorder have been included disorders of
+digestion and circulation, muscular weakness, pains, flushes and chills,
+and anomalous sensations of every variety. It has been especially applied
+to cases showing such mental peculiarities as morbid self-study, fear of
+insanity and the various other phobias, scruples, and doubts with which we
+have become familiar.
+
+The "American Disease" has been adopted abroad, and volumes have been
+devoted to it. Neurasthenia has been divided into cerebral, spinal, and
+otherwise, according as the fears and sensations of the patient are
+referred to one or another part of his body. While the term neurasthenia
+is becoming daily more familiar to the general public, it is being, on the
+whole, used, except as a convenient handle, rather less among neurologists.
+[Footnote: In substantiation of this statement I need only cite the
+recent contribution of my friend, Dr. Dana, on the "Partial Passing
+of Neurasthenia."] The question has arisen whether the symptoms of
+neurasthenia are always due to simple exhaustion. Advice regarding method,
+as well as amount, of work, is coming into vogue. Peterson, in a letter
+published in _Collier's Weekly_ (November 9, 1907) thus arraigns a patient
+who has told him he is a practical business man, and that his mind has been
+so occupied with serious matters that he has been unable to attend to his
+health.
+
+"You, practical! you, a business man! Why, you never had a serious
+thought in your life until now--at least not since you were a lad in the
+country.... Since boyhood you have never given a serious thought to health,
+home, wife, children, education, art, science, racial progress, or to the
+high destiny of man. You are simply a collector of money for its own sake,
+with no appreciation of what it might represent if you were really serious
+and really a business man or man of affairs. There are many like you in
+our asylum wards, where they are known as chronic maniacs. Here is one who
+collects bits of glass, old corks, and pieces of string. There sits another
+with a lap full of pebbles, twigs and straws."
+
+Courtney (in Pyle's "Personal Hygiene") says, "The brain is an organ which,
+under proper training, is capable of performing an immense amount of work,
+provided only that the work is of a varied character and does not produce a
+corresponding amount of mental disquietude. The importance of the emotions,
+especially the depressing emotions such as grief, anxiety, and worry, as
+factors in the brain exhaustion, cannot easily be overestimated."
+
+The obvious corollary to this proposition is that the constitutional
+worrier is likely to break down under an amount of work which produces no
+such effect upon the average normal individual.
+
+The only quarrel I have with the name neurasthenia is that it diverts
+attention from the real condition oftenest to be treated, namely, the
+faulty mental tendency, and directs attention to an assumed debility which
+may or may not exist. Misdirected energy, rather than weakness, is the
+difficulty with one who is ready and anxious to walk miles to satisfy a
+doubt, or to avoid crossing an open square, and who will climb a dozen
+flights of stairs rather than be shut up in an elevator. Even the
+exhaustion that follows long attention to business is quite as often due to
+worry and allied faulty mental habits as to the work itself. In most cases
+the phobias, the doubts, and the scruples, instead of being the result of
+breakdown, must be counted among its principal causes.
+
+This is why simple rest and abstinence from work so often fail to
+accomplish the cure that should follow if the exhaustion were due simply to
+overwork. In the "neurasthenic" rest from work only redoubles the worries,
+the doubts and the scruples, and the obsession to improve his time only
+adds to his nervous exhaustion. If a European trip is undertaken, the
+temperament responsible for the original breakdown causes him to rush from
+gallery to gallery, from cathedral to cathedral, so that no moment may be
+lost. Not infrequently it so happens that the patient returns more jaded
+than ever.
+
+The neurasthenic is not infrequently a confirmed obsessive, with all the
+faulty mental habits of this temperament. If he cannot make up his mind it
+is not because he is tired, but because this is his natural mental trend.
+If he drums, twitches, and walks the floor, these movements are not always
+due to exhaustion, but are habits peculiar to the temperament, habits well
+worth an effort to eliminate while in health, since they doubtless, through
+precluding bodily repose, contribute their mite toward the very exhaustion
+of which they are supposed to be the result. If he cannot sleep it is not
+simply because he is tired, but because he is so constituted that he cannot
+bring himself to let go his hold on consciousness until he has straightened
+out his tangles. If, in addition, one has the hypochondriacal tendency,
+he may worry himself into complete wakefulness by the thought that he has
+already irreparably injured himself by missing something of the mystic
+number, eight or nine, or whatever he may deem the number of hours' sleep
+essential to health.
+
+It is important that the overwrought business or professional man realize
+the importance of undertaking no more than he can accomplish without fret
+and worry; the importance of taking proper vacations before he is tired
+out; the importance of learning to divert his mind, while he can still do
+so, into channels other than those connected with his business; above all,
+the importance of cultivating the faculty of relaxing, and of dismissing
+doubts, indecisions and fears. He must cultivate what my colleague Dr. Paul
+succinctly terms "the art of living with yourself as you are." If he would
+"last out" he must learn to proceed with single mind upon whatever work he
+undertakes, and with equal singleness of mind apply himself, out of hours,
+to other occupation or diversion, preferably in the open air. For the most
+effective work, as well as for peace of mind, it is essential that every
+thought of one's office be shut out by other interests when there is no
+actual business requiring attention. Mental relaxation is materially
+hampered by such persistent thoughts of one's place of business as those
+cited by Dr. Knapp:
+
+"A striking instance of the sort was related to me by a friend remarkably
+free from any psychopathic taint. It often happens that he does scientific
+work in the evening at the Agassiz Museum. When he leaves for the night he
+puts out the gas and then stands and counts slowly up to a given number
+until his eyes are used to the darkness, in order that he may detect any
+spark of fire that may have started while he was at work. This is his
+invariable custom, but it sometimes happens that when he goes back home so
+strong a feeling of doubt comes over him lest he may that once have omitted
+to do this, that he is uncomfortable until he returns to the museum to make
+sure."
+
+Among the predisposing causes for nervous breakdown none is more potent
+than the inability of the obsessive to adapt himself to change of plan, and
+to reconcile himself to criticism, opposition, and the various annoyances
+incident to his occupation.
+
+In dealing with others the following suggestion of Marcus Aurelius may come
+in play:
+
+"When a man has done thee any wrong, immediately consider with what opinion
+about good or evil he has done wrong. For when thou hast seen this, thou
+wilt pity him, and neither wonder nor be angry." Again, in this connection
+the lines of Cowper are pertinent:
+
+ "The modest, sensible and well-bred man
+ Will not affront me, and no other can."
+
+Pope, also, who is said not always to have followed his own good counsel,
+contributes a verse which may serve a turn:
+
+ "At ev'ry trifle scorn to take offense,
+ That always shows great pride, or little sense."
+
+The practice of such commonplace philosophy (which, to be effective, should
+be ready for immediate use, not stored away for later reflection), together
+with training against faulty mental states studied in these pages, will
+go far toward relieving the mental perturbation that unfits for effective
+work, and contributes to "neurasthenia."
+
+During an hour's delay, caused by the failure of another to keep an
+appointment, I formulated the following maxim:
+
+"These are the annoyances incident to my business; to fret when they occur
+means that I cannot manage my business without friction."
+
+This may not appeal to the reader, but for me it has proved as good an
+hour's work as I ever did. Since that time, on the occurrence of similar
+sources of provocation, I have found it necessary to go no farther than
+"These are the annoyances," to restore the needful balance. When we allow
+our gorge to rise at ordinary sources of discomfort, it implies that we
+are prepared only for our affairs to run with perfect smoothness. This
+represents the insistent idea carried to an absurdity.
+
+At the risk of losing caste with the critical I cannot forbear sharing with
+the reader an inelegant maxim which has more than once prevented an access
+of rage upon the blunder of a subordinate: "If he had our brains he'd have
+our job."
+
+Spinoza says: "The powerlessness of man to govern and restrain his emotions
+I call servitude. For a man who is controlled by his emotions is not his
+own master but is mastered by fortune, under whose power he is often
+compelled, though he sees the better, to follow the worse." The same
+philosopher in counselling self-restraint adds:
+
+"The mind's power over the emotions consists, first, in the actual
+knowledge of the emotions." Again: "An emotion which is a passion ceases
+to be a passion as soon as we form a clear and distinct idea of it." The
+meaning of this dictum I first realized on experiencing the magical effect
+of the line of thought suggested by the delayed appointment.
+
+ * * * * *
+
+Communion with Nature has a peculiarly soothing effect on tired and jangled
+nerves. My friend, Dr. Harold Williams, tells me that among his main
+reliances for tired and overwrought women are the _reading of children's
+books_, and _working in the garden_. Peterson thus advises his busy
+patient:
+
+"A small farm in a simple community would be for you an asset of
+immeasurable value from the standpoint of health and spiritual
+rejuvenation. But true simplicity should be the rigorous order of that
+country life. A chateau by the sea, with a corps of gardeners, a retinue of
+servants, and yachts and automobiles, would prove a disastrous expedient.
+
+"In that quiet retreat you should personally and tenderly learn to know
+each rosebud, shrub, vine, creeper, tree, rock, glade, dell, of your
+own estate. You should yourself design the planting, paths, roads, the
+flower-garden, the water-garden, the wood-garden, the fernery, the
+lily-pond, the wild-garden, and the kitchen garden."
+
+Not everyone is so happily situated as to be able to follow this advice
+in its entirety, but many can make a modest effort in this direction: the
+kitchen-garden may appeal to some who have no appreciation for the wild
+flowers, and who scorn to cultivate such tastes.
+
+One warning is, however, here in order: The cultivation of the garden or
+the field for utilitarian purposes is inevitably associated with the maxim,
+"Hoe out your row"--an excellent maxim for the idle and disorderly, but not
+to be taken too literally by the over-exacting and methodical business man
+who is trying to make the radical change in his view of life necessary to
+free his mind from the incubus of worry. Nor must the amateur husbandman
+scan with too anxious eye the weather map and the clouds. If he mind these
+warnings he may learn to say,--
+
+ "For me kind Nature wakes her genial pow'r,
+ Suckles each herb, and spreads out ev'ry flower,
+ Annual for me, the grape, the rose renew,
+ The juice nectareous, and the balmy dew."
+
+The over-conscientious individual may object that it is selfish to consider
+his own comfort when he has work to do for others. But expending too freely
+of our nervous energies, even in a good cause, is like giving to charity
+so much of our substance that we in turn are obliged to lean on others for
+support.
+
+In properly conserving our own energy we may be lightening the ultimate
+burden of others. There is no place for selfishness in Haeckel's philosophy
+regarding the proper balance between duty to one's self and duty to others.
+Nor was selfishness a failing of the Quaker poet who idealized
+
+ "The flawless symmetry of man,
+ The poise of heart and mind."
+
+
+
+
+IX.
+
+SLEEPLESSNESS
+
+He shall enjoy the same tranquility in his sleep as when awake.
+
+_Digby's Epicurus_, Maxim xl.
+
+
+Sleeplessness is due, in the majority of cases, to a faulty habit of mind.
+The preparation for a sleepless night begins with the waking hours, is
+continued through the day, and reaches its maximum when we cease from the
+occupations which have in some degree diverted our attention from harassing
+thoughts, and retire, to struggle, in darkness and solitude, with the
+worries, doubts, regrets, and forebodings, which now assume gigantic and
+fantastic shapes.
+
+He who would sleep at night must regulate his day, first, by not
+undertaking more than he can accomplish without undue stress, and, second,
+by carrying through what he does undertake, as far as he may, without the
+running accompaniment of undue solicitude, anxious doubts, and morbid fears
+discussed in the preceding sections. It is futile to expect that a fretful,
+impatient, and over-anxious frame of mind, continuing through the day and
+every day, will be suddenly replaced at night by the placid and comfortable
+mental state which shall insure a restful sleep.
+
+Before proceeding, then, to the immediate measures for inducing sleep, let
+us consider the suitable preparatory measures.
+
+The nervous breakdown which precludes sleep is oftener due to worry than to
+work. Nor should the sufferer jump too quickly to the conclusion that it
+is the loss of sleep rather than the worry that makes him wretched. It is
+astonishing how much sleep can be lost without harm, provided its loss is
+forgotten, and how much work can be carried on without extreme fatigue,
+provided it be undertaken with confidence and pursued without impatience.
+It is, however, essential that the work be varied and, at due intervals,
+broken. Trainers for athletic contests know that increasing practice
+without diversion defeats its end, and particularly insist upon cessation
+of violent effort directly before the final test. Why should we not treat
+our minds as well as our bodies?
+
+The active and over-scrupulous business or professional man who allows no
+time for rest or recreation, who can confer no responsibility upon his
+subordinates, who cultivates no fad, and is impatient of every moment spent
+away from his occupation, is in danger of eventually "going stale," and
+having to spend a longer and less profitable vacation in a sanitarium than
+would have sufficed to avert the disaster. Nor will he find it easy to
+change his sleep-habit with the change of residence. It behooves him to
+change that habit while still at work, as a step toward averting breakdown.
+
+It will harm few of us to take a bird's eye view of our affairs at stated
+intervals, and ask ourselves if the time has not arrived when it will be a
+saving of time and money as well as worry for us to delegate more of the
+details, and more even of the responsibilities, to others, concentrating
+our own energies upon such tasks as we are now peculiarly qualified to
+undertake. To the man determined to accomplish a lifetime of work before he
+rests, there is food for thought in the following anecdote:
+
+When Pyrrhus was about to sail for Italy, Cineas, a wise and good man,
+asked him what were his intentions and expectations.
+
+"To conquer Rome," said Pyrrhus.
+
+"And what will you do next, my lord?"
+
+"Next I will conquer Italy."
+
+"And after that?"
+
+"We will subdue Carthage, Macedonia, all Africa, and all Greece."
+
+"And when we have conquered all we can, what shall we do?"
+
+"Do? Why, then we will sit down and spend our time in peace and comfort."
+
+"Ah, my lord," said the wise Cineas, "what prevents our being in peace and
+comfort now?"
+
+The time to take a vacation is before one is exhausted. If one is
+discontented during his vacation, he should take it, none the less, as a
+matter of duty, not expecting to enjoy every moment of it, but contenting
+himself with the anticipation of greater pleasure in the resumption of his
+duties. He should cultivate an interest in out-door occupation or some
+study that carries him into the fields or woods. Aside from the time on
+shipboard, the worst possible vacation for the over-worked business or
+professional man is the trip to Europe, if spent in crowding into the
+shortest possible time the greatest possible amount of information on
+matters artistic, architectural, and historic.
+
+No one can acquire the habit of sleep who has not learned the habit of
+concentration, of devoting himself single-minded to the matter in hand. If
+we practice devoting our minds, as we do our bodies, to one object at a
+time, we shall not only accomplish more, but with less exhaustion. Training
+in this direction will help us, on retiring, to view sleep as our present
+duty, and a sufficient duty, without taking the opportunity at that time to
+adjust (or to try to adjust) all our tangles, to review our past sources of
+discomfort, and to speculate upon the ills of the future.
+
+A walk, a bath, a few gymnastic exercises, will often serve a useful
+purpose before retiring, but if they are undertaken in a fretful and
+impatient spirit, and are accompanied by doubts of their effectiveness,
+and the insistent thought that sleep will not follow these or any other
+procedure, they are likely to accomplish little.
+
+The best immediate preparation for sleep is the confidence that one will
+sleep, and _indifference if one does not_. It is an aid in the adoption of
+this frame of mind to learn that many have for years slept only a few
+hours per night, without noticeable impairment of their health or comfort.
+Neither unbroken nor long-continued sleep, however desirable, is essential
+to longevity or efficiency. This is illustrated by the following examples:
+
+Joseph A. Willard, for nearly half a century Clerk of the Court in Suffolk
+County, and a well-known figure on the streets of Boston, died in his
+eighty-eighth year. He was active and alert in the performance of his
+daily duties up to their discontinuance shortly before his death. He
+kept, meantime, records of the temperature, weather, and condition of the
+streets, at all hours of the night, and every night, for many years before
+the establishment of the weather bureau. So reliable were these records
+regarded by the courts that they were often appealed to in the trial of
+cases, and their accuracy never questioned by either party in the suit. I
+publish these facts by the permission of his son.
+
+George T. Angell, the well-known humanitarian, than whom few, if any, have
+led a more busy life, when in his sixty-ninth year wrote as follows:
+
+"For the benefit of those who do not [take narcotics, opiates, anęsthetics]
+I will say that I suppose there are very few in this country _who have
+slept less_ than I have; but I have never taken anything to stupefy, while
+thousands of good sleepers I have known have long since gone to the last
+sleep that knows no waking here. It was undoubtedly wise to change my
+professional life from court to office practice: but in other matters I
+was compelled to choose between living the life of a vegetable, or losing
+sleep; and I chose the latter."
+
+Mr. Angell is now eighty-four, still actively engaged in affairs, and
+allows me to add that during the past six years he has gone for a week at
+a time with no sleep; for three months at a time he has not averaged more
+than two hours in twenty-four; he does not remember having ever had a good
+night's sleep. Mrs. Angell states that, with one exception, she has never
+known him to sleep through the night.
+
+It is worth while to remember these experiences before resorting to drugs
+for sleeplessness.
+
+I have somewhere seen it stated that a prominent divine attributed his
+happy and green old age to the fact that he slept a certain number of hours
+every night. Against this statement must be set the reflection that many
+another old gentleman can fairly attribute his comfort, in part at least,
+to an attitude of indifference toward the unessentials, among which I
+suspect must be included the question whether we average eight hours of
+sleep or materially less.
+
+Let us now consider some of the faulty mental habits directly affecting
+sleep itself. First comes the compulsive thought that one must sleep _now_,
+and the impatient count of the wakeful hours supposed to be irrecoverably
+lost from the coveted number. This insistence in itself precludes sleep.
+The thought, "No matter if I don't sleep to-night; I will some other
+night," will work wonders in the direction of producing sleep to-night.
+
+The continuance of any given position, completely relaxed, in bed, even
+without unconsciousness, is more restful than tossing about. The mere
+experiment of remaining immobile in a certain position as long as possible,
+and concentrating the mind on the thought, "I am getting sleepy, I am
+going to sleep," will oftener produce the desired result than watching the
+proverbial sheep follow one another over the wall. Training during the day
+in restraining nervous movements is an aid in acquiring the ability to do
+this.
+
+This is a field in which self-suggestion is of definite value. Everyone
+appreciates the effect on sleep of the "state of mind" when he has passed a
+succession of sleepless hours followed by a sudden tendency to somnolence
+at the time for rising. The problem is to acquire the frame of mind without
+waiting for circumstances. To demonstrate the effect of faulty suggestion
+combined with restlessness on awaking in the night, try the following:
+
+EXPERIMENT I.--Place yourself on the face and from this point turn rapidly
+in a complete circle backwards from right to left until you are again on
+the face. Pause several times and say to yourself rapidly "I cannot sleep
+in this position." The result of the experiment is practically uniform. The
+rapid movement and the suggestion prevent sleep.
+
+To demonstrate the effect of bodily relaxation combined with correct
+suggestion, in promoting sleep try--
+
+EXPERIMENT II.--Start in the same position as Experiment I. Traverse the
+same circle, prolonging each pause with body relaxed, and substituting at
+each pause the suggestion, "I can sleep in any position," repeated a number
+of times deliberately and as if you meant it. The restful pose and the
+suggestion generally induce sleep long before the circle is completed.
+
+Next comes the compulsive thought that we cannot sleep until everything is
+"squared up" and all mental pictures completed. The story is told that a
+gentleman took a room in the hotel next another who was notoriously fussy.
+He remembered this fact after dropping one boot carelessly to the floor,
+and laid the other gently down. After a pause he heard a rap on the door
+and a querulous, "For heaven's sake, drop the other boot, or I can't get to
+sleep."
+
+Many find themselves unable to sleep until the whole household is accounted
+for and the house locked up for the night, until certain news is received,
+and the like. The same tendency postpones sleep until all affairs are
+straightened out in the mind, as well as in reality. A little reflection
+shows how indefinite must be the postponement of sleep under such
+conditions.
+
+No training is more important for the victim of compulsive tendencies
+than the practice of trusting something to chance and the morrow, and
+reconciling himself to the fact that at no time, in this world, will all
+things be finally adjusted to his satisfaction.
+
+The habit of dismissing, at will, disagreeable thoughts is a difficult but
+not impossible acquisition. Arthur Benson in "The Thread of Gold" relates
+the following anecdotes:
+
+"When Gladstone was asked, 'But don't you find you lie awake at night,
+thinking how you ought to act, and how you ought to have acted?' he
+answered, 'No, I don't; where would be the use of that?'"
+
+"Canon Beadon [who lived to be over one hundred] said to a friend that
+the secret of long life in his own case was that he had never thought of
+anything unpleasant after ten o'clock at night."
+
+The insistent desire to sleep in a certain bed, with a certain degree of
+light or darkness, heat or cold, air or absence of air, is detrimental.
+This is in line with the desire to eat certain foods only, at a certain
+table, and at a certain time. The man who loses his appetite if dinner
+is half an hour late is unable again to sleep if once waked up. This
+individual must say to himself, "Anyone can stand what he likes; it takes a
+philosopher to stand what he does not like," and try at being a philosopher
+instead of a sensitive plant.
+
+Inability to sleep while certain noises are continued must be similarly
+combated. If one goes from place to place in search of the quiet spot for
+sleep, he may finally find _quiet itself_ oppressive, or worse yet, may be
+kept awake by hearing his own circulation, from which escape is out of
+the question. He who finds himself persistently out of joint with
+his surroundings will do well to ponder the language of the Chinese
+philosopher:
+
+"The legs of the stork are long, the legs of the duck are short: you cannot
+make the legs of the stork short, neither can you make the legs of the duck
+long. Why worry?"
+
+With regard to the character of sleep itself, the attitude of our mind in
+sleep is dominated, to a degree, at least, by its attitude in the waking
+hours. It is probable that during profound sleep the mind is inactive, and
+that dreams occur only during the transition-state from profound sleep to
+wakefulness. It is conceivable that in the ideal sleep there is only one
+such period, but ordinarily there occur many such periods during the night;
+for the uneasy sleeper the night may furnish a succession of such periods,
+with comparatively little undisturbed rest, hence his dreams seem to him
+continuous. The character of the pictures and suggestions of dreams, though
+in new combinations, are largely dependent on our daily experiences. Is it
+not, then, worth while to encourage, during our waking hours, as far as is
+consistent with our duties, such thoughts as are restful and useful, rather
+than those which serve no purpose but annoyance.
+
+If we will, we can select our thoughts as we do our companions.
+
+
+
+
+X.
+
+OCCUPATION NEUROSIS
+
+Be not ashamed, to be helped; for it is thy business to do thy duty like a
+soldier in the assault on a town. How, then, if being lame thou canst
+not mount up on the battlement alone, but with the help of another it is
+possible?
+
+_Marcus Aurelius_.
+
+
+The insistent and over-conscientious habit of mind plays so large a part in
+the so-called occupation neuroses that a brief discussion of their nature
+may here be in place.
+
+The best-known form of this distressing malady is "writer's cramp." Upon
+this subject the proverbially dangerous little knowledge has been already
+acquired; a fuller knowledge may give comfort rather than alarm, and may
+even lead to the avoidance of this and allied nervous disorders.
+
+The term "writer's cramp" has unduly emphasized a feature, namely, the
+cramp, which is neither the most common nor the most troublesome among the
+symptoms resulting from over-use of a part. In occupation neuroses, other
+than those produced by the use of the pen, pain, weakness, and numbness are
+at least equally prominent, and even in writer's cramp the "neuralgic" form
+is common.
+
+The fact is generally realized that this type of disorder is particularly
+frequent among persons of nervous temperament. The reason is twofold,
+first, the resistance of such individuals is less than the average, second,
+the insistent habit of mind leads them to overdo. It is against the latter
+factor that our efforts may to advantage be directed.
+
+I have in mind the case of a lady who complained of severe pain in the
+right arm with no apparent physical cause. The pain, at first appearing
+only when the arm was placed in a certain position, finally became almost
+constant. She denied excessive use of the arm, but her husband stated that
+she plied the needle to such an extent that it caused the family distress.
+This she indignantly denied, and fortified her position by the statement
+that she only took short stitches! Further inquiry elicited the
+acknowledgment that she did so because she could no longer take long ones.
+This is a fair example of an occupation neurosis.
+
+Some time ago, after long continued and over-conscientious effort to
+satisfy the requirements of an athletic instructor, I acquired what is
+known as a "golf arm." Efforts at its relief were unavailing. A vigorous
+course of massage only increased the pain. I finally asked a friend what
+they did in England when a golf player suffered this annoyance. He replied
+that no golf player ever did so; when it occurred among others the arm was
+placed in wool for three months, at the end of which time a single movement
+of swinging the club was made; if this movement caused pain the treatment
+was renewed for another three months. I did not suppose he intended the
+advice to be taken literally, but followed it, except as regarded the wool,
+and I verily believe that I should otherwise have been experimenting with
+the treatment of golf arm to-day.
+
+My friend's advice indicates the general experience with occupation
+neuroses including writer's cramp, for which every imaginable measure has
+been tried, only to be replaced by protracted abstinence from the use
+of the pen. The attempt to use the left hand proves, as a rule, only
+temporarily efficacious. The speedy appearance of symptoms in the left hand
+emphasizes the fact that it is tired brain, as well as the tired muscle,
+that rebels.
+
+The ranks of every profession, and of every trade, are daily depleted
+of the most promising among their members, whose zeal has outrun their
+discretion; their over-worked brains and hands have succumbed under the
+incessant strain of tasks, often self-imposed.
+
+It is hard, but essential, for the sufferer from an occupation neurosis to
+abandon frantic efforts at combining treatment with continuance of labor.
+He must bring all his philosophy to bear on the temporary, but complete,
+abandonment of his chosen occupation, at whatever loss to himself or
+others.
+
+To avoid this contingency the over-conscientious worker will do well to
+modify his ambition, and lower his pride if needful, consoling himself
+with the reflection that an occasional interruption of his labor, even at
+material loss, may be replaced by years of future usefulness. Cowper says:
+
+ "'Tis thus the understanding takes repose
+ In indolent vacuity of thought,
+ And rests, and is refreshed."
+
+
+
+
+XI.
+
+THE WORRIER AT HOME
+
+ Small habits, well pursued betimes,
+ May reach the dignity of crimes.
+
+ _Hannah More_.
+
+
+More than one "sunbeam" and "life of the party" in society is the "cross
+patch" and "fuss budget" of the home. His gracious smiles and quips abroad
+are matched at home by darkened brows and moody silence, only broken by
+conversation of the italicized variety: "_Will_ it ever stop raining?"
+"_Can't_ you see that I am busy?" "What _are_ you doing?" and the like.
+Whatever banner is exhibited to the outside world, the motto at home seems
+to be "Whatever is, is wrong." Defects in the ménage, carefully overlooked
+when dining out, are called with peculiar unction to the attention of the
+housekeeper of the home, whose worry to please is only matched by the
+"sunbeam's" fear that she shall think him satisfied with what is placed
+before him.
+
+ "There's something kind of pitiful about a man that growls
+ Because the sun beats down too hot, because the wild wind howls,
+ Who never eats a meal but that the cream ain't thick enough,
+ The coffee ain't been settled right, or else the meat's too tough--
+
+ Poor chap! He's just the victim of Fate's oldest, meanest trick,
+ You'll see by watching mules and men, they don't need brains to kick."
+
+ _Chicago Interocean_.
+
+Add to the "kicking habit" the insistence that each member of the family
+must be reminded at frequent intervals of his peculiar weaknesses, and that
+the discussion of uncomfortable topics, long since worn threadbare, must be
+reopened at every available opportunity, and the adage is justified, "be it
+ever so humble, there's no place like home."
+
+Try the following suggestion on approaching the house after a hard
+day's work. Say to yourself, "Why tired and cross? Why not tired and
+good-natured?" The result may startle the family and cause inquiries for
+your health, but "Don't Worry," if it does; console yourself with the
+thought they will like you none the less for giving them a glimpse of that
+sunny nature of which they have often heard.
+
+As a further preparation for the evening meal, and the evening, by way of
+alleviating the mental and physical discomfort following a trying day, one
+is surprised by the effectiveness of taking a bath and changing all the
+clothing. This treatment, in fact, almost offers a sure cure, but the
+person who would be most benefited thereby, is the person so obsessed to
+pursue the miserable tenor of his way that he scouts the suggestion that
+he thus bestir himself, instead of sinking into the easy chair. He may,
+however, accept the suggestion that simply changing the shoes and stockings
+is extremely restful, when reminded that if he had worn kid gloves all day
+he would be relieved to free his hands from the incubus, and, if gloves
+must still be worn, to put on a cool pair.
+
+It is a further aid to physical, and indirectly to mental, comfort, if one
+can learn to wear low shoes and the thinnest of underwear the year
+round; the former offer a panacea for fidgets; the latter lessens the
+perspiration, which increases the susceptibility to drafts, and to even
+moderate lowering of temperature. The prevailing belief that this procedure
+is dangerous is disproved by the experience of the many who have given it a
+thorough trial. The insistent belief of the neurotic that he cannot acquire
+this habit is touched upon in the chapter on Worry and Obsession. If he
+thinks he is "taking cold," let him throw back his shoulders and take a few
+deep breaths, or if convenient, a few exercises, instead of doubling the
+weight of his underwear, and in the long run he will find that he has not
+only increased his comfort, but has lessened, rather than increased, the
+number of his colds.
+
+Much of the worry of the home is retrospective. "If I had only made
+Mary wear her rubbers,"--"If we had only invested in Calumet & Hecla at
+25,"--"If we had only sent John to college," represent a fruitful source of
+family discomfort. The morbid rhyme is familiar to all:
+
+ "Of all sad words of tongue or pen,
+ The saddest these, 'It might have been.'"
+
+I should be glad to learn of any advantage accruing from the indulgence of
+this attitude toward the bygone. A happier and more sensible habit of mind
+may be attained by equal familiarity with the following:
+
+ "Add this suggestion to the verse,
+ 'It might have been a great deal worse.'"
+
+A fruitful source of discomfort for the worrier at home is the absence of
+occupation. He looks forward to mental rest after using his brain all day,
+but there is no rest for him unless in sleep. The most valuable rest he
+could give his mind would be to occupy it with something worth while, yet
+not so strenuous as to cause solicitude. As Saleeby points out, the mock
+worry of a game is a good antidote for the real worry of life, and a game
+is far better than nothing, unless the player make, in turn, a work of his
+play, in which case worry continues.
+
+The hardest task for the worrier at home is to get away from home. With
+advancing years the temptation grows upon us to spend our evenings by the
+fireside, to make no new friends and seek no new enjoyments. But this
+unbroken habit is neither the best preparation for a happy old age, nor the
+best method of counteracting present worry. Nor should one stop to decide
+whether the special entertainment in question will be worthwhile--he must
+depend rather on the realization that if he accepts most opportunities he
+will be, on the whole, the gainer.
+
+The man whose occupation keeps him in-doors all day should make special
+effort to pass some time in the open air, if possible walking or driving
+to and from his place of business, and taking at least a stroll in the
+evening.
+
+As more than one writer has suggested, the best resource is the _fad_. The
+fad will prove an inestimable boon after withdrawing from active work, but
+it should be commenced long before one discontinues business, else the
+chances are that he will never take it up, but will fret away his time like
+the average man who retires from an occupation which has engrossed his
+attention.
+
+The fad should not be pursued too strenuously, or its charm is lost. A lady
+once told me that she had given up studying flowers because she found she
+could not master botany in the time at her disposal. Another sees no use in
+taking up history unless he can become an authority on some epoch. Another
+declines to study because he can never overtake the college graduate. But
+one of the best informed men of my acquaintance had no college education.
+One of his fads was history, with which he was far more familiar than any
+but the exceptional college man, outside the teachers of that branch of
+learning.
+
+The usefulness of the fad does not depend upon the perfection attained in
+its pursuit, but upon the pleasure in its pursuit, and upon the diversion
+of the mind from its accustomed channels. The more completely one learns
+to concentrate his thoughts on an _avocation_, the more enthusiasm and
+effectiveness he can bring to bear on his _vocation_ in its turn. A fad
+that occupies the hands, such as carpentering, turning, or photography, is
+peculiarly useful if one's taste runs in that direction.
+
+One handicap in cultivating the fad is the lack of interest on the part of
+our associates, but if we become genuinely interested in any fad that is at
+all worth while, we shall inevitably add new acquaintances likely to prove
+at least as interesting as those of our present friends, who have no
+thoughts outside their daily round of toil. The more fads one cultivates,
+so long as he avoids the obsession to obtrude them at all times and places,
+the more interesting he will, in his turn, become to others.
+
+The over-solicitude that defeats its own end, in the case of a parent,
+has been admirably portrayed by Arthur Benson in "Beside Still
+Waters,"--"there was nothing in the world that he more desired than the
+company and the sympathy of his children; but he had, beside this, an
+intense and tremulous sense of his responsibility toward them. He
+attached an undue importance to small indications of character, and thus
+the children were seldom at ease with their father, because he rebuked
+them constantly, and found frequent fault, doing almost violence to his
+tenderness, not from any pleasure in censoriousness, but from a terror,
+that was almost morbid, of the consequences of the unchecked development
+of minute tendencies."
+
+Something must be left to natural growth, and to fortune, even in such
+important matters as the rearing of children.
+
+
+
+
+XII.
+
+THE WORRIER ON HIS TRAVELS
+
+After all, is it not a part of the fine art of living to take the enjoyment
+of the moment as it comes without lamenting that it is not something else?
+
+LILIAN WHITING: _Land of Enchantment_.
+
+
+In no phase of life is the worrying and the "fussy" habit more
+noticeable than in travel. This is, perhaps, partly because the lack of
+self-confidence, which so often unsettles the worrier, is peculiarly
+effective when he has relinquished the security of his accustomed
+anchorage. This applies surely to the over-solicitous attention paid by
+the traveler to the possible dangers of rail and sea. Here is a verse from
+Wallace Irwin:
+
+ "'Suppose that this here vessel,' says the skipper with a groan,
+ 'Should lose 'er bearin's, run away and bump upon a stone;
+ Suppose she'd shiver and go down when save ourselves we could'nt.'
+ The mate replies,
+ 'Oh, blow me eyes!
+ Suppose agin she shouldn't?'"
+
+A common direction taken by the worrying habit, in the traveler, is that
+of taking in advance each step of the journey, preparing for every
+contingency, and suffering beforehand every imaginable hardship and
+inconvenience. I do not vouch for the story (though I can match it without
+going far afield) of the gentleman who abandoned his trip from Paris to
+Budapesth because he found he would be delayed in Vienna six hours, "too
+long time to wait in the station, and not long enough to go to the hotel."
+It is the imperative duty of every traveler to discover interests which
+shall tide him over a few hours' delay wherever it may occur.
+
+It is by no means a waste of time to familiarize ourselves with the
+geography at least of our own country; to know the situation and appearance
+of every city of importance, and to know something about the different
+railroads besides their initials, and their rating in the stock market.
+Again, if we take up the study of the trees, flowers and birds, with the
+aid of the admirable popular works now available, we shall not only view
+the scenery with new eyes, but shall welcome, rather than be driven to
+despair, by a breakdown in the woods.
+
+It is a mistake to shun our fellow-travelers, from whom we should rather
+try to learn something. This is a solace in traveling alone, for the boon
+companion may handicap us in cultivating new acquaintances and gaining new
+impressions. Though the main object of recreation is diversion from the
+daily round of thought, the fact need not be lost sight of that the busy
+man will find his practical interests furthered, rather than hindered, by
+a little widening of the horizon. Nor should he forget, meantime, the
+admonition of Seneca that if he would wish his travels delightful he must
+first make himself delightful.
+
+It is inevitable that uncomfortable, as well as agreeable, experiences
+occur in travel. But the man who spends his time and thought in avoiding
+the one and seeking the other is steadily forging chains whose gall shall
+one day surpass the discomforts of a journey around the world. Arthur
+Benson in "Beside Still Waters" says that Hugh learned one thing at school,
+namely, that the disagreeable was not necessarily the intolerable. Some of
+us would do well to go back to school and learn this over again. I know of
+only two ways by which the discomforts of travel can be avoided. One is to
+ignore them, the other to stay at home.
+
+A fellow traveler told me that on one occasion, in the presence of a
+beautiful bit of mountain scenery, he overheard two ladies in anxious
+consultation comparing, article by article, the corresponding _menus_ of
+two rival hotels. The fact that three varieties of fish were offered
+at one, while only two were offered at the other, opened so animated a
+discussion of quantity as opposed to probable quality that the listener
+discretely withdrew.
+
+A lady on the Florida express, after reading a novel all day with an
+occasional interim, during which she gazed through her lorgnette with bored
+and anxious air, finally said to her companion, "I have not seen a single
+estate which compares to those in Brookline."
+
+Among the varieties of needless worry imposed upon the traveler by the
+insistent habit, none is more common, or more easily overcome, than the
+refusal to sleep unless noise and light are quite shut out. If the sufferer
+make of his insistent habit a servant, rather than a master, and instead of
+reiterating "I must have quiet and darkness," will confidently assert, "I
+must get over this nonsense," he will speedily learn that freedom from
+resentment, and a good circulation of air, are more conducive to sleep than
+either darkness or silence.
+
+The best drug for the sleepless traveler is the _ęquo animo_ of Cicero.
+
+
+
+
+XIII.
+
+THE WORRIER AT THE TABLE
+
+These little things are great to little man.
+
+GOLDSMITH: _The Traveller_.
+
+
+The insistent habit of mind is nowhere more noticeable than in connection
+with the food. I have seen a hotel _habitué_, apparently sane, who
+invariably cut, or broke, his bread into minute particles, and minutely
+inspected each before placing it in his mouth. If this were a book of
+confessions, I should have myself to plead guilty, among worse things,
+to having avoided mince pie for weeks after encountering among other
+ingredients of this delicacy, a piece of broken glass.
+
+Not infrequently the obsessive diner so long hesitates before giving his
+final order that the waiter brings the wrong dish. The insistent thought
+now replaces the doubting folly, and the diner would as soon think of
+eating grass as the article offered. I have known him impatiently to leave
+the table under these circumstances, and to play the ostentatious martyr,
+rather than partake of the food he had at the outset given weighty
+consideration. I have seen another omit his lunch because water had been
+spilled upon the cloth, and still another leave the dining-car, with
+the announcement that he would forego his meal because informed by the
+conductor that men's shirt waists without coats were taboo.
+
+The obsessive of this type may by training even reach the point of seeing
+the amusing instead of the pathetic side of the picture when, in the course
+of his travels, his request for "a nice bit of chicken, cut thin," is
+transmitted to the kitchen as--"One chick."
+
+One day, with pride, I called the attention of my easy-going friend to the
+fact that I was eating a dish I had not ordered. He quietly remarked that
+the next step was to eat it and say nothing! Another friend has this motto
+in his dining-room: "Eat what is set before you and be thankful." His
+children will open their eyes when they find others, less reasonably
+reared, demanding that the potatoes be changed because they are sprinkled
+with parsley, that a plate be replaced because it has had a piece of cheese
+upon it, or that the salad of lettuce and tomato be removed in favor of one
+with tomato alone.
+
+A lady recently told me of breakfasting with a foreign sojourner in
+America, who upon being offered the contents of an egg broken into a glass,
+was not satisfied with declining it, but felt impelled also to express his
+extreme disgust at this method of serving it, fortunately to the amusement,
+rather than to the annoyance of his hostess.
+
+"After this, know likewise," says Epictetus, "that you are a brother too;
+and that to this character it belongs to make concessions, to be easily
+persuaded, to use gentle language, never to claim for yourself any
+non-essential thing, but cheerfully to give up these to be repaid by a
+larger share of things essential. For consider what it is, instead of a
+lettuce, for instance, or a chair, to procure for yourself a good temper.
+How great an advantage gained!"
+
+The insistent desire to have a certain degree and character of appetite not
+infrequently leads to consulting the physician. Still more common is the
+obsession that the appetite must be gratified, the supposition being that
+the desire for food is, in the growing child or in the adult, an infallible
+guide to the amount needed, though it is a matter of common knowledge that
+this is not true of infants or of domestic animals. If one leaves the table
+hungry he soon forgets it unless inordinately self-centered, and he has
+no more desire to return than to go back to bed and finish the nap so
+reluctantly discontinued in the morning.
+
+I have heard the theory advanced by an anxious forecaster of future ills,
+that all unnecessary food, if packed away as adipose tissue, serves to
+nourish the body in periods of starvation. Assuming that the average
+individual need consider this stress of circumstance, I am strongly of the
+impression that the best preparation for enforced abstinence will prove,
+not a layer of fat, but the habit of abstinence. The nursery poet says:
+
+ "The worry cow would have lived till now
+ If she'd only saved her breath.
+ She feared the hay wouldn't last all day
+ So choked herself to death."
+
+The quantity of food proved by experiment to suffice for the best work,
+physical or mental, is surprisingly small. A feeling of emptiness, even, is
+better preparation for active exercise than one of satiety.
+
+It is a national obsession with us that no meal is complete without meat.
+Order fruit, a cereal, rolls and coffee, at the hotel some morning, and the
+chances are ten to one that the waiter will ask what you are going to have
+for _breakfast_, though you have already ordered more than is absolutely
+necessary for that meal, as demonstrated by the custom upon the Continent,
+where the sense of fitness is as much violated by the consumption of an
+enormous breakfast as it is with us by the omission of a single detail.
+
+It may be asked if it is not subversive of discipline for the hotel
+_habitué_ to become too easy-going. There is doubtless a limit to the
+virtue of allowing ourselves to be imposed upon, but there is little fear
+that the individual who opens the question will err in this direction. It
+behooves him rather to consider the danger of his occupying the unenviable
+position of the "fuss-budget."
+
+
+
+
+XIV.
+
+THE FEAR OF BECOMING INSANE
+
+We must be steadfast, Julian! Satan is very busy in all of us.
+
+IBSEN: _Emperor and Galilean_.
+
+
+Few, perhaps, among the high-strung and delicately organized can truly say
+that this fear has never occurred to them. It affects even children, at an
+age when their minds are supposed to be taken up with the pleasures and
+pursuits appropriate to their years. This fear is generally dispelled by
+the serious occupations of life, but in certain cases it persists as an
+insistent and compelling thought.
+
+It may afford consolation to know that insanity results, in the majority
+of cases, from physical disease of the brain, and that it is ordinarily
+unanticipated, unsuspected and uncredited by the patient. There is no more
+danger of insanity attacking the worrier and the delicate than the robust
+and the indifferent. In fact, the temperament which produces the faulty
+habits we are considering rarely culminates in insanity. It seems worth
+while, however, to replace the vague fear of insanity by a knowledge of the
+variety of mental unbalance remotely threatening the person who lacks the
+desire or the will, to place a check upon these faulty habits of mind. We
+may thus, in the worrier whose fears have taken this direction, substitute
+effort for foreboding.
+
+It is our _conduct_ rather than our thoughts that determines the question
+of insanity. The most practical definition of insanity I know is that of
+Spitzka, the gist of which is that a person is insane who can no longer
+correctly register impressions from the outside world, or can no longer act
+upon those impressions so as to formulate and carry out a line of conduct
+consistent with his age, education and station.
+
+The banker may repeat the process of locking and unlocking, even to
+the point of doubting his own sensations, but he may still be able to
+formulate, and carry out, a line of conduct consistent with his position,
+though at the expense of intense mental suffering.
+
+In the realm of morbid fears, the person obsessed by fear of contamination
+shows no sign of insanity in using tissue paper to turn the door-knob, or
+in avoiding objects that have been touched by others. Up to this point
+his phobia has led merely to eccentricity, but suppose his fear so far
+dominates him that he can no longer pursue his occupation for fear of
+handling tools or pen, and that he persistently refuses to eat through fear
+of poison, he has then reached the point where he can no longer formulate
+lines of conduct, and he is insane.
+
+It is, then, important to foresee the tendency of phobias, and to accustom
+one's self to the point of view that the worst possible harm, for example
+from contamination by ordinary objects, is no worse than mental unbalance,
+and that the probable consequences thereof (_nil_) are infinitely
+preferable.
+
+Even with regard to more tangible fears, as of elevators, fires, tunnels,
+thunder-storms, and the like, a certain tranquility may be gradually
+attained by a similar philosophy. Suppose instead of dwelling on the
+possibility of frightful disaster the sufferer practices saying: "The worst
+that can happen to me is no worse than for me to let these fears gradually
+lessen my sphere of operations till I finally shut myself up in my chamber
+and become a confirmed hypochondriac." One should also remember that many
+another shares his fears, but shows no sign because he keeps a "stiff upper
+lip," an example he will do well to follow, not only for his own eventual
+comfort, but for the sake of his influence on others, particularly on those
+younger than himself. The pursuance of this line of thought may result in
+the former coward seeking instead of avoiding, opportunities to ride in
+elevators and tunnels, and even to occupy an inside seat at the theatre,
+just to try his new-found power, and to rejoice in doing as others do
+instead of being set apart as a hopeless crank.
+
+These fears bear directly on the question of hypochondria. We have already
+seen how the sphere of the hypochondriac is narrowed. His work and his play
+are alike impeded by his fear of drafts, of wet feet, of loud noises, of
+palpitation, of exhaustion, of pain, and eventually of serious disease. Is
+he insane? Not so long as he can carry out a line of conduct consistent
+with his station and surroundings.
+
+It is remarkable how many obsessions we may harbor without causing us to
+swerve from our accustomed line of conduct. Whatever our thoughts, our
+conduct may be such that we attract little attention beyond the passing
+observation that we are a little odd. We may break down, it is true, under
+the double load we carry, but we are in little danger of insanity. Those
+established in the conviction that they cannot stand noises or other
+sources of discomfort, rarely reach the point of a certain poor old lady
+who used to wander from clinic to clinic, able to think of nothing else,
+and to talk of nothing else, than the ringing in her ears, and to attend to
+no other business than efforts for its relief. She was counselled again and
+again that since nothing was to be found in the ears she should endeavor
+to reconcile herself to the inevitable, and turn her thoughts in other
+directions. Unfortunately, she had become peculiarly adept in the detection
+of disagreeable sights, sounds, and other sources of irritation, and had
+for a long term of years practiced quite the opposite of control. She had
+hitherto either insisted on discontinuance of all sources of irritation,
+fled their neighborhood, or put on blue glasses and stopped her ears with
+cotton. When, finally, her sharpened sense caught the sound of her own
+circulation, she could think of nothing but this unavoidable source of
+discomfort, which was prepared to follow her to the uttermost parts of the
+earth.
+
+A well-known author has said that the difference between sanity and
+insanity depends only on the power to conceal the emotions. While this
+definition will hardly pass in law or medicine, it surely offers food for
+thought. Suppose for a moment that we were dominated by the impulse to
+externalize all our thoughts and all our emotions, there would be some
+basis for the common, but inaccurate, saying that everyone is insane.
+
+This brings us to a form of insanity which the obsessive may well bear in
+mind, namely, that known as manic-depressive. This disorder, in its typical
+form, is shown by recurring outbursts of uncontrollable mental and
+physical activity (mania), alternating with attacks of profound depression
+(melancholia). This form of insanity represents the inability to control an
+extreme degree of the varied moods to which we all are subject. Long before
+the modern classification of mental disorders, Burton, in his introduction
+to the "Anatomy of Melancholy," expressed this alternation of moods thus:
+
+ "When I go musing all alone,
+ Thinking of divers things foreknown,
+ When I build castles in the ayr,
+ Void of sorrow and void of feare,
+ Pleasing myself with phantasms sweet,
+ Me thinks the time runs very fleet.
+ All my joyes to this are folly,
+ Naught so sweet as melancholy.
+
+ "When I lie waking all alone,
+ Recounting what I have ill done,
+ My thoughts on me they tyrannize,
+ Feare and sorrow me surprise,
+ Whether I tarry still or go,
+ Me thinks the time moves very slow.
+ All my griefs to this are jolly,
+ Naught so sad as melancholy."
+
+ * * * * *
+
+ "I'll not change my life with any King,
+ I ravisht am: can the world bring
+ More joy, than still to laugh and smile,
+ In pleasant toyes time to beguile?
+ Do not, O do not trouble me,
+ So sweet content I feel and see.
+ All my joyes to this are folly,
+ None so divine as melancholy.
+
+ "I'll change my state with any wretch
+ Thou canst from goale or dunghill fetch:
+ My pain's past cure, another hell,
+ I may not in this torment dwell,
+ Now desperate I hate my life,
+ Lend me a halter or a knife;
+ All my griefs to this are jolly,
+ None so damn'd as melancholy."
+
+The depressed stage of this disorder is commonly shown by retardation
+of thought and motion, the excited stage by pressure of activity and
+acceleration of thought. In the so-called "flight of ideas" words succeed
+each other with incredible rapidity, without goal idea, but each word
+suggesting the next by sound or other association, thus:
+
+"Are you blue?"
+
+"Blue, true blue, red white and blue, one flag and one nation, one kingdom,
+one king, no not one king, one president, we are going to have a president
+first, cursed, the worst."
+
+Who does not recognize the modest prototype of this elaborate rigmarole
+chasing itself through his mind as he walks the street in jaunty mood, and
+who of us would not surprise and alarm his friends if he should suddenly
+let go his habitual control, express his every thought and materialize his
+every passing impulse to action? Who can doubt that the person who has
+trained himself for years to repress his obsessions is less likely to
+give way to this form of insanity than one who has never practiced such
+training? Let us then endeavor to pursue "the even tenor of our way"
+without giving way to the obsession that we must inflict our feelings upon
+our associates. We may in this way maintain a mental balance that shall
+stand us in good stead in time of stress.
+
+The autumnal tendency to melancholy is recognized by Thoreau. The
+characteristic suggestion of this nature-lover is that the melancholic go
+to the woods and study the _symplocarpus foetidus_ (skunk cabbage), whose
+English name savors of contempt, but whose courage is such that it is
+already in the autumn jauntily thrusting forth its buds for the coming
+year.
+
+An admirable reflection for the victim of moods, as for many another, is
+the old saying in which Abraham Lincoln is said to have taken peculiar
+comfort, namely, "This also will pass."
+
+
+
+
+XV.
+
+RECAPITULATORY
+
+And found no end in wandering mazes lost.
+
+_Paradise Lost_.
+
+
+We have reviewed the various phases of worry and the elements out of which
+worry is assembled. It has been seen that exaggerated self-consciousness
+blocks effort through fear of criticism, ridicule or comment. The insistent
+habit of mind in the worrier has been found to permeate the content of
+thought, and unfavorably to influence action. The fact has been pointed
+out that the obsession to do the right thing may be carried so far as to
+produce querulous doubt and chronic indecision--hence worry.
+
+It has been pointed out that over-anxiety on the score of health
+(hypochondria) aggravates existing symptoms, and itself develops symptoms;
+that these symptoms in turn increase the solicitude which gave them birth.
+Attention has been called to the influence of over-anxious and fretful
+days in precluding the restful state of mind that favors sleep, and to the
+influence of the loss of sleep upon the anxieties of the following day; in
+other words, worry prevents sleep, and inability to sleep adds to worry.
+
+We have seen that doubts of fitness lead to unfitness, and that the worry
+of such doubts, combined with futile regrets for the past and forebodings
+for the future, hamper the mind which should be cleared for present action.
+
+The injurious effect upon the nervous system of these faulty mental states
+has been emphasized, together with their influence as potent underlying
+causes of so-called nervous prostration, preparing the worrier for
+breakdown from an amount of work which, if undertaken with tranquil mind,
+could have been accomplished with comparative ease.
+
+The question is, will the possessor of these faulty mental tendencies grasp
+the importance of giving thought to the training that shall free him
+from the incubus? He certainly has the intelligence, for it is among the
+intelligent that these states are mostly found; he certainly has the
+will-power, for lack of will-power is not a failing of the obsessed. The
+question is, can he bring himself to make, at the suggestion of another,
+a fundamental change of attitude, and will he take these suggestions on
+faith, though many seem trivial, others, perhaps, unreasonable, and will he
+at least give them a trial? I hope so.
+
+In the next sections will be summed up such commonplace and simple
+suggestions as may aid emergence from the maze of worry. Many of the
+suggestions have been scattered through preceding sections. The worrier and
+folly-doubter is more likely to be benefited by trying them than by arguing
+about them, and it is within the realms of possibility that some may come
+to realize the truth of the paradox that he who loses himself shall find
+himself.
+
+
+
+
+XVI.
+
+MAXIMS MISAPPLIED
+
+ "Beware! yet once again beware!
+ Ere round thy inexperienced mind,
+ With voice and semblance falsely fair,
+ A chain Thessalian magic bind,--"
+
+_Thomas Love Peacock_.
+
+
+A friend of mine has a highbred Boston terrier named "Betty." Betty is a
+bundle of nerves, has a well-developed "New-England Conscience," and among
+other deviative (not degenerative) signs is possessed of an insatiate
+desire to climb trees. More than once I have watched her frantic efforts to
+achieve this end, and she really almost succeeds--at least she can reach
+a higher point on the trunk of a tree than any other dog of her size I
+know--say six feet; if the bark is rough, perhaps seven feet would not be
+an overestimate. Her attempts are unremitting--once the frenzy is on it
+is with the greatest difficulty that she can be separated, panting and
+exhausted, from her task.
+
+Betty's case furnishes an illustration of an inborn tendency, fostered
+neither by precept nor example, persistently to attempt the impossible,
+and to fret and fume when forced to discontinue. Some children are by
+inheritance similarly endowed. Imagine Betty a child. It is safe to assume
+that the mental trait which prompts this expenditure of tireless and
+misdirected energy has sifted down through her ancestry; the chances are,
+of course, against its having skipped the generation immediately preceding;
+in other words, one or both her parents are probably obsessive. It follows
+almost as a matter of course that the "indomitable will" of the child is
+viewed with pride by the parent. Instead of being kept within reasonable
+bounds, and directed into proper channels, it is encouraged in every
+direction, and fostered by every available means. Prominent among the
+incentives to renewed activity furnished by the solicitous parent, possibly
+by the undiscriminating teacher, will be found such precepts as: "In the
+bright lexicon of youth there's no such word as fail," "Never give up the
+ship," "Never say die," "There's always room at the top."
+
+Excellent maxims these, for the average child, particularly for the child
+who is under average as regards ambition to excel. But what of their effect
+upon the already over-conscientious and self-exacting child? Simply to
+tighten fetters which should rather be relaxed.
+
+Life becomes a serious problem to a child of this kind at a much earlier
+age than is generally realized. I have been surprised to learn at what
+tender years such children have been borne down by a weight of self-imposed
+responsibility quite as heavy as can burden an adult, without the power
+of the adult to carry it. Such, for example, are anxieties regarding the
+health or the financial status of the parents, matters freely discussed
+without a thought that the child will make these cares his own.
+
+I realize that this line of thought will seem to some revolutionary. A
+friend to whom I submitted the proposition that it did harm rather than
+good to encourage a child of this kind to attempt the impossible answered,
+"Nothing is impossible," and he said it as if he more than half believed
+it. Here we have the ambitious maxim challenging truth itself. It is
+certainly not impossible that Mozart wrote a difficult concerto at the age
+of five; nor is it impossible that, in precocious children of a different
+type, worry from failure to accomplish the desired may cause profound
+despair productive of disastrous results.
+
+Nor are such children either geniuses or freaks--they are merely inheritors
+of the "New England Conscience," so named, I suppose, because the trait
+has multiplied in this section more rapidly even than the furniture and
+fittings of the Mayflower. Without underrating the sterling qualities of
+the devoted band who founded this community it may safely be suggested that
+neither the effectiveness nor the staying qualities of their descendants
+will be lessened by a certain modification of the querulous insistence
+which dominates the overtrained adult in the rearing of the nervously
+precocious child.
+
+The maxim "What is worth doing at all is worth doing well," if carried to
+its ultimate conclusion by the over-careful, would justify the expenditure
+of a quarter of an hour in sharpening a lead-pencil. This maxim, while
+losing in sententiousness would gain in reason if it ran thus: "What is
+worth doing at all is worth doing as well as the situation demands." "Never
+put off till to-morrow what you can do to-day," an excellent maxim for
+the shiftless, must not be taken too literally by the individual already
+obsessed to do to-day twice what he can and quadruple what he ought.
+
+Neither the chronic doubter nor the prematurely thoughtful need be
+admonished, "Look before you leap," or "Be sure you're right, then go
+ahead." Such guides to conduct, however effective in the case of three
+individuals, in the fourth hinder accomplishment by encouraging querulous
+doubt;--it is for the benefit of the fourth that these pages are written. A
+revolutionary effort must be made before the worrier and the folly-doubter
+can throw off his shackles.
+
+It may be questioned whether this sort of philosophy does not savor of
+_laissez-faire_, and tend to produce indifference; but the worry against
+which these efforts are directed is a state of _undue_ solicitude,--_due_
+solicitude is not discouraged. Fortunately, as partial offset to the many
+maxims stirring to increased activity, there exist certain maxims of less
+strenuous, but not unreasonable, trend, thus:--"What can't be cured must be
+endured," "Patient waiters are no losers." Such maxims are quite as worthy
+of consideration by the obsessive as any of those previously cited.
+While they modify overzeal, they detract in no way from effective, even
+strenuous, endeavor.
+
+
+
+
+XVII.
+
+THE FAD
+
+"Fads may be said to constitute a perfect mental antitoxin for the poison
+generated by cerebral acuity."
+
+_Courtney_.
+
+
+There is nothing occult in the suggestion that the worrier cultivate a fad.
+Its object is to interest him in something outside of himself and of the
+monotony of his accustomed round. If it seems to him too much trouble to
+enter upon the details of the fad there is all the more reason for freeing
+himself from such mental inertia.
+
+How shall we set to work to acquire a fad, without special opportunity or
+education, and with but little time at our disposal? Suppose we take the
+study of botany as an illustration, not necessitating class instruction.
+This useful study may be made also a charming fad, and one not beneath the
+notice of so learned and busy a man as Sir Francis Bacon, who found time
+and inclination to write an essay "Of Gardens," in which he mentions by
+name and shows intimate acquaintance with, over one hundred distinct
+varieties of plant life.
+
+Sir John Lubbock (the Right Honourable Lord Avebury) in "The Pleasures of
+Life," says:
+
+"The botanist, on the contrary--nay, I will not say the botanist, but one
+with even a slight knowledge of that delightful science--when he goes
+out into the woods, or out into one of those fairy forests which we call
+fields, finds himself welcomed by a glad company of friends, every one with
+something interesting to tell."
+
+There are two ways of cultivating botanical as well as other knowledge;
+namely, the passive and the active. The passive method is to let someone
+inform us; the active is to find out something for ourselves. The latter is
+the only effective method. Suppose we start with the wild flowers:
+
+The first step is to purchase a popular illustrated book on this subject,
+preferably one in which the flowers are arranged according to color. We
+first learn, in the introduction, the principal parts of the flower, as
+the calyx, the corolla, the stamen and the pistil. We find that the
+arrangements of leaves and flowers are quite constant, that the leaves of
+some plants are opposite, of others alternate; of still others from the
+root only, that flowers are solitary, in raceme, head, spike or otherwise
+clustered.
+
+It now behooves us to take a walk upon a country road with our eyes open
+and our book under our arm. Along the roadsides passing vehicles have
+scattered the seeds of many flowering plants. We decide to pick and learn
+the first white blossom we see. This blossom appears, we will say, upon a
+plant about a foot high. We notice that its leaves are opposite, that its
+corolla has five petals and that its calyx is inflated. We now look through
+the section on white flowers. The first plant described has leaves from
+the root only; the second is a tall shrub, these we pass, therefore, and
+continue until we find one answering the description, leaves opposite,
+calyx inflated, corolla of five petals. When we reach it we have identified
+the plant; we now feel a sense of ownership in the _Bladder Campion_, and
+are quite shocked when our friend calls it only "a weed." Meantime we have
+noted many familiar names and some familiar illustrations which we must
+identify on our next ramble.
+
+On consulting our timepiece we find that we have absolutely spent a couple
+of hours in complete forgetfulness of the daily grind, to say nothing of
+having filled our lungs with comparatively fresh air, and having taken a
+little exercise. Best of all, we have started a new set of associations; we
+have paved the way for new acquaintances, Linnaeus, Gray, Dioscorides and
+Theophrastus, to say nothing of our friend _so-and-so_ whom we always
+thought rather tiresome but with whom we now have something in common.
+We shall take up our daily grind to-morrow with a new zest for having
+forgotten it for a few hours, and find it less of a grind than usual;
+moreover, we now have an object to encourage another stroll in the country.
+
+If we continue as we have begun we shall soon find ourselves prying into
+the more scientific works on botany, and perhaps eventually extending our
+interest to the birds, the beasts and the boulders. One of these days we
+may become quite proficient amateur naturalists, but this is only by the
+way; the real advantage to us has been the externalizing of our interests.
+
+This is the most desultory way possible of cultivating the fad. One may go
+a step further and transplant the wild flowers and the weeds. A busy and
+successful professional friend of mine, besides having a cabinet shop in
+his stable, finds (or makes) time to go to the woods with his trowel.
+He has quite a wild-flower bank in his garden. I cannot give definite
+directions as to their setting out--I think he just throws them down
+anywhere--a fair percentage seem to thrive,--I can remember the
+larger bur-marigold, the red and white bane-berry, rattlesnake-weed,
+rattlesnake-plantain, blood root, live-for-ever, wood betony, pale
+corydalis, and fern-leaved foxglove, and there are many more.
+
+Mushrooms and ferns offer fertile fields for special study. If the worrier
+has an altruistic turn he will find satisfaction in bestowing duplicates
+upon his friends, thus still further externalizing his interests. He will
+be surprised to find how many things there are in the world that he never
+noticed.
+
+Whether our tastes lead us in the direction of photography, pottery,
+mechanics, collecting china, books and old furniture, of philosophy or
+a foreign language, we need not aim to pursue these avocations too
+profoundly. We must not compare our acquisitions with those of the savant
+or the skilled laborer, but must console ourselves with the reflection that
+we at least know more, or can do more, than yesterday. If our fads, now
+and then, make us do something that gives us a little trouble, so much the
+better, if it is only to go to the library for a book,--the worrier whose
+idea of rest and recuperation is to remain forever glued to an easy-chair
+is indeed to be pitied.
+
+Collecting old prints, stamps, and coins, is by no means a waste of time.
+Fads of this nature offer the additional inducement of an asset which may
+serve, in a material way, to banish worry in time of stress. To reap the
+full advantage of the collection fads one should take pains to acquire a
+knowledge of the geography and history with which they are associated. Few
+are so unfortunately placed that they have no access to information on
+these subjects. The encyclopędia, at least, is within general reach, though
+rarely consulted by those who most need its aid.
+
+Suppose one takes up history for an indoor fad. How shall he start in?
+Since he pursues this study only as a fad, he can commence almost anywhere.
+Let him decide to become familiar with the fifteenth century. The first
+step is to familiarize himself with the principal rulers and the principal
+battles of that time. Suppose he spends half an hour every evening upon the
+life of one or another ruler, as given in the encyclopędia or elsewhere.
+If he is sufficiently inventive to construct a pictorial or other plan in
+which to give each his place, so much the better. Having thus constructed a
+framework he can begin to fill in the details, and now the study begins to
+interest him. At any public library he can find a catalogue of historical
+fiction arranged according to centuries. Under the fifteenth century
+he will find Quentin Durward, The Broad Arrow, Anne of Geierstein, The
+Cloister and the Hearth, Every Inch a King, Marietta, The Dove in the
+Eagle's Nest, and other standard works, all of which he may have read
+before, but every page of which will have for him a new interest since he
+can now place the characters, appreciate the customs, and form a consistent
+picture of what was doing in different countries at this time.
+
+The next step is to acquire, in the same way, equal familiarity with the
+preceding and succeeding centuries, particularly with the interrelations of
+the different countries, old and new.
+
+The reader who has followed to this point will need no further hint. If he
+continues as he has begun, he will be surprised to find how soon he will
+be able to instruct, on one subject at least, the college graduate, unless
+that graduate has happily continued as a fad what he once perfunctorily
+acquired.
+
+Another way of commencing this study, and the one, I confess, which appeals
+more to me, is first to establish a framework which shall cover a long
+period of time, then study special epochs. An interesting way to start
+this method is to purchase Creasy's "Decisive Battles of the World," and
+familiarize one's self with its contents. This will furnish pegs on which
+to hang further items of information, and will impart a running familiarity
+with different nations involved in war from the time of the supremacy of
+Greece, down to the battle of Manila, in the recent edition,--in earlier
+editions to the time of Napoleon.
+
+The only absolutely essential reference book for this study is Ploetz's
+"Epitome of Universal History."
+
+To make this fad interesting, the mere commitment to memory of facts and
+dates will not suffice. Items of history thus acquired will inevitably
+fade. The conscientious but ill-advised student who attempts to commit
+the "Epitome" to memory will fall by the way-side. Time is not wasted in
+dwelling sufficiently long on one subject to feel a sense of ownership in
+it, and there is opportunity for the exercise of individual ingenuity in
+devising means to accomplish this end. If one has the knack, for
+example, of writing nonsense verse (and this is a talent all too easy of
+cultivation) it will aid him in fixing by rhyme names and dates otherwise
+difficult to master, thus:
+
+"Ten sixty-six is a date you must fix;" or "Drake was not late in fifteen
+eighty-eight."
+
+The study of music, history, trees, flowers, or birds doubtless seems of
+trivial interest to one who occupies his leisure hours with such weighty
+problems as figuring out how rich he would have been to-day if he had
+bought Bell Telephone at 15, but such study is far more restful, and in the
+long run quite as useful for the over-busy man.
+
+It is not necessary to devote an enormous amount of time to such pursuits.
+One has only to purchase Miss Huntington's "Studies of Trees in Winter"
+and learn the trees in his own doorway, or upon his street, to awaken an
+interest that will serve him in good stead upon a railroad journey, or
+during an otherwise monotonous sojourn in the country. A walk around the
+block before dinner with such an object in view is more restful than
+pondering in one's easy-chair over the fluctuations of the stock market,
+and the man who is "too busy" for such mental relaxation is paving the way
+for ultimate, perhaps early, breakdown.
+
+Once started on the trees, the man who did not even know that their buds
+were visible in the winter, after absorbing the contents of the popular
+tree-books may find himself looking for something more elaborate. He
+may even look forward to his next western trip with pleasure instead of
+disgust, now that he anticipates seeing at close hand the eucalyptus, the
+Monterey cypress, and the _pinus ponderosa_.
+
+Courtney says "to all this will undoubtedly be objected the plea of lack of
+time. The answer to arguments formed on such flimsy basis is that all the
+time which is spent in preparing one's self as a candidate for a sanitarium
+is like the proverbial edged tool in the hands of children and fools."
+
+A little time spent in such simple pursuits as I have indicated, and a few
+weeks' vacation _before exhaustion appears_, may prevent a year's enforced
+abstinence from work on account of nervous invalidism. I am tempted here to
+say "A stitch in time saves nine," but adages are sometimes dangerous. Thus
+the adage, "If you want a thing well done you must do it yourself," has
+caused many a business and professional man to burden himself with details
+which in the long run he might better have intrusted to subordinates, even
+at the risk of an occasional blunder.
+
+It is not wise to specialize too much in the pursuit of the fad. Suppose
+the busy man, having conceded the value of some out-of-door study, decides
+that he will learn the lumber industry, but take no interest in the shade
+trees. He will not materially broaden his interests in this way. He will
+rather add to his burdens another business. If he applies to this new
+business the same conscientious methods which are wearing him out in his
+present one, the value of the fad is gone, the new study has done him more
+harm than good, and when on his vacation, unless there is a sawmill in
+the neighborhood, he finds himself stranded with only worry for company.
+Similarly, if the study of history is taken up in the way a fad should be
+taken up, anything in the way of a book will now interest the worrier,
+for hardly a book worth reading fails to contain either a bit of travel,
+geography, biography, law, or something on manners and customs.
+
+Permanent freedom from worry involves a change in one's whole view of
+life and method of thought. But the means by which introspection may be
+_temporarily_ alleviated are by no means to be despised. Among these comes
+the pursuit of the golf-ball. Many a business and professional man who
+thinks he has no time for golf can easily escape for an hour's play at the
+end of the day, twice a week, and in the long run it will prove to be time
+well expended. In point of fact, most are hindered rather by the notion
+that it is not worth while to visit the links unless one can play eighteen
+holes, or that it is not worth while to take up the game at all unless
+one can excel. But the exercise is the same, and the air equally bracing
+whether we win or lose; the shower-bath will refresh us just the same
+whether we have played nine holes or twenty-seven.
+
+The automobile ride, the drive, and, best of all, the ride on horseback,
+will often serve to banish the vapors. Many neglect these methods, not from
+lack of time or money, but from indisposition.
+
+A busy professional man recently assured me that he had renewed his youth
+by going three times a week to the gymnasium and joining the "old man's
+class." Here is an opportunity open to practically everyone; it is a
+desirable practice if continued. The drawback is the lack of incentive when
+the novelty has passed. Such incentive is furnished by the fad, in
+the satisfaction of gaining new knowledge and broadening the
+thought-associations.
+
+
+
+
+XVIII.
+
+HOME TREATMENT
+
+Submit to what is unavoidable, banish the impossible from the mind, and
+look around for some new object of interest in life.
+
+_Goethe_.
+
+
+In the treatment of faulty mental habits the chief reliance is the training
+of the mind; physical measures are merely supplementary. This fact has
+always been recognized in a general way. The need of such training was
+emphasized by Epictetus thus:
+
+"Not to be disappointed of our desire, nor incur our aversion. To this
+ought our training be directed. For without vigorous and steady training,
+it is not possible to preserve our desire undisappointed and our aversion
+unincurred."
+
+But there has always been an undercurrent of dissatisfaction with purely
+mental treatment, and a desire for the drug, which has more than once,
+doubtless, been prescribed for the purpose of "suggestion" only.
+
+The movement for psychic treatment on scientific principles, of faulty
+mental disorders, not of organic nature, is well under way. That the
+American profession takes an active interest in this movement is shown by
+the exhaustive paper on psycho-therapy by Dr. E. W. Taylor, recently read
+at a combined meeting held in Boston and discussed by such representative
+neurologists as Drs. Mills, Dercum, J. K. Mitchell, and Sinkler, of
+Philadelphia; Drs. Dana, Sachs, Collins, Hunt, Meacham, and Jelliffe, of
+New York; Dr. White of Washington, and Drs. Putnam and Prince, of Boston.
+
+Such faulty mental habits as worry and obsession, doubting folly, and
+hypochondria, are no more amenable to physical treatment than the habit
+of swearing, or of over-indulgence in food and drink. Even the psychic
+treatment, by another, of such disorders, as of such habits, labors under
+the disadvantage that all attempts to influence another by exhortation,
+ridicule, or reproach are met by active or passive resistance on the part
+of the individual toward whom these efforts are directed. A conscientious
+resolve on the part of the individual himself, whether started by a casual
+hint or by a new line of thought, is often more effective than any amount
+of outside pressure, however well directed.
+
+It is my hope and belief that the over-solicitous individual will be
+influenced by reading these descriptions to adopt, of his own initiative,
+some of these suggestions. His most striking peculiarity is his conviction
+that he cannot take the chances others do, that the criticisms he receives
+are peculiarly annoying, and that his sources of worry are something set
+apart from the experience of ordinary mortals. This conviction leads him to
+meet argument by argument, reproach and ridicule by indignant protest or
+brooding silence. The perusal of these sections may lead him to alter his
+ideals. Suggestions for home treatment have been scattered through the
+various pages; it only remains to sum them up.
+
+We have traced worry back to exaggerated self-consciousness and obsession;
+it is against these two faulty tendencies that training may be directed.
+
+The first step is the initiation of a new attitude, namely, the
+commonplace. The establishment of this attitude involves the sacrifice
+of self-love, and of the melancholy pleasure of playing the martyr. The
+oversensitive individual must recognize the fact that if people do not want
+him round it may be because he inflicts his _ego_ too obtrusively upon his
+associates. He must realize that others are more interested in their own
+affairs than in his, and that however cutting their comments and unjust
+their criticisms, and however deeply these may sink into his soul, they are
+only passing incidents with them.
+
+He must realize that if two people whisper they are not necessarily
+whispering about him, and if they are it is of no consequence, and merely
+shows their lack of breeding. On public occasions he must remember that
+others are thinking of themselves, or of the subject in hand, quite as much
+as they are of him and how he behaves. He must realize that even if he does
+something foolish it will only make a passing impression on others, and
+that they will like him none the less for it.
+
+He must practice externalizing his thoughts. If criticised, he must ask
+himself whether the criticism is just or unjust. If just, he must learn to
+accept and act upon it; if unjust, he must learn to classify the critic,
+as unreasonable, thoughtless, or ill-natured, place him in the appropriate
+mental compartment, throw the criticism into the intellectual waste-basket,
+and proceed upon his way. This practice, difficult at first, will, if
+assiduously cultivated, become more and more automatic, and will materially
+modify a fruitful source of worry.
+
+The next step is to practice the control of the dominating impulses
+(obsessions). If one finds himself impelled continually to drum, or walk
+the floor, he will find the habit cannot be dropped at once, but if he can
+refrain from it for a few moments once or twice in the day, no matter how
+lost he feels without it, and sit for a few minutes relaxed and motionless,
+the intervals can be gradually increased. Even the chronic doubter may
+appreciate the fact that this practice aids in preparing one for taking and
+keeping, at night, the quiet and immobile position which favors sleep. The
+bearing of this training upon worry may not be immediately obvious, but if
+one cannot overcome these simple physical compulsions he will find it still
+harder to overcome the doubts, the fears, and the scruples which underlie
+his worry.
+
+It is hard to give up the idea that we are so peculiarly constituted that
+it produces a special disgust in our case if another constantly clears his
+throat, and a peculiar annoyance if he rocks. It is difficult to relinquish
+the belief that, however callous others may be, our nervous system is so
+delicately adjusted that we cannot work when others make unnecessary
+noise, and we cannot sleep if a clock ticks in our hearing. But if one
+persistently cultivates the commonplace, he will at last find himself
+seeking instead of avoiding the objects of his former torture, merely to
+exercise his new-found mastery of himself, and to realize that "He that
+ruleth his spirit is better than he that taketh a city."
+
+It is the imperative duty of every sufferer from doubting folly to say to
+himself, "I will perform this act once with my whole attention, then leave
+it and turn my mind in other channels before I have dulled my perception by
+repetition."
+
+If one is prone to chronic indecision, he must remind himself that it is
+better to do the wrong thing with single mind, than to work himself into
+a frenzy of anxious doubt. In case the choice is not an important one, he
+must learn to _pounce_ upon either task, and waste no further time. If
+the doubt concerns an important matter, he must learn to devote only that
+attention to the matter which is commensurate with its importance, then
+decide it one way or the other, realizing that it is better to make a
+mistake, even in an important matter than to worry one's self into utter
+helplessness by conflicting emotions.
+
+If insistent fear attacks one, he must remind himself that the worst that
+can happen to him is not so bad as the state of the chronic coward and the
+hypochondriac. He must practice taking the chances that others do, and must
+learn to go through the dreaded experiences, not with his nervous system
+stimulated into undue tension, but with body and mind relaxed by such
+considerations as I have indicated.
+
+The maxim is a useful aid in suggestion, but it should be carefully
+selected. Most children seem to be brought up on maxims which presuppose
+mental deficiency and constitutional carelessness. But the naturally
+over-thoughtful and too-conscientious child, the child to whom applies Sir
+John Lubbock's observation that the term "happy childhood" is sometimes a
+misnomer, needs no admonition to "Try, try again," and to "Never weary of
+well doing."
+
+Among other sayings, whether of home manufacture or acquired, I have often
+found comfort in a suggestion first called to my attention by my friend,
+Dr. Maurice Richardson, who carries, I believe, Epictetus in his bag, but
+who does not despise the lesser prophets. One day when I was borrowing
+trouble about some prospective calamity, he said he always drew consolation
+from the old farmer's observation:
+
+"Mebbe 'taint so!"
+
+Much unintentional self-suggestion is conveyed in one's habitual method of
+expressing his attitude toward annoyances, thus: "That simply drives me
+wild." Suppose, now, one should try a little substitution; for example:
+
+
+ That \
+ drives me wild.
+ Nothing /
+
+
+ (but that).
+ I can stand anything
+ (at all).
+
+
+ (not) (this)
+ I can sleep in position.
+ (---) (any)
+
+
+The quieting effect is immediately perceptible.
+
+Nor is the injurious effect of the explosive habit of speech limited to
+the person who indulges it. The other day a lady, apparently in no haste,
+sauntered into a station of the "Elevated" ahead of me, holding by the hand
+a small boy. The boy was enjoying himself immensely, gazing about him
+with the wide-awake, but calmly contemplative air peculiar to childhood.
+Suddenly the lady saw that a train was about to leave the station, and was
+seized by the not uncommon compulsion to take the last train instead of the
+next one. She hurried the boy across the platform only to meet the closed
+door of the departing train.
+
+"_Isn't_ that _provoking_!" she exclaimed. And the boy began to whimper.
+
+Although the main object of this book is to call attention to the mental
+rather than the physical treatment of these states, I cannot forbear
+reminding the reader of certain routine measures which facilitate the
+desired improvement in mental attitude.
+
+It is well to start the day with a quick plunge in cold water, that is, in
+water of the natural temperature excepting in the cold season, when the
+extreme chill may be taken off to advantage. A brisk rub with rough towels
+should follow. One should proceed immediately from the warm bed to the
+bath, and should not first "cool off." A few setting-up exercises (bending
+the trunk forward and back, sidewise, and with a twist) may precede the
+bath, and a few simple arm exercises follow it. A few deep breaths will
+inevitably accompany these procedures. When one returns to his room he
+no longer notices the chill in the air, and he has made a start toward
+accustoming himself to, and really enjoying, lower temperatures than he
+fancied he could stand at all.
+
+Every healthy adult should walk at least two miles daily in the open. We
+have been forced to readjust our ideas as to the distance even an elderly
+person can walk without harm since a pedestrian of sixty-nine has, without
+apparent injury, covered over one thousand miles, over ordinary roads, at
+an average of fifty miles a day.
+
+The day's work should be started with the resolution that every task shall
+be taken up in its turn, without doubts and without forebodings, that
+bridges shall not be crossed until they are reached, that the vagaries of
+others shall amuse and interest, not distress us, and that we will live in
+the present, not in the past or the future. We must avoid undertaking too
+much, and whatever we do undertake we must try not to worry as to whether
+we shall succeed. This only prevents our succeeding. We should devote all
+our efforts to the task itself, and remember that even failure under these
+circumstances may be better than success at the expense of prolonged
+nervous agitation.
+
+"Rest must be complete when taken and must balance the effort in work--rest
+meaning often some form of recreation as well as the passive rest of sleep.
+Economy of effort should be gained through normal concentration--that is,
+the power of erasing all previous impressions and allowing a subject to
+hold and carry us, by dropping every thought or effort that interferes
+with it, in muscle, nerve, and mind." (Annie Payson Call, "Power Through
+Repose.")
+
+The over-scrupulous and methodical individual who can neither sleep nor
+take a vacation until all the affairs of his life are arranged must remind
+himself that this happy consummation will not be attained in his lifetime.
+It behooves him, therefore, if he is ever to sleep, or if he is ever to
+take a vacation, to do it now, nor need he postpone indefinitely
+
+ "That blessed mood
+ In which the burden of the mystery,
+ In which the heavy and the weary weight
+ Of all this unintelligible world
+ Is lightened."
+
+
+
+
+XIX.
+
+HOME TREATMENT (CONTINUED)
+
+Happiness and success in life do not depend on circumstances, but on
+ourselves.
+
+_Sir John Lubbock_.
+
+
+The obsession to "arrive" is a fertile source of fret and worry. This habit
+of mind leads to frantic and impatient labor and blocks our pleasure at
+every point. The person who plays a game only to see who wins loses half
+the benefit of the recreation. Here are two ways of walking the half-mile
+to and from my office:
+
+Suppose I start out with my mind on my destination, thinking only of what I
+shall do when I get there, and how I shall do it. This thought influences
+my whole body. I am all "keyed up," my muscles are tense, my breathing,
+even, is constricted and the walk does me comparatively little good.
+
+Suppose, now, I decide I am making a mistake, and determine to live in the
+present. General relaxation follows, I take a deep breath, and begin to
+notice my surroundings. I may even observe the sky-line of the buildings I
+have passed daily for years without knowing they had a sky-line; my gait
+becomes free and life takes on a different aspect. I have taken a long step
+toward mental tranquility as well as gaining "power through repose."
+
+One of the hardest obsessions to overcome is the _unduly_ insistent habit
+of mind regarding orderliness and cleanliness. It is not undue to desire
+and practice a reasonable degree of these virtues, but when it gives one a
+"fit" to see a picture slightly off the level, and drives one "wild" to see
+a speck of dust, it is time to modify the ideal. This is the frame of mind
+which encourages worry over trifles. If one really wishes to lessen worry
+he must cultivate a certain degree of tolerance for what does not square
+with his ideas, even if it does violence to a pet virtue.
+
+The careful housekeeper may object that so long as she can regulate her
+household to her liking, the habit of orderliness, even though extreme,
+causes her no worry. But it is only the hermit housekeeper who can entirely
+control her household. And further, the possessor of the over-orderly
+temperament, whether applied to housekeeping, business, or play (if he ever
+plays), is bound sooner or later to impinge his ideas of orderliness
+upon the domain of other peoples' affairs, in which his wishes cannot be
+paramount. In this event, at least, he will experience a worry only to be
+allayed by learning to stand something he does not like.
+
+Worry about the mental condition is disastrous. The habit should be
+cultivated of taking the mind for what it is, and using it, wasting no
+time in vain regrets that it is not nimbler or more profound. Just as the
+digestion is impeded by solicitude, so the working of the brain is hampered
+by using the energy in worry which should be devoted directly to the task
+in hand. Children frequently worry because their memory is poor. It should
+be explained to them that in ninety-nine cases out of a hundred apparent
+lack of memory is only lack of attention, and they should be urged to cease
+distracting the attention by wandering in the fields of idle speculation or
+in making frantic leaps to surmount imaginary obstacles.
+
+It is important for parents of morbidly sensitive and over-scrupulous
+children, with acute likes and dislikes, to discourage the tendency of the
+child to become more and more peculiar. Sensitive children are inclined to
+worry because they think others do not care for them or want them round. If
+such children can be led to take a bird's-eye view of themselves, they may
+be made to realize that others crave their society according as they are
+helpful, entertaining, sympathetic, or tactful, because they instil courage
+and give comfort. They should be urged, therefore, to cultivate these
+qualities instead of wasting their energy in tears and recriminations; and
+they should be encouraged to practice such of these traits as they can
+master instead of becoming moody in society, or withdrawing to brood in
+solitude, either of which errors may result in producing on the part of
+others a genuine dislike. In other words, teach them to avoid enforcing too
+far their _ego_ on themselves or their environment.
+
+Parents must also remember that over-solicitous attention on their part
+is bound to react to the disadvantage of the child. The story is told of
+Phillips Brooks that, when a child, he put a newly sharpened pencil into
+his mouth further and further until it slipped down his throat. He asked
+his mother what would happen if anyone should swallow a pencil. She
+answered that she supposed it would kill him. Phillips kept silence, and
+his mother made no further inquiry.
+
+This incident would indicate that Phillips Brooks had already, as a child,
+attained a mental equipoise which the average individual hardly achieves in
+a lifetime. The story appeals to me no less as evidence of self-control
+on the part of the mother; and I like to imagine that she suppressed the
+question a startled parent naturally would ask, realizing that no amount of
+worry would recall the pencil if he had swallowed it, and that nothing was
+to be gained by overturning the household, or by giving the boy an example
+of agitation sure to react to the detriment of the mind unfolding under
+her supervision. Unless, therefore, the facts of this story have become
+distorted by imagery, it shows exceptional heredity and unusual training.
+
+Not every one can claim such heredity, and not every one can look back on
+such training; but it is not too much to say that every one can so direct
+his thoughts and so order his actions as gradually to attain a somewhat
+higher level of self-control than either his mental endowment or his early
+training would have promised. For mental training is no more limited to
+feats of memory, and to practice in the solution of difficult problems,
+than is physical training comprised in the lifting of heavy weights in
+harness. In fact, such exercises are always in danger of leaving the mental
+athlete intellectually muscle-bound, if I may use such an expression;
+whereas the kind of training I have in mind tends to establish mental
+poise, to improve the disposition, to fit the mind (and indirectly the
+body) better to meet the varied exigencies of daily life, and to help the
+individual to react in every way more comfortably to his surroundings.
+
+I have only hinted at the detailed suggestions by which the worry habit and
+allied faulty mental tendencies may be combated. The obsessive who is able
+to alter his ideals and systematically pursue the line of thought here
+sketched will himself find other directions in which control can be
+exercised. It is true that no one is likely to reach any of the extreme
+degrees of incapacity we have considered unless he is naturally endowed
+with a mind predestined to unbalance. At the same time any of us who have a
+nervous temperament ever so slightly above the average of intensity will
+do well to check these tendencies as far as possible in their incipiency,
+realizing that no physical evil we may dread can be worse than the lot of
+the confirmed hypochondriac or the compulsively insane.
+
+Perhaps I have dwelt too much upon the extreme results of morbid mental
+tendencies, and too little upon the ideal for which we should strive.
+This ideal I shall not attempt to portray, but leave it rather to the
+imagination. Suffice it to say that the ladder by which self-control is
+attained is so long that there is ample room to ascend and descend without
+reaching either end. Some of us are started high on the ladder, some low;
+but it is certainly within the power of each to alter somewhat his level.
+We can slide down, but must climb up; and that such commonplaces as are
+here presented may help some of my fellow worriers to gain a rung or two is
+my earnest wish. Even when we slip back we can appreciate the sentiment of
+Ironsides:
+
+ "Night after night the cards were fairly shuffled
+ And fairly dealt, but still I got no hand.
+ The morning came, but I with mind unruffled
+ Did simply say, 'I do not understand.'
+
+ "Life is a game of whist; from unseen sources
+ The cards are shuffled and the hands are dealt.
+ Vain are our efforts to control the forces,
+ Which, though unseen, are no less strongly felt.
+
+ "I do not like the way the cards are shuffled,
+ But still I like the game and want to play,
+ And through the long, long night with mind unruffled,
+ Play what I get until the dawn of day."
+
+
+
+
+
+
+End of Project Gutenberg's Why Worry?, by George Lincoln Walton, M.D.
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+ <head>
+ <title>
+ Why Worry?, by George Lincoln Walton, M.D.
+ </title>
+ <style type="text/css" xml:space="preserve">
+
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+ .mynote {background-color: #DDE; color: #000; padding: .5em; margin-left: 10%; margin-right: 10%; font-family: sans-serif; font-size: 95%;}
+ .toc { margin-left: 10%; margin-bottom: .75em;}
+ .toc2 { margin-left: 20%;}
+ div.fig { display:block; margin:0 auto; text-align:center; }
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+
+The Project Gutenberg EBook of Why Worry?, by George Lincoln Walton, M.D.
+
+This eBook is for the use of anyone anywhere at no cost and with
+almost no restrictions whatsoever. You may copy it, give it away or
+re-use it under the terms of the Project Gutenberg License included
+with this eBook or online at www.gutenberg.org
+
+
+Title: Why Worry?
+
+Author: George Lincoln Walton, M.D.
+
+
+Release Date: July, 2005 [EBook #8554]
+This file was first posted on July 22, 2003
+Last Updated: May 14, 2013
+
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+*** START OF THIS PROJECT GUTENBERG EBOOK WHY WORRY? ***
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+Franks and the Online Distributed Proofreading Team
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+</pre>
+
+ <div style="height: 8em;">
+ <br /><br /><br /><br /><br /><br /><br /><br />
+ </div>
+ <h1>
+ WHY WORRY?
+ </h1>
+ <h2>
+ By George Lincoln Walton, M.D.
+ </h2>
+ <h4>
+ Consulting Neurologist To The Massachusetts General Hospital
+ </h4>
+ <p>
+ <br /> <br />
+ </p>
+ <div class="middle">
+ <p>
+ The legs of the stork are long, the legs of the duck are short; you
+ cannot make the legs of the stork short, neither can you make the legs
+ of the duck long. Why worry?&mdash;<i>Chwang Tsze</i>.
+ </p>
+ <p>
+ TO MY LONG-SUFFERING FAMILY AND CIRCLE OF FRIENDS, WHOSE PATIENCE HAS
+ BEEN TRIED BY MY EFFORTS TO ELIMINATE WORRY, THIS BOOK IS AFFECTIONATELY
+ DEDICATED.
+ </p>
+ </div>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+ <p>
+ <b>CONTENTS</b>
+ </p>
+ <p class="toc">
+ <a href="#link2H_PREF"> PREFACE. </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0002"> DEFINITIONS. </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0003"> I. INTRODUCTORY </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0004"> II. EPICURUS AS A MENTAL HEALER </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0005"> III. MARCUS AURELIUS </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0006"> IV. ANALYSIS OF WORRY </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0007"> V. WORRY AND OBSESSION </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0008"> VI. THE DOUBTING FOLLY </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0009"> VII. HYPOCHONDRIA </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0010"> VIII. NEURASTHENIA </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0011"> IX. SLEEPLESSNESS </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0012"> X. OCCUPATION NEUROSIS </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0013"> XI. THE WORRIER AT HOME </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0014"> XII. THE WORRIER ON HIS TRAVELS </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0015"> XIII. THE WORRIER AT THE TABLE </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0016"> XIV. THE FEAR OF BECOMING INSANE </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0017"> XV. RECAPITULATORY </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0018"> XVI. MAXIMS MISAPPLIED </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0019"> XVII. THE FAD </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0020"> XVIII. HOME TREATMENT </a>
+ </p>
+ <p class="toc">
+ <a href="#link2H_4_0021"> XIX. HOME TREATMENT (CONTINUED) </a>
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_PREF" id="link2H_PREF"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ PREFACE.
+ </h2>
+ <p>
+ No apology is needed for adding another to the treatises on a subject
+ whose importance is evidenced by the number already offered the public.
+ </p>
+ <p>
+ The habit of worry is not to be overcome by unaided resolution. It is
+ hoped that the victim of this unfortunate tendency may find, among the
+ homely illustrations and commonplace suggestions here offered, something
+ to turn his mind into more healthy channels. It is not the aim of the
+ writer to transform the busy man into a philosopher of the indolent and
+ contemplative type, but rather to enable him to do his work more
+ effectively by eliminating undue solicitude. This elimination is
+ consistent even with the "strenuous life."
+ </p>
+ <p>
+ One writer has distinguished between normal and abnormal worry, and
+ directed his efforts against the latter. Webster's definition of worry (A
+ state of undue solicitude) obviates the necessity of deciding what degree
+ and kind of worry is abnormal, and directs attention rather to deciding
+ what degree of solicitude may be fairly adjudged undue.
+ </p>
+ <p>
+ In the treatment of a subject of this character a certain amount of
+ repetition is unavoidable. But it is hoped that the reiteration of
+ fundamental principles and of practical hints will aid in the application
+ of the latter. The aim is the gradual establishment of a <i>frame of mind</i>.
+ The reader who looks for the annihilation of individual worries, or who
+ hopes to influence another by the direct application of the suggestions,
+ may prepare, in the first instance for disappointment, in the second, for
+ trouble.
+ </p>
+ <p>
+ The thanks of the writer are due to Miss Amy Morris Homans, Director of
+ the Boston Normal School of Gymnastics, for requesting him to make to her
+ students the address which forms the nucleus of these pages.
+ </p>
+ <h3>
+ GEORGE L. WALTON.
+ </h3>
+ <p>
+ BOSTON, April, 1908.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0002" id="link2H_4_0002"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ DEFINITIONS.
+ </h2>
+ <p>
+ WORRY. A state of undue solicitude.
+ </p>
+ <p>
+ HYPOCHONDRIA. A morbid mental condition characterized by undue solicitude
+ regarding the health, and undue attention to matters thereto pertaining.
+ </p>
+ <p>
+ OBSESSION. An unduly insistent and compulsive thought, habit of mind, or
+ tendency to action.
+ </p>
+ <p>
+ DOUBTING FOLLY (<i>Folie du doute</i>.) A state of mind characterized by a
+ tendency unduly to question, argue and speculate upon ordinary matters.
+ </p>
+ <p>
+ NEURASTHENIA. A form of nervous disturbance characterized by exhaustion
+ and irritability.
+ </p>
+ <p>
+ PHOBIA. An insistent and engrossing fear without adequate cause, as judged
+ by ordinary standards.
+ </p>
+ <p>
+ OCCUPATION NEUROSIS. A nervous disorder in which pain, sometimes with
+ weakness and cramp, results from continued use of a part.
+ </p>
+ <p>
+ PSYCHO-THERAPY. Treatment through the mind.
+ </p>
+ <p>
+ No other technical terms are used.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0003" id="link2H_4_0003"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ I. INTRODUCTORY
+ </h2>
+ <p>
+ When Thales was asked what was difficult he said, "To know oneself"; and
+ what was easy, "To advise another."
+ </p>
+ <p>
+ Marcus Aurelius counselled, "Let another pray, 'Save Thou my child,' but
+ do thou pray, 'Let me not fear to lose him.'"
+ </p>
+ <p>
+ Few of us are likely to attain this level; few, perhaps, aspire to do so.
+ Nevertheless, the training which falls short of producing complete
+ self-control may yet accomplish something in the way of fitting us, by
+ taking the edge off our worry, to react more comfortably to our
+ surroundings, thus not only rendering us more desirable companions, but
+ contributing directly to our own health and happiness.
+ </p>
+ <p>
+ Under the ills produced by faulty mental tendencies I do not include
+ cancer and the like. This inclusion seems to me as subversive of the laws
+ of nature as the cure of such disease by mental treatment would be
+ miraculous. At the same time, serious disorders surely result from faulty
+ mental tendencies.
+ </p>
+ <p>
+ In this category we must include, for example, hypochondria, a disturbance
+ shown by undue anxiety concerning one's own physical and mental condition.
+ This disorder, with the allied fears resulting from the urgent desire to
+ be always absolutely safe, absolutely well, and absolutely comfortable, is
+ capable, in extreme cases, of so narrowing the circle of pleasure and of
+ usefulness that the sufferer might almost as well have organic disease.
+ </p>
+ <p>
+ Neurasthenia (nervous prostration) has for its immediate exciting cause
+ some overwork or stress of circumstance, but the sufferer not infrequently
+ was already so far handicapped by regrets for the past, doubts for the
+ present, and anxieties for the future, by attention to minute details and
+ by unwillingness to delegate responsibilities to others, that he was
+ exhausted by his own mental travail before commencing upon the overwork
+ which precipitated his breakdown. In such cases the occasion of the
+ collapse may have been his work, but the underlying cause was deeper. Many
+ neurasthenics who think they are "all run down" are really "all wound up."
+ They carry their stress with them.
+ </p>
+ <p>
+ Among the serious results of faulty mental habit must be included also the
+ doubting folly (<i>folie du doute</i>). The victim of this disorder is so
+ querulously anxious to make no mistake that he is forever returning to see
+ if he has turned out the gas, locked the door, and the like; in extreme
+ cases he finally doubts the actuality of his own sensations, and so far
+ succumbs to chronic indecision as seriously to handicap his efforts. This
+ condition has been aptly termed a "spasm of the attention."
+ </p>
+ <p>
+ The apprehensive and fretful may show, in varying degree, signs of either
+ or all these conditions, according as circumstances may direct their
+ attention.
+ </p>
+ <p>
+ Passing from serious disorders to minor sources of daily discomfort, there
+ are few individuals so mentally gifted that they are impervious to the
+ distress occasioned by variations of temperature and of weather; to the
+ annoyance caused by criticism, neglect, and lack of appreciation on the
+ part of their associates; to active resentment, even anger, upon moderate
+ provocation; to loss of temper when exhausted; to embarrassment in unusual
+ situations; to chronic indecision; to the sleeplessness resulting from
+ mental preoccupation; and above all, to the futile regrets, the querulous
+ doubts, and the undue anxiety included under the term <i>worry</i>,
+ designated by a recent author "the disease of the age."
+ </p>
+ <p>
+ Something may be accomplished in the way of lessening all these ills by
+ continuous, properly directed effort on the part of the individual. Every
+ inroad upon one faulty habit strengthens the attack upon all, and each
+ gain means a step toward the acquisition of a mental poise that shall give
+ its possessor comparative immunity from the petty annoyances of daily
+ life.
+ </p>
+ <p>
+ In modern psycho-therapy the <i>suggestion</i>, whether on the part of the
+ physician or of the patient, plays a prominent part, and it is in this
+ direction, aside from the advice regarding occupation and relaxation, that
+ my propositions will trend. I shall not include, however, suggestions
+ depending for their efficacy upon self-deceit, such as might spring, for
+ example, from the proposition that if we think there is a fire in the
+ stove it warms us, or that if we break a pane in the bookcase thinking it
+ a window, we inhale with pleasure the resulting change of air. The
+ suggestions are intended to appeal to the reason, rather than to the
+ imagination.
+ </p>
+ <p>
+ The special aim will be to pay attention to the different varieties of
+ worry, and to offer easily understood and commonplace suggestions which
+ any one may practice daily and continuously, at last automatically,
+ without interfering with his routine work or recreation. Indeed the
+ tranquil mind aids, rather than hinders, efficient work, by enabling its
+ possessor to pass from duty to duty without the hindrance of undue
+ solicitude.
+ </p>
+ <p>
+ In advising the constitutional worrier the chief trouble the physician
+ finds is an active opposition on the part of the patient. Instead of
+ accepting another's estimate of his condition, and another's suggestions
+ for its relief, he comes with a preconceived notion of his own
+ difficulties, and with an insistent demand for their instant relief by
+ drug or otherwise. He uses up his mental energy, and loses his temper, in
+ the effort to convince his physician that he is <i>not</i> argumentative.
+ In a less unreasonable, but equally difficult class, come those who
+ recognize the likeness in the portrait painted by the consultant, but who
+ say they have tried everything he suggests, but simply "can't."
+ </p>
+ <p>
+ It is my hope that some of the argumentative class may recognize, in my
+ description, their own case instead of their neighbor's, and may of their
+ own initiative adopt some of the suggestions; moreover, that some of the
+ acquiescent, but despairing class will renew their efforts in a different
+ spirit. The aim is, not to accomplish a complete and sudden cure, but to
+ gain something every day, or if losing a little to-day, to gain a little
+ to-morrow, and ultimately to find one's self on a somewhat higher plane,
+ without discouragement though not completely freed from the trammels
+ entailed by faulty mental habit.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0004" id="link2H_4_0004"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ II. EPICURUS AS A MENTAL HEALER
+ </h2>
+ <p>
+ 'Tis to believe what men inspired of old, Faithful, and faithfully
+ informed, unfold.
+ </p>
+ <p>
+ <i>Cowper</i>.
+ </p>
+ <p>
+ The suggestions offered in the following pages are not new. Many of them
+ were voiced by Epicurus three hundred years before Christ, and even then
+ were ancient history. Unfortunately Epicurus had his detractors. One,
+ Timocrates, in particular, a renegade from his school, spread malicious
+ and unfounded reports of his doings and sayings, reports too easily
+ credited then, and starting, perhaps, the misconception which to-day
+ prevails regarding the aims of this philosopher.
+ </p>
+ <p>
+ But when Marcus Aurelius, nearly five centuries later, decided to endow a
+ philosophical professoriate he established the Epicurean as one of the
+ four standard schools. The endorsement of such a one should surely
+ predispose us to believe the authentic commentators of Epicurus, and to
+ discredit the popular notion which makes his cult synonymous with the
+ gratification of the appetites, instead of with the mental tranquility to
+ which he regarded sensual pleasures so detrimental that he practically
+ limited his diet, and that of his disciples, to bread and water.
+ </p>
+ <p>
+ It is of special encouragement to such of us as painfully realize our
+ meagre equipment for reaching a high plane of self-control, to learn that
+ Epicurus was by nature delicate and sensitive. At seven years of age, we
+ are told, he could not support himself on tiptoe, and called himself the
+ feeblest of boys. It is said that in his boyhood he had to be lifted from
+ his chair, that he could not look on the sun or a fire, and that his skin
+ was so tender as to prevent his wearing any dress beyond a simple tunic.
+ These physical characteristics suggest the makings of a first class "fuss"
+ and inveterate worrier. In this event his emancipation from such
+ tendencies must have been due to the practice of his own philosophy.
+ </p>
+ <p>
+ As an antidote for the fear of death and the miraculous in the heavens
+ Epicurus urges the study of Nature, showing his appreciation of the fact
+ that one thought can only be driven out by another, as well as of the
+ importance of the open air treatment of depressing fears.
+ </p>
+ <p>
+ That he recognized the doubting folly and its evils is shown by the
+ following Maxim for the Wise man:
+ </p>
+ <p>
+ "He shall be steady in his opinion and not wavering and doubtful in
+ everything."
+ </p>
+ <p>
+ To the hypochondriac he said:
+ </p>
+ <p>
+ "Health in the opinion of some is a precious thing; others rank it among
+ the indifferent." Again:
+ </p>
+ <p>
+ "If the body be attacked by a violent pain the evil soon has an end; if,
+ on the contrary, the pain be languishing and of long duration it is
+ sensible beyond all doubt of some pleasure therefrom. Thus, most chronical
+ distempers have intervals that afford us more satisfaction and ease than
+ the distempers we labor under cause pain." And further:
+ </p>
+ <p>
+ "The Wise man takes care to preserve the unequivocable blessing of an
+ undisturbed and quiet mind even amidst the groans and complaints which
+ excess of pain extorts from him." He states, again, that one can be happy
+ though blind.
+ </p>
+ <p>
+ Regarding insomnia, he recognized the futility of expecting restful sleep
+ to follow a day of fret and worry. He says:
+ </p>
+ <p>
+ "He shall enjoy the same tranquility in his sleep as when awake."
+ </p>
+ <p>
+ Epicurus realized that the apparent inability of the old to acquire new
+ habits is due rather to lack of attention, and to indifference or
+ preoccupation, than to lack of aptitude. He placed, in fact, no limit to
+ the age for learning new methods, stating in his letter to Meneceus,&mdash;
+ </p>
+ <p>
+ "Youth is no obstacle to the study of philosophy&mdash;neither ought we to
+ be ashamed to concentrate our later years to the labor of speculation. Man
+ has no time limit for learning, and ought never to want strength to cure
+ his mind of all the evils that afflict it."
+ </p>
+ <p>
+ Epicurus does not counsel seclusion for the cultivation of tranquility,
+ but holds that mental equipoise "may be maintained though one mingles with
+ the world, provided he keeps within the bounds of temperance, and limits
+ his desires to what is easily obtained."
+ </p>
+ <p>
+ Curiously enough, in view of the idea of epicureanism which has become
+ proverbial, Epicurus regards the avoidance of excess a logical and
+ necessary step toward the tranquil life, and among other admonitions is
+ found the following Maxim:
+ </p>
+ <p>
+ "The Wise man ought never to drink to excess, neither must he spend the
+ nights revelling and feasting."
+ </p>
+ <p>
+ We may conclude our selection from the Maxims of Epicurus by one which
+ strikes a body-blow at worry and the allied faulty mental habits:
+ </p>
+ <p>
+ "That being who is happy and immortal is in no way solicitous or uneasy on
+ any account, neither does he torment or tease others; anger is unworthy of
+ his greatness ... for all these things are the property of weakness."
+ </p>
+ <p>
+ Such then, was the real Epicurus, not a seeker after effeminate luxury,
+ but a chaste and frugal philosopher, serene of mien, and of gentle
+ disposition, firm in his friendships, but sacrificing to them none of the
+ high ideals which characterized his thought. He erred, doubtless, in the
+ avoidance of responsibilities and in narrowing his efforts to promoting
+ the happiness of his own immediate circle, but he was fearless in the
+ defence of his principles and steadfast in the pursuit of the tranquility
+ which for him included truth.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0005" id="link2H_4_0005"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ III. MARCUS AURELIUS
+ </h2>
+ <p>
+ Such a body of teachers distinguished by their acquirements and character
+ will hardly be collected again; and as to the pupil, we have not had
+ another like him since.
+ </p>
+ <p>
+ <i>Long</i>.
+ </p>
+ <p>
+ Marcus Aurelius Antoninus, the philosopher-Emperor, showed by practice as
+ well as by precept that the tranquil mind is not incompatible with a life
+ of action. Destined from birth to stand at the head of a great empire
+ engaged in distant wars, threatened by barbaric invasion, and not without
+ internal dissention, he was prepared not only to command armies but to
+ govern himself. Fortunately we are not without a clue to his methods&mdash;he
+ not only had the best of teachers, but continued his training all through
+ his life. When we consider his labors, the claim of the busy man of to-day
+ that he has "no time" seems almost frivolous.
+ </p>
+ <p>
+ The thoughts of Marcus Aurelius (of which the following citations are from
+ Long's translation) were written, not for self exploration, nor from
+ delight in rounded periods, but for his own guidance. That he was in fact
+ guided by his principles no better illustration offers than his
+ magnanimity toward the adherents of one who would have usurped the throne
+ of the Cęsars. The observation of Long that fine thoughts and moral
+ dissertations from men who have not worked and suffered may be read, but
+ will be forgotten, seems to have been exemplified in the comparative
+ oblivion into which the philosophy of Epicurus has fallen.
+ </p>
+ <p>
+ It is with the ethical side of the philosophy of Marcus Aurelius that we
+ are concerned, and with that portion only which bears on the question of
+ mental equipoise.
+ </p>
+ <p>
+ "Begin the morning," he says, "by saying to thyself, I shall meet with the
+ busybody, the ungrateful, arrogant, deceitful, envious, unsocial. All
+ these things happen to them by reason of their ignorance of what is good
+ and evil."
+ </p>
+ <p>
+ With regard to the habit of seclusion common among the self-conscious, he
+ says:
+ </p>
+ <p>
+ "If thou didst ever see a hand cut off, or a foot, or a head, lying
+ anywhere apart from the rest of the body, such does a man make himself, as
+ far as he can, who is not content with what happens, and separates himself
+ from others, or does any thing unsocial. Suppose that thou hast detached
+ thyself from the natural unity&mdash;for thou wast made by nature a part,
+ but now thou hast cut thyself off&mdash;yet here there is this beautiful
+ provision, that it is in thy power again to unite thyself. God has allowed
+ this to no other part, after it has been separated and cut asunder, to
+ come together again. But consider the kindness by which he has
+ distinguished man, for he has put it in his power not to be separated at
+ all from the universal; and when he has been separated, he has allowed him
+ to return and to resume his place as a part."
+ </p>
+ <p>
+ On the futile foreboding which plays so large a part in the tribulation of
+ the worrier, he says:
+ </p>
+ <p>
+ "Do not disturb thyself by thinking of the whole of thy life. Let not thy
+ thoughts at once embrace all the various troubles which thou mayest expect
+ to befall thee; but on every occasion ask thyself, What is there in this
+ which is intolerable and past bearing? for thou wilt be ashamed to
+ confess. In the next place remember that neither the future nor the past
+ pains thee, but only the present. But this is reduced to a very little, if
+ thou only circumscribest it, and chidest thy mind, if it is unable to hold
+ out against even this." Again: "Let not future things disturb thee, for
+ thou wilt come to them, if it shall be necessary, having with thee the
+ same reason which now thou usest for present things."
+ </p>
+ <p>
+ On the dismissal of useless fret, and concentration upon the work in hand,
+ he says:
+ </p>
+ <p>
+ "Labor not as one who is wretched, nor yet as one who would be pitied or
+ admired; but direct thy will to one thing only, to put thyself in motion
+ and to check thyself, as the social reason requires."
+ </p>
+ <p>
+ Regarding senseless fears he counsels:
+ </p>
+ <p>
+ "What need is there of suspicious fear, since it is in thy power to
+ inquire what ought to be done? And if thou seest clear, go by this way
+ content, without turning back: but if thou dost not see clear, stop and
+ take the best advisers. But if any other things oppose thee, go on
+ according to thy powers with due consideration, keeping to that which
+ appears to be just. For it is best to reach this object, and if thou dost
+ fail, let thy failure be in attempting this. He who follows reason in all
+ things is both tranquil and active at the same time, and also cheerful and
+ collected."
+ </p>
+ <p>
+ On irritation at the conduct of others:
+ </p>
+ <p>
+ "When thou art offended with any man's shameless conduct, immediately ask
+ thyself, Is it possible, then, that shameless men should not be in the
+ world? It is not possible. Do not, then, require what is impossible. For
+ this man also is one of those shameless men who must of necessity be in
+ the world. Let the same considerations be present in thy mind in the case
+ of the knave and the faithless man, and of every man who does wrong in any
+ way."
+ </p>
+ <p>
+ Regarding the hypochondriacal tendency he reverts to Epicurus, thus:
+ </p>
+ <p>
+ "Epicurus says, In my sickness my conversation was not about my bodily
+ sufferings, nor did I talk on such subjects to those who visited me; but I
+ continued to discourse on the nature of things as before, keeping to this
+ main point, how the mind, while participating in such movements as go on
+ in the poor flesh, shall be free from perturbations and maintain its
+ proper good.... Do, then, the same that he did both in sickness, if thou
+ art sick, and in any other circumstances;... but to be intent only on that
+ which thou art now doing and on the instrument by which thou doest it."
+ </p>
+ <p>
+ These quotations will serve to show the trend of the reflections of this
+ remarkable man. After reviewing this epitome of ethical philosophy I might
+ stop and counsel the worrier to study the thoughts of Marcus Aurelius and
+ other philosophers, whose practical suggestions are similar,
+ notwithstanding their diversity of views regarding the ultimate object of
+ the training. I shall venture, however, to elaborate the subject from the
+ present view-point, even though the principles of Marcus Aurelius are as
+ applicable now as they were in the days of the Roman Empire.
+ </p>
+ <p>
+ No reminder is needed of the wealth and efficacy of suggestion in the Book
+ which contains the statement that "the Kingdom of God is within you," and
+ that "A merry heart doeth good like a medicine; but a broken spirit drieth
+ the bones." One of its suggestions was paralleled by the philosopher-poet
+ when he wrote:
+ </p>
+<pre xml:space="preserve">
+ "Latius regnes avidum domando
+ Spiritum, quam si Libyam remotis
+ Gadibus iungas et uterque Poenus
+ Serviat uni."
+</pre>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0006" id="link2H_4_0006"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ IV. ANALYSIS OF WORRY
+ </h2>
+ <p>
+ Of these points the principal and most urgent is that which reaches the
+ passions; for passion is produced no otherwise than by a disappointment of
+ one's desires and an incurring of one's aversions. It is this which
+ introduces perturbations, tumults, misfortunes, and calamities; this is
+ the spring of sorrow, lamentation and envy; this renders us envious and
+ emulous, and incapable of hearing reason.
+ </p>
+ <p>
+ <i>Epictetus</i>.
+ </p>
+ <p>
+ Under this rather pretentious title an attempt is made to indicate certain
+ elements of worry. No claim is made that the treatment of the subject is
+ exhaustive.
+ </p>
+ <p>
+ The motto "Don't Worry" has inspired many homilies. But the mere resolve
+ to follow this guide to happiness will no more instantaneously free one
+ from the meshes of worry than the resolve to perform a difficult gymnastic
+ feat will insure its immediate accomplishment.
+ </p>
+ <p>
+ The evils of worry as well as of its frequent associate, anger, have been
+ dwelt upon by writers philosophical, religious, and medical. "Worry," says
+ one author, "is the root of all cowardly passions,&mdash;jealousy, fear,
+ the belittling of self, and all the introspective forms of depression are
+ the children of worry." The symptoms and the evil results seem to receive
+ more elaborate and detailed attention than the treatment. "Eliminate it,"
+ counsels this writer; "Don't worry," advises another. "Such advice is
+ superficial," says their critic, "it can only be subdued by our ascending
+ into a higher atmosphere, where we are able to look down and comprehend
+ the just proportions of life." "Cultivate a quiet and peaceful frame of
+ mind," urges another; and still another advises us to "occupy the mind
+ with better things, and the best&mdash;is a habit of confidence and
+ repose."
+ </p>
+ <p>
+ From such counsel the average individual succeeds in extracting nothing
+ tangible. The last writer of those I have quoted comes perhaps the nearest
+ to something definite in directing us to occupy the mind with better
+ things; in the suggestions I have to offer the important feature is the
+ effort to replace one thought by another, though not necessarily by a
+ better one. If we succeed in doing this, we are making a step toward
+ acquiring the habit of confidence and repose.
+ </p>
+ <p>
+ The simple admonition not to worry is like advising one not to walk
+ awkwardly who has never learned to walk otherwise. If we can find some of
+ the simpler elements out of which worry is constructed, and can learn to
+ direct our attack against these, the proposition "Don't worry" will begin
+ to assume a tangible form.
+ </p>
+ <p>
+ We can at least go back one step, and realize that it is by way of the <i>unduly
+ insistent thought</i> that most of these faulty mental habits become
+ established. It might be claimed that fear deserves first mention, but the
+ insistent thought in a way includes fear, and in many cases is independent
+ of it.
+ </p>
+ <p>
+ The insistent thought magnifies by concentration of attention, and by
+ repetition, the origin of the worry. If my thoughts dwell on my desire for
+ an automobile this subject finally excludes all others, and the automobile
+ becomes, for the time being, the most important thing in the world, hence
+ I worry. Into this worry comes no suggestion of fear&mdash;this emotion
+ would be more appropriate, perhaps, if I acquired the automobile and
+ attempted to run it. If, now, I have trained myself to concentrate my
+ attention elsewhere before such thoughts become coercive, the automobile
+ quickly assumes its proper relation to other things, and there is no
+ occasion for worry. This habit of mind once acquired regarding the
+ unessentials of life, it is remarkable how quickly it adapts itself to
+ really important matters.
+ </p>
+ <p>
+ Take a somewhat more serious question. I fear I may make a blunder. If I
+ harbor the thought, my mind is so filled with the disastrous consequences
+ of the possible blunder that I finally either abandon the undertaking or
+ approach it with a trepidation that invites failure. If, on the other
+ hand, I have learned to say that even if I make a blunder it will only add
+ to my experience, then apply myself whole-minded to the task, I have made
+ a direct attack on worry.
+ </p>
+ <p>
+ The qualification <i>unduly</i> is not to be forgotten; a certain
+ discrimination must be exercised before entirely condemning the insistent
+ thought. The insistent thought that one's family must be fed is not a
+ morbid sign. In fact, he also errs who can eliminate this thought and
+ enjoy the ball game. It is not for the deviate of this type that I am
+ writing. Nevertheless, the over-solicitous victim of the "New England
+ Conscience" can almost afford to take a few lessons from the
+ ne'er-do-weel.
+ </p>
+ <p>
+ The practical bearing of this attempt to analyze worry is obvious. If it
+ is through the insistent desire for an automobile that I worry, I must
+ bring my training to bear, not on the worry, which is elusive, but on the
+ desire, which is definite. I must fortify myself with what philosophy I
+ can acquire, and must console myself with such compensations as my
+ situation may offer; and above all, I must <i>get busy</i>, and occupy
+ hands and brain with something else. If, on my travels, I worry over the
+ sluggish movement of the train, it is because of the insistent thought
+ that I must arrive on time. In this event I should practice subduing the
+ insistent thought, rather than vaguely direct my efforts against the
+ worry. In the majority of cases I can bring myself to realize that the
+ question of my arrival is not vital. Even in case I am missing an
+ important engagement I may modify the dominance of the thought by
+ reflecting that I cannot expect to be wholly immune from the misfortunes
+ of mankind; it is due me, at least once in a lifetime, to miss an
+ important engagement,&mdash;why fret because this happens to be the
+ appointed time? Why not occupy my thoughts more profitably than in
+ rehearsing the varied features of this unavoidable annoyance?
+ </p>
+ <p>
+ If we fret about the weather it is because of an insistent desire that the
+ weather shall conform to our idea of its seasonableness. If we complain of
+ the chill of May it is not because the cold is really unbearable, but
+ because we wonder if spring will ever come. If we fume on a hot day in
+ July it is because the weather is altogether <i>too</i> seasonable to suit
+ us.
+ </p>
+ <p>
+ We spend far too much thought on the weather, a subject that really
+ deserves little attention except by those whose livelihood and safety
+ depend upon it. Suppose a runaway passes the window at which we are
+ sitting, with collar off, handkerchief to our heated brow, squirming to
+ escape our moist and clinging garments, and being generally miserable. We
+ rush out of doors to watch his course, and for the next few minutes we do
+ not know whether it is hot or cold, perspiring less during our exertions,
+ I strongly suspect, than we did while sitting in the chair. At all events,
+ it is obvious that our thoughts played quite as great a part in our
+ discomfort as did the heat of the day.
+ </p>
+ <p>
+ Suppose now, instead of devoting all our attention to the weather we
+ should reason somewhat as follows:
+ </p>
+ <p>
+ As long as I live on this particular planet, I shall be subject perhaps
+ three days out of four, to atmospheric conditions which do not suit me. Is
+ it worth my while to fret during those three days and to make it up by
+ being elated on the fourth? Why not occupy myself with something else and
+ leave the weather for those who have no other resource? Or, as someone has
+ said, why not "make friends with the weather?" If one will cultivate this
+ frame of mind he will be surprised to find that a certain physical relief
+ will follow. In the first place, he will lessen the excessive perspiration
+ which is the invariable accompaniment of fret, and which in its turn
+ produces more discomfort than the heat itself.
+ </p>
+ <p>
+ We have selected, so far, the comparatively unimportant sources of mental
+ discomfort, fret, and worry. The reader who can truthfully say that such
+ annoyances play no part in his mental tribulations may pass them and
+ accept congratulations. The reader who cannot be thus congratulated, but
+ who is impatient to attack the major sources of worry, must be reminded at
+ this point that he must practice on the little worries before he can
+ accomplish anything with the great. The method is the same. The philosophy
+ that will make us content with the weather will do something toward
+ establishing the mental poise which shall enable us to withstand with
+ comparative equanimity the most tragic of misfortunes that may fall to our
+ lot.
+ </p>
+ <p>
+ To draw an example from the more serious disorders, let us consider the
+ hypochondriac, who harbors the insistent thought that he must be always
+ perfectly well, that each of his sensations must conform to his ideal, and
+ that each function must follow regulations imposed by himself. If he can
+ learn to ignore this thought by realizing that an acute illness is
+ preferable to life-long mental captivity; if he can learn to do what
+ others do, and to concentrate his energies on outside affairs which shall
+ displace the question of health; if he can learn to say "What I am <i>doing</i>
+ is more important than how I am <i>feeling</i>;" he will have cured his
+ hypochondria.
+ </p>
+ <p>
+ In the foundation of the structure we are studying is found <i>exaggerated
+ self-consciousness</i>. Whatever is said, done, or left undone, by others
+ is analyzed by the worrier with reference to its bearing on himself. If
+ others are indifferent it depresses him, if they appear interested they
+ have an ulterior motive, if they look serious he must have displeased
+ them, if they smile it is because he is ridiculous. That they are thinking
+ of their own affairs is the last thought to enter his mind.
+ </p>
+ <p>
+ I suppose it would be an affectation for any of us to deny that, as far as
+ we are concerned, we are the centre of the universe. This conceit does us
+ no harm so long as we remember that there are as many centres of the
+ universe as there are people, cats, mice and other thinking animals. When
+ we forget this our troubles begin. If I enter a strange shop and find they
+ desire security, need I take this as a reflection on <i>my</i> credit?
+ Need I expect to be invited to every entertainment I should like to
+ attend, and to be excused from those that bore me, and shall I make no
+ allowance for the attitude of my host? Is it not rather egotistic for me
+ to suppose that others are vitally interested in the fact that I blush,
+ tremble, or am awkward? Why then should I allow my conduct to be
+ influenced by such trivial matters?
+ </p>
+ <p>
+ The order of training is, then, generally, to modify our
+ self-consciousness by externalizing our thoughts and broadening our
+ interests; specifically, to eliminate the unduly insistent habit of
+ thought.
+ </p>
+ <p>
+ This analysis of worry and allied mental states may facilitate such
+ training, but the practical value of the suggestions does not depend upon
+ the acceptance of these theoretical considerations.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0007" id="link2H_4_0007"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ V. WORRY AND OBSESSION
+ </h2>
+ <p>
+ So much are men enured in their miserable estate, that no condition is so
+ poore, but they will accept; so they may continue in the same.
+ </p>
+ <p>
+ <i>Florio's Montaigne</i>.
+ </p>
+ <p>
+ "You may as well be eaten by the fishes as by the worms," said the
+ daughter of a naval commander to me one day, when discussing the perils of
+ the sea. Such philosophy, applied to each of the vexatious and dangerous
+ situations of daily life, would go far toward casting out worry.
+ </p>
+ <p>
+ We have already referred to two important elements at the foundation, and
+ in the framework, of the elaborate superstructures we rear with such
+ material as worry, doubts, fears and scruples. The first is <i>exaggerated
+ self-consciousness</i>, the second the tendency to succumb to the
+ compelling thought or impulse, technically termed <i>obsession</i>.
+ </p>
+ <p>
+ With regard to self-consciousness, the worrier will generally realize that
+ even as a child he was exceptionally sensitive to criticism, censure,
+ ridicule and neglect. He was prone to brood over his wrongs, to play the
+ martyr, and to suffer with peculiar keenness the "slings and arrows of
+ outrageous fortune." I remember once leaving the table on account of some
+ censure or careless remark. I fancied I had thrown the whole family into a
+ panic of contrition. On the first opportunity, I asked what they had said
+ about it, and was told that they had apparently not noticed my departure.
+ This salutary lesson prevented repetition of the act.
+ </p>
+ <p>
+ To the self-conscious person the mere entrance into a public vehicle may
+ prove an ordeal. It is hard for him to realize that the general gaze has
+ no peculiar relation to himself, and that if the gaze is prolonged this is
+ due to no peculiarity of his beyond the blush or the trepidation that
+ betrays his feeling. If he can acquire indifference to this feature of his
+ case, through the reflection that to others it is only a passing incident,
+ the blush and the trepidation will promptly disappear, and a step will
+ have been taken towards gaining the self-control for which he aims.
+ </p>
+ <p>
+ The usual cause of stage-fright is exaggerated self-consciousness. The
+ sufferer from stage-fright can hardly fail to be a worrier. A certain
+ shyness, it would seem, may also result from too acute a consciousness of
+ one's audience, as in the case of Tennyson, whom Benson quotes thus:
+ </p>
+ <p>
+ "I am never the least shy before great men. Each of them has a personality
+ for which he or she is responsible; but before a crowd which consists of
+ many personalities, of which I know nothing, I am infinitely shy. The
+ great orator cares nothing about all this. I think of the good man, and
+ the bad man, and the mad man, that may be among them, and can say nothing.
+ <i>He</i> takes them all as one man. <i>He</i> sways them as one man."
+ </p>
+ <p>
+ This, I take it, hardly spelled stage-fright. At the same time, it is
+ improbable that one so sensitive to criticism meant to convey the
+ impression that it was of his audience alone he thought in shrinking from
+ the effort.
+ </p>
+ <p>
+ It appears that Washington Irving suffered from actual stage-fright.
+ </p>
+ <p>
+ In the Library edition of Irving's works appears the following anecdote
+ from the reminiscences of Mrs. Julia Ward Howe, then a young woman of
+ twenty-three:
+ </p>
+ <p>
+ "I was present, with other ladies, at a public dinner given in honor of
+ Charles Dickens by prominent citizens of New York. The ladies were not
+ bidden to the feast, but were allowed to occupy a small ante-room which,
+ through an open door, commanded a view of the tables. When the speaking
+ was about to begin, a message came suggesting that we take possession of
+ some vacant seats at the great table. This we were glad to do. Washington
+ Irving was president of the evening, and upon him devolved the duty of
+ inaugurating the proceedings by an address of welcome to the distinguished
+ guest. People who sat near me whispered, 'He'll break down,&mdash;he
+ always does.' Mr. Irving rose and uttered a sentence or two. His friends
+ interrupted him by applause, which was intended to encourage him, but
+ which entirely overthrew his self-possession. He hesitated, stammered, and
+ sat down, saying, 'I cannot go on.'"
+ </p>
+ <p>
+ Cavendish, the chemist, suffered from a constitutional shyness
+ attributable only to self-consciousness. He is said to have carried so far
+ his aversion to contact with others, outside of his colleagues, that his
+ dinner was always ordered by means of a note, and instant dismissal
+ awaited the female domestic who should venture within his range of vision.
+ </p>
+ <p>
+ Lombroso cites, among his "Men of Genius," quite a list&mdash;Corneille,
+ Descartes, Virgil, Addison, La Fontaine, Dryden, Manzoni, and Newton&mdash;of
+ those who could not express themselves in public. Whatever part
+ self-consciousness played in the individual case, we must class the
+ peculiarity among the defects, not signs, of genius. "A tender heel makes
+ no man an Achilles."
+ </p>
+ <p>
+ To the second faulty habit, obsession, I wish to devote special attention.
+ This word we have already defined as an unduly insistent and compulsive
+ thought, habit of mind, or tendency to action. The person so burdened is
+ said to be obsessed.
+ </p>
+ <p>
+ Few children are quite free from obsession. Some must step on stones;
+ others must walk on, or avoid, cracks; some must ascend the stairs with
+ the right foot first; many must kick posts or touch objects a certain
+ number of times. Some must count the windows, pictures, and figures on the
+ wallpaper; some must bite the nails or pull the eye-winkers. Consider the
+ nail-biter. It cannot be said that he toils not, but to what end? Merely
+ to gratify an obsession. He nibbles a little here and a little there, he
+ frowns, elevates his elbow, and inverts his finger to reach an otherwise
+ inaccessible corner. Does he enjoy it? No, not exactly; but he would be
+ miserable if he discontinued.
+ </p>
+ <p>
+ An unusual, but characteristic obsession is told by a lady in describing
+ her own childhood. She thought that on retiring she must touch nothing
+ with her hands, after she had washed them, until she touched the inside of
+ the sheets. In case she failed she must return and wash the hands again.
+ The resulting manoeuvres are still fresh in her mind, particularly when
+ her sister had preceded her to bed and she had to climb the footboard.
+ </p>
+ <p>
+ It is during childhood that we form most of the automatic habits which are
+ to save time and thought in later life, and it is not surprising that some
+ foolish habits creep in. As a rule, children drop these tendencies at
+ need, just as they drop the rōles assumed in play, though they are
+ sometimes so absorbing as to cause inconvenience. An interesting instance
+ was that of the boy who had to touch every one wearing anything red. On
+ one occasion his whole family lost their train because of the prevalence
+ of this color among those waiting in the station.
+ </p>
+ <p>
+ The longer these tendencies are retained in adult life, the greater the
+ danger of their becoming coercive; and so far as the well-established case
+ is concerned the obsessive act must be performed, though the business,
+ social, and political world should come to a stand-still. Among the
+ stories told in illustration of compulsive tendency in the great, may be
+ instanced the touching of posts, and the placing of a certain foot first,
+ in the case of Dr. Johnson, who, it appears, would actually retrace his
+ steps and repeat the act which failed to satisfy his requirements, with
+ the air of one with something off his mind.
+ </p>
+ <p>
+ A child who must kick posts is father to the man who cannot eat an egg
+ which has been boiled either more or less than four minutes; who cannot
+ work without absolute silence; who cannot sleep if steam-pipes crackle;
+ and who must straighten out all the tangles of his life, past, present,
+ and future, before he can close his eyes in slumber or take a vacation.
+ The boy Carlyle, proud, shy, sensitive, and pugnacious, was father to the
+ man who made war upon the neighbor's poultry, and had a room, proof
+ against sound, specially constructed for his literary labors.
+ </p>
+ <p>
+ The passive obsessions are peculiarly provocative of worry. Such are
+ extreme aversions to certain animals, foods, smells, sounds, and sights,
+ or insistent discomfort if affairs are not ordered to our liking. A
+ gentleman once told me that at the concert he did not mind if his neighbor
+ followed the score, but when he consulted his programme during the
+ performance it distressed him greatly.
+ </p>
+ <p>
+ Such instances illustrate the fact that when our obsessions rule us it is
+ not the noise or the sight, but our idea of the fitness of things, that
+ determines the degree of our annoyance. A person who cannot endure the
+ crackling of the steam-pipe can listen with pleasure to the crackling of
+ an open fire or the noise of a running brook.
+ </p>
+ <p>
+ It is said that the sensitive and emotional Erasmus had so delicate a
+ digestion that he could neither eat fish nor endure the smell of it; but
+ we are led to suspect that obsession played a part in his troubles when we
+ further learn that he could not bear an iron stove in the room in which he
+ worked, but had to have either a porcelain stove or an open fire.
+ </p>
+ <p>
+ If we can trust the sources from which Charles Reade drew his deductions
+ regarding the character of the parental stock, Erasmus came fairly by his
+ sensitive disposition. In "The Cloister and the Hearth" we find the father
+ of Erasmus, fleeing from his native land, in fear of his life on account
+ of a crime he thought he had committed, frozen, famished and exhausted,
+ unable to enter the door of a friendly inn on account of his aversion to
+ the issuing odors. Forced by his sufferings at last to enter the inn, he
+ visits each corner in turn, analyzing its peculiar smell and choosing
+ finally the one which seems to him the least obnoxious.
+ </p>
+ <p>
+ I have heard somewhere, but cannot place, the story of a prominent writer
+ who was so disturbed by the mechanical lawn-mower of his neighbor that he
+ insisted upon the privilege of defraying the expense of its replacement by
+ the scythe.
+ </p>
+ <p>
+ Peculiar sensitiveness to sights, sounds and smells seems to be a common
+ attribute of genius. This sort of sensitiveness has even been credited
+ with being the main-spring of genius, but it is improbable that the
+ curbing of such aversions would in any way endanger it. However this may
+ be, such supersensitiveness ill becomes the rest of us, and these extreme
+ aversions surely clog, rather than accelerate, our efforts.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+ <p>
+ The natural tendency of the healthy mind is to accustom itself to new
+ sensations, as the ring on the finger, or the spectacles on the nose. The
+ obsessive individual resists this tendency; he starts with the fixed idea
+ that he cannot stand the annoyance, his resentment increases, and his
+ sensations become more, instead of less, acute. His reaction to criticism,
+ slight, and ridicule is similar; he is prepared to start, blush, and show
+ anger on moderate provocation, and can often reproduce both the sensation
+ and its accompanying physical signs by merely recalling the circumstance.
+ </p>
+ <p>
+ The passive as well as the active obsessions can be overcome by
+ cultivating the commonplace, or average normal, attitude, and resolving
+ gradually to accustom one's self to the disagreeable. This change of
+ attitude can be made in adult life as well as in youth. "You cannot teach
+ an old dog new tricks," we are told. The reason is not that the old dog
+ cannot learn them, but that he does not want to. I met in Germany a
+ British matron who was obsessed with the belief that she could not learn
+ the language. At the end of four years' sojourn she entered a store and
+ asked the price of an article.
+ </p>
+ <p>
+ "Four marks," was the answer.
+ </p>
+ <p>
+ "How much in English money?" she inquired.
+ </p>
+ <p>
+ "Why, madam, a mark is the same as a shilling."
+ </p>
+ <p>
+ "I don't know anything about that; how much is it in English?"
+ </p>
+ <p>
+ "Four shillings."
+ </p>
+ <p>
+ "Ah, quite so; you might have told me at once."
+ </p>
+ <p>
+ Experience has shown that no time in life precludes the acquirement of new
+ knowledge and new habits by one who thinks it worth while to make the
+ attempt. The elderly person will be surprised at his progress if he will
+ bring to bear upon a new subject a mind free from doubts of its
+ usefulness, doubts of his own ability, worry lest he is wasting valuable
+ time, regrets for the past and plans for the future.
+ </p>
+ <p>
+ It is not always possible to say just where useful habit merges into
+ obsession. A certain individual, we will say, invariably puts on the left
+ shoe before the right. This is a useful habit, fixed by constant
+ repetition, useful because it relieves the brain of conscious effort. But
+ suppose he decides some morning to put on the right shoe before the left;
+ this new order so offends his sense of the fitness of things that he finds
+ it hard to proceed; if he perseveres, his feet feel wrong to him; the
+ discomfort grows until finally he is impelled to remove the shoes and
+ replace them in the usual order. In this case an act which started as a
+ useful habit has been replaced by an obsession.
+ </p>
+ <p>
+ Suppose, again, a person obsessed by the fear of poison is prevented from
+ washing his hands before eating. He sits down, perhaps, fully intending to
+ proceed as if nothing had happened, but the thought occurs to him that he
+ may have touched something poisonous, though his reason tells him this is
+ most improbable. He reviews the events of the day and can find no
+ suggestion of poison; still the thought of poison obtrudes itself, and he
+ finds it impossible to put anything which he touches into his mouth. He
+ next wonders if he has not already put something into his mouth. This
+ thought produces a mental panic, the blood mounts to his head, he becomes
+ incapable of coherent thought or speech, and the task of finishing his
+ dinner would now be beyond his power even if he had not lost all taste for
+ it.
+ </p>
+ <p>
+ Such illustrations of obsession in daily life, by no means rare, could be
+ multiplied indefinitely, and may be perhaps better appreciated than the
+ text-book illustration of the man who neglected to flick off with his whip
+ a certain stone from the top of a wall, and who could not sleep until he
+ had returned to the spot and performed the act.
+ </p>
+ <p>
+ Suppose a man has always worn high boots and is accustomed to a feeling of
+ warmth about the ankles. The desire for warm ankles may finally so
+ dominate him that he not only cannot wear low shoes in mid-summer, but he
+ cannot wear slippers, even in a warm room; and finally, perhaps, finds
+ that he must wear woollen socks to bed. By this time the desire for a
+ certain sensation is in a fair way to become an obsession. When you assure
+ him that many wear low shoes throughout the winter, he asks if their
+ ankles really feel warm. That is not the question. The question is, can
+ one accustom himself to the ankles feeling cool, just as he accustoms
+ himself to his face feeling cool. If he can, he has conquered a sensory
+ obsession, and has made a step toward fitting himself to meet more serious
+ vicissitudes with equanimity.
+ </p>
+ <p>
+ Similar instances can be adduced in all realms of sensation, both general
+ and special. One person cannot bear the light, and wears blue glasses;
+ another cannot breathe out-door air, and wears a respirator; another
+ cannot bear to see a person rock or to hear a person drum.
+ </p>
+ <p>
+ If a family or circle of friends is so constituted that some are obsessed
+ to <i>do</i> certain things and others are obsessed <i>not to stand them</i>
+ the foundation is laid for a degree of irritability inconsistent with
+ mental health. Mrs. X. simply cannot stand hearing Mr. X. tap the floor,
+ and if he continues, her discomfort becomes acute; the sound so dominates
+ her that she can think of nothing else and can accomplish nothing until
+ the sound is stopped. She can stand <i>anything</i> but <i>that</i>. The
+ daughter, Miss X., hardly hears the tapping, and is irritated and
+ impatient to the last degree on account of her mother's "silly" notion.
+ What Miss X. simply cannot bear is hearing her brother continually clear
+ his throat, and if he does not stop she must leave the room or "go wild."
+ Unfortunately, meantime, Mr. X. is so obsessed to tap the floor that he
+ cannot follow his task without it, and Master X. <i>must</i> clear his
+ throat every few moments with a peculiar note because he "has catarrh."
+ </p>
+ <p>
+ Here we have a common starting-point for family discomfort, and here we
+ have a clue to the advice of the physician who advises isolation as a step
+ toward the cure of the member of the family who first breaks down, not
+ simply under the stress of occupation, but of occupation plus the wear and
+ tear of minor but constant sources of irritation.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+ <p>
+ It is said that the victim of jiu jitsu, by breaking one hold, places
+ himself in the greater danger from the next. Similarly, after having
+ conquered a few obsessions, one is overwhelmed with the obsession to set
+ every one straight. Soukanhoff was right in warning the obsessive to
+ beware of pedantry.
+ </p>
+ <p>
+ The question here presents itself whether this line of thought does not
+ foster, rather than lessen, the pedantry and the self-study which it is
+ intended to combat. Why not simply drop the worry and the doubt without
+ further argument? The difficulty is that the mental processes of the
+ over-scrupulous person are such that he cannot summarily drop a habit of
+ thought. He must reason himself out of it. There is no limit to his
+ ability if properly directed; he can gradually modify all his faulty
+ tendencies, and may even finally acquire the habit of automatically
+ dismissing worry, but it would be too much to expect that he suddenly
+ change his very nature at command.
+ </p>
+ <p>
+ Soukanhoff's description of obsessives is peculiarly apt:
+ "over-scrupulous, disquieted over trifles, indecisive in action, and
+ anxious about their affairs. They are given early to morbid introspection,
+ and are easily worried about their own indispositions or the illnesses of
+ their friends. They are often timorous and apprehensive, and prone to
+ pedantism. The moral sentiments are pronounced in most cases, and if they
+ are, as a rule, somewhat exigent and egotistic, they have a lively sense
+ of their own defects."
+ </p>
+ <p>
+ A common obsession is the compulsion to dwell upon the past, to reproduce
+ the circumstances, and painfully to retrace the steps which we took in
+ coming to an erroneous decision which led to a foolish, unnecessary, or
+ perhaps even a wrong decision. One of my earliest impressions in golf was
+ the remark of a veteran who was good enough to make a round with me. "If I
+ had only approached better, I should have made that hole in five," I
+ remarked, after taking seven strokes for a hole.
+ </p>
+ <p>
+ "Perhaps not," he replied; "if you had <i>approached better</i>, perhaps
+ you would have <i>putted worse</i> and taken <i>eight</i> strokes for the
+ hole. At all events, that hole is ancient history now, and you will play
+ this one better if you leave that one alone."
+ </p>
+ <p>
+ He little realized how many times his advice would recur to me elsewhere
+ than on the links. Retrospective worry can be absolutely eliminated from
+ the most obsessive mind by the practice of the veteran's philosophy.
+ </p>
+ <p>
+ Mercier says the greatest intellectual gift is the ability to forget.
+ </p>
+ <p>
+ The conscientious self-analyst spends too much time in weighing his
+ ability or inability to perform some task. Between his fear, his worry
+ over the past, and his indecision whether the task should be attempted, he
+ starts with an overwhelming handicap. If he learns to say, "Other people
+ fail; it will not matter if I do this time," he will find the task already
+ half accomplished.
+ </p>
+ <p>
+ The Rev. Francis Tiffany has observed that if a ship could think, and
+ should imagine itself submerged by all the waves between here and Europe,
+ it would dread to leave its moorings; but in reality it has to meet but
+ one wave at a time.
+ </p>
+ <p>
+ The tendency of the average American in this bustling age, whether he is
+ obsessive or not, is to live at least several hours in advance. On the
+ train he takes no comfort and makes no observations, for his mind is upon
+ his destination rather than on his journey.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+ <p>
+ Though the immediate object of these chapters is the promotion of the
+ mental, and indirectly the physical, health of the individual, I cannot
+ forbear referring to the effect of this training on the position of the
+ individual in society and his relation toward his surroundings.
+ </p>
+ <p>
+ The endeavor to overcome obsessions is likely to be ignored by two
+ classes: the self-centered individuals who see no reason for learning what
+ they do not want to learn, and the individuals who have no time for, or
+ interest in, self-training because of absorption in subjects of wider
+ relation, as art, or science, or reform. The philosophy of Haeckel applies
+ to both:
+ </p>
+ <p>
+ "Man belongs to the social vertebrates, and has, therefore, like all
+ social animals, two sets of duties&mdash;first to himself, and secondly to
+ the society to which he belongs. The former are the behests of self-love,
+ or egoism, the latter love for one's fellows, or altruism. The two sets of
+ precepts are equally just, equally natural, and equally indispensable. If
+ a man desires to have the advantage of living in an organized community,
+ he has to consult not only his own fortune, but also that of the society,
+ and of the 'neighbors' who form the society. He must realize that its
+ prosperity is his own prosperity, and that it cannot suffer without his
+ own injury."
+ </p>
+ <p>
+ The individual who is ruled by his obsessions not only paves the way for
+ needless and ultimate breakdown, but is in danger of gradually narrowing
+ his field of usefulness and pleasure until he is in little better case
+ than Simeon Stylites, who spent nearly half a century on the top of a
+ monument. Nor has he even Simeon's consolation that he could come down if
+ he chose; for it seems that the authorities sent messengers demanding his
+ return, with orders to let him stay if he showed willingness to come down&mdash;and
+ he stayed.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0008" id="link2H_4_0008"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ VI. THE DOUBTING FOLLY
+ </h2>
+ <p>
+ <i>Jatgeir</i>. I needed sorrow; others there may be who need faith, or
+ joy&mdash;or doubt&mdash;
+ </p>
+ <p>
+ <i>King Skule</i>. Doubt as well?
+ </p>
+ <p>
+ <i>Jatgeir</i>. Ay; but then must the doubter be strong and sound.
+ </p>
+ <p>
+ <i>King Skule</i>. And whom call you the unsound doubter?
+ </p>
+ <p>
+ <i>Jatgeir</i>. He who doubts of his own doubt.
+ </p>
+ <p>
+ <i>King Skule</i> (slowly). That methinks were death.
+ </p>
+ <p>
+ <i>Jatgeir</i>. 'T is worse; 't is neither day nor night.
+ </p>
+ <p>
+ <i>King Skule</i> (quickly, as if shaking off his thoughts). Where are my
+ weapons? I will fight and act, not think.
+ </p>
+ <p>
+ IBSEN: <i>The Pretenders</i>, Act iv.
+ </p>
+ <p>
+ A gentleman once told me that he rarely passed another in the street
+ without wondering if he had not accosted him in an improper manner. He
+ knew very well that he had not, but the more he dwelt upon the
+ possibility, the more doubtful he became, until the impulse to settle the
+ question became so strong that he would retrace his steps and inquire. He
+ asked if <i>nux vomica</i> would help this trouble! I told him he needed
+ mental training.
+ </p>
+ <p>
+ "I have tried that," he answered. "I keep saying to myself, 'I will not
+ think of it,' but it is no use; my head becomes hot, my sight blurred, my
+ thoughts confused, and the only relief I find is to settle the question."
+ </p>
+ <p>
+ I tried to point out the direction in which he was tending, and told him
+ he must remind himself that even if he had accosted another improperly, it
+ was a trifling matter compared to the injury to himself of giving way to
+ this compulsion; moreover, the impression he would make upon the other by
+ going back would be even worse than that of having so accosted him; and,
+ finally, he must dwell upon the <i>probability</i> that he had not
+ offended the man, instead of the <i>possibility</i> that he had. Having
+ pursued this line of thought, he must force himself to think of something
+ else until the besetting impulse was obliterated. I suggested that if a
+ baseball player should become incapacitated for the game, he would not
+ lessen his disappointment by reiterating, "I will not think of baseball,"
+ but if he persistently turned his thoughts and his practice to billiards
+ he might in time forget baseball.
+ </p>
+ <p>
+ "I never played baseball," he replied, "and don't even know the rules."
+ </p>
+ <p>
+ This represents an extreme case of "doubting folly" a case in which the
+ victim could no longer concentrate his thoughts on the simplest
+ proposition outside the narrow circle to which his doubts had restricted
+ him.
+ </p>
+ <p>
+ If we once allow ourselves to wonder whether we have turned off the water,
+ enclosed the check, or mailed the letter, it is but a step to an
+ uncomfortable frame of mind which can be relieved only by investigating
+ the matter. This compulsion once acceded to, it becomes more and more easy
+ to succumb. The next step is to blur, by constant repetition, the mental
+ image of the act. In extreme cases the doubter, after turning the gas on
+ and off a dozen times, is finally in doubt whether he can trust his own
+ senses. A certain officer in a bank never succeeded in reaching home after
+ closing hours without returning to try the door of the bank. Upon finding
+ it locked, he would unlock it and disappear within, to open the vault,
+ inspect the securities, and lock them up again. I once saw a victim of
+ this form of doubt spend at least ten minutes in writing a check, and ten
+ minutes more inspecting it, and, after all, he had spelled his own name
+ wrong!
+ </p>
+ <p>
+ Constant supervision only impairs acts which should have become automatic.
+ We have all heard of the centipede who could no longer proceed upon his
+ journey when it occurred to him to question which foot he should next
+ advance.
+ </p>
+ <p>
+ To other doubts are often added the doubt of one's own mental balance; but
+ it is a long step from these faulty habits of mind to real mental
+ unbalance, which involves an inability to plan and carry out a line of
+ conduct consistent with one's station.
+ </p>
+ <p>
+ It took a young man at least fifteen minutes, in my presence, to button
+ his waistcoat. He felt the lower button to reassure himself, then
+ proceeded to the next. He then returned to the lower one, either
+ distrusting his previous observation, or fearing it had become unbuttoned.
+ He then held the lower two with one hand while he buttoned the third with
+ the other. When this point was reached he called his sight to the aid of
+ his feeling, and glued his eyes to the lower while he buttoned the upper,
+ unbuttoning many meantime, to assure himself that he had buttoned them.
+ This young man said he would sometimes stop on his way to the store in
+ doubt whether he was on the right street, a doubt not quieted either by
+ reading the sign or by asking a stranger, because the doubt would obtrude
+ itself whether he could trust his sight and his hearing, indeed, whether
+ he was really there or dreaming. Even this victim of extreme doubting
+ folly conducted his business successfully so long as I knew him, and so
+ comported himself in general as to attract no further comment than that he
+ was "fussy."
+ </p>
+ <p>
+ These doubts lead to chronic indecision. How often, in deciding which of
+ two tasks to take up, we waste the time which would have sufficed for the
+ accomplishment of one, if not both.
+ </p>
+ <p>
+ The doubt and the indecision result directly from over-conscientiousness.
+ It is because of an undue anxiety to do the right thing, even in trivial
+ matters, that the doubter ponders indefinitely over the proper sequence of
+ two equally important (or unimportant) tasks. In the majority of instances
+ it is the right thing for <i>him</i> to pounce upon <i>either</i>. If he
+ pounces upon the wrong one, and completes it without misgiving, he has at
+ least accomplished something in the way of mental training. The chances
+ are, moreover, that the harm done by doing the wrong thing first was not
+ to be compared to the harm of giving way to his doubt, and either drifting
+ into a state of ineffective revery or fretting himself into a frenzy of
+ anxious uncertainty.
+ </p>
+ <p>
+ A gentleman once told me that after mailing a letter he would often linger
+ about the box until the postman arrived, and ask permission to inspect his
+ letter, ostensibly to see if he had put on the stamp, but in fact to
+ reassure himself that he had really mailed the missive, although he knew
+ perfectly well that he had done so. The life of the chronic doubter is
+ full of these small deceits, though in most matters such persons are
+ exceptionally conscientious.
+ </p>
+ <p>
+ This form of over-solicitude is peculiarly liable to attack those in whose
+ hands are important affairs affecting the finances, the lives, or the
+ health of others. I have known more than one case of the abandonment of a
+ chosen occupation on account of the constant anxiety entailed by doubts of
+ this nature. Nor are these doubts limited to the question whether one has
+ done or left undone some particular act. An equally insistent doubt is
+ that regarding one's general fitness for the undertaking. <i>The doubter
+ may spend upon this question more time than it would take to acquire the
+ needed facility and experience</i>.
+ </p>
+ <p>
+ Some one has said there are two things that no one should worry about:
+ first, the thing that can't be helped; second, the thing that can. This is
+ peculiarly true of the former.
+ </p>
+ <p>
+ Reflection upon the past is wise; solicitude concerning it is an
+ anachronism. Suppose one has accepted a certain position and finds himself
+ in doubt of his fitness for that position. Nothing can be more important
+ than for him to decide upon his next line of conduct. Shall he resign or
+ continue? Is he fit for the position, or, if not, can he acquire the
+ fitness without detriment to the office? These are legitimate doubts. But
+ the doubter who finds himself in this predicament adds to these legitimate
+ doubts the question, "Ought I to have accepted the office?" This is the
+ doubt he must learn to eliminate. He must remind himself that he has
+ accepted the position, whether rightly or wrongly, and that the acceptance
+ is ancient history. The question what shall he do next is sufficiently
+ weighty to occupy all his attention without loading his mind with anxious
+ doubts regarding the irrevocable past.
+ </p>
+ <p>
+ Suppose, in fact, the doubter has made a mistake; how shall he banish the
+ worry? By reminding himself that others have made mistakes, why should not
+ he, and that it is somewhat egotistic on his part to insist that, whatever
+ others may do, <i>he</i> must do everything right. If this line of
+ reasoning fails to console him, let him think of the greater mistakes he
+ might have made. A financial magnate was once asked how he succeeded in
+ keeping his mind free from worry. He replied, by contemplating the two
+ worst things that could happen to him: losing all his property and going
+ to jail. He had learned the lesson that <i>one thought can be driven out
+ only by another</i>.
+ </p>
+ <p>
+ With regard to immediate doubts. If the over-scrupulous business or
+ professional man, worn out after an exacting day's work, will stop and
+ reflect, he will realize that much of his exhaustion is due to his having
+ filled the day with such doubts as whether he is doing the wrong thing, or
+ the right thing at the wrong time, whether he or someone else will miss an
+ appointment or fail to meet obligations, and whether he or his assistants
+ may make blunders.
+ </p>
+ <p>
+ Let him resolve some morning that he will proceed that day from task to
+ task without allowing such thoughts to intrude. If he does so he will find
+ that he has succeeded in his work at least as well as usual, and that he
+ is comparatively fresh in the evening.
+ </p>
+ <p>
+ Why not try this every day?
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+ <p>
+ So far we have only considered the most obvious and simple among the
+ evidences of doubting folly. A still more obstinate tendency of the
+ doubter is the insistent habit interminably to argue over the simplest
+ proposition, particularly regarding matters pertaining to the health,
+ comfort, and life of the individual himself. A certain patient, of this
+ type, attempts to describe to his physician a peculiar, hitherto
+ undescribed, and even now indescribable sensation "through his right
+ lung." He traces this sensation to what he believes to have been the
+ absorption of a poison some years ago. His line of reasoning is somewhat
+ as follows: 1. The drug was a poison. 2. If he absorbed it he must have
+ been poisoned. 3. If he was poisoned then, he is poisoned now. 4. There is
+ no proof that such a poison cannot produce such a sensation. 5. He has the
+ sensation. Conclusion: He is suffering from poison. In support of this
+ proposition he will spend hours with anyone who will listen. The physician
+ who allows himself to be drawn into the controversy speedily finds
+ himself, instead of giving advice to listening ears, involved in a battle
+ of wits in which he is quite likely to come off second best. He assures
+ the patient, for example, that, as far as scientific methods can establish
+ the fact, the lung is sound.
+ </p>
+ <p>
+ "But has science established everything? And if it had, is such negative
+ evidence to be weighed against the positive evidence of the sensation in
+ my lung?"
+ </p>
+ <p>
+ "But the sensation may not be in your lung."
+ </p>
+ <p>
+ "Can you prove that it is <i>not</i> in my lung?" Folly scores!
+ </p>
+ <p>
+ On being urged to direct his attention to some other part of his body, he
+ promptly inquires,
+ </p>
+ <p>
+ "How can I direct my thoughts elsewhere, when the sensation is there to
+ occupy my attention?" Obviously he can not without changing his mental
+ attitude, so folly scores again.
+ </p>
+ <p>
+ He is assured that if the poison had been absorbed the effects would have
+ passed away long before this time.
+ </p>
+ <p>
+ "But do the effects of poison <i>always</i> pass away? And can you <i>prove</i>
+ that they have passed away in my case? Is not the sensation positive
+ evidence, since you have allowed that you cannot prove that the sensation
+ does <i>not</i> come from the poison?"
+ </p>
+ <p>
+ Folly scores again, but the victory is an empty one. The vicious circle
+ continues: Attention magnifies sensation&mdash;sensation produces fear&mdash;fear
+ increases attention; and throughout runs the insistent thought that his
+ sensations shall conform to his ideal.
+ </p>
+ <p>
+ If the discussion of such comparatively tangible matters can occupy a
+ large part of one's attention, imagine the result of the insistent desire,
+ on the part of the doubter, to solve such problems as "What is thought?"
+ "What is existence?"
+ </p>
+ <p>
+ If the windings of this intellectual labyrinth have not too far involved
+ us, we have only to recognize the futility of such arguments, and exercise
+ our will-power in the right direction. If we can bring ourselves to take
+ the initiative, it is as easy to step out of the vicious circle, as for
+ the squirrel to leave his wheel. But unless we grasp the logic of the
+ situation, and take this initiative, no amount of abuse, persuasion, or
+ ridicule will effect our freedom.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+ <p>
+ A word may be in place regarding the anthropological status of the
+ doubting folly and allied mental states. Men of genius have suffered from
+ them all. A long list may be found in Lombroso's "Man of Genius." Under <i>folie
+ du doute</i> we find, for example, Tolstoi, Manzoni, Flaubert and Amiel.
+ </p>
+ <p>
+ Lombroso regards genius as degenerative, and places among the signs of
+ degeneration, deviations from the average normal, whether physical or
+ mental. This plan has been quite generally followed. The nomenclature
+ seems to me unfortunate and hardly justified by the facts. I can think of
+ no more potent objection to such inclusive use of the term degenerate,
+ than the fact that Lombroso includes, under the signs of degeneration, the
+ enormous development of the cerebral speech-area in the case of an
+ accomplished orator. If such evolutional spurts are to be deemed
+ degenerative, the fate of the four-leaved clover is sealed.
+ </p>
+ <p>
+ The application of the term degeneration may be, and should be, it seems
+ to me, limited to the signs, whether physical or mental, which indicate an
+ obviously downward tendency. I have elsewhere suggested, and the
+ suggestion has already found some acceptance, that when the variation is
+ not definitely downward, <i>deviation</i> and <i>deviate</i> be
+ substituted for the unnecessarily opprobrious and often inappropriate
+ terms, <i>degeneration</i> and <i>degenerate</i>.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0009" id="link2H_4_0009"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ VII. HYPOCHONDRIA
+ </h2>
+ <p>
+ Il marche, dort, mange et boit comme tous les autres; mais cela n'empeche
+ pas qu'il soit fort malade.
+ </p>
+ <p>
+ MOLIERE: <i>Le Malade imaginaire</i>.
+ </p>
+ <p>
+ The victim of hypochondria may present the picture of health, or may have
+ some real ill regarding which he is unduly anxious. His consultation with
+ a physician is likely to be preceded by letters explaining his exact
+ condition, naming his various consultants and describing the various
+ remedies he has taken. At the time of his visit notes are consulted, lest
+ some detail be omitted. In his description anatomical terms abound; thus,
+ he has pain in his lungs, heart, or kidney, not in his chest or back.
+ Demonstration by the physician of the soundness of these organs is met by
+ argument, at which the hypochondriac is generally adept.
+ </p>
+ <p>
+ 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.
+ </p>
+ <p>
+ 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.
+ </p>
+ <p>
+ 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.
+ </p>
+ <p>
+ 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&mdash;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:
+ </p>
+ <p>
+ "Ah," he said in an admiring tone, "what splendid health you must have in
+ order to be able to stand all these complaints!"
+ </p>
+ <p>
+ 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).
+ </p>
+ <p>
+ 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."
+ </p>
+ <p>
+ The victim of mysophobia will wash the hands after touching any object,
+ and will, so far as possible, avoid touching objects which he thinks may
+ possibly convey infection. Some use tissue paper to turn the door-knob,
+ some extract coins from the pocket-book with pincers. I have seen a lady
+ in a public conveyance carefully open a piece of paper containing her
+ fare, pour the money into the conductor's hand, carefully fold up the
+ paper so that she should not touch the inside, and afterwards drop it from
+ the tips of her fingers into a rubbish barrel.
+ </p>
+ <p>
+ The case of a nurse who was dominated by fear of infection has come to my
+ attention. If her handkerchief touched the table it was discarded. She
+ became very adept at moving objects about with her elbows, was finally
+ reduced to helplessness and had to be cared for by others.
+ </p>
+ <p>
+ Unreasoning fear of one or another mode of conveyance is not rare. It is
+ said that Rossini found it impossible to travel by rail, and that the
+ attempt of a friend to accustom him to it resulted in an attack of
+ faintness (Lombroso).
+ </p>
+ <p>
+ The sufferer himself realizes, in such cases, that there is no reason in
+ his fear&mdash;he knows he can undergo greater dangers with equanimity.
+ Even doubting folly finds no answer to the question why should this danger
+ be shunned and that accepted. The nearest approach to an answer is "I
+ can't," which really means "I haven't."
+ </p>
+ <p>
+ The origin of the phobia is not always clear, but given the necessary
+ susceptibility, circumstances doubtless dictate the direction the phobia
+ shall take. A startling personal experience, or even reading or hearing of
+ such an experience may start the fear which the insistent thought finally
+ moulds into a fixed habit.
+ </p>
+ <p>
+ To the hypochondriac who concentrates his attention upon the digestive
+ tract, this part of his body occupies the foreground of all his thoughts.
+ He exaggerates its delicacy of structure and the serious consequences of
+ disturbing it even by an attack of indigestion. A patient to whom a
+ certain fruit was suggested said he could not eat it. Asked what the
+ effect would be, he answered that he did not know, he had not eaten any
+ for twenty years and dared not risk the experiment.
+ </p>
+ <p>
+ Extreme antipathies to various foods are fostered among this class. A lady
+ told me that she perfectly abominated cereals, that she could not stand
+ vegetables, that she could not bear anything in the shape of an apple,
+ that she could not abide spinach, and that baked beans made her sick at
+ the stomach.
+ </p>
+ <p>
+ The heart is perhaps the organ most often the object of solicitude on the
+ part of the hypochondriac. When we realize that the pulse may vary in the
+ healthy individual from 60 to over 100, according to circumstances, and
+ that mere excitement may send it to the latter figure, we may appreciate
+ the feelings of one who counts his pulse at frequent intervals and is
+ alarmed if it varies from a given figure.
+ </p>
+ <p>
+ Inspection of the tongue is a common occupation of the hypochondriac, who
+ is generally more familiar than his medical attendant with the anatomy of
+ this organ.
+ </p>
+ <p>
+ Insistent desire regarding the temperature is common not only among
+ hypochondriacs, but among others. I do not allude to the internal
+ temperature (though I have been surprised to learn how many people carry a
+ clinical thermometer and use it on themselves from time to time); I refer
+ to the temperature of the room or of the outside air. The wish to feel a
+ certain degree of warmth is so overpowering in some cases that neither
+ work nor play can be carried on unless the thermometer registers the
+ desired figure. A person with this tendency does not venture to mail a
+ letter without donning hat and overcoat; the mere thought of a cold bath
+ causes him to shudder.
+ </p>
+ <p>
+ Golf has cured many a victim of this obsession. It takes only a few games
+ to teach the most delicately constructed that he can remain for hours in
+ his shirt-sleeves on quite a cold day, and that the cold shower
+ (preferably preceded by a warm one) invigorates instead of depresses him.
+ Further experiment will convince him that he can wear thin underwear and
+ low shoes all winter. Such experiences may encourage him to risk a cold
+ plunge in the morning, followed by a brisk rub and a few simple exercises
+ before dressing.
+ </p>
+ <p>
+ Morbid fears in themselves produce physical manifestations which add to
+ the discomfort and alarm of the hypochondriac. I allude to the rush of
+ blood to the head, the chill, the mental confusion, and the palpitation.
+ These symptoms are perfectly harmless, and denote only normal circulatory
+ changes. It is true that one cannot at will materially alter his
+ circulation, but he can do so gradually by habit of thought. To convince
+ ourselves of this fact, we need only remember to what a degree blushing
+ becomes modified by change of mental attitude. Similarly, the person who
+ has practiced mental and physical relaxation will find that the blood no
+ longer rushes to his head upon hearing a criticism or remembering a
+ possible source of worry.
+ </p>
+ <p>
+ The automatic processes of the body are in general performed best when the
+ attention is directed elsewhere. After ordinary care is taken, too minute
+ attention to the digestive apparatus, for example, may retard rather than
+ aid it. Watching the digestion too closely is like pulling up seeds to see
+ if they are growing.
+ </p>
+ <p>
+ 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.
+ </p>
+ <p>
+ 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.
+ </p>
+ <p>
+ 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 <i>Youth's Companion</i>:
+ </p>
+ <p>
+ It seems that a man who was constantly changing physicians at last called
+ in a young doctor who was just beginning his practice.
+ </p>
+ <p>
+ "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."
+ </p>
+ <p>
+ "Not necessarily, sir," began the physician, but he was interrupted.
+ </p>
+ <p>
+ "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!"
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+ <p>
+ 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.
+ </p>
+ <p>
+ 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 <i>do</i> look
+ enormous&mdash;through the microscope&mdash;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, <i>through a microscope</i>.
+ </p>
+ <p>
+ 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 <i>do</i> something&mdash;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.
+ </p>
+ <p>
+ 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.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+ <p>
+ 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.
+ </p>
+ <p>
+ With regard to Huxley,&mdash;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:
+ </p>
+ <p>
+ "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!"
+ </p>
+ <p>
+ With regard to Carlyle,&mdash;it is true, as claimed by Gould (<i>Biographic
+ Clinics</i>, 1903) that he showed every evidence of eyestrain with
+ resulting symptoms, particularly headache. This does not, however,
+ preclude his having had hypochondria also, and in view of the violent and
+ reiterated complaints running through his letters it seems quite credible
+ that Froude's estimate of his condition was not far wrong. Surely, unless
+ Carlyle was merely trying his pen without intending to be taken seriously,
+ he devoted to the question of health a degree of attention which may be
+ fairly adjudged undue.
+ </p>
+ <p>
+ The first letter I quote (from those cited by Gould in fortifying his
+ position) is of special interest as presenting in rather lurid terms
+ Carlyle's ideal of health. After reading this letter one cannot help
+ suspecting that the discomforts so vividly described in his other letters
+ were compared by him with this ideal rather than with those of the average
+ individual.
+ </p>
+ <p>
+ "In the midst of your zeal and ardor,... remember the care of health....
+ It would have been a very great thing for me if I had been able to
+ consider that health is a thing to be attended to continually, that you
+ are to regard that as the very highest of all temporal things for you.
+ There is no kind of achievement you could make in the world that is equal
+ to perfect health. What to it are nuggets and millions'? The French
+ financier said 'Why is there no sleep to be sold!' Sleep was not in the
+ market at any quotation.... I find that you could not get any better
+ definition of what 'holy' really is than 'healthy.' Completely healthy; <i>mens
+ sana in corpore sano</i>. A man all lucid, and in equilibrium. His
+ intellect a clear mirror geometrically plane, brilliantly sensitive to all
+ objects and impressions made on it and imaging all things in their correct
+ proportions; not twisted up into convex or concave, and distorting
+ everything so that he cannot see the truth of the matter, without endless
+ groping and manipulation: healthy, clear, and free and discerning truly
+ all around him."
+ </p>
+ <p>
+ The following extracts illustrate his attitude toward his physical
+ shortcomings, whatever they may have been.
+ </p>
+ <p>
+ ... "A prey to nameless struggles and miseries, which have yet a kind of
+ horror in them to my thoughts, three weeks without any kind of sleep, from
+ impossibility to be free from noise."
+ </p>
+ <p>
+ "I sleep irregularly here, and feel a little, very little, more than my
+ usual share of torture every day. What the cause is would puzzle me to
+ explain. I take exercise sufficient daily; I attend with rigorous
+ minuteness to the quality of my food; I take all the precautions that I
+ can, yet still the disease abates not."
+ </p>
+ <p>
+ "Ill-health, the most terrific of all miseries."
+ </p>
+ <p>
+ "Grown sicker and sicker.... I want health, health, health! On this
+ subject I am becoming quite furious.... If I do not soon recover, I am
+ miserable forever and ever. They talk of the benefit of health from a
+ moral point of view. I declare solemnly, without exaggeration, that I
+ impute nine-tenths of my present wretchedness, and rather more than
+ nine-tenths of all my faults, to this infernal disorder in the stomach."
+ </p>
+ <p>
+ "Bilious, too, in these smothering windless days."
+ </p>
+ <p>
+ "Broke down in the park; <i>konnte</i> <i>nichts mehr</i>, being sick and
+ weak beyond measure."
+ </p>
+ <p>
+ "Many days of suffering, of darkness, of despondency.... Ill-health has
+ much to do with it."
+ </p>
+ <p>
+ "Occasionally sharp pain (something cutting hard, grasping me around the
+ heart).... Something from time to time tying me tight as it were, all
+ around the region of the heart, and strange dreams haunting me."
+ </p>
+ <p>
+ "There is a shivering precipitancy in me, which makes <i>emotion</i> of
+ any kind a thing to be shunned. It is my nerves, my nerves.... Such a
+ nervous system as I have.... Thomas feeling in his breast for comfort and
+ finding bilious fever.... All palpitating, fluttered with sleeplessness
+ and drug-taking, etc.... Weary and worn with dull blockheadism, chagrin
+ (next to no sleep the night before)."
+ </p>
+ <p>
+ "A head <i>full of air</i>; you know that wretched physical feeling; I had
+ been concerned with drugs, had awakened at five, etc. It is absolute
+ martyrdom."
+ </p>
+ <p>
+ "A huge nightmare of indigestion, insomnia, and fits of black impatience
+ with myself and others,&mdash;self chiefly.... I am heartily sick of my
+ dyspeptic bewilderment and imprisonment."
+ </p>
+ <p>
+ "Alas! Alas! I ought to be wrapped in cotton wool, and laid in a locked
+ drawer at present. I can stand nothing. I am really ashamed of the figure
+ I cut."
+ </p>
+ <p>
+ Froude's statements regarding Carlyle's condition are as follows:
+ </p>
+ <p>
+ "... The simple natural life, the 'wholesome air, the daily rides or
+ drives, the poor food,... had restored completely the functions of a
+ stomach never so far wrong as he had imagined.... Afterwards he was always
+ impatient, moody, irritable, violent. These humours were in his nature,
+ and he could no more be separated from them than his body could leap off
+ its shadow.... He looked back to it as the happiest and wholesomest home
+ that he had ever known. He could do fully twice as much work there, he
+ said, as he could ever do afterwards in London."
+ </p>
+ <p>
+ "... If his liver occasionally troubled him, livers trouble most of us as
+ we advance in life, and his actual constitution was a great deal stronger
+ than that of ordinary men.... Why could not Carlyle, with fame and honor
+ and troops of friends, and the gates of a great career flung open before
+ him, and a great intellect and a conscience untroubled by a single act
+ which he need regret, bear and forget too? Why indeed! The only answer is
+ that Carlyle was Carlyle."
+ </p>
+ <p>
+ These observations carry weight as representing the impartial and judicial
+ estimate of a careful observer desiring only accurately to picture Carlyle
+ as he was. The only logical conclusion, it seems to me, was that Carlyle,
+ in addition to ocular defect with its legitimate consequences, was weighed
+ down by worry over the failure to realize his own exaggerated ideal of
+ health, that he devoted an undue degree of attention to this subject and
+ was unduly anxious about it&mdash;in other words, that he had decided
+ hypochondriacal tendencies.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0010" id="link2H_4_0010"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ VIII. NEURASTHENIA
+ </h2>
+ <p>
+ It was a common saying of Myson that men ought not to investigate things
+ from words, but words from things; for that things are not made for the
+ sake of words, but words for things.
+ </p>
+ <p>
+ <i>Diogenes Laertius</i>.
+ </p>
+ <p>
+ This term (properly, though not commonly, accented upon the penult), was
+ introduced by Beard to designate the large class of over-worked and
+ worried who crowded his consulting room. The word is derived from the
+ Greek <i>neuron</i> nerve, and <i>astheneia</i> weakness.
+ </p>
+ <p>
+ Among the symptoms of this disorder have been included disorders of
+ digestion and circulation, muscular weakness, pains, flushes and chills,
+ and anomalous sensations of every variety. It has been especially applied
+ to cases showing such mental peculiarities as morbid self-study, fear of
+ insanity and the various other phobias, scruples, and doubts with which we
+ have become familiar.
+ </p>
+ <p>
+ The "American Disease" has been adopted abroad, and volumes have been
+ devoted to it. Neurasthenia has been divided into cerebral, spinal, and
+ otherwise, according as the fears and sensations of the patient are
+ referred to one or another part of his body. While the term neurasthenia
+ is becoming daily more familiar to the general public, it is being, on the
+ whole, used, except as a convenient handle, rather less among
+ neurologists. [Footnote: In substantiation of this statement I need only
+ cite the recent contribution of my friend, Dr. Dana, on the "Partial
+ Passing of Neurasthenia."] The question has arisen whether the symptoms of
+ neurasthenia are always due to simple exhaustion. Advice regarding method,
+ as well as amount, of work, is coming into vogue. Peterson, in a letter
+ published in <i>Collier's Weekly</i> (November 9, 1907) thus arraigns a
+ patient who has told him he is a practical business man, and that his mind
+ has been so occupied with serious matters that he has been unable to
+ attend to his health.
+ </p>
+ <p>
+ "You, practical! you, a business man! Why, you never had a serious thought
+ in your life until now&mdash;at least not since you were a lad in the
+ country.... Since boyhood you have never given a serious thought to
+ health, home, wife, children, education, art, science, racial progress, or
+ to the high destiny of man. You are simply a collector of money for its
+ own sake, with no appreciation of what it might represent if you were
+ really serious and really a business man or man of affairs. There are many
+ like you in our asylum wards, where they are known as chronic maniacs.
+ Here is one who collects bits of glass, old corks, and pieces of string.
+ There sits another with a lap full of pebbles, twigs and straws."
+ </p>
+ <p>
+ Courtney (in Pyle's "Personal Hygiene") says, "The brain is an organ
+ which, under proper training, is capable of performing an immense amount
+ of work, provided only that the work is of a varied character and does not
+ produce a corresponding amount of mental disquietude. The importance of
+ the emotions, especially the depressing emotions such as grief, anxiety,
+ and worry, as factors in the brain exhaustion, cannot easily be
+ overestimated."
+ </p>
+ <p>
+ The obvious corollary to this proposition is that the constitutional
+ worrier is likely to break down under an amount of work which produces no
+ such effect upon the average normal individual.
+ </p>
+ <p>
+ The only quarrel I have with the name neurasthenia is that it diverts
+ attention from the real condition oftenest to be treated, namely, the
+ faulty mental tendency, and directs attention to an assumed debility which
+ may or may not exist. Misdirected energy, rather than weakness, is the
+ difficulty with one who is ready and anxious to walk miles to satisfy a
+ doubt, or to avoid crossing an open square, and who will climb a dozen
+ flights of stairs rather than be shut up in an elevator. Even the
+ exhaustion that follows long attention to business is quite as often due
+ to worry and allied faulty mental habits as to the work itself. In most
+ cases the phobias, the doubts, and the scruples, instead of being the
+ result of breakdown, must be counted among its principal causes.
+ </p>
+ <p>
+ This is why simple rest and abstinence from work so often fail to
+ accomplish the cure that should follow if the exhaustion were due simply
+ to overwork. In the "neurasthenic" rest from work only redoubles the
+ worries, the doubts and the scruples, and the obsession to improve his
+ time only adds to his nervous exhaustion. If a European trip is
+ undertaken, the temperament responsible for the original breakdown causes
+ him to rush from gallery to gallery, from cathedral to cathedral, so that
+ no moment may be lost. Not infrequently it so happens that the patient
+ returns more jaded than ever.
+ </p>
+ <p>
+ The neurasthenic is not infrequently a confirmed obsessive, with all the
+ faulty mental habits of this temperament. If he cannot make up his mind it
+ is not because he is tired, but because this is his natural mental trend.
+ If he drums, twitches, and walks the floor, these movements are not always
+ due to exhaustion, but are habits peculiar to the temperament, habits well
+ worth an effort to eliminate while in health, since they doubtless,
+ through precluding bodily repose, contribute their mite toward the very
+ exhaustion of which they are supposed to be the result. If he cannot sleep
+ it is not simply because he is tired, but because he is so constituted
+ that he cannot bring himself to let go his hold on consciousness until he
+ has straightened out his tangles. If, in addition, one has the
+ hypochondriacal tendency, he may worry himself into complete wakefulness
+ by the thought that he has already irreparably injured himself by missing
+ something of the mystic number, eight or nine, or whatever he may deem the
+ number of hours' sleep essential to health.
+ </p>
+ <p>
+ It is important that the overwrought business or professional man realize
+ the importance of undertaking no more than he can accomplish without fret
+ and worry; the importance of taking proper vacations before he is tired
+ out; the importance of learning to divert his mind, while he can still do
+ so, into channels other than those connected with his business; above all,
+ the importance of cultivating the faculty of relaxing, and of dismissing
+ doubts, indecisions and fears. He must cultivate what my colleague Dr.
+ Paul succinctly terms "the art of living with yourself as you are." If he
+ would "last out" he must learn to proceed with single mind upon whatever
+ work he undertakes, and with equal singleness of mind apply himself, out
+ of hours, to other occupation or diversion, preferably in the open air.
+ For the most effective work, as well as for peace of mind, it is essential
+ that every thought of one's office be shut out by other interests when
+ there is no actual business requiring attention. Mental relaxation is
+ materially hampered by such persistent thoughts of one's place of business
+ as those cited by Dr. Knapp:
+ </p>
+ <p>
+ "A striking instance of the sort was related to me by a friend remarkably
+ free from any psychopathic taint. It often happens that he does scientific
+ work in the evening at the Agassiz Museum. When he leaves for the night he
+ puts out the gas and then stands and counts slowly up to a given number
+ until his eyes are used to the darkness, in order that he may detect any
+ spark of fire that may have started while he was at work. This is his
+ invariable custom, but it sometimes happens that when he goes back home so
+ strong a feeling of doubt comes over him lest he may that once have
+ omitted to do this, that he is uncomfortable until he returns to the
+ museum to make sure."
+ </p>
+ <p>
+ Among the predisposing causes for nervous breakdown none is more potent
+ than the inability of the obsessive to adapt himself to change of plan,
+ and to reconcile himself to criticism, opposition, and the various
+ annoyances incident to his occupation.
+ </p>
+ <p>
+ In dealing with others the following suggestion of Marcus Aurelius may
+ come in play:
+ </p>
+ <p>
+ "When a man has done thee any wrong, immediately consider with what
+ opinion about good or evil he has done wrong. For when thou hast seen
+ this, thou wilt pity him, and neither wonder nor be angry." Again, in this
+ connection the lines of Cowper are pertinent:
+ </p>
+<pre xml:space="preserve">
+ "The modest, sensible and well-bred man
+ Will not affront me, and no other can."
+</pre>
+ <p>
+ Pope, also, who is said not always to have followed his own good counsel,
+ contributes a verse which may serve a turn:
+ </p>
+<pre xml:space="preserve">
+ "At ev'ry trifle scorn to take offense,
+ That always shows great pride, or little sense."
+</pre>
+ <p>
+ The practice of such commonplace philosophy (which, to be effective,
+ should be ready for immediate use, not stored away for later reflection),
+ together with training against faulty mental states studied in these
+ pages, will go far toward relieving the mental perturbation that unfits
+ for effective work, and contributes to "neurasthenia."
+ </p>
+ <p>
+ During an hour's delay, caused by the failure of another to keep an
+ appointment, I formulated the following maxim:
+ </p>
+ <p>
+ "These are the annoyances incident to my business; to fret when they occur
+ means that I cannot manage my business without friction."
+ </p>
+ <p>
+ This may not appeal to the reader, but for me it has proved as good an
+ hour's work as I ever did. Since that time, on the occurrence of similar
+ sources of provocation, I have found it necessary to go no farther than
+ "These are the annoyances," to restore the needful balance. When we allow
+ our gorge to rise at ordinary sources of discomfort, it implies that we
+ are prepared only for our affairs to run with perfect smoothness. This
+ represents the insistent idea carried to an absurdity.
+ </p>
+ <p>
+ At the risk of losing caste with the critical I cannot forbear sharing
+ with the reader an inelegant maxim which has more than once prevented an
+ access of rage upon the blunder of a subordinate: "If he had our brains
+ he'd have our job."
+ </p>
+ <p>
+ Spinoza says: "The powerlessness of man to govern and restrain his
+ emotions I call servitude. For a man who is controlled by his emotions is
+ not his own master but is mastered by fortune, under whose power he is
+ often compelled, though he sees the better, to follow the worse." The same
+ philosopher in counselling self-restraint adds:
+ </p>
+ <p>
+ "The mind's power over the emotions consists, first, in the actual
+ knowledge of the emotions." Again: "An emotion which is a passion ceases
+ to be a passion as soon as we form a clear and distinct idea of it." The
+ meaning of this dictum I first realized on experiencing the magical effect
+ of the line of thought suggested by the delayed appointment.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+ <p>
+ Communion with Nature has a peculiarly soothing effect on tired and
+ jangled nerves. My friend, Dr. Harold Williams, tells me that among his
+ main reliances for tired and overwrought women are the <i>reading of
+ children's books</i>, and <i>working in the garden</i>. Peterson thus
+ advises his busy patient:
+ </p>
+ <p>
+ "A small farm in a simple community would be for you an asset of
+ immeasurable value from the standpoint of health and spiritual
+ rejuvenation. But true simplicity should be the rigorous order of that
+ country life. A chateau by the sea, with a corps of gardeners, a retinue
+ of servants, and yachts and automobiles, would prove a disastrous
+ expedient.
+ </p>
+ <p>
+ "In that quiet retreat you should personally and tenderly learn to know
+ each rosebud, shrub, vine, creeper, tree, rock, glade, dell, of your own
+ estate. You should yourself design the planting, paths, roads, the
+ flower-garden, the water-garden, the wood-garden, the fernery, the
+ lily-pond, the wild-garden, and the kitchen garden."
+ </p>
+ <p>
+ Not everyone is so happily situated as to be able to follow this advice in
+ its entirety, but many can make a modest effort in this direction: the
+ kitchen-garden may appeal to some who have no appreciation for the wild
+ flowers, and who scorn to cultivate such tastes.
+ </p>
+ <p>
+ One warning is, however, here in order: The cultivation of the garden or
+ the field for utilitarian purposes is inevitably associated with the
+ maxim, "Hoe out your row"&mdash;an excellent maxim for the idle and
+ disorderly, but not to be taken too literally by the over-exacting and
+ methodical business man who is trying to make the radical change in his
+ view of life necessary to free his mind from the incubus of worry. Nor
+ must the amateur husbandman scan with too anxious eye the weather map and
+ the clouds. If he mind these warnings he may learn to say,&mdash;
+ </p>
+<pre xml:space="preserve">
+ "For me kind Nature wakes her genial pow'r,
+ Suckles each herb, and spreads out ev'ry flower,
+ Annual for me, the grape, the rose renew,
+ The juice nectareous, and the balmy dew."
+</pre>
+ <p>
+ The over-conscientious individual may object that it is selfish to
+ consider his own comfort when he has work to do for others. But expending
+ too freely of our nervous energies, even in a good cause, is like giving
+ to charity so much of our substance that we in turn are obliged to lean on
+ others for support.
+ </p>
+ <p>
+ In properly conserving our own energy we may be lightening the ultimate
+ burden of others. There is no place for selfishness in Haeckel's
+ philosophy regarding the proper balance between duty to one's self and
+ duty to others. Nor was selfishness a failing of the Quaker poet who
+ idealized
+ </p>
+<pre xml:space="preserve">
+ "The flawless symmetry of man,
+ The poise of heart and mind."
+</pre>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0011" id="link2H_4_0011"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ IX. SLEEPLESSNESS
+ </h2>
+ <h3>
+ He shall enjoy the same tranquility in his sleep as when awake.
+ </h3>
+ <p>
+ <i>Digby's Epicurus</i>, Maxim xl.
+ </p>
+ <p>
+ Sleeplessness is due, in the majority of cases, to a faulty habit of mind.
+ The preparation for a sleepless night begins with the waking hours, is
+ continued through the day, and reaches its maximum when we cease from the
+ occupations which have in some degree diverted our attention from
+ harassing thoughts, and retire, to struggle, in darkness and solitude,
+ with the worries, doubts, regrets, and forebodings, which now assume
+ gigantic and fantastic shapes.
+ </p>
+ <p>
+ He who would sleep at night must regulate his day, first, by not
+ undertaking more than he can accomplish without undue stress, and, second,
+ by carrying through what he does undertake, as far as he may, without the
+ running accompaniment of undue solicitude, anxious doubts, and morbid
+ fears discussed in the preceding sections. It is futile to expect that a
+ fretful, impatient, and over-anxious frame of mind, continuing through the
+ day and every day, will be suddenly replaced at night by the placid and
+ comfortable mental state which shall insure a restful sleep.
+ </p>
+ <p>
+ Before proceeding, then, to the immediate measures for inducing sleep, let
+ us consider the suitable preparatory measures.
+ </p>
+ <p>
+ The nervous breakdown which precludes sleep is oftener due to worry than
+ to work. Nor should the sufferer jump too quickly to the conclusion that
+ it is the loss of sleep rather than the worry that makes him wretched. It
+ is astonishing how much sleep can be lost without harm, provided its loss
+ is forgotten, and how much work can be carried on without extreme fatigue,
+ provided it be undertaken with confidence and pursued without impatience.
+ It is, however, essential that the work be varied and, at due intervals,
+ broken. Trainers for athletic contests know that increasing practice
+ without diversion defeats its end, and particularly insist upon cessation
+ of violent effort directly before the final test. Why should we not treat
+ our minds as well as our bodies?
+ </p>
+ <p>
+ The active and over-scrupulous business or professional man who allows no
+ time for rest or recreation, who can confer no responsibility upon his
+ subordinates, who cultivates no fad, and is impatient of every moment
+ spent away from his occupation, is in danger of eventually "going stale,"
+ and having to spend a longer and less profitable vacation in a sanitarium
+ than would have sufficed to avert the disaster. Nor will he find it easy
+ to change his sleep-habit with the change of residence. It behooves him to
+ change that habit while still at work, as a step toward averting
+ breakdown.
+ </p>
+ <p>
+ It will harm few of us to take a bird's eye view of our affairs at stated
+ intervals, and ask ourselves if the time has not arrived when it will be a
+ saving of time and money as well as worry for us to delegate more of the
+ details, and more even of the responsibilities, to others, concentrating
+ our own energies upon such tasks as we are now peculiarly qualified to
+ undertake. To the man determined to accomplish a lifetime of work before
+ he rests, there is food for thought in the following anecdote:
+ </p>
+ <p>
+ When Pyrrhus was about to sail for Italy, Cineas, a wise and good man,
+ asked him what were his intentions and expectations.
+ </p>
+ <p>
+ "To conquer Rome," said Pyrrhus.
+ </p>
+ <p>
+ "And what will you do next, my lord?"
+ </p>
+ <p>
+ "Next I will conquer Italy."
+ </p>
+ <p>
+ "And after that?"
+ </p>
+ <p>
+ "We will subdue Carthage, Macedonia, all Africa, and all Greece."
+ </p>
+ <p>
+ "And when we have conquered all we can, what shall we do?"
+ </p>
+ <p>
+ "Do? Why, then we will sit down and spend our time in peace and comfort."
+ </p>
+ <p>
+ "Ah, my lord," said the wise Cineas, "what prevents our being in peace and
+ comfort now?"
+ </p>
+ <p>
+ The time to take a vacation is before one is exhausted. If one is
+ discontented during his vacation, he should take it, none the less, as a
+ matter of duty, not expecting to enjoy every moment of it, but contenting
+ himself with the anticipation of greater pleasure in the resumption of his
+ duties. He should cultivate an interest in out-door occupation or some
+ study that carries him into the fields or woods. Aside from the time on
+ shipboard, the worst possible vacation for the over-worked business or
+ professional man is the trip to Europe, if spent in crowding into the
+ shortest possible time the greatest possible amount of information on
+ matters artistic, architectural, and historic.
+ </p>
+ <p>
+ No one can acquire the habit of sleep who has not learned the habit of
+ concentration, of devoting himself single-minded to the matter in hand. If
+ we practice devoting our minds, as we do our bodies, to one object at a
+ time, we shall not only accomplish more, but with less exhaustion.
+ Training in this direction will help us, on retiring, to view sleep as our
+ present duty, and a sufficient duty, without taking the opportunity at
+ that time to adjust (or to try to adjust) all our tangles, to review our
+ past sources of discomfort, and to speculate upon the ills of the future.
+ </p>
+ <p>
+ A walk, a bath, a few gymnastic exercises, will often serve a useful
+ purpose before retiring, but if they are undertaken in a fretful and
+ impatient spirit, and are accompanied by doubts of their effectiveness,
+ and the insistent thought that sleep will not follow these or any other
+ procedure, they are likely to accomplish little.
+ </p>
+ <p>
+ The best immediate preparation for sleep is the confidence that one will
+ sleep, and <i>indifference if one does not</i>. It is an aid in the
+ adoption of this frame of mind to learn that many have for years slept
+ only a few hours per night, without noticeable impairment of their health
+ or comfort. Neither unbroken nor long-continued sleep, however desirable,
+ is essential to longevity or efficiency. This is illustrated by the
+ following examples:
+ </p>
+ <p>
+ Joseph A. Willard, for nearly half a century Clerk of the Court in Suffolk
+ County, and a well-known figure on the streets of Boston, died in his
+ eighty-eighth year. He was active and alert in the performance of his
+ daily duties up to their discontinuance shortly before his death. He kept,
+ meantime, records of the temperature, weather, and condition of the
+ streets, at all hours of the night, and every night, for many years before
+ the establishment of the weather bureau. So reliable were these records
+ regarded by the courts that they were often appealed to in the trial of
+ cases, and their accuracy never questioned by either party in the suit. I
+ publish these facts by the permission of his son.
+ </p>
+ <p>
+ George T. Angell, the well-known humanitarian, than whom few, if any, have
+ led a more busy life, when in his sixty-ninth year wrote as follows:
+ </p>
+ <p>
+ "For the benefit of those who do not [take narcotics, opiates,
+ anęsthetics] I will say that I suppose there are very few in this country
+ <i>who have slept less</i> than I have; but I have never taken anything to
+ stupefy, while thousands of good sleepers I have known have long since
+ gone to the last sleep that knows no waking here. It was undoubtedly wise
+ to change my professional life from court to office practice: but in other
+ matters I was compelled to choose between living the life of a vegetable,
+ or losing sleep; and I chose the latter."
+ </p>
+ <p>
+ Mr. Angell is now eighty-four, still actively engaged in affairs, and
+ allows me to add that during the past six years he has gone for a week at
+ a time with no sleep; for three months at a time he has not averaged more
+ than two hours in twenty-four; he does not remember having ever had a good
+ night's sleep. Mrs. Angell states that, with one exception, she has never
+ known him to sleep through the night.
+ </p>
+ <p>
+ It is worth while to remember these experiences before resorting to drugs
+ for sleeplessness.
+ </p>
+ <p>
+ I have somewhere seen it stated that a prominent divine attributed his
+ happy and green old age to the fact that he slept a certain number of
+ hours every night. Against this statement must be set the reflection that
+ many another old gentleman can fairly attribute his comfort, in part at
+ least, to an attitude of indifference toward the unessentials, among which
+ I suspect must be included the question whether we average eight hours of
+ sleep or materially less.
+ </p>
+ <p>
+ Let us now consider some of the faulty mental habits directly affecting
+ sleep itself. First comes the compulsive thought that one must sleep <i>now</i>,
+ and the impatient count of the wakeful hours supposed to be irrecoverably
+ lost from the coveted number. This insistence in itself precludes sleep.
+ The thought, "No matter if I don't sleep to-night; I will some other
+ night," will work wonders in the direction of producing sleep to-night.
+ </p>
+ <p>
+ The continuance of any given position, completely relaxed, in bed, even
+ without unconsciousness, is more restful than tossing about. The mere
+ experiment of remaining immobile in a certain position as long as
+ possible, and concentrating the mind on the thought, "I am getting sleepy,
+ I am going to sleep," will oftener produce the desired result than
+ watching the proverbial sheep follow one another over the wall. Training
+ during the day in restraining nervous movements is an aid in acquiring the
+ ability to do this.
+ </p>
+ <p>
+ This is a field in which self-suggestion is of definite value. Everyone
+ appreciates the effect on sleep of the "state of mind" when he has passed
+ a succession of sleepless hours followed by a sudden tendency to
+ somnolence at the time for rising. The problem is to acquire the frame of
+ mind without waiting for circumstances. To demonstrate the effect of
+ faulty suggestion combined with restlessness on awaking in the night, try
+ the following:
+ </p>
+ <p>
+ EXPERIMENT I.&mdash;Place yourself on the face and from this point turn
+ rapidly in a complete circle backwards from right to left until you are
+ again on the face. Pause several times and say to yourself rapidly "I
+ cannot sleep in this position." The result of the experiment is
+ practically uniform. The rapid movement and the suggestion prevent sleep.
+ </p>
+ <p>
+ To demonstrate the effect of bodily relaxation combined with correct
+ suggestion, in promoting sleep try&mdash;
+ </p>
+ <p>
+ EXPERIMENT II.&mdash;Start in the same position as Experiment I. Traverse
+ the same circle, prolonging each pause with body relaxed, and substituting
+ at each pause the suggestion, "I can sleep in any position," repeated a
+ number of times deliberately and as if you meant it. The restful pose and
+ the suggestion generally induce sleep long before the circle is completed.
+ </p>
+ <p>
+ Next comes the compulsive thought that we cannot sleep until everything is
+ "squared up" and all mental pictures completed. The story is told that a
+ gentleman took a room in the hotel next another who was notoriously fussy.
+ He remembered this fact after dropping one boot carelessly to the floor,
+ and laid the other gently down. After a pause he heard a rap on the door
+ and a querulous, "For heaven's sake, drop the other boot, or I can't get
+ to sleep."
+ </p>
+ <p>
+ Many find themselves unable to sleep until the whole household is
+ accounted for and the house locked up for the night, until certain news is
+ received, and the like. The same tendency postpones sleep until all
+ affairs are straightened out in the mind, as well as in reality. A little
+ reflection shows how indefinite must be the postponement of sleep under
+ such conditions.
+ </p>
+ <p>
+ No training is more important for the victim of compulsive tendencies than
+ the practice of trusting something to chance and the morrow, and
+ reconciling himself to the fact that at no time, in this world, will all
+ things be finally adjusted to his satisfaction.
+ </p>
+ <p>
+ The habit of dismissing, at will, disagreeable thoughts is a difficult but
+ not impossible acquisition. Arthur Benson in "The Thread of Gold" relates
+ the following anecdotes:
+ </p>
+ <p>
+ "When Gladstone was asked, 'But don't you find you lie awake at night,
+ thinking how you ought to act, and how you ought to have acted?' he
+ answered, 'No, I don't; where would be the use of that?'"
+ </p>
+ <p>
+ "Canon Beadon [who lived to be over one hundred] said to a friend that the
+ secret of long life in his own case was that he had never thought of
+ anything unpleasant after ten o'clock at night."
+ </p>
+ <p>
+ The insistent desire to sleep in a certain bed, with a certain degree of
+ light or darkness, heat or cold, air or absence of air, is detrimental.
+ This is in line with the desire to eat certain foods only, at a certain
+ table, and at a certain time. The man who loses his appetite if dinner is
+ half an hour late is unable again to sleep if once waked up. This
+ individual must say to himself, "Anyone can stand what he likes; it takes
+ a philosopher to stand what he does not like," and try at being a
+ philosopher instead of a sensitive plant.
+ </p>
+ <p>
+ Inability to sleep while certain noises are continued must be similarly
+ combated. If one goes from place to place in search of the quiet spot for
+ sleep, he may finally find <i>quiet itself</i> oppressive, or worse yet,
+ may be kept awake by hearing his own circulation, from which escape is out
+ of the question. He who finds himself persistently out of joint with his
+ surroundings will do well to ponder the language of the Chinese
+ philosopher:
+ </p>
+ <p>
+ "The legs of the stork are long, the legs of the duck are short: you
+ cannot make the legs of the stork short, neither can you make the legs of
+ the duck long. Why worry?"
+ </p>
+ <p>
+ With regard to the character of sleep itself, the attitude of our mind in
+ sleep is dominated, to a degree, at least, by its attitude in the waking
+ hours. It is probable that during profound sleep the mind is inactive, and
+ that dreams occur only during the transition-state from profound sleep to
+ wakefulness. It is conceivable that in the ideal sleep there is only one
+ such period, but ordinarily there occur many such periods during the
+ night; for the uneasy sleeper the night may furnish a succession of such
+ periods, with comparatively little undisturbed rest, hence his dreams seem
+ to him continuous. The character of the pictures and suggestions of
+ dreams, though in new combinations, are largely dependent on our daily
+ experiences. Is it not, then, worth while to encourage, during our waking
+ hours, as far as is consistent with our duties, such thoughts as are
+ restful and useful, rather than those which serve no purpose but
+ annoyance.
+ </p>
+ <p>
+ If we will, we can select our thoughts as we do our companions.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0012" id="link2H_4_0012"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ X. OCCUPATION NEUROSIS
+ </h2>
+ <p>
+ Be not ashamed, to be helped; for it is thy business to do thy duty like a
+ soldier in the assault on a town. How, then, if being lame thou canst not
+ mount up on the battlement alone, but with the help of another it is
+ possible?
+ </p>
+ <p>
+ <i>Marcus Aurelius</i>.
+ </p>
+ <p>
+ The insistent and over-conscientious habit of mind plays so large a part
+ in the so-called occupation neuroses that a brief discussion of their
+ nature may here be in place.
+ </p>
+ <p>
+ The best-known form of this distressing malady is "writer's cramp." Upon
+ this subject the proverbially dangerous little knowledge has been already
+ acquired; a fuller knowledge may give comfort rather than alarm, and may
+ even lead to the avoidance of this and allied nervous disorders.
+ </p>
+ <p>
+ The term "writer's cramp" has unduly emphasized a feature, namely, the
+ cramp, which is neither the most common nor the most troublesome among the
+ symptoms resulting from over-use of a part. In occupation neuroses, other
+ than those produced by the use of the pen, pain, weakness, and numbness
+ are at least equally prominent, and even in writer's cramp the "neuralgic"
+ form is common.
+ </p>
+ <p>
+ The fact is generally realized that this type of disorder is particularly
+ frequent among persons of nervous temperament. The reason is twofold,
+ first, the resistance of such individuals is less than the average,
+ second, the insistent habit of mind leads them to overdo. It is against
+ the latter factor that our efforts may to advantage be directed.
+ </p>
+ <p>
+ I have in mind the case of a lady who complained of severe pain in the
+ right arm with no apparent physical cause. The pain, at first appearing
+ only when the arm was placed in a certain position, finally became almost
+ constant. She denied excessive use of the arm, but her husband stated that
+ she plied the needle to such an extent that it caused the family distress.
+ This she indignantly denied, and fortified her position by the statement
+ that she only took short stitches! Further inquiry elicited the
+ acknowledgment that she did so because she could no longer take long ones.
+ This is a fair example of an occupation neurosis.
+ </p>
+ <p>
+ Some time ago, after long continued and over-conscientious effort to
+ satisfy the requirements of an athletic instructor, I acquired what is
+ known as a "golf arm." Efforts at its relief were unavailing. A vigorous
+ course of massage only increased the pain. I finally asked a friend what
+ they did in England when a golf player suffered this annoyance. He replied
+ that no golf player ever did so; when it occurred among others the arm was
+ placed in wool for three months, at the end of which time a single
+ movement of swinging the club was made; if this movement caused pain the
+ treatment was renewed for another three months. I did not suppose he
+ intended the advice to be taken literally, but followed it, except as
+ regarded the wool, and I verily believe that I should otherwise have been
+ experimenting with the treatment of golf arm to-day.
+ </p>
+ <p>
+ My friend's advice indicates the general experience with occupation
+ neuroses including writer's cramp, for which every imaginable measure has
+ been tried, only to be replaced by protracted abstinence from the use of
+ the pen. The attempt to use the left hand proves, as a rule, only
+ temporarily efficacious. The speedy appearance of symptoms in the left
+ hand emphasizes the fact that it is tired brain, as well as the tired
+ muscle, that rebels.
+ </p>
+ <p>
+ The ranks of every profession, and of every trade, are daily depleted of
+ the most promising among their members, whose zeal has outrun their
+ discretion; their over-worked brains and hands have succumbed under the
+ incessant strain of tasks, often self-imposed.
+ </p>
+ <p>
+ It is hard, but essential, for the sufferer from an occupation neurosis to
+ abandon frantic efforts at combining treatment with continuance of labor.
+ He must bring all his philosophy to bear on the temporary, but complete,
+ abandonment of his chosen occupation, at whatever loss to himself or
+ others.
+ </p>
+ <p>
+ To avoid this contingency the over-conscientious worker will do well to
+ modify his ambition, and lower his pride if needful, consoling himself
+ with the reflection that an occasional interruption of his labor, even at
+ material loss, may be replaced by years of future usefulness. Cowper says:
+ </p>
+<pre xml:space="preserve">
+ "'Tis thus the understanding takes repose
+ In indolent vacuity of thought,
+ And rests, and is refreshed."
+</pre>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0013" id="link2H_4_0013"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ XI. THE WORRIER AT HOME
+ </h2>
+<pre xml:space="preserve">
+ Small habits, well pursued betimes,
+ May reach the dignity of crimes.
+
+ <i>Hannah More</i>.
+</pre>
+ <p>
+ More than one "sunbeam" and "life of the party" in society is the "cross
+ patch" and "fuss budget" of the home. His gracious smiles and quips abroad
+ are matched at home by darkened brows and moody silence, only broken by
+ conversation of the italicized variety: "<i>Will</i> it ever stop
+ raining?" "<i>Can't</i> you see that I am busy?" "What <i>are</i> you
+ doing?" and the like. Whatever banner is exhibited to the outside world,
+ the motto at home seems to be "Whatever is, is wrong." Defects in the
+ ménage, carefully overlooked when dining out, are called with peculiar
+ unction to the attention of the housekeeper of the home, whose worry to
+ please is only matched by the "sunbeam's" fear that she shall think him
+ satisfied with what is placed before him.
+ </p>
+<pre xml:space="preserve">
+ "There's something kind of pitiful about a man that growls
+ Because the sun beats down too hot, because the wild wind howls,
+ Who never eats a meal but that the cream ain't thick enough,
+ The coffee ain't been settled right, or else the meat's too tough&mdash;
+
+ Poor chap! He's just the victim of Fate's oldest, meanest trick,
+ You'll see by watching mules and men, they don't need brains to kick."
+
+ <i>Chicago Interocean</i>.
+</pre>
+ <p>
+ Add to the "kicking habit" the insistence that each member of the family
+ must be reminded at frequent intervals of his peculiar weaknesses, and
+ that the discussion of uncomfortable topics, long since worn threadbare,
+ must be reopened at every available opportunity, and the adage is
+ justified, "be it ever so humble, there's no place like home."
+ </p>
+ <p>
+ Try the following suggestion on approaching the house after a hard day's
+ work. Say to yourself, "Why tired and cross? Why not tired and
+ good-natured?" The result may startle the family and cause inquiries for
+ your health, but "Don't Worry," if it does; console yourself with the
+ thought they will like you none the less for giving them a glimpse of that
+ sunny nature of which they have often heard.
+ </p>
+ <p>
+ As a further preparation for the evening meal, and the evening, by way of
+ alleviating the mental and physical discomfort following a trying day, one
+ is surprised by the effectiveness of taking a bath and changing all the
+ clothing. This treatment, in fact, almost offers a sure cure, but the
+ person who would be most benefited thereby, is the person so obsessed to
+ pursue the miserable tenor of his way that he scouts the suggestion that
+ he thus bestir himself, instead of sinking into the easy chair. He may,
+ however, accept the suggestion that simply changing the shoes and
+ stockings is extremely restful, when reminded that if he had worn kid
+ gloves all day he would be relieved to free his hands from the incubus,
+ and, if gloves must still be worn, to put on a cool pair.
+ </p>
+ <p>
+ It is a further aid to physical, and indirectly to mental, comfort, if one
+ can learn to wear low shoes and the thinnest of underwear the year round;
+ the former offer a panacea for fidgets; the latter lessens the
+ perspiration, which increases the susceptibility to drafts, and to even
+ moderate lowering of temperature. The prevailing belief that this
+ procedure is dangerous is disproved by the experience of the many who have
+ given it a thorough trial. The insistent belief of the neurotic that he
+ cannot acquire this habit is touched upon in the chapter on Worry and
+ Obsession. If he thinks he is "taking cold," let him throw back his
+ shoulders and take a few deep breaths, or if convenient, a few exercises,
+ instead of doubling the weight of his underwear, and in the long run he
+ will find that he has not only increased his comfort, but has lessened,
+ rather than increased, the number of his colds.
+ </p>
+ <p>
+ Much of the worry of the home is retrospective. "If I had only made Mary
+ wear her rubbers,"&mdash;"If we had only invested in Calumet &amp; Hecla
+ at 25,"&mdash;"If we had only sent John to college," represent a fruitful
+ source of family discomfort. The morbid rhyme is familiar to all:
+ </p>
+<pre xml:space="preserve">
+ "Of all sad words of tongue or pen,
+ The saddest these, 'It might have been.'"
+</pre>
+ <p>
+ I should be glad to learn of any advantage accruing from the indulgence of
+ this attitude toward the bygone. A happier and more sensible habit of mind
+ may be attained by equal familiarity with the following:
+ </p>
+<pre xml:space="preserve">
+ "Add this suggestion to the verse,
+ 'It might have been a great deal worse.'"
+</pre>
+ <p>
+ A fruitful source of discomfort for the worrier at home is the absence of
+ occupation. He looks forward to mental rest after using his brain all day,
+ but there is no rest for him unless in sleep. The most valuable rest he
+ could give his mind would be to occupy it with something worth while, yet
+ not so strenuous as to cause solicitude. As Saleeby points out, the mock
+ worry of a game is a good antidote for the real worry of life, and a game
+ is far better than nothing, unless the player make, in turn, a work of his
+ play, in which case worry continues.
+ </p>
+ <p>
+ The hardest task for the worrier at home is to get away from home. With
+ advancing years the temptation grows upon us to spend our evenings by the
+ fireside, to make no new friends and seek no new enjoyments. But this
+ unbroken habit is neither the best preparation for a happy old age, nor
+ the best method of counteracting present worry. Nor should one stop to
+ decide whether the special entertainment in question will be worthwhile&mdash;he
+ must depend rather on the realization that if he accepts most
+ opportunities he will be, on the whole, the gainer.
+ </p>
+ <p>
+ The man whose occupation keeps him in-doors all day should make special
+ effort to pass some time in the open air, if possible walking or driving
+ to and from his place of business, and taking at least a stroll in the
+ evening.
+ </p>
+ <p>
+ As more than one writer has suggested, the best resource is the <i>fad</i>.
+ The fad will prove an inestimable boon after withdrawing from active work,
+ but it should be commenced long before one discontinues business, else the
+ chances are that he will never take it up, but will fret away his time
+ like the average man who retires from an occupation which has engrossed
+ his attention.
+ </p>
+ <p>
+ The fad should not be pursued too strenuously, or its charm is lost. A
+ lady once told me that she had given up studying flowers because she found
+ she could not master botany in the time at her disposal. Another sees no
+ use in taking up history unless he can become an authority on some epoch.
+ Another declines to study because he can never overtake the college
+ graduate. But one of the best informed men of my acquaintance had no
+ college education. One of his fads was history, with which he was far more
+ familiar than any but the exceptional college man, outside the teachers of
+ that branch of learning.
+ </p>
+ <p>
+ The usefulness of the fad does not depend upon the perfection attained in
+ its pursuit, but upon the pleasure in its pursuit, and upon the diversion
+ of the mind from its accustomed channels. The more completely one learns
+ to concentrate his thoughts on an <i>avocation</i>, the more enthusiasm
+ and effectiveness he can bring to bear on his <i>vocation</i> in its turn.
+ A fad that occupies the hands, such as carpentering, turning, or
+ photography, is peculiarly useful if one's taste runs in that direction.
+ </p>
+ <p>
+ One handicap in cultivating the fad is the lack of interest on the part of
+ our associates, but if we become genuinely interested in any fad that is
+ at all worth while, we shall inevitably add new acquaintances likely to
+ prove at least as interesting as those of our present friends, who have no
+ thoughts outside their daily round of toil. The more fads one cultivates,
+ so long as he avoids the obsession to obtrude them at all times and
+ places, the more interesting he will, in his turn, become to others.
+ </p>
+ <p>
+ The over-solicitude that defeats its own end, in the case of a parent, has
+ been admirably portrayed by Arthur Benson in "Beside Still Waters,"&mdash;"there
+ was nothing in the world that he more desired than the company and the
+ sympathy of his children; but he had, beside this, an intense and
+ tremulous sense of his responsibility toward them. He attached an undue
+ importance to small indications of character, and thus the children were
+ seldom at ease with their father, because he rebuked them constantly, and
+ found frequent fault, doing almost violence to his tenderness, not from
+ any pleasure in censoriousness, but from a terror, that was almost morbid,
+ of the consequences of the unchecked development of minute tendencies."
+ </p>
+ <p>
+ Something must be left to natural growth, and to fortune, even in such
+ important matters as the rearing of children.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0014" id="link2H_4_0014"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ XII. THE WORRIER ON HIS TRAVELS
+ </h2>
+ <p>
+ After all, is it not a part of the fine art of living to take the
+ enjoyment of the moment as it comes without lamenting that it is not
+ something else?
+ </p>
+ <p>
+ LILIAN WHITING: <i>Land of Enchantment</i>.
+ </p>
+ <p>
+ In no phase of life is the worrying and the "fussy" habit more noticeable
+ than in travel. This is, perhaps, partly because the lack of
+ self-confidence, which so often unsettles the worrier, is peculiarly
+ effective when he has relinquished the security of his accustomed
+ anchorage. This applies surely to the over-solicitous attention paid by
+ the traveler to the possible dangers of rail and sea. Here is a verse from
+ Wallace Irwin:
+ </p>
+<pre xml:space="preserve">
+ "'Suppose that this here vessel,' says the skipper with a groan,
+ 'Should lose 'er bearin's, run away and bump upon a stone;
+ Suppose she'd shiver and go down when save ourselves we could'nt.'
+ The mate replies,
+ 'Oh, blow me eyes!
+ Suppose agin she shouldn't?'"
+</pre>
+ <p>
+ A common direction taken by the worrying habit, in the traveler, is that
+ of taking in advance each step of the journey, preparing for every
+ contingency, and suffering beforehand every imaginable hardship and
+ inconvenience. I do not vouch for the story (though I can match it without
+ going far afield) of the gentleman who abandoned his trip from Paris to
+ Budapesth because he found he would be delayed in Vienna six hours, "too
+ long time to wait in the station, and not long enough to go to the hotel."
+ It is the imperative duty of every traveler to discover interests which
+ shall tide him over a few hours' delay wherever it may occur.
+ </p>
+ <p>
+ It is by no means a waste of time to familiarize ourselves with the
+ geography at least of our own country; to know the situation and
+ appearance of every city of importance, and to know something about the
+ different railroads besides their initials, and their rating in the stock
+ market. Again, if we take up the study of the trees, flowers and birds,
+ with the aid of the admirable popular works now available, we shall not
+ only view the scenery with new eyes, but shall welcome, rather than be
+ driven to despair, by a breakdown in the woods.
+ </p>
+ <p>
+ It is a mistake to shun our fellow-travelers, from whom we should rather
+ try to learn something. This is a solace in traveling alone, for the boon
+ companion may handicap us in cultivating new acquaintances and gaining new
+ impressions. Though the main object of recreation is diversion from the
+ daily round of thought, the fact need not be lost sight of that the busy
+ man will find his practical interests furthered, rather than hindered, by
+ a little widening of the horizon. Nor should he forget, meantime, the
+ admonition of Seneca that if he would wish his travels delightful he must
+ first make himself delightful.
+ </p>
+ <p>
+ It is inevitable that uncomfortable, as well as agreeable, experiences
+ occur in travel. But the man who spends his time and thought in avoiding
+ the one and seeking the other is steadily forging chains whose gall shall
+ one day surpass the discomforts of a journey around the world. Arthur
+ Benson in "Beside Still Waters" says that Hugh learned one thing at
+ school, namely, that the disagreeable was not necessarily the intolerable.
+ Some of us would do well to go back to school and learn this over again. I
+ know of only two ways by which the discomforts of travel can be avoided.
+ One is to ignore them, the other to stay at home.
+ </p>
+ <p>
+ A fellow traveler told me that on one occasion, in the presence of a
+ beautiful bit of mountain scenery, he overheard two ladies in anxious
+ consultation comparing, article by article, the corresponding <i>menus</i>
+ of two rival hotels. The fact that three varieties of fish were offered at
+ one, while only two were offered at the other, opened so animated a
+ discussion of quantity as opposed to probable quality that the listener
+ discretely withdrew.
+ </p>
+ <p>
+ A lady on the Florida express, after reading a novel all day with an
+ occasional interim, during which she gazed through her lorgnette with
+ bored and anxious air, finally said to her companion, "I have not seen a
+ single estate which compares to those in Brookline."
+ </p>
+ <p>
+ Among the varieties of needless worry imposed upon the traveler by the
+ insistent habit, none is more common, or more easily overcome, than the
+ refusal to sleep unless noise and light are quite shut out. If the
+ sufferer make of his insistent habit a servant, rather than a master, and
+ instead of reiterating "I must have quiet and darkness," will confidently
+ assert, "I must get over this nonsense," he will speedily learn that
+ freedom from resentment, and a good circulation of air, are more conducive
+ to sleep than either darkness or silence.
+ </p>
+ <p>
+ The best drug for the sleepless traveler is the <i>ęquo animo</i> of
+ Cicero.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0015" id="link2H_4_0015"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ XIII. THE WORRIER AT THE TABLE
+ </h2>
+ <h3>
+ These little things are great to little man.
+ </h3>
+ <p>
+ GOLDSMITH: <i>The Traveller</i>.
+ </p>
+ <p>
+ The insistent habit of mind is nowhere more noticeable than in connection
+ with the food. I have seen a hotel <i>habitué</i>, apparently sane, who
+ invariably cut, or broke, his bread into minute particles, and minutely
+ inspected each before placing it in his mouth. If this were a book of
+ confessions, I should have myself to plead guilty, among worse things, to
+ having avoided mince pie for weeks after encountering among other
+ ingredients of this delicacy, a piece of broken glass.
+ </p>
+ <p>
+ Not infrequently the obsessive diner so long hesitates before giving his
+ final order that the waiter brings the wrong dish. The insistent thought
+ now replaces the doubting folly, and the diner would as soon think of
+ eating grass as the article offered. I have known him impatiently to leave
+ the table under these circumstances, and to play the ostentatious martyr,
+ rather than partake of the food he had at the outset given weighty
+ consideration. I have seen another omit his lunch because water had been
+ spilled upon the cloth, and still another leave the dining-car, with the
+ announcement that he would forego his meal because informed by the
+ conductor that men's shirt waists without coats were taboo.
+ </p>
+ <p>
+ The obsessive of this type may by training even reach the point of seeing
+ the amusing instead of the pathetic side of the picture when, in the
+ course of his travels, his request for "a nice bit of chicken, cut thin,"
+ is transmitted to the kitchen as&mdash;"One chick."
+ </p>
+ <p>
+ One day, with pride, I called the attention of my easy-going friend to the
+ fact that I was eating a dish I had not ordered. He quietly remarked that
+ the next step was to eat it and say nothing! Another friend has this motto
+ in his dining-room: "Eat what is set before you and be thankful." His
+ children will open their eyes when they find others, less reasonably
+ reared, demanding that the potatoes be changed because they are sprinkled
+ with parsley, that a plate be replaced because it has had a piece of
+ cheese upon it, or that the salad of lettuce and tomato be removed in
+ favor of one with tomato alone.
+ </p>
+ <p>
+ A lady recently told me of breakfasting with a foreign sojourner in
+ America, who upon being offered the contents of an egg broken into a
+ glass, was not satisfied with declining it, but felt impelled also to
+ express his extreme disgust at this method of serving it, fortunately to
+ the amusement, rather than to the annoyance of his hostess.
+ </p>
+ <p>
+ "After this, know likewise," says Epictetus, "that you are a brother too;
+ and that to this character it belongs to make concessions, to be easily
+ persuaded, to use gentle language, never to claim for yourself any
+ non-essential thing, but cheerfully to give up these to be repaid by a
+ larger share of things essential. For consider what it is, instead of a
+ lettuce, for instance, or a chair, to procure for yourself a good temper.
+ How great an advantage gained!"
+ </p>
+ <p>
+ The insistent desire to have a certain degree and character of appetite
+ not infrequently leads to consulting the physician. Still more common is
+ the obsession that the appetite must be gratified, the supposition being
+ that the desire for food is, in the growing child or in the adult, an
+ infallible guide to the amount needed, though it is a matter of common
+ knowledge that this is not true of infants or of domestic animals. If one
+ leaves the table hungry he soon forgets it unless inordinately
+ self-centered, and he has no more desire to return than to go back to bed
+ and finish the nap so reluctantly discontinued in the morning.
+ </p>
+ <p>
+ I have heard the theory advanced by an anxious forecaster of future ills,
+ that all unnecessary food, if packed away as adipose tissue, serves to
+ nourish the body in periods of starvation. Assuming that the average
+ individual need consider this stress of circumstance, I am strongly of the
+ impression that the best preparation for enforced abstinence will prove,
+ not a layer of fat, but the habit of abstinence. The nursery poet says:
+ </p>
+<pre xml:space="preserve">
+ "The worry cow would have lived till now
+ If she'd only saved her breath.
+ She feared the hay wouldn't last all day
+ So choked herself to death."
+</pre>
+ <p>
+ The quantity of food proved by experiment to suffice for the best work,
+ physical or mental, is surprisingly small. A feeling of emptiness, even,
+ is better preparation for active exercise than one of satiety.
+ </p>
+ <p>
+ It is a national obsession with us that no meal is complete without meat.
+ Order fruit, a cereal, rolls and coffee, at the hotel some morning, and
+ the chances are ten to one that the waiter will ask what you are going to
+ have for <i>breakfast</i>, though you have already ordered more than is
+ absolutely necessary for that meal, as demonstrated by the custom upon the
+ Continent, where the sense of fitness is as much violated by the
+ consumption of an enormous breakfast as it is with us by the omission of a
+ single detail.
+ </p>
+ <p>
+ It may be asked if it is not subversive of discipline for the hotel <i>habitué</i>
+ to become too easy-going. There is doubtless a limit to the virtue of
+ allowing ourselves to be imposed upon, but there is little fear that the
+ individual who opens the question will err in this direction. It behooves
+ him rather to consider the danger of his occupying the unenviable position
+ of the "fuss-budget."
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0016" id="link2H_4_0016"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ XIV. THE FEAR OF BECOMING INSANE
+ </h2>
+ <h3>
+ We must be steadfast, Julian! Satan is very busy in all of us.
+ </h3>
+ <p>
+ IBSEN: <i>Emperor and Galilean</i>.
+ </p>
+ <p>
+ Few, perhaps, among the high-strung and delicately organized can truly say
+ that this fear has never occurred to them. It affects even children, at an
+ age when their minds are supposed to be taken up with the pleasures and
+ pursuits appropriate to their years. This fear is generally dispelled by
+ the serious occupations of life, but in certain cases it persists as an
+ insistent and compelling thought.
+ </p>
+ <p>
+ It may afford consolation to know that insanity results, in the majority
+ of cases, from physical disease of the brain, and that it is ordinarily
+ unanticipated, unsuspected and uncredited by the patient. There is no more
+ danger of insanity attacking the worrier and the delicate than the robust
+ and the indifferent. In fact, the temperament which produces the faulty
+ habits we are considering rarely culminates in insanity. It seems worth
+ while, however, to replace the vague fear of insanity by a knowledge of
+ the variety of mental unbalance remotely threatening the person who lacks
+ the desire or the will, to place a check upon these faulty habits of mind.
+ We may thus, in the worrier whose fears have taken this direction,
+ substitute effort for foreboding.
+ </p>
+ <p>
+ It is our <i>conduct</i> rather than our thoughts that determines the
+ question of insanity. The most practical definition of insanity I know is
+ that of Spitzka, the gist of which is that a person is insane who can no
+ longer correctly register impressions from the outside world, or can no
+ longer act upon those impressions so as to formulate and carry out a line
+ of conduct consistent with his age, education and station.
+ </p>
+ <p>
+ The banker may repeat the process of locking and unlocking, even to the
+ point of doubting his own sensations, but he may still be able to
+ formulate, and carry out, a line of conduct consistent with his position,
+ though at the expense of intense mental suffering.
+ </p>
+ <p>
+ In the realm of morbid fears, the person obsessed by fear of contamination
+ shows no sign of insanity in using tissue paper to turn the door-knob, or
+ in avoiding objects that have been touched by others. Up to this point his
+ phobia has led merely to eccentricity, but suppose his fear so far
+ dominates him that he can no longer pursue his occupation for fear of
+ handling tools or pen, and that he persistently refuses to eat through
+ fear of poison, he has then reached the point where he can no longer
+ formulate lines of conduct, and he is insane.
+ </p>
+ <p>
+ It is, then, important to foresee the tendency of phobias, and to accustom
+ one's self to the point of view that the worst possible harm, for example
+ from contamination by ordinary objects, is no worse than mental unbalance,
+ and that the probable consequences thereof (<i>nil</i>) are infinitely
+ preferable.
+ </p>
+ <p>
+ Even with regard to more tangible fears, as of elevators, fires, tunnels,
+ thunder-storms, and the like, a certain tranquility may be gradually
+ attained by a similar philosophy. Suppose instead of dwelling on the
+ possibility of frightful disaster the sufferer practices saying: "The
+ worst that can happen to me is no worse than for me to let these fears
+ gradually lessen my sphere of operations till I finally shut myself up in
+ my chamber and become a confirmed hypochondriac." One should also remember
+ that many another shares his fears, but shows no sign because he keeps a
+ "stiff upper lip," an example he will do well to follow, not only for his
+ own eventual comfort, but for the sake of his influence on others,
+ particularly on those younger than himself. The pursuance of this line of
+ thought may result in the former coward seeking instead of avoiding,
+ opportunities to ride in elevators and tunnels, and even to occupy an
+ inside seat at the theatre, just to try his new-found power, and to
+ rejoice in doing as others do instead of being set apart as a hopeless
+ crank.
+ </p>
+ <p>
+ These fears bear directly on the question of hypochondria. We have already
+ seen how the sphere of the hypochondriac is narrowed. His work and his
+ play are alike impeded by his fear of drafts, of wet feet, of loud noises,
+ of palpitation, of exhaustion, of pain, and eventually of serious disease.
+ Is he insane? Not so long as he can carry out a line of conduct consistent
+ with his station and surroundings.
+ </p>
+ <p>
+ It is remarkable how many obsessions we may harbor without causing us to
+ swerve from our accustomed line of conduct. Whatever our thoughts, our
+ conduct may be such that we attract little attention beyond the passing
+ observation that we are a little odd. We may break down, it is true, under
+ the double load we carry, but we are in little danger of insanity. Those
+ established in the conviction that they cannot stand noises or other
+ sources of discomfort, rarely reach the point of a certain poor old lady
+ who used to wander from clinic to clinic, able to think of nothing else,
+ and to talk of nothing else, than the ringing in her ears, and to attend
+ to no other business than efforts for its relief. She was counselled again
+ and again that since nothing was to be found in the ears she should
+ endeavor to reconcile herself to the inevitable, and turn her thoughts in
+ other directions. Unfortunately, she had become peculiarly adept in the
+ detection of disagreeable sights, sounds, and other sources of irritation,
+ and had for a long term of years practiced quite the opposite of control.
+ She had hitherto either insisted on discontinuance of all sources of
+ irritation, fled their neighborhood, or put on blue glasses and stopped
+ her ears with cotton. When, finally, her sharpened sense caught the sound
+ of her own circulation, she could think of nothing but this unavoidable
+ source of discomfort, which was prepared to follow her to the uttermost
+ parts of the earth.
+ </p>
+ <p>
+ A well-known author has said that the difference between sanity and
+ insanity depends only on the power to conceal the emotions. While this
+ definition will hardly pass in law or medicine, it surely offers food for
+ thought. Suppose for a moment that we were dominated by the impulse to
+ externalize all our thoughts and all our emotions, there would be some
+ basis for the common, but inaccurate, saying that everyone is insane.
+ </p>
+ <p>
+ This brings us to a form of insanity which the obsessive may well bear in
+ mind, namely, that known as manic-depressive. This disorder, in its
+ typical form, is shown by recurring outbursts of uncontrollable mental and
+ physical activity (mania), alternating with attacks of profound depression
+ (melancholia). This form of insanity represents the inability to control
+ an extreme degree of the varied moods to which we all are subject. Long
+ before the modern classification of mental disorders, Burton, in his
+ introduction to the "Anatomy of Melancholy," expressed this alternation of
+ moods thus:
+ </p>
+<pre xml:space="preserve">
+ "When I go musing all alone,
+ Thinking of divers things foreknown,
+ When I build castles in the ayr,
+ Void of sorrow and void of feare,
+ Pleasing myself with phantasms sweet,
+ Me thinks the time runs very fleet.
+ All my joyes to this are folly,
+ Naught so sweet as melancholy.
+
+ "When I lie waking all alone,
+ Recounting what I have ill done,
+ My thoughts on me they tyrannize,
+ Feare and sorrow me surprise,
+ Whether I tarry still or go,
+ Me thinks the time moves very slow.
+ All my griefs to this are jolly,
+ Naught so sad as melancholy."
+
+</pre>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <br /><br />
+ </p>
+<pre xml:space="preserve">
+ "I'll not change my life with any King,
+ I ravisht am: can the world bring
+ More joy, than still to laugh and smile,
+ In pleasant toyes time to beguile?
+ Do not, O do not trouble me,
+ So sweet content I feel and see.
+ All my joyes to this are folly,
+ None so divine as melancholy.
+
+ "I'll change my state with any wretch
+ Thou canst from goale or dunghill fetch:
+ My pain's past cure, another hell,
+ I may not in this torment dwell,
+ Now desperate I hate my life,
+ Lend me a halter or a knife;
+ All my griefs to this are jolly,
+ None so damn'd as melancholy."
+</pre>
+ <p>
+ The depressed stage of this disorder is commonly shown by retardation of
+ thought and motion, the excited stage by pressure of activity and
+ acceleration of thought. In the so-called "flight of ideas" words succeed
+ each other with incredible rapidity, without goal idea, but each word
+ suggesting the next by sound or other association, thus:
+ </p>
+ <p>
+ "Are you blue?"
+ </p>
+ <p>
+ "Blue, true blue, red white and blue, one flag and one nation, one
+ kingdom, one king, no not one king, one president, we are going to have a
+ president first, cursed, the worst."
+ </p>
+ <p>
+ Who does not recognize the modest prototype of this elaborate rigmarole
+ chasing itself through his mind as he walks the street in jaunty mood, and
+ who of us would not surprise and alarm his friends if he should suddenly
+ let go his habitual control, express his every thought and materialize his
+ every passing impulse to action? Who can doubt that the person who has
+ trained himself for years to repress his obsessions is less likely to give
+ way to this form of insanity than one who has never practiced such
+ training? Let us then endeavor to pursue "the even tenor of our way"
+ without giving way to the obsession that we must inflict our feelings upon
+ our associates. We may in this way maintain a mental balance that shall
+ stand us in good stead in time of stress.
+ </p>
+ <p>
+ The autumnal tendency to melancholy is recognized by Thoreau. The
+ characteristic suggestion of this nature-lover is that the melancholic go
+ to the woods and study the <i>symplocarpus foetidus</i> (skunk cabbage),
+ whose English name savors of contempt, but whose courage is such that it
+ is already in the autumn jauntily thrusting forth its buds for the coming
+ year.
+ </p>
+ <p>
+ An admirable reflection for the victim of moods, as for many another, is
+ the old saying in which Abraham Lincoln is said to have taken peculiar
+ comfort, namely, "This also will pass."
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0017" id="link2H_4_0017"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ XV. RECAPITULATORY
+ </h2>
+ <h3>
+ And found no end in wandering mazes lost.
+ </h3>
+ <p>
+ <i>Paradise Lost</i>.
+ </p>
+ <p>
+ We have reviewed the various phases of worry and the elements out of which
+ worry is assembled. It has been seen that exaggerated self-consciousness
+ blocks effort through fear of criticism, ridicule or comment. The
+ insistent habit of mind in the worrier has been found to permeate the
+ content of thought, and unfavorably to influence action. The fact has been
+ pointed out that the obsession to do the right thing may be carried so far
+ as to produce querulous doubt and chronic indecision&mdash;hence worry.
+ </p>
+ <p>
+ It has been pointed out that over-anxiety on the score of health
+ (hypochondria) aggravates existing symptoms, and itself develops symptoms;
+ that these symptoms in turn increase the solicitude which gave them birth.
+ Attention has been called to the influence of over-anxious and fretful
+ days in precluding the restful state of mind that favors sleep, and to the
+ influence of the loss of sleep upon the anxieties of the following day; in
+ other words, worry prevents sleep, and inability to sleep adds to worry.
+ </p>
+ <p>
+ We have seen that doubts of fitness lead to unfitness, and that the worry
+ of such doubts, combined with futile regrets for the past and forebodings
+ for the future, hamper the mind which should be cleared for present
+ action.
+ </p>
+ <p>
+ The injurious effect upon the nervous system of these faulty mental states
+ has been emphasized, together with their influence as potent underlying
+ causes of so-called nervous prostration, preparing the worrier for
+ breakdown from an amount of work which, if undertaken with tranquil mind,
+ could have been accomplished with comparative ease.
+ </p>
+ <p>
+ The question is, will the possessor of these faulty mental tendencies
+ grasp the importance of giving thought to the training that shall free him
+ from the incubus? He certainly has the intelligence, for it is among the
+ intelligent that these states are mostly found; he certainly has the
+ will-power, for lack of will-power is not a failing of the obsessed. The
+ question is, can he bring himself to make, at the suggestion of another, a
+ fundamental change of attitude, and will he take these suggestions on
+ faith, though many seem trivial, others, perhaps, unreasonable, and will
+ he at least give them a trial? I hope so.
+ </p>
+ <p>
+ In the next sections will be summed up such commonplace and simple
+ suggestions as may aid emergence from the maze of worry. Many of the
+ suggestions have been scattered through preceding sections. The worrier
+ and folly-doubter is more likely to be benefited by trying them than by
+ arguing about them, and it is within the realms of possibility that some
+ may come to realize the truth of the paradox that he who loses himself
+ shall find himself.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0018" id="link2H_4_0018"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ XVI. MAXIMS MISAPPLIED
+ </h2>
+<pre xml:space="preserve">
+ "Beware! yet once again beware!
+ Ere round thy inexperienced mind,
+ With voice and semblance falsely fair,
+ A chain Thessalian magic bind,&mdash;"
+</pre>
+ <p>
+ <i>Thomas Love Peacock</i>.
+ </p>
+ <p>
+ A friend of mine has a highbred Boston terrier named "Betty." Betty is a
+ bundle of nerves, has a well-developed "New-England Conscience," and among
+ other deviative (not degenerative) signs is possessed of an insatiate
+ desire to climb trees. More than once I have watched her frantic efforts
+ to achieve this end, and she really almost succeeds&mdash;at least she can
+ reach a higher point on the trunk of a tree than any other dog of her size
+ I know&mdash;say six feet; if the bark is rough, perhaps seven feet would
+ not be an overestimate. Her attempts are unremitting&mdash;once the frenzy
+ is on it is with the greatest difficulty that she can be separated,
+ panting and exhausted, from her task.
+ </p>
+ <p>
+ Betty's case furnishes an illustration of an inborn tendency, fostered
+ neither by precept nor example, persistently to attempt the impossible,
+ and to fret and fume when forced to discontinue. Some children are by
+ inheritance similarly endowed. Imagine Betty a child. It is safe to assume
+ that the mental trait which prompts this expenditure of tireless and
+ misdirected energy has sifted down through her ancestry; the chances are,
+ of course, against its having skipped the generation immediately
+ preceding; in other words, one or both her parents are probably obsessive.
+ It follows almost as a matter of course that the "indomitable will" of the
+ child is viewed with pride by the parent. Instead of being kept within
+ reasonable bounds, and directed into proper channels, it is encouraged in
+ every direction, and fostered by every available means. Prominent among
+ the incentives to renewed activity furnished by the solicitous parent,
+ possibly by the undiscriminating teacher, will be found such precepts as:
+ "In the bright lexicon of youth there's no such word as fail," "Never give
+ up the ship," "Never say die," "There's always room at the top."
+ </p>
+ <p>
+ Excellent maxims these, for the average child, particularly for the child
+ who is under average as regards ambition to excel. But what of their
+ effect upon the already over-conscientious and self-exacting child? Simply
+ to tighten fetters which should rather be relaxed.
+ </p>
+ <p>
+ Life becomes a serious problem to a child of this kind at a much earlier
+ age than is generally realized. I have been surprised to learn at what
+ tender years such children have been borne down by a weight of
+ self-imposed responsibility quite as heavy as can burden an adult, without
+ the power of the adult to carry it. Such, for example, are anxieties
+ regarding the health or the financial status of the parents, matters
+ freely discussed without a thought that the child will make these cares
+ his own.
+ </p>
+ <p>
+ I realize that this line of thought will seem to some revolutionary. A
+ friend to whom I submitted the proposition that it did harm rather than
+ good to encourage a child of this kind to attempt the impossible answered,
+ "Nothing is impossible," and he said it as if he more than half believed
+ it. Here we have the ambitious maxim challenging truth itself. It is
+ certainly not impossible that Mozart wrote a difficult concerto at the age
+ of five; nor is it impossible that, in precocious children of a different
+ type, worry from failure to accomplish the desired may cause profound
+ despair productive of disastrous results.
+ </p>
+ <p>
+ Nor are such children either geniuses or freaks&mdash;they are merely
+ inheritors of the "New England Conscience," so named, I suppose, because
+ the trait has multiplied in this section more rapidly even than the
+ furniture and fittings of the Mayflower. Without underrating the sterling
+ qualities of the devoted band who founded this community it may safely be
+ suggested that neither the effectiveness nor the staying qualities of
+ their descendants will be lessened by a certain modification of the
+ querulous insistence which dominates the overtrained adult in the rearing
+ of the nervously precocious child.
+ </p>
+ <p>
+ The maxim "What is worth doing at all is worth doing well," if carried to
+ its ultimate conclusion by the over-careful, would justify the expenditure
+ of a quarter of an hour in sharpening a lead-pencil. This maxim, while
+ losing in sententiousness would gain in reason if it ran thus: "What is
+ worth doing at all is worth doing as well as the situation demands."
+ "Never put off till to-morrow what you can do to-day," an excellent maxim
+ for the shiftless, must not be taken too literally by the individual
+ already obsessed to do to-day twice what he can and quadruple what he
+ ought.
+ </p>
+ <p>
+ Neither the chronic doubter nor the prematurely thoughtful need be
+ admonished, "Look before you leap," or "Be sure you're right, then go
+ ahead." Such guides to conduct, however effective in the case of three
+ individuals, in the fourth hinder accomplishment by encouraging querulous
+ doubt;&mdash;it is for the benefit of the fourth that these pages are
+ written. A revolutionary effort must be made before the worrier and the
+ folly-doubter can throw off his shackles.
+ </p>
+ <p>
+ It may be questioned whether this sort of philosophy does not savor of <i>laissez-faire</i>,
+ and tend to produce indifference; but the worry against which these
+ efforts are directed is a state of <i>undue</i> solicitude,&mdash;<i>due</i>
+ solicitude is not discouraged. Fortunately, as partial offset to the many
+ maxims stirring to increased activity, there exist certain maxims of less
+ strenuous, but not unreasonable, trend, thus:&mdash;"What can't be cured
+ must be endured," "Patient waiters are no losers." Such maxims are quite
+ as worthy of consideration by the obsessive as any of those previously
+ cited. While they modify overzeal, they detract in no way from effective,
+ even strenuous, endeavor.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0019" id="link2H_4_0019"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ XVII. THE FAD
+ </h2>
+ <p>
+ "Fads may be said to constitute a perfect mental antitoxin for the poison
+ generated by cerebral acuity."
+ </p>
+ <p>
+ <i>Courtney</i>.
+ </p>
+ <p>
+ There is nothing occult in the suggestion that the worrier cultivate a
+ fad. Its object is to interest him in something outside of himself and of
+ the monotony of his accustomed round. If it seems to him too much trouble
+ to enter upon the details of the fad there is all the more reason for
+ freeing himself from such mental inertia.
+ </p>
+ <p>
+ How shall we set to work to acquire a fad, without special opportunity or
+ education, and with but little time at our disposal? Suppose we take the
+ study of botany as an illustration, not necessitating class instruction.
+ This useful study may be made also a charming fad, and one not beneath the
+ notice of so learned and busy a man as Sir Francis Bacon, who found time
+ and inclination to write an essay "Of Gardens," in which he mentions by
+ name and shows intimate acquaintance with, over one hundred distinct
+ varieties of plant life.
+ </p>
+ <p>
+ Sir John Lubbock (the Right Honourable Lord Avebury) in "The Pleasures of
+ Life," says:
+ </p>
+ <p>
+ "The botanist, on the contrary&mdash;nay, I will not say the botanist, but
+ one with even a slight knowledge of that delightful science&mdash;when he
+ goes out into the woods, or out into one of those fairy forests which we
+ call fields, finds himself welcomed by a glad company of friends, every
+ one with something interesting to tell."
+ </p>
+ <p>
+ There are two ways of cultivating botanical as well as other knowledge;
+ namely, the passive and the active. The passive method is to let someone
+ inform us; the active is to find out something for ourselves. The latter
+ is the only effective method. Suppose we start with the wild flowers:
+ </p>
+ <p>
+ The first step is to purchase a popular illustrated book on this subject,
+ preferably one in which the flowers are arranged according to color. We
+ first learn, in the introduction, the principal parts of the flower, as
+ the calyx, the corolla, the stamen and the pistil. We find that the
+ arrangements of leaves and flowers are quite constant, that the leaves of
+ some plants are opposite, of others alternate; of still others from the
+ root only, that flowers are solitary, in raceme, head, spike or otherwise
+ clustered.
+ </p>
+ <p>
+ It now behooves us to take a walk upon a country road with our eyes open
+ and our book under our arm. Along the roadsides passing vehicles have
+ scattered the seeds of many flowering plants. We decide to pick and learn
+ the first white blossom we see. This blossom appears, we will say, upon a
+ plant about a foot high. We notice that its leaves are opposite, that its
+ corolla has five petals and that its calyx is inflated. We now look
+ through the section on white flowers. The first plant described has leaves
+ from the root only; the second is a tall shrub, these we pass, therefore,
+ and continue until we find one answering the description, leaves opposite,
+ calyx inflated, corolla of five petals. When we reach it we have
+ identified the plant; we now feel a sense of ownership in the <i>Bladder
+ Campion</i>, and are quite shocked when our friend calls it only "a weed."
+ Meantime we have noted many familiar names and some familiar illustrations
+ which we must identify on our next ramble.
+ </p>
+ <p>
+ On consulting our timepiece we find that we have absolutely spent a couple
+ of hours in complete forgetfulness of the daily grind, to say nothing of
+ having filled our lungs with comparatively fresh air, and having taken a
+ little exercise. Best of all, we have started a new set of associations;
+ we have paved the way for new acquaintances, Linnaeus, Gray, Dioscorides
+ and Theophrastus, to say nothing of our friend <i>so-and-so</i> whom we
+ always thought rather tiresome but with whom we now have something in
+ common. We shall take up our daily grind to-morrow with a new zest for
+ having forgotten it for a few hours, and find it less of a grind than
+ usual; moreover, we now have an object to encourage another stroll in the
+ country.
+ </p>
+ <p>
+ If we continue as we have begun we shall soon find ourselves prying into
+ the more scientific works on botany, and perhaps eventually extending our
+ interest to the birds, the beasts and the boulders. One of these days we
+ may become quite proficient amateur naturalists, but this is only by the
+ way; the real advantage to us has been the externalizing of our interests.
+ </p>
+ <p>
+ This is the most desultory way possible of cultivating the fad. One may go
+ a step further and transplant the wild flowers and the weeds. A busy and
+ successful professional friend of mine, besides having a cabinet shop in
+ his stable, finds (or makes) time to go to the woods with his trowel. He
+ has quite a wild-flower bank in his garden. I cannot give definite
+ directions as to their setting out&mdash;I think he just throws them down
+ anywhere&mdash;a fair percentage seem to thrive,&mdash;I can remember the
+ larger bur-marigold, the red and white bane-berry, rattlesnake-weed,
+ rattlesnake-plantain, blood root, live-for-ever, wood betony, pale
+ corydalis, and fern-leaved foxglove, and there are many more.
+ </p>
+ <p>
+ Mushrooms and ferns offer fertile fields for special study. If the worrier
+ has an altruistic turn he will find satisfaction in bestowing duplicates
+ upon his friends, thus still further externalizing his interests. He will
+ be surprised to find how many things there are in the world that he never
+ noticed.
+ </p>
+ <p>
+ Whether our tastes lead us in the direction of photography, pottery,
+ mechanics, collecting china, books and old furniture, of philosophy or a
+ foreign language, we need not aim to pursue these avocations too
+ profoundly. We must not compare our acquisitions with those of the savant
+ or the skilled laborer, but must console ourselves with the reflection
+ that we at least know more, or can do more, than yesterday. If our fads,
+ now and then, make us do something that gives us a little trouble, so much
+ the better, if it is only to go to the library for a book,&mdash;the
+ worrier whose idea of rest and recuperation is to remain forever glued to
+ an easy-chair is indeed to be pitied.
+ </p>
+ <p>
+ Collecting old prints, stamps, and coins, is by no means a waste of time.
+ Fads of this nature offer the additional inducement of an asset which may
+ serve, in a material way, to banish worry in time of stress. To reap the
+ full advantage of the collection fads one should take pains to acquire a
+ knowledge of the geography and history with which they are associated. Few
+ are so unfortunately placed that they have no access to information on
+ these subjects. The encyclopędia, at least, is within general reach,
+ though rarely consulted by those who most need its aid.
+ </p>
+ <p>
+ Suppose one takes up history for an indoor fad. How shall he start in?
+ Since he pursues this study only as a fad, he can commence almost
+ anywhere. Let him decide to become familiar with the fifteenth century.
+ The first step is to familiarize himself with the principal rulers and the
+ principal battles of that time. Suppose he spends half an hour every
+ evening upon the life of one or another ruler, as given in the
+ encyclopędia or elsewhere. If he is sufficiently inventive to construct a
+ pictorial or other plan in which to give each his place, so much the
+ better. Having thus constructed a framework he can begin to fill in the
+ details, and now the study begins to interest him. At any public library
+ he can find a catalogue of historical fiction arranged according to
+ centuries. Under the fifteenth century he will find Quentin Durward, The
+ Broad Arrow, Anne of Geierstein, The Cloister and the Hearth, Every Inch a
+ King, Marietta, The Dove in the Eagle's Nest, and other standard works,
+ all of which he may have read before, but every page of which will have
+ for him a new interest since he can now place the characters, appreciate
+ the customs, and form a consistent picture of what was doing in different
+ countries at this time.
+ </p>
+ <p>
+ The next step is to acquire, in the same way, equal familiarity with the
+ preceding and succeeding centuries, particularly with the interrelations
+ of the different countries, old and new.
+ </p>
+ <p>
+ The reader who has followed to this point will need no further hint. If he
+ continues as he has begun, he will be surprised to find how soon he will
+ be able to instruct, on one subject at least, the college graduate, unless
+ that graduate has happily continued as a fad what he once perfunctorily
+ acquired.
+ </p>
+ <p>
+ Another way of commencing this study, and the one, I confess, which
+ appeals more to me, is first to establish a framework which shall cover a
+ long period of time, then study special epochs. An interesting way to
+ start this method is to purchase Creasy's "Decisive Battles of the World,"
+ and familiarize one's self with its contents. This will furnish pegs on
+ which to hang further items of information, and will impart a running
+ familiarity with different nations involved in war from the time of the
+ supremacy of Greece, down to the battle of Manila, in the recent edition,&mdash;in
+ earlier editions to the time of Napoleon.
+ </p>
+ <p>
+ The only absolutely essential reference book for this study is Ploetz's
+ "Epitome of Universal History."
+ </p>
+ <p>
+ To make this fad interesting, the mere commitment to memory of facts and
+ dates will not suffice. Items of history thus acquired will inevitably
+ fade. The conscientious but ill-advised student who attempts to commit the
+ "Epitome" to memory will fall by the way-side. Time is not wasted in
+ dwelling sufficiently long on one subject to feel a sense of ownership in
+ it, and there is opportunity for the exercise of individual ingenuity in
+ devising means to accomplish this end. If one has the knack, for example,
+ of writing nonsense verse (and this is a talent all too easy of
+ cultivation) it will aid him in fixing by rhyme names and dates otherwise
+ difficult to master, thus:
+ </p>
+ <p>
+ "Ten sixty-six is a date you must fix;" or "Drake was not late in fifteen
+ eighty-eight."
+ </p>
+ <p>
+ The study of music, history, trees, flowers, or birds doubtless seems of
+ trivial interest to one who occupies his leisure hours with such weighty
+ problems as figuring out how rich he would have been to-day if he had
+ bought Bell Telephone at 15, but such study is far more restful, and in
+ the long run quite as useful for the over-busy man.
+ </p>
+ <p>
+ It is not necessary to devote an enormous amount of time to such pursuits.
+ One has only to purchase Miss Huntington's "Studies of Trees in Winter"
+ and learn the trees in his own doorway, or upon his street, to awaken an
+ interest that will serve him in good stead upon a railroad journey, or
+ during an otherwise monotonous sojourn in the country. A walk around the
+ block before dinner with such an object in view is more restful than
+ pondering in one's easy-chair over the fluctuations of the stock market,
+ and the man who is "too busy" for such mental relaxation is paving the way
+ for ultimate, perhaps early, breakdown.
+ </p>
+ <p>
+ Once started on the trees, the man who did not even know that their buds
+ were visible in the winter, after absorbing the contents of the popular
+ tree-books may find himself looking for something more elaborate. He may
+ even look forward to his next western trip with pleasure instead of
+ disgust, now that he anticipates seeing at close hand the eucalyptus, the
+ Monterey cypress, and the <i>pinus ponderosa</i>.
+ </p>
+ <p>
+ Courtney says "to all this will undoubtedly be objected the plea of lack
+ of time. The answer to arguments formed on such flimsy basis is that all
+ the time which is spent in preparing one's self as a candidate for a
+ sanitarium is like the proverbial edged tool in the hands of children and
+ fools."
+ </p>
+ <p>
+ A little time spent in such simple pursuits as I have indicated, and a few
+ weeks' vacation <i>before exhaustion appears</i>, may prevent a year's
+ enforced abstinence from work on account of nervous invalidism. I am
+ tempted here to say "A stitch in time saves nine," but adages are
+ sometimes dangerous. Thus the adage, "If you want a thing well done you
+ must do it yourself," has caused many a business and professional man to
+ burden himself with details which in the long run he might better have
+ intrusted to subordinates, even at the risk of an occasional blunder.
+ </p>
+ <p>
+ It is not wise to specialize too much in the pursuit of the fad. Suppose
+ the busy man, having conceded the value of some out-of-door study, decides
+ that he will learn the lumber industry, but take no interest in the shade
+ trees. He will not materially broaden his interests in this way. He will
+ rather add to his burdens another business. If he applies to this new
+ business the same conscientious methods which are wearing him out in his
+ present one, the value of the fad is gone, the new study has done him more
+ harm than good, and when on his vacation, unless there is a sawmill in the
+ neighborhood, he finds himself stranded with only worry for company.
+ Similarly, if the study of history is taken up in the way a fad should be
+ taken up, anything in the way of a book will now interest the worrier, for
+ hardly a book worth reading fails to contain either a bit of travel,
+ geography, biography, law, or something on manners and customs.
+ </p>
+ <p>
+ Permanent freedom from worry involves a change in one's whole view of life
+ and method of thought. But the means by which introspection may be <i>temporarily</i>
+ alleviated are by no means to be despised. Among these comes the pursuit
+ of the golf-ball. Many a business and professional man who thinks he has
+ no time for golf can easily escape for an hour's play at the end of the
+ day, twice a week, and in the long run it will prove to be time well
+ expended. In point of fact, most are hindered rather by the notion that it
+ is not worth while to visit the links unless one can play eighteen holes,
+ or that it is not worth while to take up the game at all unless one can
+ excel. But the exercise is the same, and the air equally bracing whether
+ we win or lose; the shower-bath will refresh us just the same whether we
+ have played nine holes or twenty-seven.
+ </p>
+ <p>
+ The automobile ride, the drive, and, best of all, the ride on horseback,
+ will often serve to banish the vapors. Many neglect these methods, not
+ from lack of time or money, but from indisposition.
+ </p>
+ <p>
+ A busy professional man recently assured me that he had renewed his youth
+ by going three times a week to the gymnasium and joining the "old man's
+ class." Here is an opportunity open to practically everyone; it is a
+ desirable practice if continued. The drawback is the lack of incentive
+ when the novelty has passed. Such incentive is furnished by the fad, in
+ the satisfaction of gaining new knowledge and broadening the
+ thought-associations.
+ </p>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0020" id="link2H_4_0020"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ XVIII. HOME TREATMENT
+ </h2>
+ <p>
+ Submit to what is unavoidable, banish the impossible from the mind, and
+ look around for some new object of interest in life.
+ </p>
+ <p>
+ <i>Goethe</i>.
+ </p>
+ <p>
+ In the treatment of faulty mental habits the chief reliance is the
+ training of the mind; physical measures are merely supplementary. This
+ fact has always been recognized in a general way. The need of such
+ training was emphasized by Epictetus thus:
+ </p>
+ <p>
+ "Not to be disappointed of our desire, nor incur our aversion. To this
+ ought our training be directed. For without vigorous and steady training,
+ it is not possible to preserve our desire undisappointed and our aversion
+ unincurred."
+ </p>
+ <p>
+ But there has always been an undercurrent of dissatisfaction with purely
+ mental treatment, and a desire for the drug, which has more than once,
+ doubtless, been prescribed for the purpose of "suggestion" only.
+ </p>
+ <p>
+ The movement for psychic treatment on scientific principles, of faulty
+ mental disorders, not of organic nature, is well under way. That the
+ American profession takes an active interest in this movement is shown by
+ the exhaustive paper on psycho-therapy by Dr. E. W. Taylor, recently read
+ at a combined meeting held in Boston and discussed by such representative
+ neurologists as Drs. Mills, Dercum, J. K. Mitchell, and Sinkler, of
+ Philadelphia; Drs. Dana, Sachs, Collins, Hunt, Meacham, and Jelliffe, of
+ New York; Dr. White of Washington, and Drs. Putnam and Prince, of Boston.
+ </p>
+ <p>
+ Such faulty mental habits as worry and obsession, doubting folly, and
+ hypochondria, are no more amenable to physical treatment than the habit of
+ swearing, or of over-indulgence in food and drink. Even the psychic
+ treatment, by another, of such disorders, as of such habits, labors under
+ the disadvantage that all attempts to influence another by exhortation,
+ ridicule, or reproach are met by active or passive resistance on the part
+ of the individual toward whom these efforts are directed. A conscientious
+ resolve on the part of the individual himself, whether started by a casual
+ hint or by a new line of thought, is often more effective than any amount
+ of outside pressure, however well directed.
+ </p>
+ <p>
+ It is my hope and belief that the over-solicitous individual will be
+ influenced by reading these descriptions to adopt, of his own initiative,
+ some of these suggestions. His most striking peculiarity is his conviction
+ that he cannot take the chances others do, that the criticisms he receives
+ are peculiarly annoying, and that his sources of worry are something set
+ apart from the experience of ordinary mortals. This conviction leads him
+ to meet argument by argument, reproach and ridicule by indignant protest
+ or brooding silence. The perusal of these sections may lead him to alter
+ his ideals. Suggestions for home treatment have been scattered through the
+ various pages; it only remains to sum them up.
+ </p>
+ <p>
+ We have traced worry back to exaggerated self-consciousness and obsession;
+ it is against these two faulty tendencies that training may be directed.
+ </p>
+ <p>
+ The first step is the initiation of a new attitude, namely, the
+ commonplace. The establishment of this attitude involves the sacrifice of
+ self-love, and of the melancholy pleasure of playing the martyr. The
+ oversensitive individual must recognize the fact that if people do not
+ want him round it may be because he inflicts his <i>ego</i> too
+ obtrusively upon his associates. He must realize that others are more
+ interested in their own affairs than in his, and that however cutting
+ their comments and unjust their criticisms, and however deeply these may
+ sink into his soul, they are only passing incidents with them.
+ </p>
+ <p>
+ He must realize that if two people whisper they are not necessarily
+ whispering about him, and if they are it is of no consequence, and merely
+ shows their lack of breeding. On public occasions he must remember that
+ others are thinking of themselves, or of the subject in hand, quite as
+ much as they are of him and how he behaves. He must realize that even if
+ he does something foolish it will only make a passing impression on
+ others, and that they will like him none the less for it.
+ </p>
+ <p>
+ He must practice externalizing his thoughts. If criticised, he must ask
+ himself whether the criticism is just or unjust. If just, he must learn to
+ accept and act upon it; if unjust, he must learn to classify the critic,
+ as unreasonable, thoughtless, or ill-natured, place him in the appropriate
+ mental compartment, throw the criticism into the intellectual
+ waste-basket, and proceed upon his way. This practice, difficult at first,
+ will, if assiduously cultivated, become more and more automatic, and will
+ materially modify a fruitful source of worry.
+ </p>
+ <p>
+ The next step is to practice the control of the dominating impulses
+ (obsessions). If one finds himself impelled continually to drum, or walk
+ the floor, he will find the habit cannot be dropped at once, but if he can
+ refrain from it for a few moments once or twice in the day, no matter how
+ lost he feels without it, and sit for a few minutes relaxed and
+ motionless, the intervals can be gradually increased. Even the chronic
+ doubter may appreciate the fact that this practice aids in preparing one
+ for taking and keeping, at night, the quiet and immobile position which
+ favors sleep. The bearing of this training upon worry may not be
+ immediately obvious, but if one cannot overcome these simple physical
+ compulsions he will find it still harder to overcome the doubts, the
+ fears, and the scruples which underlie his worry.
+ </p>
+ <p>
+ It is hard to give up the idea that we are so peculiarly constituted that
+ it produces a special disgust in our case if another constantly clears his
+ throat, and a peculiar annoyance if he rocks. It is difficult to
+ relinquish the belief that, however callous others may be, our nervous
+ system is so delicately adjusted that we cannot work when others make
+ unnecessary noise, and we cannot sleep if a clock ticks in our hearing.
+ But if one persistently cultivates the commonplace, he will at last find
+ himself seeking instead of avoiding the objects of his former torture,
+ merely to exercise his new-found mastery of himself, and to realize that
+ "He that ruleth his spirit is better than he that taketh a city."
+ </p>
+ <p>
+ It is the imperative duty of every sufferer from doubting folly to say to
+ himself, "I will perform this act once with my whole attention, then leave
+ it and turn my mind in other channels before I have dulled my perception
+ by repetition."
+ </p>
+ <p>
+ If one is prone to chronic indecision, he must remind himself that it is
+ better to do the wrong thing with single mind, than to work himself into a
+ frenzy of anxious doubt. In case the choice is not an important one, he
+ must learn to <i>pounce</i> upon either task, and waste no further time.
+ If the doubt concerns an important matter, he must learn to devote only
+ that attention to the matter which is commensurate with its importance,
+ then decide it one way or the other, realizing that it is better to make a
+ mistake, even in an important matter than to worry one's self into utter
+ helplessness by conflicting emotions.
+ </p>
+ <p>
+ If insistent fear attacks one, he must remind himself that the worst that
+ can happen to him is not so bad as the state of the chronic coward and the
+ hypochondriac. He must practice taking the chances that others do, and
+ must learn to go through the dreaded experiences, not with his nervous
+ system stimulated into undue tension, but with body and mind relaxed by
+ such considerations as I have indicated.
+ </p>
+ <p>
+ The maxim is a useful aid in suggestion, but it should be carefully
+ selected. Most children seem to be brought up on maxims which presuppose
+ mental deficiency and constitutional carelessness. But the naturally
+ over-thoughtful and too-conscientious child, the child to whom applies Sir
+ John Lubbock's observation that the term "happy childhood" is sometimes a
+ misnomer, needs no admonition to "Try, try again," and to "Never weary of
+ well doing."
+ </p>
+ <p>
+ Among other sayings, whether of home manufacture or acquired, I have often
+ found comfort in a suggestion first called to my attention by my friend,
+ Dr. Maurice Richardson, who carries, I believe, Epictetus in his bag, but
+ who does not despise the lesser prophets. One day when I was borrowing
+ trouble about some prospective calamity, he said he always drew
+ consolation from the old farmer's observation:
+ </p>
+ <p>
+ "Mebbe 'taint so!"
+ </p>
+ <p>
+ Much unintentional self-suggestion is conveyed in one's habitual method of
+ expressing his attitude toward annoyances, thus: "That simply drives me
+ wild." Suppose, now, one should try a little substitution; for example:
+ </p>
+<pre xml:space="preserve">
+ That \
+ drives me wild.
+ Nothing /
+</pre>
+<pre xml:space="preserve">
+ (but that).
+ I can stand anything
+ (at all).
+</pre>
+<pre xml:space="preserve">
+ (not) (this)
+ I can sleep in position.
+ (&mdash;-) (any)
+</pre>
+ <p>
+ The quieting effect is immediately perceptible.
+ </p>
+ <p>
+ Nor is the injurious effect of the explosive habit of speech limited to
+ the person who indulges it. The other day a lady, apparently in no haste,
+ sauntered into a station of the "Elevated" ahead of me, holding by the
+ hand a small boy. The boy was enjoying himself immensely, gazing about him
+ with the wide-awake, but calmly contemplative air peculiar to childhood.
+ Suddenly the lady saw that a train was about to leave the station, and was
+ seized by the not uncommon compulsion to take the last train instead of
+ the next one. She hurried the boy across the platform only to meet the
+ closed door of the departing train.
+ </p>
+ <p>
+ "<i>Isn't</i> that <i>provoking</i>!" she exclaimed. And the boy began to
+ whimper.
+ </p>
+ <p>
+ Although the main object of this book is to call attention to the mental
+ rather than the physical treatment of these states, I cannot forbear
+ reminding the reader of certain routine measures which facilitate the
+ desired improvement in mental attitude.
+ </p>
+ <p>
+ It is well to start the day with a quick plunge in cold water, that is, in
+ water of the natural temperature excepting in the cold season, when the
+ extreme chill may be taken off to advantage. A brisk rub with rough towels
+ should follow. One should proceed immediately from the warm bed to the
+ bath, and should not first "cool off." A few setting-up exercises (bending
+ the trunk forward and back, sidewise, and with a twist) may precede the
+ bath, and a few simple arm exercises follow it. A few deep breaths will
+ inevitably accompany these procedures. When one returns to his room he no
+ longer notices the chill in the air, and he has made a start toward
+ accustoming himself to, and really enjoying, lower temperatures than he
+ fancied he could stand at all.
+ </p>
+ <p>
+ Every healthy adult should walk at least two miles daily in the open. We
+ have been forced to readjust our ideas as to the distance even an elderly
+ person can walk without harm since a pedestrian of sixty-nine has, without
+ apparent injury, covered over one thousand miles, over ordinary roads, at
+ an average of fifty miles a day.
+ </p>
+ <p>
+ The day's work should be started with the resolution that every task shall
+ be taken up in its turn, without doubts and without forebodings, that
+ bridges shall not be crossed until they are reached, that the vagaries of
+ others shall amuse and interest, not distress us, and that we will live in
+ the present, not in the past or the future. We must avoid undertaking too
+ much, and whatever we do undertake we must try not to worry as to whether
+ we shall succeed. This only prevents our succeeding. We should devote all
+ our efforts to the task itself, and remember that even failure under these
+ circumstances may be better than success at the expense of prolonged
+ nervous agitation.
+ </p>
+ <p>
+ "Rest must be complete when taken and must balance the effort in work&mdash;rest
+ meaning often some form of recreation as well as the passive rest of
+ sleep. Economy of effort should be gained through normal concentration&mdash;that
+ is, the power of erasing all previous impressions and allowing a subject
+ to hold and carry us, by dropping every thought or effort that interferes
+ with it, in muscle, nerve, and mind." (Annie Payson Call, "Power Through
+ Repose.")
+ </p>
+ <p>
+ The over-scrupulous and methodical individual who can neither sleep nor
+ take a vacation until all the affairs of his life are arranged must remind
+ himself that this happy consummation will not be attained in his lifetime.
+ It behooves him, therefore, if he is ever to sleep, or if he is ever to
+ take a vacation, to do it now, nor need he postpone indefinitely
+ </p>
+<pre xml:space="preserve">
+ "That blessed mood
+ In which the burden of the mystery,
+ In which the heavy and the weary weight
+ Of all this unintelligible world
+ Is lightened."
+</pre>
+ <p>
+ <br /><br />
+ </p>
+ <hr />
+ <p>
+ <a name="link2H_4_0021" id="link2H_4_0021"> </a>
+ </p>
+ <div style="height: 4em;">
+ <br /><br /><br /><br />
+ </div>
+ <h2>
+ XIX. HOME TREATMENT (CONTINUED)
+ </h2>
+ <p>
+ Happiness and success in life do not depend on circumstances, but on
+ ourselves.
+ </p>
+ <p>
+ <i>Sir John Lubbock</i>.
+ </p>
+ <p>
+ The obsession to "arrive" is a fertile source of fret and worry. This
+ habit of mind leads to frantic and impatient labor and blocks our pleasure
+ at every point. The person who plays a game only to see who wins loses
+ half the benefit of the recreation. Here are two ways of walking the
+ half-mile to and from my office:
+ </p>
+ <p>
+ Suppose I start out with my mind on my destination, thinking only of what
+ I shall do when I get there, and how I shall do it. This thought
+ influences my whole body. I am all "keyed up," my muscles are tense, my
+ breathing, even, is constricted and the walk does me comparatively little
+ good.
+ </p>
+ <p>
+ Suppose, now, I decide I am making a mistake, and determine to live in the
+ present. General relaxation follows, I take a deep breath, and begin to
+ notice my surroundings. I may even observe the sky-line of the buildings I
+ have passed daily for years without knowing they had a sky-line; my gait
+ becomes free and life takes on a different aspect. I have taken a long
+ step toward mental tranquility as well as gaining "power through repose."
+ </p>
+ <p>
+ One of the hardest obsessions to overcome is the <i>unduly</i> insistent
+ habit of mind regarding orderliness and cleanliness. It is not undue to
+ desire and practice a reasonable degree of these virtues, but when it
+ gives one a "fit" to see a picture slightly off the level, and drives one
+ "wild" to see a speck of dust, it is time to modify the ideal. This is the
+ frame of mind which encourages worry over trifles. If one really wishes to
+ lessen worry he must cultivate a certain degree of tolerance for what does
+ not square with his ideas, even if it does violence to a pet virtue.
+ </p>
+ <p>
+ The careful housekeeper may object that so long as she can regulate her
+ household to her liking, the habit of orderliness, even though extreme,
+ causes her no worry. But it is only the hermit housekeeper who can
+ entirely control her household. And further, the possessor of the
+ over-orderly temperament, whether applied to housekeeping, business, or
+ play (if he ever plays), is bound sooner or later to impinge his ideas of
+ orderliness upon the domain of other peoples' affairs, in which his wishes
+ cannot be paramount. In this event, at least, he will experience a worry
+ only to be allayed by learning to stand something he does not like.
+ </p>
+ <p>
+ Worry about the mental condition is disastrous. The habit should be
+ cultivated of taking the mind for what it is, and using it, wasting no
+ time in vain regrets that it is not nimbler or more profound. Just as the
+ digestion is impeded by solicitude, so the working of the brain is
+ hampered by using the energy in worry which should be devoted directly to
+ the task in hand. Children frequently worry because their memory is poor.
+ It should be explained to them that in ninety-nine cases out of a hundred
+ apparent lack of memory is only lack of attention, and they should be
+ urged to cease distracting the attention by wandering in the fields of
+ idle speculation or in making frantic leaps to surmount imaginary
+ obstacles.
+ </p>
+ <p>
+ It is important for parents of morbidly sensitive and over-scrupulous
+ children, with acute likes and dislikes, to discourage the tendency of the
+ child to become more and more peculiar. Sensitive children are inclined to
+ worry because they think others do not care for them or want them round.
+ If such children can be led to take a bird's-eye view of themselves, they
+ may be made to realize that others crave their society according as they
+ are helpful, entertaining, sympathetic, or tactful, because they instil
+ courage and give comfort. They should be urged, therefore, to cultivate
+ these qualities instead of wasting their energy in tears and
+ recriminations; and they should be encouraged to practice such of these
+ traits as they can master instead of becoming moody in society, or
+ withdrawing to brood in solitude, either of which errors may result in
+ producing on the part of others a genuine dislike. In other words, teach
+ them to avoid enforcing too far their <i>ego</i> on themselves or their
+ environment.
+ </p>
+ <p>
+ Parents must also remember that over-solicitous attention on their part is
+ bound to react to the disadvantage of the child. The story is told of
+ Phillips Brooks that, when a child, he put a newly sharpened pencil into
+ his mouth further and further until it slipped down his throat. He asked
+ his mother what would happen if anyone should swallow a pencil. She
+ answered that she supposed it would kill him. Phillips kept silence, and
+ his mother made no further inquiry.
+ </p>
+ <p>
+ This incident would indicate that Phillips Brooks had already, as a child,
+ attained a mental equipoise which the average individual hardly achieves
+ in a lifetime. The story appeals to me no less as evidence of self-control
+ on the part of the mother; and I like to imagine that she suppressed the
+ question a startled parent naturally would ask, realizing that no amount
+ of worry would recall the pencil if he had swallowed it, and that nothing
+ was to be gained by overturning the household, or by giving the boy an
+ example of agitation sure to react to the detriment of the mind unfolding
+ under her supervision. Unless, therefore, the facts of this story have
+ become distorted by imagery, it shows exceptional heredity and unusual
+ training.
+ </p>
+ <p>
+ Not every one can claim such heredity, and not every one can look back on
+ such training; but it is not too much to say that every one can so direct
+ his thoughts and so order his actions as gradually to attain a somewhat
+ higher level of self-control than either his mental endowment or his early
+ training would have promised. For mental training is no more limited to
+ feats of memory, and to practice in the solution of difficult problems,
+ than is physical training comprised in the lifting of heavy weights in
+ harness. In fact, such exercises are always in danger of leaving the
+ mental athlete intellectually muscle-bound, if I may use such an
+ expression; whereas the kind of training I have in mind tends to establish
+ mental poise, to improve the disposition, to fit the mind (and indirectly
+ the body) better to meet the varied exigencies of daily life, and to help
+ the individual to react in every way more comfortably to his surroundings.
+ </p>
+ <p>
+ I have only hinted at the detailed suggestions by which the worry habit
+ and allied faulty mental tendencies may be combated. The obsessive who is
+ able to alter his ideals and systematically pursue the line of thought
+ here sketched will himself find other directions in which control can be
+ exercised. It is true that no one is likely to reach any of the extreme
+ degrees of incapacity we have considered unless he is naturally endowed
+ with a mind predestined to unbalance. At the same time any of us who have
+ a nervous temperament ever so slightly above the average of intensity will
+ do well to check these tendencies as far as possible in their incipiency,
+ realizing that no physical evil we may dread can be worse than the lot of
+ the confirmed hypochondriac or the compulsively insane.
+ </p>
+ <p>
+ Perhaps I have dwelt too much upon the extreme results of morbid mental
+ tendencies, and too little upon the ideal for which we should strive. This
+ ideal I shall not attempt to portray, but leave it rather to the
+ imagination. Suffice it to say that the ladder by which self-control is
+ attained is so long that there is ample room to ascend and descend without
+ reaching either end. Some of us are started high on the ladder, some low;
+ but it is certainly within the power of each to alter somewhat his level.
+ We can slide down, but must climb up; and that such commonplaces as are
+ here presented may help some of my fellow worriers to gain a rung or two
+ is my earnest wish. Even when we slip back we can appreciate the sentiment
+ of Ironsides:
+ </p>
+<pre xml:space="preserve">
+ "Night after night the cards were fairly shuffled
+ And fairly dealt, but still I got no hand.
+ The morning came, but I with mind unruffled
+ Did simply say, 'I do not understand.'
+
+ "Life is a game of whist; from unseen sources
+ The cards are shuffled and the hands are dealt.
+ Vain are our efforts to control the forces,
+ Which, though unseen, are no less strongly felt.
+
+ "I do not like the way the cards are shuffled,
+ But still I like the game and want to play,
+ And through the long, long night with mind unruffled,
+ Play what I get until the dawn of day."
+</pre>
+ <div style="height: 6em;">
+ <br /><br /><br /><br /><br /><br />
+ </div>
+
+
+
+
+
+
+
+<pre>
+
+
+
+
+
+End of Project Gutenberg's Why Worry?, by George Lincoln Walton, M.D.
+
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+</html>
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+The Project Gutenberg EBook of Why Worry?, by George Lincoln Walton, M.D.
+
+This eBook is for the use of anyone anywhere at no cost and with
+almost no restrictions whatsoever. You may copy it, give it away or
+re-use it under the terms of the Project Gutenberg License included
+with this eBook or online at www.gutenberg.org
+
+
+Title: Why Worry?
+
+Author: George Lincoln Walton, M.D.
+
+
+Release Date: July, 2005 [EBook #8554]
+This file was first posted on July 22, 2003
+Last Updated: May 14, 2013
+
+Language: English
+
+Character set encoding: ASCII
+
+*** START OF THIS PROJECT GUTENBERG EBOOK WHY WORRY? ***
+
+
+
+
+Produced by Charles Aldarondo, Tiffany Vergon, Charles
+Franks and the Online Distributed Proofreading Team
+
+
+
+
+
+
+
+
+
+WHY WORRY?
+
+By George Lincoln Walton, M.D.
+
+Consulting Neurologist To The Massachusetts General Hospital
+
+
+
+The legs of the stork are long, the legs of the duck are short; you cannot
+make the legs of the stork short, neither can you make the legs of the duck
+long. Why worry?--_Chwang Tsze_.
+
+
+TO MY LONG-SUFFERING FAMILY AND CIRCLE OF FRIENDS, WHOSE PATIENCE HAS
+BEEN TRIED BY MY EFFORTS TO ELIMINATE WORRY, THIS BOOK IS AFFECTIONATELY
+DEDICATED.
+
+
+
+
+PREFACE.
+
+No apology is needed for adding another to the treatises on a subject whose
+importance is evidenced by the number already offered the public.
+
+The habit of worry is not to be overcome by unaided resolution. It is hoped
+that the victim of this unfortunate tendency may find, among the homely
+illustrations and commonplace suggestions here offered, something to turn
+his mind into more healthy channels. It is not the aim of the writer to
+transform the busy man into a philosopher of the indolent and contemplative
+type, but rather to enable him to do his work more effectively by
+eliminating undue solicitude. This elimination is consistent even with the
+"strenuous life."
+
+One writer has distinguished between normal and abnormal worry, and
+directed his efforts against the latter. Webster's definition of worry (A
+state of undue solicitude) obviates the necessity of deciding what degree
+and kind of worry is abnormal, and directs attention rather to deciding
+what degree of solicitude may be fairly adjudged undue.
+
+In the treatment of a subject of this character a certain amount of
+repetition is unavoidable. But it is hoped that the reiteration of
+fundamental principles and of practical hints will aid in the application
+of the latter. The aim is the gradual establishment of a _frame of mind_.
+The reader who looks for the annihilation of individual worries, or who
+hopes to influence another by the direct application of the suggestions,
+may prepare, in the first instance for disappointment, in the second, for
+trouble.
+
+The thanks of the writer are due to Miss Amy Morris Homans, Director of
+the Boston Normal School of Gymnastics, for requesting him to make to her
+students the address which forms the nucleus of these pages.
+
+GEORGE L. WALTON.
+
+BOSTON, April, 1908.
+
+
+
+
+CONTENTS
+
+
+ I. INTRODUCTORY
+ II. EPICURUS AS A MENTAL HEALER
+ III. THE PSYCHO-THERAPY OF MARCUS AURELIUS
+ IV. ANALYSIS OF WORRY
+ V. WORRY AND OBSESSION
+ VI. THE DOUBTING FOLLY
+ VII. HYPOCHONDRIA
+ VIII. NEURASTHENIA
+ IX. SLEEPLESSNESS
+ X. OCCUPATION NEUROSIS
+ XI. THE WORRIER AT HOME
+ XII. THE WORRIER ON HIS TRAVELS
+ XIII. THE WORRIER AT THE TABLE
+ XIV. THE FEAR OF BECOMING INSANE
+ XV. RECAPITULATORY
+ XVI. MAXIMS MISAPPLIED
+ XVII. THE FAD
+XVIII. HOME TREATMENT
+ XIX. HOME TREATMENT CONTINUED
+
+
+
+
+DEFINITIONS.
+
+
+WORRY. A state of undue solicitude.
+
+HYPOCHONDRIA. A morbid mental condition characterized by undue solicitude
+regarding the health, and undue attention to matters thereto pertaining.
+
+OBSESSION. An unduly insistent and compulsive thought, habit of mind, or
+tendency to action.
+
+DOUBTING FOLLY (_Folie du doute_.) A state of mind characterized by a
+tendency unduly to question, argue and speculate upon ordinary matters.
+
+NEURASTHENIA. A form of nervous disturbance characterized by exhaustion and
+irritability.
+
+PHOBIA. An insistent and engrossing fear without adequate cause, as judged
+by ordinary standards.
+
+OCCUPATION NEUROSIS. A nervous disorder in which pain, sometimes with
+weakness and cramp, results from continued use of a part.
+
+PSYCHO-THERAPY. Treatment through the mind.
+
+No other technical terms are used.
+
+
+
+
+I.
+
+INTRODUCTORY
+
+When Thales was asked what was difficult he said, "To know oneself"; and
+what was easy, "To advise another."
+
+
+Marcus Aurelius counselled, "Let another pray, 'Save Thou my child,' but do
+thou pray, 'Let me not fear to lose him.'"
+
+Few of us are likely to attain this level; few, perhaps, aspire to do
+so. Nevertheless, the training which falls short of producing complete
+self-control may yet accomplish something in the way of fitting us,
+by taking the edge off our worry, to react more comfortably to our
+surroundings, thus not only rendering us more desirable companions, but
+contributing directly to our own health and happiness.
+
+Under the ills produced by faulty mental tendencies I do not include cancer
+and the like. This inclusion seems to me as subversive of the laws of
+nature as the cure of such disease by mental treatment would be miraculous.
+At the same time, serious disorders surely result from faulty mental
+tendencies.
+
+In this category we must include, for example, hypochondria, a disturbance
+shown by undue anxiety concerning one's own physical and mental condition.
+This disorder, with the allied fears resulting from the urgent desire to
+be always absolutely safe, absolutely well, and absolutely comfortable, is
+capable, in extreme cases, of so narrowing the circle of pleasure and of
+usefulness that the sufferer might almost as well have organic disease.
+
+Neurasthenia (nervous prostration) has for its immediate exciting cause
+some overwork or stress of circumstance, but the sufferer not infrequently
+was already so far handicapped by regrets for the past, doubts for the
+present, and anxieties for the future, by attention to minute details
+and by unwillingness to delegate responsibilities to others, that he was
+exhausted by his own mental travail before commencing upon the overwork
+which precipitated his breakdown. In such cases the occasion of the
+collapse may have been his work, but the underlying cause was deeper. Many
+neurasthenics who think they are "all run down" are really "all wound up."
+They carry their stress with them.
+
+Among the serious results of faulty mental habit must be included also
+the doubting folly (_folie du doute_). The victim of this disorder is so
+querulously anxious to make no mistake that he is forever returning to see
+if he has turned out the gas, locked the door, and the like; in extreme
+cases he finally doubts the actuality of his own sensations, and so far
+succumbs to chronic indecision as seriously to handicap his efforts. This
+condition has been aptly termed a "spasm of the attention."
+
+The apprehensive and fretful may show, in varying degree, signs of either
+or all these conditions, according as circumstances may direct their
+attention.
+
+Passing from serious disorders to minor sources of daily discomfort, there
+are few individuals so mentally gifted that they are impervious to the
+distress occasioned by variations of temperature and of weather; to the
+annoyance caused by criticism, neglect, and lack of appreciation on the
+part of their associates; to active resentment, even anger, upon moderate
+provocation; to loss of temper when exhausted; to embarrassment in unusual
+situations; to chronic indecision; to the sleeplessness resulting from
+mental preoccupation; and above all, to the futile regrets, the querulous
+doubts, and the undue anxiety included under the term _worry_, designated
+by a recent author "the disease of the age."
+
+Something may be accomplished in the way of lessening all these ills by
+continuous, properly directed effort on the part of the individual. Every
+inroad upon one faulty habit strengthens the attack upon all, and each gain
+means a step toward the acquisition of a mental poise that shall give its
+possessor comparative immunity from the petty annoyances of daily life.
+
+In modern psycho-therapy the _suggestion_, whether on the part of the
+physician or of the patient, plays a prominent part, and it is in this
+direction, aside from the advice regarding occupation and relaxation, that
+my propositions will trend. I shall not include, however, suggestions
+depending for their efficacy upon self-deceit, such as might spring, for
+example, from the proposition that if we think there is a fire in the stove
+it warms us, or that if we break a pane in the bookcase thinking it
+a window, we inhale with pleasure the resulting change of air. The
+suggestions are intended to appeal to the reason, rather than to the
+imagination.
+
+The special aim will be to pay attention to the different varieties of
+worry, and to offer easily understood and commonplace suggestions which any
+one may practice daily and continuously, at last automatically, without
+interfering with his routine work or recreation. Indeed the tranquil mind
+aids, rather than hinders, efficient work, by enabling its possessor to
+pass from duty to duty without the hindrance of undue solicitude.
+
+In advising the constitutional worrier the chief trouble the physician
+finds is an active opposition on the part of the patient. Instead of
+accepting another's estimate of his condition, and another's suggestions
+for its relief, he comes with a preconceived notion of his own
+difficulties, and with an insistent demand for their instant relief by drug
+or otherwise. He uses up his mental energy, and loses his temper, in the
+effort to convince his physician that he is _not_ argumentative. In a less
+unreasonable, but equally difficult class, come those who recognize the
+likeness in the portrait painted by the consultant, but who say they have
+tried everything he suggests, but simply "can't."
+
+It is my hope that some of the argumentative class may recognize, in my
+description, their own case instead of their neighbor's, and may of their
+own initiative adopt some of the suggestions; moreover, that some of the
+acquiescent, but despairing class will renew their efforts in a different
+spirit. The aim is, not to accomplish a complete and sudden cure, but to
+gain something every day, or if losing a little to-day, to gain a little
+to-morrow, and ultimately to find one's self on a somewhat higher plane,
+without discouragement though not completely freed from the trammels
+entailed by faulty mental habit.
+
+
+
+
+II.
+
+EPICURUS AS A MENTAL HEALER
+
+'Tis to believe what men inspired of old, Faithful, and faithfully
+informed, unfold.
+
+_Cowper_.
+
+
+The suggestions offered in the following pages are not new. Many of them
+were voiced by Epicurus three hundred years before Christ, and even then
+were ancient history. Unfortunately Epicurus had his detractors. One,
+Timocrates, in particular, a renegade from his school, spread malicious and
+unfounded reports of his doings and sayings, reports too easily credited
+then, and starting, perhaps, the misconception which to-day prevails
+regarding the aims of this philosopher.
+
+But when Marcus Aurelius, nearly five centuries later, decided to endow a
+philosophical professoriate he established the Epicurean as one of the four
+standard schools. The endorsement of such a one should surely predispose
+us to believe the authentic commentators of Epicurus, and to discredit the
+popular notion which makes his cult synonymous with the gratification of
+the appetites, instead of with the mental tranquility to which he regarded
+sensual pleasures so detrimental that he practically limited his diet, and
+that of his disciples, to bread and water.
+
+It is of special encouragement to such of us as painfully realize our
+meagre equipment for reaching a high plane of self-control, to learn that
+Epicurus was by nature delicate and sensitive. At seven years of age, we
+are told, he could not support himself on tiptoe, and called himself the
+feeblest of boys. It is said that in his boyhood he had to be lifted from
+his chair, that he could not look on the sun or a fire, and that his skin
+was so tender as to prevent his wearing any dress beyond a simple tunic.
+These physical characteristics suggest the makings of a first class "fuss"
+and inveterate worrier. In this event his emancipation from such tendencies
+must have been due to the practice of his own philosophy.
+
+As an antidote for the fear of death and the miraculous in the heavens
+Epicurus urges the study of Nature, showing his appreciation of the fact
+that one thought can only be driven out by another, as well as of the
+importance of the open air treatment of depressing fears.
+
+That he recognized the doubting folly and its evils is shown by the
+following Maxim for the Wise man:
+
+"He shall be steady in his opinion and not wavering and doubtful in
+everything."
+
+To the hypochondriac he said:
+
+"Health in the opinion of some is a precious thing; others rank it among
+the indifferent." Again:
+
+"If the body be attacked by a violent pain the evil soon has an end; if, on
+the contrary, the pain be languishing and of long duration it is sensible
+beyond all doubt of some pleasure therefrom. Thus, most chronical
+distempers have intervals that afford us more satisfaction and ease than
+the distempers we labor under cause pain." And further:
+
+"The Wise man takes care to preserve the unequivocable blessing of an
+undisturbed and quiet mind even amidst the groans and complaints which
+excess of pain extorts from him." He states, again, that one can be happy
+though blind.
+
+Regarding insomnia, he recognized the futility of expecting restful sleep
+to follow a day of fret and worry. He says:
+
+"He shall enjoy the same tranquility in his sleep as when awake."
+
+Epicurus realized that the apparent inability of the old to acquire
+new habits is due rather to lack of attention, and to indifference or
+preoccupation, than to lack of aptitude. He placed, in fact, no limit to
+the age for learning new methods, stating in his letter to Meneceus,--
+
+"Youth is no obstacle to the study of philosophy--neither ought we to be
+ashamed to concentrate our later years to the labor of speculation. Man has
+no time limit for learning, and ought never to want strength to cure his
+mind of all the evils that afflict it."
+
+Epicurus does not counsel seclusion for the cultivation of tranquility, but
+holds that mental equipoise "may be maintained though one mingles with the
+world, provided he keeps within the bounds of temperance, and limits his
+desires to what is easily obtained."
+
+Curiously enough, in view of the idea of epicureanism which has become
+proverbial, Epicurus regards the avoidance of excess a logical and
+necessary step toward the tranquil life, and among other admonitions is
+found the following Maxim:
+
+"The Wise man ought never to drink to excess, neither must he spend the
+nights revelling and feasting."
+
+We may conclude our selection from the Maxims of Epicurus by one which
+strikes a body-blow at worry and the allied faulty mental habits:
+
+"That being who is happy and immortal is in no way solicitous or uneasy on
+any account, neither does he torment or tease others; anger is unworthy of
+his greatness ... for all these things are the property of weakness."
+
+Such then, was the real Epicurus, not a seeker after effeminate luxury, but
+a chaste and frugal philosopher, serene of mien, and of gentle disposition,
+firm in his friendships, but sacrificing to them none of the high ideals
+which characterized his thought. He erred, doubtless, in the avoidance of
+responsibilities and in narrowing his efforts to promoting the happiness
+of his own immediate circle, but he was fearless in the defence of his
+principles and steadfast in the pursuit of the tranquility which for him
+included truth.
+
+
+
+
+III.
+
+MARCUS AURELIUS
+
+Such a body of teachers distinguished by their acquirements and character
+will hardly be collected again; and as to the pupil, we have not had
+another like him since.
+
+_Long_.
+
+
+Marcus Aurelius Antoninus, the philosopher-Emperor, showed by practice as
+well as by precept that the tranquil mind is not incompatible with a life
+of action. Destined from birth to stand at the head of a great empire
+engaged in distant wars, threatened by barbaric invasion, and not without
+internal dissention, he was prepared not only to command armies but to
+govern himself. Fortunately we are not without a clue to his methods--he
+not only had the best of teachers, but continued his training all through
+his life. When we consider his labors, the claim of the busy man of to-day
+that he has "no time" seems almost frivolous.
+
+The thoughts of Marcus Aurelius (of which the following citations are
+from Long's translation) were written, not for self exploration, nor from
+delight in rounded periods, but for his own guidance. That he was in fact
+guided by his principles no better illustration offers than his magnanimity
+toward the adherents of one who would have usurped the throne of the
+Caesars. The observation of Long that fine thoughts and moral dissertations
+from men who have not worked and suffered may be read, but will be
+forgotten, seems to have been exemplified in the comparative oblivion into
+which the philosophy of Epicurus has fallen.
+
+It is with the ethical side of the philosophy of Marcus Aurelius that we
+are concerned, and with that portion only which bears on the question of
+mental equipoise.
+
+"Begin the morning," he says, "by saying to thyself, I shall meet with the
+busybody, the ungrateful, arrogant, deceitful, envious, unsocial. All these
+things happen to them by reason of their ignorance of what is good and
+evil."
+
+With regard to the habit of seclusion common among the self-conscious, he
+says:
+
+"If thou didst ever see a hand cut off, or a foot, or a head, lying
+anywhere apart from the rest of the body, such does a man make himself, as
+far as he can, who is not content with what happens, and separates himself
+from others, or does any thing unsocial. Suppose that thou hast detached
+thyself from the natural unity--for thou wast made by nature a part, but
+now thou hast cut thyself off--yet here there is this beautiful provision,
+that it is in thy power again to unite thyself. God has allowed this to no
+other part, after it has been separated and cut asunder, to come together
+again. But consider the kindness by which he has distinguished man, for he
+has put it in his power not to be separated at all from the universal; and
+when he has been separated, he has allowed him to return and to resume his
+place as a part."
+
+On the futile foreboding which plays so large a part in the tribulation of
+the worrier, he says:
+
+"Do not disturb thyself by thinking of the whole of thy life. Let not thy
+thoughts at once embrace all the various troubles which thou mayest expect
+to befall thee; but on every occasion ask thyself, What is there in this
+which is intolerable and past bearing? for thou wilt be ashamed to confess.
+In the next place remember that neither the future nor the past pains thee,
+but only the present. But this is reduced to a very little, if thou only
+circumscribest it, and chidest thy mind, if it is unable to hold out
+against even this." Again: "Let not future things disturb thee, for thou
+wilt come to them, if it shall be necessary, having with thee the same
+reason which now thou usest for present things."
+
+On the dismissal of useless fret, and concentration upon the work in hand,
+he says:
+
+"Labor not as one who is wretched, nor yet as one who would be pitied or
+admired; but direct thy will to one thing only, to put thyself in motion
+and to check thyself, as the social reason requires."
+
+Regarding senseless fears he counsels:
+
+"What need is there of suspicious fear, since it is in thy power to inquire
+what ought to be done? And if thou seest clear, go by this way content,
+without turning back: but if thou dost not see clear, stop and take the
+best advisers. But if any other things oppose thee, go on according to thy
+powers with due consideration, keeping to that which appears to be just.
+For it is best to reach this object, and if thou dost fail, let thy failure
+be in attempting this. He who follows reason in all things is both tranquil
+and active at the same time, and also cheerful and collected."
+
+On irritation at the conduct of others:
+
+"When thou art offended with any man's shameless conduct, immediately ask
+thyself, Is it possible, then, that shameless men should not be in the
+world? It is not possible. Do not, then, require what is impossible. For
+this man also is one of those shameless men who must of necessity be in the
+world. Let the same considerations be present in thy mind in the case of
+the knave and the faithless man, and of every man who does wrong in any
+way."
+
+Regarding the hypochondriacal tendency he reverts to Epicurus, thus:
+
+"Epicurus says, In my sickness my conversation was not about my bodily
+sufferings, nor did I talk on such subjects to those who visited me; but I
+continued to discourse on the nature of things as before, keeping to this
+main point, how the mind, while participating in such movements as go on in
+the poor flesh, shall be free from perturbations and maintain its proper
+good.... Do, then, the same that he did both in sickness, if thou art sick,
+and in any other circumstances;... but to be intent only on that which thou
+art now doing and on the instrument by which thou doest it."
+
+These quotations will serve to show the trend of the reflections of this
+remarkable man. After reviewing this epitome of ethical philosophy I might
+stop and counsel the worrier to study the thoughts of Marcus Aurelius
+and other philosophers, whose practical suggestions are similar,
+notwithstanding their diversity of views regarding the ultimate object of
+the training. I shall venture, however, to elaborate the subject from the
+present view-point, even though the principles of Marcus Aurelius are as
+applicable now as they were in the days of the Roman Empire.
+
+No reminder is needed of the wealth and efficacy of suggestion in the Book
+which contains the statement that "the Kingdom of God is within you," and
+that "A merry heart doeth good like a medicine; but a broken spirit drieth
+the bones." One of its suggestions was paralleled by the philosopher-poet
+when he wrote:
+
+ "Latius regnes avidum domando
+ Spiritum, quam si Libyam remotis
+ Gadibus iungas et uterque Poenus
+ Serviat uni."
+
+
+
+
+IV.
+
+ANALYSIS OF WORRY
+
+Of these points the principal and most urgent is that which reaches the
+passions; for passion is produced no otherwise than by a disappointment
+of one's desires and an incurring of one's aversions. It is this which
+introduces perturbations, tumults, misfortunes, and calamities; this is
+the spring of sorrow, lamentation and envy; this renders us envious and
+emulous, and incapable of hearing reason.
+
+_Epictetus_.
+
+
+Under this rather pretentious title an attempt is made to indicate certain
+elements of worry. No claim is made that the treatment of the subject is
+exhaustive.
+
+The motto "Don't Worry" has inspired many homilies. But the mere resolve to
+follow this guide to happiness will no more instantaneously free one from
+the meshes of worry than the resolve to perform a difficult gymnastic feat
+will insure its immediate accomplishment.
+
+The evils of worry as well as of its frequent associate, anger, have been
+dwelt upon by writers philosophical, religious, and medical. "Worry," says
+one author, "is the root of all cowardly passions,--jealousy, fear, the
+belittling of self, and all the introspective forms of depression are the
+children of worry." The symptoms and the evil results seem to receive
+more elaborate and detailed attention than the treatment. "Eliminate it,"
+counsels this writer; "Don't worry," advises another. "Such advice is
+superficial," says their critic, "it can only be subdued by our ascending
+into a higher atmosphere, where we are able to look down and comprehend the
+just proportions of life." "Cultivate a quiet and peaceful frame of mind,"
+urges another; and still another advises us to "occupy the mind with better
+things, and the best--is a habit of confidence and repose."
+
+From such counsel the average individual succeeds in extracting nothing
+tangible. The last writer of those I have quoted comes perhaps the nearest
+to something definite in directing us to occupy the mind with better
+things; in the suggestions I have to offer the important feature is the
+effort to replace one thought by another, though not necessarily by a
+better one. If we succeed in doing this, we are making a step toward
+acquiring the habit of confidence and repose.
+
+The simple admonition not to worry is like advising one not to walk
+awkwardly who has never learned to walk otherwise. If we can find some of
+the simpler elements out of which worry is constructed, and can learn to
+direct our attack against these, the proposition "Don't worry" will begin
+to assume a tangible form.
+
+We can at least go back one step, and realize that it is by way of the
+_unduly insistent thought_ that most of these faulty mental habits become
+established. It might be claimed that fear deserves first mention, but the
+insistent thought in a way includes fear, and in many cases is independent
+of it.
+
+The insistent thought magnifies by concentration of attention, and by
+repetition, the origin of the worry. If my thoughts dwell on my desire for
+an automobile this subject finally excludes all others, and the automobile
+becomes, for the time being, the most important thing in the world, hence I
+worry. Into this worry comes no suggestion of fear--this emotion would be
+more appropriate, perhaps, if I acquired the automobile and attempted
+to run it. If, now, I have trained myself to concentrate my attention
+elsewhere before such thoughts become coercive, the automobile quickly
+assumes its proper relation to other things, and there is no occasion for
+worry. This habit of mind once acquired regarding the unessentials of life,
+it is remarkable how quickly it adapts itself to really important matters.
+
+Take a somewhat more serious question. I fear I may make a blunder. If I
+harbor the thought, my mind is so filled with the disastrous consequences
+of the possible blunder that I finally either abandon the undertaking or
+approach it with a trepidation that invites failure. If, on the other hand,
+I have learned to say that even if I make a blunder it will only add to
+my experience, then apply myself whole-minded to the task, I have made a
+direct attack on worry.
+
+The qualification _unduly_ is not to be forgotten; a certain discrimination
+must be exercised before entirely condemning the insistent thought. The
+insistent thought that one's family must be fed is not a morbid sign. In
+fact, he also errs who can eliminate this thought and enjoy the ball game.
+It is not for the deviate of this type that I am writing. Nevertheless, the
+over-solicitous victim of the "New England Conscience" can almost afford to
+take a few lessons from the ne'er-do-weel.
+
+The practical bearing of this attempt to analyze worry is obvious. If it is
+through the insistent desire for an automobile that I worry, I must bring
+my training to bear, not on the worry, which is elusive, but on the desire,
+which is definite. I must fortify myself with what philosophy I can
+acquire, and must console myself with such compensations as my situation
+may offer; and above all, I must _get busy_, and occupy hands and brain
+with something else. If, on my travels, I worry over the sluggish movement
+of the train, it is because of the insistent thought that I must arrive
+on time. In this event I should practice subduing the insistent thought,
+rather than vaguely direct my efforts against the worry. In the majority of
+cases I can bring myself to realize that the question of my arrival is not
+vital. Even in case I am missing an important engagement I may modify the
+dominance of the thought by reflecting that I cannot expect to be wholly
+immune from the misfortunes of mankind; it is due me, at least once in a
+lifetime, to miss an important engagement,--why fret because this happens
+to be the appointed time? Why not occupy my thoughts more profitably than
+in rehearsing the varied features of this unavoidable annoyance?
+
+If we fret about the weather it is because of an insistent desire that the
+weather shall conform to our idea of its seasonableness. If we complain
+of the chill of May it is not because the cold is really unbearable, but
+because we wonder if spring will ever come. If we fume on a hot day in July
+it is because the weather is altogether _too_ seasonable to suit us.
+
+We spend far too much thought on the weather, a subject that really
+deserves little attention except by those whose livelihood and safety
+depend upon it. Suppose a runaway passes the window at which we are
+sitting, with collar off, handkerchief to our heated brow, squirming to
+escape our moist and clinging garments, and being generally miserable. We
+rush out of doors to watch his course, and for the next few minutes we do
+not know whether it is hot or cold, perspiring less during our exertions, I
+strongly suspect, than we did while sitting in the chair. At all events, it
+is obvious that our thoughts played quite as great a part in our discomfort
+as did the heat of the day.
+
+Suppose now, instead of devoting all our attention to the weather we should
+reason somewhat as follows:
+
+As long as I live on this particular planet, I shall be subject perhaps
+three days out of four, to atmospheric conditions which do not suit me.
+Is it worth my while to fret during those three days and to make it up by
+being elated on the fourth? Why not occupy myself with something else and
+leave the weather for those who have no other resource? Or, as someone has
+said, why not "make friends with the weather?" If one will cultivate this
+frame of mind he will be surprised to find that a certain physical relief
+will follow. In the first place, he will lessen the excessive perspiration
+which is the invariable accompaniment of fret, and which in its turn
+produces more discomfort than the heat itself.
+
+We have selected, so far, the comparatively unimportant sources of mental
+discomfort, fret, and worry. The reader who can truthfully say that such
+annoyances play no part in his mental tribulations may pass them and accept
+congratulations. The reader who cannot be thus congratulated, but who is
+impatient to attack the major sources of worry, must be reminded at this
+point that he must practice on the little worries before he can accomplish
+anything with the great. The method is the same. The philosophy that will
+make us content with the weather will do something toward establishing the
+mental poise which shall enable us to withstand with comparative equanimity
+the most tragic of misfortunes that may fall to our lot.
+
+To draw an example from the more serious disorders, let us consider the
+hypochondriac, who harbors the insistent thought that he must be always
+perfectly well, that each of his sensations must conform to his ideal, and
+that each function must follow regulations imposed by himself. If he
+can learn to ignore this thought by realizing that an acute illness is
+preferable to life-long mental captivity; if he can learn to do what others
+do, and to concentrate his energies on outside affairs which shall displace
+the question of health; if he can learn to say "What I am _doing_ is more
+important than how I am _feeling_;" he will have cured his hypochondria.
+
+In the foundation of the structure we are studying is found _exaggerated
+self-consciousness_. Whatever is said, done, or left undone, by others is
+analyzed by the worrier with reference to its bearing on himself. If others
+are indifferent it depresses him, if they appear interested they have an
+ulterior motive, if they look serious he must have displeased them, if they
+smile it is because he is ridiculous. That they are thinking of their own
+affairs is the last thought to enter his mind.
+
+I suppose it would be an affectation for any of us to deny that, as far as
+we are concerned, we are the centre of the universe. This conceit does
+us no harm so long as we remember that there are as many centres of the
+universe as there are people, cats, mice and other thinking animals. When
+we forget this our troubles begin. If I enter a strange shop and find they
+desire security, need I take this as a reflection on _my_ credit? Need I
+expect to be invited to every entertainment I should like to attend, and to
+be excused from those that bore me, and shall I make no allowance for the
+attitude of my host? Is it not rather egotistic for me to suppose that
+others are vitally interested in the fact that I blush, tremble, or am
+awkward? Why then should I allow my conduct to be influenced by such
+trivial matters?
+
+The order of training is, then, generally, to modify our self-consciousness
+by externalizing our thoughts and broadening our interests; specifically,
+to eliminate the unduly insistent habit of thought.
+
+This analysis of worry and allied mental states may facilitate such
+training, but the practical value of the suggestions does not depend upon
+the acceptance of these theoretical considerations.
+
+
+
+
+V.
+
+WORRY AND OBSESSION
+
+So much are men enured in their miserable estate, that no condition is so
+poore, but they will accept; so they may continue in the same.
+
+_Florio's Montaigne_.
+
+
+"You may as well be eaten by the fishes as by the worms," said the daughter
+of a naval commander to me one day, when discussing the perils of the sea.
+Such philosophy, applied to each of the vexatious and dangerous situations
+of daily life, would go far toward casting out worry.
+
+We have already referred to two important elements at the foundation,
+and in the framework, of the elaborate superstructures we rear with such
+material as worry, doubts, fears and scruples. The first is _exaggerated
+self-consciousness_, the second the tendency to succumb to the compelling
+thought or impulse, technically termed _obsession_.
+
+With regard to self-consciousness, the worrier will generally realize that
+even as a child he was exceptionally sensitive to criticism, censure,
+ridicule and neglect. He was prone to brood over his wrongs, to play the
+martyr, and to suffer with peculiar keenness the "slings and arrows of
+outrageous fortune." I remember once leaving the table on account of some
+censure or careless remark. I fancied I had thrown the whole family into a
+panic of contrition. On the first opportunity, I asked what they had said
+about it, and was told that they had apparently not noticed my departure.
+This salutary lesson prevented repetition of the act.
+
+To the self-conscious person the mere entrance into a public vehicle may
+prove an ordeal. It is hard for him to realize that the general gaze has no
+peculiar relation to himself, and that if the gaze is prolonged this is due
+to no peculiarity of his beyond the blush or the trepidation that betrays
+his feeling. If he can acquire indifference to this feature of his case,
+through the reflection that to others it is only a passing incident, the
+blush and the trepidation will promptly disappear, and a step will have
+been taken towards gaining the self-control for which he aims.
+
+The usual cause of stage-fright is exaggerated self-consciousness. The
+sufferer from stage-fright can hardly fail to be a worrier. A certain
+shyness, it would seem, may also result from too acute a consciousness of
+one's audience, as in the case of Tennyson, whom Benson quotes thus:
+
+"I am never the least shy before great men. Each of them has a personality
+for which he or she is responsible; but before a crowd which consists of
+many personalities, of which I know nothing, I am infinitely shy. The great
+orator cares nothing about all this. I think of the good man, and the bad
+man, and the mad man, that may be among them, and can say nothing. _He_
+takes them all as one man. _He_ sways them as one man."
+
+This, I take it, hardly spelled stage-fright. At the same time, it
+is improbable that one so sensitive to criticism meant to convey the
+impression that it was of his audience alone he thought in shrinking from
+the effort.
+
+It appears that Washington Irving suffered from actual stage-fright.
+
+In the Library edition of Irving's works appears the following anecdote
+from the reminiscences of Mrs. Julia Ward Howe, then a young woman of
+twenty-three:
+
+"I was present, with other ladies, at a public dinner given in honor of
+Charles Dickens by prominent citizens of New York. The ladies were not
+bidden to the feast, but were allowed to occupy a small ante-room which,
+through an open door, commanded a view of the tables. When the speaking was
+about to begin, a message came suggesting that we take possession of some
+vacant seats at the great table. This we were glad to do. Washington
+Irving was president of the evening, and upon him devolved the duty of
+inaugurating the proceedings by an address of welcome to the distinguished
+guest. People who sat near me whispered, 'He'll break down,--he always
+does.' Mr. Irving rose and uttered a sentence or two. His friends
+interrupted him by applause, which was intended to encourage him, but which
+entirely overthrew his self-possession. He hesitated, stammered, and sat
+down, saying, 'I cannot go on.'"
+
+Cavendish, the chemist, suffered from a constitutional shyness attributable
+only to self-consciousness. He is said to have carried so far his aversion
+to contact with others, outside of his colleagues, that his dinner was
+always ordered by means of a note, and instant dismissal awaited the female
+domestic who should venture within his range of vision.
+
+Lombroso cites, among his "Men of Genius," quite a list--Corneille,
+Descartes, Virgil, Addison, La Fontaine, Dryden, Manzoni, and Newton--of
+those who could not express themselves in public. Whatever part
+self-consciousness played in the individual case, we must class the
+peculiarity among the defects, not signs, of genius. "A tender heel makes
+no man an Achilles."
+
+To the second faulty habit, obsession, I wish to devote special attention.
+This word we have already defined as an unduly insistent and compulsive
+thought, habit of mind, or tendency to action. The person so burdened is
+said to be obsessed.
+
+Few children are quite free from obsession. Some must step on stones;
+others must walk on, or avoid, cracks; some must ascend the stairs with the
+right foot first; many must kick posts or touch objects a certain number of
+times. Some must count the windows, pictures, and figures on the wallpaper;
+some must bite the nails or pull the eye-winkers. Consider the nail-biter.
+It cannot be said that he toils not, but to what end? Merely to gratify an
+obsession. He nibbles a little here and a little there, he frowns, elevates
+his elbow, and inverts his finger to reach an otherwise inaccessible
+corner. Does he enjoy it? No, not exactly; but he would be miserable if he
+discontinued.
+
+An unusual, but characteristic obsession is told by a lady in describing
+her own childhood. She thought that on retiring she must touch nothing with
+her hands, after she had washed them, until she touched the inside of the
+sheets. In case she failed she must return and wash the hands again. The
+resulting manoeuvres are still fresh in her mind, particularly when her
+sister had preceded her to bed and she had to climb the footboard.
+
+It is during childhood that we form most of the automatic habits which are
+to save time and thought in later life, and it is not surprising that some
+foolish habits creep in. As a rule, children drop these tendencies at need,
+just as they drop the roles assumed in play, though they are sometimes so
+absorbing as to cause inconvenience. An interesting instance was that of
+the boy who had to touch every one wearing anything red. On one occasion
+his whole family lost their train because of the prevalence of this color
+among those waiting in the station.
+
+The longer these tendencies are retained in adult life, the greater the
+danger of their becoming coercive; and so far as the well-established case
+is concerned the obsessive act must be performed, though the business,
+social, and political world should come to a stand-still. Among the stories
+told in illustration of compulsive tendency in the great, may be instanced
+the touching of posts, and the placing of a certain foot first, in the
+case of Dr. Johnson, who, it appears, would actually retrace his steps and
+repeat the act which failed to satisfy his requirements, with the air of
+one with something off his mind.
+
+A child who must kick posts is father to the man who cannot eat an egg
+which has been boiled either more or less than four minutes; who cannot
+work without absolute silence; who cannot sleep if steam-pipes crackle; and
+who must straighten out all the tangles of his life, past, present, and
+future, before he can close his eyes in slumber or take a vacation. The boy
+Carlyle, proud, shy, sensitive, and pugnacious, was father to the man who
+made war upon the neighbor's poultry, and had a room, proof against sound,
+specially constructed for his literary labors.
+
+The passive obsessions are peculiarly provocative of worry. Such are
+extreme aversions to certain animals, foods, smells, sounds, and sights, or
+insistent discomfort if affairs are not ordered to our liking. A gentleman
+once told me that at the concert he did not mind if his neighbor followed
+the score, but when he consulted his programme during the performance it
+distressed him greatly.
+
+Such instances illustrate the fact that when our obsessions rule us it is
+not the noise or the sight, but our idea of the fitness of things, that
+determines the degree of our annoyance. A person who cannot endure the
+crackling of the steam-pipe can listen with pleasure to the crackling of an
+open fire or the noise of a running brook.
+
+It is said that the sensitive and emotional Erasmus had so delicate a
+digestion that he could neither eat fish nor endure the smell of it; but
+we are led to suspect that obsession played a part in his troubles when we
+further learn that he could not bear an iron stove in the room in which he
+worked, but had to have either a porcelain stove or an open fire.
+
+If we can trust the sources from which Charles Reade drew his deductions
+regarding the character of the parental stock, Erasmus came fairly by his
+sensitive disposition. In "The Cloister and the Hearth" we find the father
+of Erasmus, fleeing from his native land, in fear of his life on account of
+a crime he thought he had committed, frozen, famished and exhausted, unable
+to enter the door of a friendly inn on account of his aversion to the
+issuing odors. Forced by his sufferings at last to enter the inn, he visits
+each corner in turn, analyzing its peculiar smell and choosing finally the
+one which seems to him the least obnoxious.
+
+I have heard somewhere, but cannot place, the story of a prominent writer
+who was so disturbed by the mechanical lawn-mower of his neighbor that he
+insisted upon the privilege of defraying the expense of its replacement by
+the scythe.
+
+Peculiar sensitiveness to sights, sounds and smells seems to be a common
+attribute of genius. This sort of sensitiveness has even been credited with
+being the main-spring of genius, but it is improbable that the curbing of
+such aversions would in any way endanger it. However this may be, such
+supersensitiveness ill becomes the rest of us, and these extreme aversions
+surely clog, rather than accelerate, our efforts.
+
+ * * * * *
+
+The natural tendency of the healthy mind is to accustom itself to new
+sensations, as the ring on the finger, or the spectacles on the nose. The
+obsessive individual resists this tendency; he starts with the fixed idea
+that he cannot stand the annoyance, his resentment increases, and his
+sensations become more, instead of less, acute. His reaction to criticism,
+slight, and ridicule is similar; he is prepared to start, blush, and show
+anger on moderate provocation, and can often reproduce both the sensation
+and its accompanying physical signs by merely recalling the circumstance.
+
+The passive as well as the active obsessions can be overcome by cultivating
+the commonplace, or average normal, attitude, and resolving gradually to
+accustom one's self to the disagreeable. This change of attitude can be
+made in adult life as well as in youth. "You cannot teach an old dog new
+tricks," we are told. The reason is not that the old dog cannot learn them,
+but that he does not want to. I met in Germany a British matron who was
+obsessed with the belief that she could not learn the language. At the
+end of four years' sojourn she entered a store and asked the price of an
+article.
+
+"Four marks," was the answer.
+
+"How much in English money?" she inquired.
+
+"Why, madam, a mark is the same as a shilling."
+
+"I don't know anything about that; how much is it in English?"
+
+"Four shillings."
+
+"Ah, quite so; you might have told me at once."
+
+Experience has shown that no time in life precludes the acquirement of
+new knowledge and new habits by one who thinks it worth while to make the
+attempt. The elderly person will be surprised at his progress if he will
+bring to bear upon a new subject a mind free from doubts of its usefulness,
+doubts of his own ability, worry lest he is wasting valuable time, regrets
+for the past and plans for the future.
+
+It is not always possible to say just where useful habit merges into
+obsession. A certain individual, we will say, invariably puts on the
+left shoe before the right. This is a useful habit, fixed by constant
+repetition, useful because it relieves the brain of conscious effort. But
+suppose he decides some morning to put on the right shoe before the left;
+this new order so offends his sense of the fitness of things that he finds
+it hard to proceed; if he perseveres, his feet feel wrong to him; the
+discomfort grows until finally he is impelled to remove the shoes and
+replace them in the usual order. In this case an act which started as a
+useful habit has been replaced by an obsession.
+
+Suppose, again, a person obsessed by the fear of poison is prevented from
+washing his hands before eating. He sits down, perhaps, fully intending to
+proceed as if nothing had happened, but the thought occurs to him that he
+may have touched something poisonous, though his reason tells him this
+is most improbable. He reviews the events of the day and can find no
+suggestion of poison; still the thought of poison obtrudes itself, and he
+finds it impossible to put anything which he touches into his mouth. He
+next wonders if he has not already put something into his mouth. This
+thought produces a mental panic, the blood mounts to his head, he becomes
+incapable of coherent thought or speech, and the task of finishing his
+dinner would now be beyond his power even if he had not lost all taste for
+it.
+
+Such illustrations of obsession in daily life, by no means rare, could be
+multiplied indefinitely, and may be perhaps better appreciated than the
+text-book illustration of the man who neglected to flick off with his whip
+a certain stone from the top of a wall, and who could not sleep until he
+had returned to the spot and performed the act.
+
+Suppose a man has always worn high boots and is accustomed to a feeling of
+warmth about the ankles. The desire for warm ankles may finally so dominate
+him that he not only cannot wear low shoes in mid-summer, but he cannot
+wear slippers, even in a warm room; and finally, perhaps, finds that he
+must wear woollen socks to bed. By this time the desire for a certain
+sensation is in a fair way to become an obsession. When you assure him that
+many wear low shoes throughout the winter, he asks if their ankles really
+feel warm. That is not the question. The question is, can one accustom
+himself to the ankles feeling cool, just as he accustoms himself to his
+face feeling cool. If he can, he has conquered a sensory obsession, and has
+made a step toward fitting himself to meet more serious vicissitudes with
+equanimity.
+
+Similar instances can be adduced in all realms of sensation, both general
+and special. One person cannot bear the light, and wears blue glasses;
+another cannot breathe out-door air, and wears a respirator; another cannot
+bear to see a person rock or to hear a person drum.
+
+If a family or circle of friends is so constituted that some are obsessed
+to _do_ certain things and others are obsessed _not to stand them_ the
+foundation is laid for a degree of irritability inconsistent with mental
+health. Mrs. X. simply cannot stand hearing Mr. X. tap the floor, and if he
+continues, her discomfort becomes acute; the sound so dominates her that
+she can think of nothing else and can accomplish nothing until the sound is
+stopped. She can stand _anything_ but _that_. The daughter, Miss X., hardly
+hears the tapping, and is irritated and impatient to the last degree on
+account of her mother's "silly" notion. What Miss X. simply cannot bear is
+hearing her brother continually clear his throat, and if he does not stop
+she must leave the room or "go wild." Unfortunately, meantime, Mr. X. is so
+obsessed to tap the floor that he cannot follow his task without it, and
+Master X. _must_ clear his throat every few moments with a peculiar note
+because he "has catarrh."
+
+Here we have a common starting-point for family discomfort, and here we
+have a clue to the advice of the physician who advises isolation as a step
+toward the cure of the member of the family who first breaks down, not
+simply under the stress of occupation, but of occupation plus the wear and
+tear of minor but constant sources of irritation.
+
+ * * * * *
+
+It is said that the victim of jiu jitsu, by breaking one hold, places
+himself in the greater danger from the next. Similarly, after having
+conquered a few obsessions, one is overwhelmed with the obsession to set
+every one straight. Soukanhoff was right in warning the obsessive to beware
+of pedantry.
+
+The question here presents itself whether this line of thought does not
+foster, rather than lessen, the pedantry and the self-study which it is
+intended to combat. Why not simply drop the worry and the doubt without
+further argument? The difficulty is that the mental processes of the
+over-scrupulous person are such that he cannot summarily drop a habit of
+thought. He must reason himself out of it. There is no limit to his ability
+if properly directed; he can gradually modify all his faulty tendencies,
+and may even finally acquire the habit of automatically dismissing worry,
+but it would be too much to expect that he suddenly change his very nature
+at command.
+
+Soukanhoff's description of obsessives is peculiarly apt: "over-scrupulous,
+disquieted over trifles, indecisive in action, and anxious about their
+affairs. They are given early to morbid introspection, and are easily
+worried about their own indispositions or the illnesses of their friends.
+They are often timorous and apprehensive, and prone to pedantism. The
+moral sentiments are pronounced in most cases, and if they are, as a rule,
+somewhat exigent and egotistic, they have a lively sense of their own
+defects."
+
+A common obsession is the compulsion to dwell upon the past, to reproduce
+the circumstances, and painfully to retrace the steps which we took in
+coming to an erroneous decision which led to a foolish, unnecessary, or
+perhaps even a wrong decision. One of my earliest impressions in golf was
+the remark of a veteran who was good enough to make a round with me. "If
+I had only approached better, I should have made that hole in five," I
+remarked, after taking seven strokes for a hole.
+
+"Perhaps not," he replied; "if you had _approached better_, perhaps you
+would have _putted worse_ and taken _eight_ strokes for the hole. At all
+events, that hole is ancient history now, and you will play this one better
+if you leave that one alone."
+
+He little realized how many times his advice would recur to me elsewhere
+than on the links. Retrospective worry can be absolutely eliminated from
+the most obsessive mind by the practice of the veteran's philosophy.
+
+Mercier says the greatest intellectual gift is the ability to forget.
+
+The conscientious self-analyst spends too much time in weighing his ability
+or inability to perform some task. Between his fear, his worry over the
+past, and his indecision whether the task should be attempted, he starts
+with an overwhelming handicap. If he learns to say, "Other people fail;
+it will not matter if I do this time," he will find the task already half
+accomplished.
+
+The Rev. Francis Tiffany has observed that if a ship could think, and
+should imagine itself submerged by all the waves between here and Europe,
+it would dread to leave its moorings; but in reality it has to meet but one
+wave at a time.
+
+The tendency of the average American in this bustling age, whether he is
+obsessive or not, is to live at least several hours in advance. On the
+train he takes no comfort and makes no observations, for his mind is upon
+his destination rather than on his journey.
+
+ * * * * *
+
+Though the immediate object of these chapters is the promotion of the
+mental, and indirectly the physical, health of the individual, I cannot
+forbear referring to the effect of this training on the position of the
+individual in society and his relation toward his surroundings.
+
+The endeavor to overcome obsessions is likely to be ignored by two classes:
+the self-centered individuals who see no reason for learning what they do
+not want to learn, and the individuals who have no time for, or interest
+in, self-training because of absorption in subjects of wider relation, as
+art, or science, or reform. The philosophy of Haeckel applies to both:
+
+"Man belongs to the social vertebrates, and has, therefore, like all social
+animals, two sets of duties--first to himself, and secondly to the society
+to which he belongs. The former are the behests of self-love, or egoism,
+the latter love for one's fellows, or altruism. The two sets of precepts
+are equally just, equally natural, and equally indispensable. If a man
+desires to have the advantage of living in an organized community, he has
+to consult not only his own fortune, but also that of the society, and of
+the 'neighbors' who form the society. He must realize that its prosperity
+is his own prosperity, and that it cannot suffer without his own injury."
+
+The individual who is ruled by his obsessions not only paves the way for
+needless and ultimate breakdown, but is in danger of gradually narrowing
+his field of usefulness and pleasure until he is in little better case than
+Simeon Stylites, who spent nearly half a century on the top of a monument.
+Nor has he even Simeon's consolation that he could come down if he chose;
+for it seems that the authorities sent messengers demanding his return,
+with orders to let him stay if he showed willingness to come down--and he
+stayed.
+
+
+
+
+VI.
+
+THE DOUBTING FOLLY
+
+_Jatgeir_. I needed sorrow; others there may be who need faith, or joy--or
+doubt--
+
+_King Skule_. Doubt as well?
+
+_Jatgeir_. Ay; but then must the doubter be strong and sound.
+
+_King Skule_. And whom call you the unsound doubter?
+
+_Jatgeir_. He who doubts of his own doubt.
+
+_King Skule_ (slowly). That methinks were death.
+
+_Jatgeir_. 'T is worse; 't is neither day nor night.
+
+_King Skule_ (quickly, as if shaking off his thoughts). Where are my
+weapons? I will fight and act, not think.
+
+IBSEN: _The Pretenders_, Act iv.
+
+
+A gentleman once told me that he rarely passed another in the street
+without wondering if he had not accosted him in an improper manner. He knew
+very well that he had not, but the more he dwelt upon the possibility, the
+more doubtful he became, until the impulse to settle the question became
+so strong that he would retrace his steps and inquire. He asked if _nux
+vomica_ would help this trouble! I told him he needed mental training.
+
+"I have tried that," he answered. "I keep saying to myself, 'I will not
+think of it,' but it is no use; my head becomes hot, my sight blurred, my
+thoughts confused, and the only relief I find is to settle the question."
+
+I tried to point out the direction in which he was tending, and told him he
+must remind himself that even if he had accosted another improperly, it was
+a trifling matter compared to the injury to himself of giving way to this
+compulsion; moreover, the impression he would make upon the other by going
+back would be even worse than that of having so accosted him; and, finally,
+he must dwell upon the _probability_ that he had not offended the man,
+instead of the _possibility_ that he had. Having pursued this line of
+thought, he must force himself to think of something else until the
+besetting impulse was obliterated. I suggested that if a baseball player
+should become incapacitated for the game, he would not lessen his
+disappointment by reiterating, "I will not think of baseball," but if he
+persistently turned his thoughts and his practice to billiards he might in
+time forget baseball.
+
+"I never played baseball," he replied, "and don't even know the rules."
+
+This represents an extreme case of "doubting folly" a case in which the
+victim could no longer concentrate his thoughts on the simplest proposition
+outside the narrow circle to which his doubts had restricted him.
+
+If we once allow ourselves to wonder whether we have turned off the
+water, enclosed the check, or mailed the letter, it is but a step to an
+uncomfortable frame of mind which can be relieved only by investigating the
+matter. This compulsion once acceded to, it becomes more and more easy to
+succumb. The next step is to blur, by constant repetition, the mental image
+of the act. In extreme cases the doubter, after turning the gas on and off
+a dozen times, is finally in doubt whether he can trust his own senses. A
+certain officer in a bank never succeeded in reaching home after closing
+hours without returning to try the door of the bank. Upon finding it
+locked, he would unlock it and disappear within, to open the vault, inspect
+the securities, and lock them up again. I once saw a victim of this form of
+doubt spend at least ten minutes in writing a check, and ten minutes more
+inspecting it, and, after all, he had spelled his own name wrong!
+
+Constant supervision only impairs acts which should have become automatic.
+We have all heard of the centipede who could no longer proceed upon his
+journey when it occurred to him to question which foot he should next
+advance.
+
+To other doubts are often added the doubt of one's own mental balance;
+but it is a long step from these faulty habits of mind to real mental
+unbalance, which involves an inability to plan and carry out a line of
+conduct consistent with one's station.
+
+It took a young man at least fifteen minutes, in my presence, to button his
+waistcoat. He felt the lower button to reassure himself, then proceeded
+to the next. He then returned to the lower one, either distrusting his
+previous observation, or fearing it had become unbuttoned. He then held the
+lower two with one hand while he buttoned the third with the other. When
+this point was reached he called his sight to the aid of his feeling, and
+glued his eyes to the lower while he buttoned the upper, unbuttoning many
+meantime, to assure himself that he had buttoned them. This young man said
+he would sometimes stop on his way to the store in doubt whether he was
+on the right street, a doubt not quieted either by reading the sign or by
+asking a stranger, because the doubt would obtrude itself whether he could
+trust his sight and his hearing, indeed, whether he was really there or
+dreaming. Even this victim of extreme doubting folly conducted his business
+successfully so long as I knew him, and so comported himself in general as
+to attract no further comment than that he was "fussy."
+
+These doubts lead to chronic indecision. How often, in deciding which of
+two tasks to take up, we waste the time which would have sufficed for the
+accomplishment of one, if not both.
+
+The doubt and the indecision result directly from over-conscientiousness.
+It is because of an undue anxiety to do the right thing, even in trivial
+matters, that the doubter ponders indefinitely over the proper sequence of
+two equally important (or unimportant) tasks. In the majority of instances
+it is the right thing for _him_ to pounce upon _either_. If he pounces
+upon the wrong one, and completes it without misgiving, he has at least
+accomplished something in the way of mental training. The chances are,
+moreover, that the harm done by doing the wrong thing first was not to be
+compared to the harm of giving way to his doubt, and either drifting into
+a state of ineffective revery or fretting himself into a frenzy of anxious
+uncertainty.
+
+A gentleman once told me that after mailing a letter he would often linger
+about the box until the postman arrived, and ask permission to inspect
+his letter, ostensibly to see if he had put on the stamp, but in fact to
+reassure himself that he had really mailed the missive, although he knew
+perfectly well that he had done so. The life of the chronic doubter is
+full of these small deceits, though in most matters such persons are
+exceptionally conscientious.
+
+This form of over-solicitude is peculiarly liable to attack those in whose
+hands are important affairs affecting the finances, the lives, or the
+health of others. I have known more than one case of the abandonment of a
+chosen occupation on account of the constant anxiety entailed by doubts of
+this nature. Nor are these doubts limited to the question whether one has
+done or left undone some particular act. An equally insistent doubt is that
+regarding one's general fitness for the undertaking. _The doubter may spend
+upon this question more time than it would take to acquire the needed
+facility and experience_.
+
+Some one has said there are two things that no one should worry about:
+first, the thing that can't be helped; second, the thing that can. This is
+peculiarly true of the former.
+
+Reflection upon the past is wise; solicitude concerning it is an
+anachronism. Suppose one has accepted a certain position and finds himself
+in doubt of his fitness for that position. Nothing can be more important
+than for him to decide upon his next line of conduct. Shall he resign
+or continue? Is he fit for the position, or, if not, can he acquire the
+fitness without detriment to the office? These are legitimate doubts. But
+the doubter who finds himself in this predicament adds to these legitimate
+doubts the question, "Ought I to have accepted the office?" This is the
+doubt he must learn to eliminate. He must remind himself that he has
+accepted the position, whether rightly or wrongly, and that the acceptance
+is ancient history. The question what shall he do next is sufficiently
+weighty to occupy all his attention without loading his mind with anxious
+doubts regarding the irrevocable past.
+
+Suppose, in fact, the doubter has made a mistake; how shall he banish the
+worry? By reminding himself that others have made mistakes, why should not
+he, and that it is somewhat egotistic on his part to insist that, whatever
+others may do, _he_ must do everything right. If this line of reasoning
+fails to console him, let him think of the greater mistakes he might have
+made. A financial magnate was once asked how he succeeded in keeping his
+mind free from worry. He replied, by contemplating the two worst things
+that could happen to him: losing all his property and going to jail. He had
+learned the lesson that _one thought can be driven out only by another_.
+
+With regard to immediate doubts. If the over-scrupulous business or
+professional man, worn out after an exacting day's work, will stop and
+reflect, he will realize that much of his exhaustion is due to his having
+filled the day with such doubts as whether he is doing the wrong thing, or
+the right thing at the wrong time, whether he or someone else will miss an
+appointment or fail to meet obligations, and whether he or his assistants
+may make blunders.
+
+Let him resolve some morning that he will proceed that day from task to
+task without allowing such thoughts to intrude. If he does so he will find
+that he has succeeded in his work at least as well as usual, and that he is
+comparatively fresh in the evening.
+
+Why not try this every day?
+
+ * * * * *
+
+So far we have only considered the most obvious and simple among the
+evidences of doubting folly. A still more obstinate tendency of the doubter
+is the insistent habit interminably to argue over the simplest proposition,
+particularly regarding matters pertaining to the health, comfort, and life
+of the individual himself. A certain patient, of this type, attempts to
+describe to his physician a peculiar, hitherto undescribed, and even now
+indescribable sensation "through his right lung." He traces this sensation
+to what he believes to have been the absorption of a poison some years ago.
+His line of reasoning is somewhat as follows: 1. The drug was a poison. 2.
+If he absorbed it he must have been poisoned. 3. If he was poisoned then,
+he is poisoned now. 4. There is no proof that such a poison cannot produce
+such a sensation. 5. He has the sensation. Conclusion: He is suffering from
+poison. In support of this proposition he will spend hours with anyone
+who will listen. The physician who allows himself to be drawn into the
+controversy speedily finds himself, instead of giving advice to listening
+ears, involved in a battle of wits in which he is quite likely to come
+off second best. He assures the patient, for example, that, as far as
+scientific methods can establish the fact, the lung is sound.
+
+"But has science established everything? And if it had, is such negative
+evidence to be weighed against the positive evidence of the sensation in my
+lung?"
+
+"But the sensation may not be in your lung."
+
+"Can you prove that it is _not_ in my lung?" Folly scores!
+
+On being urged to direct his attention to some other part of his body, he
+promptly inquires,
+
+"How can I direct my thoughts elsewhere, when the sensation is there to
+occupy my attention?" Obviously he can not without changing his mental
+attitude, so folly scores again.
+
+He is assured that if the poison had been absorbed the effects would have
+passed away long before this time.
+
+"But do the effects of poison _always_ pass away? And can you _prove_ that
+they have passed away in my case? Is not the sensation positive evidence,
+since you have allowed that you cannot prove that the sensation does _not_
+come from the poison?"
+
+Folly scores again, but the victory is an empty one. The vicious circle
+continues: Attention magnifies sensation--sensation produces fear--fear
+increases attention; and throughout runs the insistent thought that his
+sensations shall conform to his ideal.
+
+If the discussion of such comparatively tangible matters can occupy a large
+part of one's attention, imagine the result of the insistent desire, on the
+part of the doubter, to solve such problems as "What is thought?" "What is
+existence?"
+
+If the windings of this intellectual labyrinth have not too far involved
+us, we have only to recognize the futility of such arguments, and exercise
+our will-power in the right direction. If we can bring ourselves to take
+the initiative, it is as easy to step out of the vicious circle, as for
+the squirrel to leave his wheel. But unless we grasp the logic of the
+situation, and take this initiative, no amount of abuse, persuasion, or
+ridicule will effect our freedom.
+
+ * * * * *
+
+A word may be in place regarding the anthropological status of the doubting
+folly and allied mental states. Men of genius have suffered from them all.
+A long list may be found in Lombroso's "Man of Genius." Under _folie du
+doute_ we find, for example, Tolstoi, Manzoni, Flaubert and Amiel.
+
+Lombroso regards genius as degenerative, and places among the signs of
+degeneration, deviations from the average normal, whether physical or
+mental. This plan has been quite generally followed. The nomenclature seems
+to me unfortunate and hardly justified by the facts. I can think of no more
+potent objection to such inclusive use of the term degenerate, than the
+fact that Lombroso includes, under the signs of degeneration, the enormous
+development of the cerebral speech-area in the case of an accomplished
+orator. If such evolutional spurts are to be deemed degenerative, the fate
+of the four-leaved clover is sealed.
+
+The application of the term degeneration may be, and should be, it seems
+to me, limited to the signs, whether physical or mental, which indicate an
+obviously downward tendency. I have elsewhere suggested, and the suggestion
+has already found some acceptance, that when the variation is not
+definitely downward, _deviation_ and _deviate_ be substituted for the
+unnecessarily opprobrious and often inappropriate terms, _degeneration_ and
+_degenerate_.
+
+
+
+
+VII.
+
+HYPOCHONDRIA
+
+Il marche, dort, mange et boit comme tous les autres; mais cela n'empeche
+pas qu'il soit fort malade.
+
+MOLIERE: _Le Malade imaginaire_.
+
+
+The victim of hypochondria may present the picture of health, or may have
+some real ill regarding which he is unduly anxious. His consultation with
+a physician is likely to be preceded by letters explaining his exact
+condition, naming his various consultants and describing the various
+remedies he has taken. At the time of his visit notes are consulted, lest
+some detail be omitted. In his description anatomical terms abound; thus,
+he has pain in his lungs, heart, or kidney, not in his chest or back.
+Demonstration by the physician of the soundness of these organs is met by
+argument, at which the hypochondriac is generally adept.
+
+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."
+
+The victim of mysophobia will wash the hands after touching any object,
+and will, so far as possible, avoid touching objects which he thinks may
+possibly convey infection. Some use tissue paper to turn the door-knob,
+some extract coins from the pocket-book with pincers. I have seen a lady in
+a public conveyance carefully open a piece of paper containing her fare,
+pour the money into the conductor's hand, carefully fold up the paper so
+that she should not touch the inside, and afterwards drop it from the tips
+of her fingers into a rubbish barrel.
+
+The case of a nurse who was dominated by fear of infection has come to my
+attention. If her handkerchief touched the table it was discarded. She
+became very adept at moving objects about with her elbows, was finally
+reduced to helplessness and had to be cared for by others.
+
+Unreasoning fear of one or another mode of conveyance is not rare. It is
+said that Rossini found it impossible to travel by rail, and that the
+attempt of a friend to accustom him to it resulted in an attack of
+faintness (Lombroso).
+
+The sufferer himself realizes, in such cases, that there is no reason in
+his fear--he knows he can undergo greater dangers with equanimity. Even
+doubting folly finds no answer to the question why should this danger be
+shunned and that accepted. The nearest approach to an answer is "I can't,"
+which really means "I haven't."
+
+The origin of the phobia is not always clear, but given the necessary
+susceptibility, circumstances doubtless dictate the direction the phobia
+shall take. A startling personal experience, or even reading or hearing of
+such an experience may start the fear which the insistent thought finally
+moulds into a fixed habit.
+
+To the hypochondriac who concentrates his attention upon the digestive
+tract, this part of his body occupies the foreground of all his thoughts.
+He exaggerates its delicacy of structure and the serious consequences of
+disturbing it even by an attack of indigestion. A patient to whom a certain
+fruit was suggested said he could not eat it. Asked what the effect would
+be, he answered that he did not know, he had not eaten any for twenty years
+and dared not risk the experiment.
+
+Extreme antipathies to various foods are fostered among this class. A lady
+told me that she perfectly abominated cereals, that she could not stand
+vegetables, that she could not bear anything in the shape of an apple, that
+she could not abide spinach, and that baked beans made her sick at the
+stomach.
+
+The heart is perhaps the organ most often the object of solicitude on the
+part of the hypochondriac. When we realize that the pulse may vary in the
+healthy individual from 60 to over 100, according to circumstances, and
+that mere excitement may send it to the latter figure, we may appreciate
+the feelings of one who counts his pulse at frequent intervals and is
+alarmed if it varies from a given figure.
+
+Inspection of the tongue is a common occupation of the hypochondriac, who
+is generally more familiar than his medical attendant with the anatomy of
+this organ.
+
+Insistent desire regarding the temperature is common not only among
+hypochondriacs, but among others. I do not allude to the internal
+temperature (though I have been surprised to learn how many people carry a
+clinical thermometer and use it on themselves from time to time); I refer
+to the temperature of the room or of the outside air. The wish to feel a
+certain degree of warmth is so overpowering in some cases that neither work
+nor play can be carried on unless the thermometer registers the desired
+figure. A person with this tendency does not venture to mail a letter
+without donning hat and overcoat; the mere thought of a cold bath causes
+him to shudder.
+
+Golf has cured many a victim of this obsession. It takes only a few games
+to teach the most delicately constructed that he can remain for hours in
+his shirt-sleeves on quite a cold day, and that the cold shower (preferably
+preceded by a warm one) invigorates instead of depresses him. Further
+experiment will convince him that he can wear thin underwear and low shoes
+all winter. Such experiences may encourage him to risk a cold plunge in
+the morning, followed by a brisk rub and a few simple exercises before
+dressing.
+
+Morbid fears in themselves produce physical manifestations which add to the
+discomfort and alarm of the hypochondriac. I allude to the rush of blood
+to the head, the chill, the mental confusion, and the palpitation. These
+symptoms are perfectly harmless, and denote only normal circulatory
+changes. It is true that one cannot at will materially alter his
+circulation, but he can do so gradually by habit of thought. To convince
+ourselves of this fact, we need only remember to what a degree blushing
+becomes modified by change of mental attitude. Similarly, the person who
+has practiced mental and physical relaxation will find that the blood
+no longer rushes to his head upon hearing a criticism or remembering a
+possible source of worry.
+
+The automatic processes of the body are in general performed best when the
+attention is directed elsewhere. After ordinary care is taken, too minute
+attention to the digestive apparatus, for example, may retard rather than
+aid it. Watching the digestion too closely is like pulling up seeds to see
+if they are growing.
+
+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.
+
+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!"
+
+With regard to Carlyle,--it is true, as claimed by Gould (_Biographic
+Clinics_, 1903) that he showed every evidence of eyestrain with resulting
+symptoms, particularly headache. This does not, however, preclude his
+having had hypochondria also, and in view of the violent and reiterated
+complaints running through his letters it seems quite credible that
+Froude's estimate of his condition was not far wrong. Surely, unless
+Carlyle was merely trying his pen without intending to be taken seriously,
+he devoted to the question of health a degree of attention which may be
+fairly adjudged undue.
+
+The first letter I quote (from those cited by Gould in fortifying his
+position) is of special interest as presenting in rather lurid terms
+Carlyle's ideal of health. After reading this letter one cannot help
+suspecting that the discomforts so vividly described in his other letters
+were compared by him with this ideal rather than with those of the average
+individual.
+
+"In the midst of your zeal and ardor,... remember the care of health.... It
+would have been a very great thing for me if I had been able to consider
+that health is a thing to be attended to continually, that you are to
+regard that as the very highest of all temporal things for you. There is no
+kind of achievement you could make in the world that is equal to perfect
+health. What to it are nuggets and millions'? The French financier said
+'Why is there no sleep to be sold!' Sleep was not in the market at any
+quotation.... I find that you could not get any better definition of what
+'holy' really is than 'healthy.' Completely healthy; _mens sana in corpore
+sano_. A man all lucid, and in equilibrium. His intellect a clear mirror
+geometrically plane, brilliantly sensitive to all objects and impressions
+made on it and imaging all things in their correct proportions; not twisted
+up into convex or concave, and distorting everything so that he cannot see
+the truth of the matter, without endless groping and manipulation: healthy,
+clear, and free and discerning truly all around him."
+
+The following extracts illustrate his attitude toward his physical
+shortcomings, whatever they may have been.
+
+... "A prey to nameless struggles and miseries, which have yet a kind of
+horror in them to my thoughts, three weeks without any kind of sleep, from
+impossibility to be free from noise."
+
+"I sleep irregularly here, and feel a little, very little, more than my
+usual share of torture every day. What the cause is would puzzle me
+to explain. I take exercise sufficient daily; I attend with rigorous
+minuteness to the quality of my food; I take all the precautions that I
+can, yet still the disease abates not."
+
+"Ill-health, the most terrific of all miseries."
+
+"Grown sicker and sicker.... I want health, health, health! On this subject
+I am becoming quite furious.... If I do not soon recover, I am miserable
+forever and ever. They talk of the benefit of health from a moral point of
+view. I declare solemnly, without exaggeration, that I impute nine-tenths
+of my present wretchedness, and rather more than nine-tenths of all my
+faults, to this infernal disorder in the stomach."
+
+"Bilious, too, in these smothering windless days."
+
+"Broke down in the park; _konnte_ _nichts mehr_, being sick and weak beyond
+measure."
+
+"Many days of suffering, of darkness, of despondency.... Ill-health has
+much to do with it."
+
+"Occasionally sharp pain (something cutting hard, grasping me around the
+heart).... Something from time to time tying me tight as it were, all
+around the region of the heart, and strange dreams haunting me."
+
+"There is a shivering precipitancy in me, which makes _emotion_ of any kind
+a thing to be shunned. It is my nerves, my nerves.... Such a nervous system
+as I have.... Thomas feeling in his breast for comfort and finding bilious
+fever.... All palpitating, fluttered with sleeplessness and drug-taking,
+etc.... Weary and worn with dull blockheadism, chagrin (next to no sleep
+the night before)."
+
+"A head _full of air_; you know that wretched physical feeling; I had been
+concerned with drugs, had awakened at five, etc. It is absolute martyrdom."
+
+"A huge nightmare of indigestion, insomnia, and fits of black impatience
+with myself and others,--self chiefly.... I am heartily sick of my
+dyspeptic bewilderment and imprisonment."
+
+"Alas! Alas! I ought to be wrapped in cotton wool, and laid in a locked
+drawer at present. I can stand nothing. I am really ashamed of the figure I
+cut."
+
+Froude's statements regarding Carlyle's condition are as follows:
+
+"... The simple natural life, the 'wholesome air, the daily rides or
+drives, the poor food,... had restored completely the functions of a
+stomach never so far wrong as he had imagined.... Afterwards he was always
+impatient, moody, irritable, violent. These humours were in his nature, and
+he could no more be separated from them than his body could leap off its
+shadow.... He looked back to it as the happiest and wholesomest home that
+he had ever known. He could do fully twice as much work there, he said, as
+he could ever do afterwards in London."
+
+"... If his liver occasionally troubled him, livers trouble most of us as
+we advance in life, and his actual constitution was a great deal stronger
+than that of ordinary men.... Why could not Carlyle, with fame and honor
+and troops of friends, and the gates of a great career flung open before
+him, and a great intellect and a conscience untroubled by a single act
+which he need regret, bear and forget too? Why indeed! The only answer is
+that Carlyle was Carlyle."
+
+These observations carry weight as representing the impartial and judicial
+estimate of a careful observer desiring only accurately to picture Carlyle
+as he was. The only logical conclusion, it seems to me, was that Carlyle,
+in addition to ocular defect with its legitimate consequences, was weighed
+down by worry over the failure to realize his own exaggerated ideal of
+health, that he devoted an undue degree of attention to this subject
+and was unduly anxious about it--in other words, that he had decided
+hypochondriacal tendencies.
+
+
+
+
+VIII.
+
+NEURASTHENIA
+
+It was a common saying of Myson that men ought not to investigate things
+from words, but words from things; for that things are not made for the
+sake of words, but words for things.
+
+_Diogenes Laertius_.
+
+
+This term (properly, though not commonly, accented upon the penult), was
+introduced by Beard to designate the large class of over-worked and worried
+who crowded his consulting room. The word is derived from the Greek
+_neuron_ nerve, and _astheneia_ weakness.
+
+Among the symptoms of this disorder have been included disorders of
+digestion and circulation, muscular weakness, pains, flushes and chills,
+and anomalous sensations of every variety. It has been especially applied
+to cases showing such mental peculiarities as morbid self-study, fear of
+insanity and the various other phobias, scruples, and doubts with which we
+have become familiar.
+
+The "American Disease" has been adopted abroad, and volumes have been
+devoted to it. Neurasthenia has been divided into cerebral, spinal, and
+otherwise, according as the fears and sensations of the patient are
+referred to one or another part of his body. While the term neurasthenia
+is becoming daily more familiar to the general public, it is being, on the
+whole, used, except as a convenient handle, rather less among neurologists.
+[Footnote: In substantiation of this statement I need only cite the
+recent contribution of my friend, Dr. Dana, on the "Partial Passing
+of Neurasthenia."] The question has arisen whether the symptoms of
+neurasthenia are always due to simple exhaustion. Advice regarding method,
+as well as amount, of work, is coming into vogue. Peterson, in a letter
+published in _Collier's Weekly_ (November 9, 1907) thus arraigns a patient
+who has told him he is a practical business man, and that his mind has been
+so occupied with serious matters that he has been unable to attend to his
+health.
+
+"You, practical! you, a business man! Why, you never had a serious
+thought in your life until now--at least not since you were a lad in the
+country.... Since boyhood you have never given a serious thought to health,
+home, wife, children, education, art, science, racial progress, or to the
+high destiny of man. You are simply a collector of money for its own sake,
+with no appreciation of what it might represent if you were really serious
+and really a business man or man of affairs. There are many like you in
+our asylum wards, where they are known as chronic maniacs. Here is one who
+collects bits of glass, old corks, and pieces of string. There sits another
+with a lap full of pebbles, twigs and straws."
+
+Courtney (in Pyle's "Personal Hygiene") says, "The brain is an organ which,
+under proper training, is capable of performing an immense amount of work,
+provided only that the work is of a varied character and does not produce a
+corresponding amount of mental disquietude. The importance of the emotions,
+especially the depressing emotions such as grief, anxiety, and worry, as
+factors in the brain exhaustion, cannot easily be overestimated."
+
+The obvious corollary to this proposition is that the constitutional
+worrier is likely to break down under an amount of work which produces no
+such effect upon the average normal individual.
+
+The only quarrel I have with the name neurasthenia is that it diverts
+attention from the real condition oftenest to be treated, namely, the
+faulty mental tendency, and directs attention to an assumed debility which
+may or may not exist. Misdirected energy, rather than weakness, is the
+difficulty with one who is ready and anxious to walk miles to satisfy a
+doubt, or to avoid crossing an open square, and who will climb a dozen
+flights of stairs rather than be shut up in an elevator. Even the
+exhaustion that follows long attention to business is quite as often due to
+worry and allied faulty mental habits as to the work itself. In most cases
+the phobias, the doubts, and the scruples, instead of being the result of
+breakdown, must be counted among its principal causes.
+
+This is why simple rest and abstinence from work so often fail to
+accomplish the cure that should follow if the exhaustion were due simply to
+overwork. In the "neurasthenic" rest from work only redoubles the worries,
+the doubts and the scruples, and the obsession to improve his time only
+adds to his nervous exhaustion. If a European trip is undertaken, the
+temperament responsible for the original breakdown causes him to rush from
+gallery to gallery, from cathedral to cathedral, so that no moment may be
+lost. Not infrequently it so happens that the patient returns more jaded
+than ever.
+
+The neurasthenic is not infrequently a confirmed obsessive, with all the
+faulty mental habits of this temperament. If he cannot make up his mind it
+is not because he is tired, but because this is his natural mental trend.
+If he drums, twitches, and walks the floor, these movements are not always
+due to exhaustion, but are habits peculiar to the temperament, habits well
+worth an effort to eliminate while in health, since they doubtless, through
+precluding bodily repose, contribute their mite toward the very exhaustion
+of which they are supposed to be the result. If he cannot sleep it is not
+simply because he is tired, but because he is so constituted that he cannot
+bring himself to let go his hold on consciousness until he has straightened
+out his tangles. If, in addition, one has the hypochondriacal tendency,
+he may worry himself into complete wakefulness by the thought that he has
+already irreparably injured himself by missing something of the mystic
+number, eight or nine, or whatever he may deem the number of hours' sleep
+essential to health.
+
+It is important that the overwrought business or professional man realize
+the importance of undertaking no more than he can accomplish without fret
+and worry; the importance of taking proper vacations before he is tired
+out; the importance of learning to divert his mind, while he can still do
+so, into channels other than those connected with his business; above all,
+the importance of cultivating the faculty of relaxing, and of dismissing
+doubts, indecisions and fears. He must cultivate what my colleague Dr. Paul
+succinctly terms "the art of living with yourself as you are." If he would
+"last out" he must learn to proceed with single mind upon whatever work he
+undertakes, and with equal singleness of mind apply himself, out of hours,
+to other occupation or diversion, preferably in the open air. For the most
+effective work, as well as for peace of mind, it is essential that every
+thought of one's office be shut out by other interests when there is no
+actual business requiring attention. Mental relaxation is materially
+hampered by such persistent thoughts of one's place of business as those
+cited by Dr. Knapp:
+
+"A striking instance of the sort was related to me by a friend remarkably
+free from any psychopathic taint. It often happens that he does scientific
+work in the evening at the Agassiz Museum. When he leaves for the night he
+puts out the gas and then stands and counts slowly up to a given number
+until his eyes are used to the darkness, in order that he may detect any
+spark of fire that may have started while he was at work. This is his
+invariable custom, but it sometimes happens that when he goes back home so
+strong a feeling of doubt comes over him lest he may that once have omitted
+to do this, that he is uncomfortable until he returns to the museum to make
+sure."
+
+Among the predisposing causes for nervous breakdown none is more potent
+than the inability of the obsessive to adapt himself to change of plan, and
+to reconcile himself to criticism, opposition, and the various annoyances
+incident to his occupation.
+
+In dealing with others the following suggestion of Marcus Aurelius may come
+in play:
+
+"When a man has done thee any wrong, immediately consider with what opinion
+about good or evil he has done wrong. For when thou hast seen this, thou
+wilt pity him, and neither wonder nor be angry." Again, in this connection
+the lines of Cowper are pertinent:
+
+ "The modest, sensible and well-bred man
+ Will not affront me, and no other can."
+
+Pope, also, who is said not always to have followed his own good counsel,
+contributes a verse which may serve a turn:
+
+ "At ev'ry trifle scorn to take offense,
+ That always shows great pride, or little sense."
+
+The practice of such commonplace philosophy (which, to be effective, should
+be ready for immediate use, not stored away for later reflection), together
+with training against faulty mental states studied in these pages, will
+go far toward relieving the mental perturbation that unfits for effective
+work, and contributes to "neurasthenia."
+
+During an hour's delay, caused by the failure of another to keep an
+appointment, I formulated the following maxim:
+
+"These are the annoyances incident to my business; to fret when they occur
+means that I cannot manage my business without friction."
+
+This may not appeal to the reader, but for me it has proved as good an
+hour's work as I ever did. Since that time, on the occurrence of similar
+sources of provocation, I have found it necessary to go no farther than
+"These are the annoyances," to restore the needful balance. When we allow
+our gorge to rise at ordinary sources of discomfort, it implies that we
+are prepared only for our affairs to run with perfect smoothness. This
+represents the insistent idea carried to an absurdity.
+
+At the risk of losing caste with the critical I cannot forbear sharing with
+the reader an inelegant maxim which has more than once prevented an access
+of rage upon the blunder of a subordinate: "If he had our brains he'd have
+our job."
+
+Spinoza says: "The powerlessness of man to govern and restrain his emotions
+I call servitude. For a man who is controlled by his emotions is not his
+own master but is mastered by fortune, under whose power he is often
+compelled, though he sees the better, to follow the worse." The same
+philosopher in counselling self-restraint adds:
+
+"The mind's power over the emotions consists, first, in the actual
+knowledge of the emotions." Again: "An emotion which is a passion ceases
+to be a passion as soon as we form a clear and distinct idea of it." The
+meaning of this dictum I first realized on experiencing the magical effect
+of the line of thought suggested by the delayed appointment.
+
+ * * * * *
+
+Communion with Nature has a peculiarly soothing effect on tired and jangled
+nerves. My friend, Dr. Harold Williams, tells me that among his main
+reliances for tired and overwrought women are the _reading of children's
+books_, and _working in the garden_. Peterson thus advises his busy
+patient:
+
+"A small farm in a simple community would be for you an asset of
+immeasurable value from the standpoint of health and spiritual
+rejuvenation. But true simplicity should be the rigorous order of that
+country life. A chateau by the sea, with a corps of gardeners, a retinue of
+servants, and yachts and automobiles, would prove a disastrous expedient.
+
+"In that quiet retreat you should personally and tenderly learn to know
+each rosebud, shrub, vine, creeper, tree, rock, glade, dell, of your
+own estate. You should yourself design the planting, paths, roads, the
+flower-garden, the water-garden, the wood-garden, the fernery, the
+lily-pond, the wild-garden, and the kitchen garden."
+
+Not everyone is so happily situated as to be able to follow this advice
+in its entirety, but many can make a modest effort in this direction: the
+kitchen-garden may appeal to some who have no appreciation for the wild
+flowers, and who scorn to cultivate such tastes.
+
+One warning is, however, here in order: The cultivation of the garden or
+the field for utilitarian purposes is inevitably associated with the maxim,
+"Hoe out your row"--an excellent maxim for the idle and disorderly, but not
+to be taken too literally by the over-exacting and methodical business man
+who is trying to make the radical change in his view of life necessary to
+free his mind from the incubus of worry. Nor must the amateur husbandman
+scan with too anxious eye the weather map and the clouds. If he mind these
+warnings he may learn to say,--
+
+ "For me kind Nature wakes her genial pow'r,
+ Suckles each herb, and spreads out ev'ry flower,
+ Annual for me, the grape, the rose renew,
+ The juice nectareous, and the balmy dew."
+
+The over-conscientious individual may object that it is selfish to consider
+his own comfort when he has work to do for others. But expending too freely
+of our nervous energies, even in a good cause, is like giving to charity
+so much of our substance that we in turn are obliged to lean on others for
+support.
+
+In properly conserving our own energy we may be lightening the ultimate
+burden of others. There is no place for selfishness in Haeckel's philosophy
+regarding the proper balance between duty to one's self and duty to others.
+Nor was selfishness a failing of the Quaker poet who idealized
+
+ "The flawless symmetry of man,
+ The poise of heart and mind."
+
+
+
+
+IX.
+
+SLEEPLESSNESS
+
+He shall enjoy the same tranquility in his sleep as when awake.
+
+_Digby's Epicurus_, Maxim xl.
+
+
+Sleeplessness is due, in the majority of cases, to a faulty habit of mind.
+The preparation for a sleepless night begins with the waking hours, is
+continued through the day, and reaches its maximum when we cease from the
+occupations which have in some degree diverted our attention from harassing
+thoughts, and retire, to struggle, in darkness and solitude, with the
+worries, doubts, regrets, and forebodings, which now assume gigantic and
+fantastic shapes.
+
+He who would sleep at night must regulate his day, first, by not
+undertaking more than he can accomplish without undue stress, and, second,
+by carrying through what he does undertake, as far as he may, without the
+running accompaniment of undue solicitude, anxious doubts, and morbid fears
+discussed in the preceding sections. It is futile to expect that a fretful,
+impatient, and over-anxious frame of mind, continuing through the day and
+every day, will be suddenly replaced at night by the placid and comfortable
+mental state which shall insure a restful sleep.
+
+Before proceeding, then, to the immediate measures for inducing sleep, let
+us consider the suitable preparatory measures.
+
+The nervous breakdown which precludes sleep is oftener due to worry than to
+work. Nor should the sufferer jump too quickly to the conclusion that it
+is the loss of sleep rather than the worry that makes him wretched. It is
+astonishing how much sleep can be lost without harm, provided its loss is
+forgotten, and how much work can be carried on without extreme fatigue,
+provided it be undertaken with confidence and pursued without impatience.
+It is, however, essential that the work be varied and, at due intervals,
+broken. Trainers for athletic contests know that increasing practice
+without diversion defeats its end, and particularly insist upon cessation
+of violent effort directly before the final test. Why should we not treat
+our minds as well as our bodies?
+
+The active and over-scrupulous business or professional man who allows no
+time for rest or recreation, who can confer no responsibility upon his
+subordinates, who cultivates no fad, and is impatient of every moment spent
+away from his occupation, is in danger of eventually "going stale," and
+having to spend a longer and less profitable vacation in a sanitarium than
+would have sufficed to avert the disaster. Nor will he find it easy to
+change his sleep-habit with the change of residence. It behooves him to
+change that habit while still at work, as a step toward averting breakdown.
+
+It will harm few of us to take a bird's eye view of our affairs at stated
+intervals, and ask ourselves if the time has not arrived when it will be a
+saving of time and money as well as worry for us to delegate more of the
+details, and more even of the responsibilities, to others, concentrating
+our own energies upon such tasks as we are now peculiarly qualified to
+undertake. To the man determined to accomplish a lifetime of work before he
+rests, there is food for thought in the following anecdote:
+
+When Pyrrhus was about to sail for Italy, Cineas, a wise and good man,
+asked him what were his intentions and expectations.
+
+"To conquer Rome," said Pyrrhus.
+
+"And what will you do next, my lord?"
+
+"Next I will conquer Italy."
+
+"And after that?"
+
+"We will subdue Carthage, Macedonia, all Africa, and all Greece."
+
+"And when we have conquered all we can, what shall we do?"
+
+"Do? Why, then we will sit down and spend our time in peace and comfort."
+
+"Ah, my lord," said the wise Cineas, "what prevents our being in peace and
+comfort now?"
+
+The time to take a vacation is before one is exhausted. If one is
+discontented during his vacation, he should take it, none the less, as a
+matter of duty, not expecting to enjoy every moment of it, but contenting
+himself with the anticipation of greater pleasure in the resumption of his
+duties. He should cultivate an interest in out-door occupation or some
+study that carries him into the fields or woods. Aside from the time on
+shipboard, the worst possible vacation for the over-worked business or
+professional man is the trip to Europe, if spent in crowding into the
+shortest possible time the greatest possible amount of information on
+matters artistic, architectural, and historic.
+
+No one can acquire the habit of sleep who has not learned the habit of
+concentration, of devoting himself single-minded to the matter in hand. If
+we practice devoting our minds, as we do our bodies, to one object at a
+time, we shall not only accomplish more, but with less exhaustion. Training
+in this direction will help us, on retiring, to view sleep as our present
+duty, and a sufficient duty, without taking the opportunity at that time to
+adjust (or to try to adjust) all our tangles, to review our past sources of
+discomfort, and to speculate upon the ills of the future.
+
+A walk, a bath, a few gymnastic exercises, will often serve a useful
+purpose before retiring, but if they are undertaken in a fretful and
+impatient spirit, and are accompanied by doubts of their effectiveness,
+and the insistent thought that sleep will not follow these or any other
+procedure, they are likely to accomplish little.
+
+The best immediate preparation for sleep is the confidence that one will
+sleep, and _indifference if one does not_. It is an aid in the adoption of
+this frame of mind to learn that many have for years slept only a few
+hours per night, without noticeable impairment of their health or comfort.
+Neither unbroken nor long-continued sleep, however desirable, is essential
+to longevity or efficiency. This is illustrated by the following examples:
+
+Joseph A. Willard, for nearly half a century Clerk of the Court in Suffolk
+County, and a well-known figure on the streets of Boston, died in his
+eighty-eighth year. He was active and alert in the performance of his
+daily duties up to their discontinuance shortly before his death. He
+kept, meantime, records of the temperature, weather, and condition of the
+streets, at all hours of the night, and every night, for many years before
+the establishment of the weather bureau. So reliable were these records
+regarded by the courts that they were often appealed to in the trial of
+cases, and their accuracy never questioned by either party in the suit. I
+publish these facts by the permission of his son.
+
+George T. Angell, the well-known humanitarian, than whom few, if any, have
+led a more busy life, when in his sixty-ninth year wrote as follows:
+
+"For the benefit of those who do not [take narcotics, opiates, anaesthetics]
+I will say that I suppose there are very few in this country _who have
+slept less_ than I have; but I have never taken anything to stupefy, while
+thousands of good sleepers I have known have long since gone to the last
+sleep that knows no waking here. It was undoubtedly wise to change my
+professional life from court to office practice: but in other matters I
+was compelled to choose between living the life of a vegetable, or losing
+sleep; and I chose the latter."
+
+Mr. Angell is now eighty-four, still actively engaged in affairs, and
+allows me to add that during the past six years he has gone for a week at
+a time with no sleep; for three months at a time he has not averaged more
+than two hours in twenty-four; he does not remember having ever had a good
+night's sleep. Mrs. Angell states that, with one exception, she has never
+known him to sleep through the night.
+
+It is worth while to remember these experiences before resorting to drugs
+for sleeplessness.
+
+I have somewhere seen it stated that a prominent divine attributed his
+happy and green old age to the fact that he slept a certain number of hours
+every night. Against this statement must be set the reflection that many
+another old gentleman can fairly attribute his comfort, in part at least,
+to an attitude of indifference toward the unessentials, among which I
+suspect must be included the question whether we average eight hours of
+sleep or materially less.
+
+Let us now consider some of the faulty mental habits directly affecting
+sleep itself. First comes the compulsive thought that one must sleep _now_,
+and the impatient count of the wakeful hours supposed to be irrecoverably
+lost from the coveted number. This insistence in itself precludes sleep.
+The thought, "No matter if I don't sleep to-night; I will some other
+night," will work wonders in the direction of producing sleep to-night.
+
+The continuance of any given position, completely relaxed, in bed, even
+without unconsciousness, is more restful than tossing about. The mere
+experiment of remaining immobile in a certain position as long as possible,
+and concentrating the mind on the thought, "I am getting sleepy, I am
+going to sleep," will oftener produce the desired result than watching the
+proverbial sheep follow one another over the wall. Training during the day
+in restraining nervous movements is an aid in acquiring the ability to do
+this.
+
+This is a field in which self-suggestion is of definite value. Everyone
+appreciates the effect on sleep of the "state of mind" when he has passed a
+succession of sleepless hours followed by a sudden tendency to somnolence
+at the time for rising. The problem is to acquire the frame of mind without
+waiting for circumstances. To demonstrate the effect of faulty suggestion
+combined with restlessness on awaking in the night, try the following:
+
+EXPERIMENT I.--Place yourself on the face and from this point turn rapidly
+in a complete circle backwards from right to left until you are again on
+the face. Pause several times and say to yourself rapidly "I cannot sleep
+in this position." The result of the experiment is practically uniform. The
+rapid movement and the suggestion prevent sleep.
+
+To demonstrate the effect of bodily relaxation combined with correct
+suggestion, in promoting sleep try--
+
+EXPERIMENT II.--Start in the same position as Experiment I. Traverse the
+same circle, prolonging each pause with body relaxed, and substituting at
+each pause the suggestion, "I can sleep in any position," repeated a number
+of times deliberately and as if you meant it. The restful pose and the
+suggestion generally induce sleep long before the circle is completed.
+
+Next comes the compulsive thought that we cannot sleep until everything is
+"squared up" and all mental pictures completed. The story is told that a
+gentleman took a room in the hotel next another who was notoriously fussy.
+He remembered this fact after dropping one boot carelessly to the floor,
+and laid the other gently down. After a pause he heard a rap on the door
+and a querulous, "For heaven's sake, drop the other boot, or I can't get to
+sleep."
+
+Many find themselves unable to sleep until the whole household is accounted
+for and the house locked up for the night, until certain news is received,
+and the like. The same tendency postpones sleep until all affairs are
+straightened out in the mind, as well as in reality. A little reflection
+shows how indefinite must be the postponement of sleep under such
+conditions.
+
+No training is more important for the victim of compulsive tendencies
+than the practice of trusting something to chance and the morrow, and
+reconciling himself to the fact that at no time, in this world, will all
+things be finally adjusted to his satisfaction.
+
+The habit of dismissing, at will, disagreeable thoughts is a difficult but
+not impossible acquisition. Arthur Benson in "The Thread of Gold" relates
+the following anecdotes:
+
+"When Gladstone was asked, 'But don't you find you lie awake at night,
+thinking how you ought to act, and how you ought to have acted?' he
+answered, 'No, I don't; where would be the use of that?'"
+
+"Canon Beadon [who lived to be over one hundred] said to a friend that
+the secret of long life in his own case was that he had never thought of
+anything unpleasant after ten o'clock at night."
+
+The insistent desire to sleep in a certain bed, with a certain degree of
+light or darkness, heat or cold, air or absence of air, is detrimental.
+This is in line with the desire to eat certain foods only, at a certain
+table, and at a certain time. The man who loses his appetite if dinner
+is half an hour late is unable again to sleep if once waked up. This
+individual must say to himself, "Anyone can stand what he likes; it takes a
+philosopher to stand what he does not like," and try at being a philosopher
+instead of a sensitive plant.
+
+Inability to sleep while certain noises are continued must be similarly
+combated. If one goes from place to place in search of the quiet spot for
+sleep, he may finally find _quiet itself_ oppressive, or worse yet, may be
+kept awake by hearing his own circulation, from which escape is out of
+the question. He who finds himself persistently out of joint with
+his surroundings will do well to ponder the language of the Chinese
+philosopher:
+
+"The legs of the stork are long, the legs of the duck are short: you cannot
+make the legs of the stork short, neither can you make the legs of the duck
+long. Why worry?"
+
+With regard to the character of sleep itself, the attitude of our mind in
+sleep is dominated, to a degree, at least, by its attitude in the waking
+hours. It is probable that during profound sleep the mind is inactive, and
+that dreams occur only during the transition-state from profound sleep to
+wakefulness. It is conceivable that in the ideal sleep there is only one
+such period, but ordinarily there occur many such periods during the night;
+for the uneasy sleeper the night may furnish a succession of such periods,
+with comparatively little undisturbed rest, hence his dreams seem to him
+continuous. The character of the pictures and suggestions of dreams, though
+in new combinations, are largely dependent on our daily experiences. Is it
+not, then, worth while to encourage, during our waking hours, as far as is
+consistent with our duties, such thoughts as are restful and useful, rather
+than those which serve no purpose but annoyance.
+
+If we will, we can select our thoughts as we do our companions.
+
+
+
+
+X.
+
+OCCUPATION NEUROSIS
+
+Be not ashamed, to be helped; for it is thy business to do thy duty like a
+soldier in the assault on a town. How, then, if being lame thou canst
+not mount up on the battlement alone, but with the help of another it is
+possible?
+
+_Marcus Aurelius_.
+
+
+The insistent and over-conscientious habit of mind plays so large a part in
+the so-called occupation neuroses that a brief discussion of their nature
+may here be in place.
+
+The best-known form of this distressing malady is "writer's cramp." Upon
+this subject the proverbially dangerous little knowledge has been already
+acquired; a fuller knowledge may give comfort rather than alarm, and may
+even lead to the avoidance of this and allied nervous disorders.
+
+The term "writer's cramp" has unduly emphasized a feature, namely, the
+cramp, which is neither the most common nor the most troublesome among the
+symptoms resulting from over-use of a part. In occupation neuroses, other
+than those produced by the use of the pen, pain, weakness, and numbness are
+at least equally prominent, and even in writer's cramp the "neuralgic" form
+is common.
+
+The fact is generally realized that this type of disorder is particularly
+frequent among persons of nervous temperament. The reason is twofold,
+first, the resistance of such individuals is less than the average, second,
+the insistent habit of mind leads them to overdo. It is against the latter
+factor that our efforts may to advantage be directed.
+
+I have in mind the case of a lady who complained of severe pain in the
+right arm with no apparent physical cause. The pain, at first appearing
+only when the arm was placed in a certain position, finally became almost
+constant. She denied excessive use of the arm, but her husband stated that
+she plied the needle to such an extent that it caused the family distress.
+This she indignantly denied, and fortified her position by the statement
+that she only took short stitches! Further inquiry elicited the
+acknowledgment that she did so because she could no longer take long ones.
+This is a fair example of an occupation neurosis.
+
+Some time ago, after long continued and over-conscientious effort to
+satisfy the requirements of an athletic instructor, I acquired what is
+known as a "golf arm." Efforts at its relief were unavailing. A vigorous
+course of massage only increased the pain. I finally asked a friend what
+they did in England when a golf player suffered this annoyance. He replied
+that no golf player ever did so; when it occurred among others the arm was
+placed in wool for three months, at the end of which time a single movement
+of swinging the club was made; if this movement caused pain the treatment
+was renewed for another three months. I did not suppose he intended the
+advice to be taken literally, but followed it, except as regarded the wool,
+and I verily believe that I should otherwise have been experimenting with
+the treatment of golf arm to-day.
+
+My friend's advice indicates the general experience with occupation
+neuroses including writer's cramp, for which every imaginable measure has
+been tried, only to be replaced by protracted abstinence from the use
+of the pen. The attempt to use the left hand proves, as a rule, only
+temporarily efficacious. The speedy appearance of symptoms in the left hand
+emphasizes the fact that it is tired brain, as well as the tired muscle,
+that rebels.
+
+The ranks of every profession, and of every trade, are daily depleted
+of the most promising among their members, whose zeal has outrun their
+discretion; their over-worked brains and hands have succumbed under the
+incessant strain of tasks, often self-imposed.
+
+It is hard, but essential, for the sufferer from an occupation neurosis to
+abandon frantic efforts at combining treatment with continuance of labor.
+He must bring all his philosophy to bear on the temporary, but complete,
+abandonment of his chosen occupation, at whatever loss to himself or
+others.
+
+To avoid this contingency the over-conscientious worker will do well to
+modify his ambition, and lower his pride if needful, consoling himself
+with the reflection that an occasional interruption of his labor, even at
+material loss, may be replaced by years of future usefulness. Cowper says:
+
+ "'Tis thus the understanding takes repose
+ In indolent vacuity of thought,
+ And rests, and is refreshed."
+
+
+
+
+XI.
+
+THE WORRIER AT HOME
+
+ Small habits, well pursued betimes,
+ May reach the dignity of crimes.
+
+ _Hannah More_.
+
+
+More than one "sunbeam" and "life of the party" in society is the "cross
+patch" and "fuss budget" of the home. His gracious smiles and quips abroad
+are matched at home by darkened brows and moody silence, only broken by
+conversation of the italicized variety: "_Will_ it ever stop raining?"
+"_Can't_ you see that I am busy?" "What _are_ you doing?" and the like.
+Whatever banner is exhibited to the outside world, the motto at home seems
+to be "Whatever is, is wrong." Defects in the menage, carefully overlooked
+when dining out, are called with peculiar unction to the attention of the
+housekeeper of the home, whose worry to please is only matched by the
+"sunbeam's" fear that she shall think him satisfied with what is placed
+before him.
+
+ "There's something kind of pitiful about a man that growls
+ Because the sun beats down too hot, because the wild wind howls,
+ Who never eats a meal but that the cream ain't thick enough,
+ The coffee ain't been settled right, or else the meat's too tough--
+
+ Poor chap! He's just the victim of Fate's oldest, meanest trick,
+ You'll see by watching mules and men, they don't need brains to kick."
+
+ _Chicago Interocean_.
+
+Add to the "kicking habit" the insistence that each member of the family
+must be reminded at frequent intervals of his peculiar weaknesses, and that
+the discussion of uncomfortable topics, long since worn threadbare, must be
+reopened at every available opportunity, and the adage is justified, "be it
+ever so humble, there's no place like home."
+
+Try the following suggestion on approaching the house after a hard
+day's work. Say to yourself, "Why tired and cross? Why not tired and
+good-natured?" The result may startle the family and cause inquiries for
+your health, but "Don't Worry," if it does; console yourself with the
+thought they will like you none the less for giving them a glimpse of that
+sunny nature of which they have often heard.
+
+As a further preparation for the evening meal, and the evening, by way of
+alleviating the mental and physical discomfort following a trying day, one
+is surprised by the effectiveness of taking a bath and changing all the
+clothing. This treatment, in fact, almost offers a sure cure, but the
+person who would be most benefited thereby, is the person so obsessed to
+pursue the miserable tenor of his way that he scouts the suggestion that
+he thus bestir himself, instead of sinking into the easy chair. He may,
+however, accept the suggestion that simply changing the shoes and stockings
+is extremely restful, when reminded that if he had worn kid gloves all day
+he would be relieved to free his hands from the incubus, and, if gloves
+must still be worn, to put on a cool pair.
+
+It is a further aid to physical, and indirectly to mental, comfort, if one
+can learn to wear low shoes and the thinnest of underwear the year
+round; the former offer a panacea for fidgets; the latter lessens the
+perspiration, which increases the susceptibility to drafts, and to even
+moderate lowering of temperature. The prevailing belief that this procedure
+is dangerous is disproved by the experience of the many who have given it a
+thorough trial. The insistent belief of the neurotic that he cannot acquire
+this habit is touched upon in the chapter on Worry and Obsession. If he
+thinks he is "taking cold," let him throw back his shoulders and take a few
+deep breaths, or if convenient, a few exercises, instead of doubling the
+weight of his underwear, and in the long run he will find that he has not
+only increased his comfort, but has lessened, rather than increased, the
+number of his colds.
+
+Much of the worry of the home is retrospective. "If I had only made
+Mary wear her rubbers,"--"If we had only invested in Calumet & Hecla at
+25,"--"If we had only sent John to college," represent a fruitful source of
+family discomfort. The morbid rhyme is familiar to all:
+
+ "Of all sad words of tongue or pen,
+ The saddest these, 'It might have been.'"
+
+I should be glad to learn of any advantage accruing from the indulgence of
+this attitude toward the bygone. A happier and more sensible habit of mind
+may be attained by equal familiarity with the following:
+
+ "Add this suggestion to the verse,
+ 'It might have been a great deal worse.'"
+
+A fruitful source of discomfort for the worrier at home is the absence of
+occupation. He looks forward to mental rest after using his brain all day,
+but there is no rest for him unless in sleep. The most valuable rest he
+could give his mind would be to occupy it with something worth while, yet
+not so strenuous as to cause solicitude. As Saleeby points out, the mock
+worry of a game is a good antidote for the real worry of life, and a game
+is far better than nothing, unless the player make, in turn, a work of his
+play, in which case worry continues.
+
+The hardest task for the worrier at home is to get away from home. With
+advancing years the temptation grows upon us to spend our evenings by the
+fireside, to make no new friends and seek no new enjoyments. But this
+unbroken habit is neither the best preparation for a happy old age, nor the
+best method of counteracting present worry. Nor should one stop to decide
+whether the special entertainment in question will be worthwhile--he must
+depend rather on the realization that if he accepts most opportunities he
+will be, on the whole, the gainer.
+
+The man whose occupation keeps him in-doors all day should make special
+effort to pass some time in the open air, if possible walking or driving
+to and from his place of business, and taking at least a stroll in the
+evening.
+
+As more than one writer has suggested, the best resource is the _fad_. The
+fad will prove an inestimable boon after withdrawing from active work, but
+it should be commenced long before one discontinues business, else the
+chances are that he will never take it up, but will fret away his time like
+the average man who retires from an occupation which has engrossed his
+attention.
+
+The fad should not be pursued too strenuously, or its charm is lost. A lady
+once told me that she had given up studying flowers because she found she
+could not master botany in the time at her disposal. Another sees no use in
+taking up history unless he can become an authority on some epoch. Another
+declines to study because he can never overtake the college graduate. But
+one of the best informed men of my acquaintance had no college education.
+One of his fads was history, with which he was far more familiar than any
+but the exceptional college man, outside the teachers of that branch of
+learning.
+
+The usefulness of the fad does not depend upon the perfection attained in
+its pursuit, but upon the pleasure in its pursuit, and upon the diversion
+of the mind from its accustomed channels. The more completely one learns
+to concentrate his thoughts on an _avocation_, the more enthusiasm and
+effectiveness he can bring to bear on his _vocation_ in its turn. A fad
+that occupies the hands, such as carpentering, turning, or photography, is
+peculiarly useful if one's taste runs in that direction.
+
+One handicap in cultivating the fad is the lack of interest on the part of
+our associates, but if we become genuinely interested in any fad that is at
+all worth while, we shall inevitably add new acquaintances likely to prove
+at least as interesting as those of our present friends, who have no
+thoughts outside their daily round of toil. The more fads one cultivates,
+so long as he avoids the obsession to obtrude them at all times and places,
+the more interesting he will, in his turn, become to others.
+
+The over-solicitude that defeats its own end, in the case of a parent,
+has been admirably portrayed by Arthur Benson in "Beside Still
+Waters,"--"there was nothing in the world that he more desired than the
+company and the sympathy of his children; but he had, beside this, an
+intense and tremulous sense of his responsibility toward them. He
+attached an undue importance to small indications of character, and thus
+the children were seldom at ease with their father, because he rebuked
+them constantly, and found frequent fault, doing almost violence to his
+tenderness, not from any pleasure in censoriousness, but from a terror,
+that was almost morbid, of the consequences of the unchecked development
+of minute tendencies."
+
+Something must be left to natural growth, and to fortune, even in such
+important matters as the rearing of children.
+
+
+
+
+XII.
+
+THE WORRIER ON HIS TRAVELS
+
+After all, is it not a part of the fine art of living to take the enjoyment
+of the moment as it comes without lamenting that it is not something else?
+
+LILIAN WHITING: _Land of Enchantment_.
+
+
+In no phase of life is the worrying and the "fussy" habit more
+noticeable than in travel. This is, perhaps, partly because the lack of
+self-confidence, which so often unsettles the worrier, is peculiarly
+effective when he has relinquished the security of his accustomed
+anchorage. This applies surely to the over-solicitous attention paid by
+the traveler to the possible dangers of rail and sea. Here is a verse from
+Wallace Irwin:
+
+ "'Suppose that this here vessel,' says the skipper with a groan,
+ 'Should lose 'er bearin's, run away and bump upon a stone;
+ Suppose she'd shiver and go down when save ourselves we could'nt.'
+ The mate replies,
+ 'Oh, blow me eyes!
+ Suppose agin she shouldn't?'"
+
+A common direction taken by the worrying habit, in the traveler, is that
+of taking in advance each step of the journey, preparing for every
+contingency, and suffering beforehand every imaginable hardship and
+inconvenience. I do not vouch for the story (though I can match it without
+going far afield) of the gentleman who abandoned his trip from Paris to
+Budapesth because he found he would be delayed in Vienna six hours, "too
+long time to wait in the station, and not long enough to go to the hotel."
+It is the imperative duty of every traveler to discover interests which
+shall tide him over a few hours' delay wherever it may occur.
+
+It is by no means a waste of time to familiarize ourselves with the
+geography at least of our own country; to know the situation and appearance
+of every city of importance, and to know something about the different
+railroads besides their initials, and their rating in the stock market.
+Again, if we take up the study of the trees, flowers and birds, with the
+aid of the admirable popular works now available, we shall not only view
+the scenery with new eyes, but shall welcome, rather than be driven to
+despair, by a breakdown in the woods.
+
+It is a mistake to shun our fellow-travelers, from whom we should rather
+try to learn something. This is a solace in traveling alone, for the boon
+companion may handicap us in cultivating new acquaintances and gaining new
+impressions. Though the main object of recreation is diversion from the
+daily round of thought, the fact need not be lost sight of that the busy
+man will find his practical interests furthered, rather than hindered, by
+a little widening of the horizon. Nor should he forget, meantime, the
+admonition of Seneca that if he would wish his travels delightful he must
+first make himself delightful.
+
+It is inevitable that uncomfortable, as well as agreeable, experiences
+occur in travel. But the man who spends his time and thought in avoiding
+the one and seeking the other is steadily forging chains whose gall shall
+one day surpass the discomforts of a journey around the world. Arthur
+Benson in "Beside Still Waters" says that Hugh learned one thing at school,
+namely, that the disagreeable was not necessarily the intolerable. Some of
+us would do well to go back to school and learn this over again. I know of
+only two ways by which the discomforts of travel can be avoided. One is to
+ignore them, the other to stay at home.
+
+A fellow traveler told me that on one occasion, in the presence of a
+beautiful bit of mountain scenery, he overheard two ladies in anxious
+consultation comparing, article by article, the corresponding _menus_ of
+two rival hotels. The fact that three varieties of fish were offered
+at one, while only two were offered at the other, opened so animated a
+discussion of quantity as opposed to probable quality that the listener
+discretely withdrew.
+
+A lady on the Florida express, after reading a novel all day with an
+occasional interim, during which she gazed through her lorgnette with bored
+and anxious air, finally said to her companion, "I have not seen a single
+estate which compares to those in Brookline."
+
+Among the varieties of needless worry imposed upon the traveler by the
+insistent habit, none is more common, or more easily overcome, than the
+refusal to sleep unless noise and light are quite shut out. If the sufferer
+make of his insistent habit a servant, rather than a master, and instead of
+reiterating "I must have quiet and darkness," will confidently assert, "I
+must get over this nonsense," he will speedily learn that freedom from
+resentment, and a good circulation of air, are more conducive to sleep than
+either darkness or silence.
+
+The best drug for the sleepless traveler is the _aequo animo_ of Cicero.
+
+
+
+
+XIII.
+
+THE WORRIER AT THE TABLE
+
+These little things are great to little man.
+
+GOLDSMITH: _The Traveller_.
+
+
+The insistent habit of mind is nowhere more noticeable than in connection
+with the food. I have seen a hotel _habitue_, apparently sane, who
+invariably cut, or broke, his bread into minute particles, and minutely
+inspected each before placing it in his mouth. If this were a book of
+confessions, I should have myself to plead guilty, among worse things,
+to having avoided mince pie for weeks after encountering among other
+ingredients of this delicacy, a piece of broken glass.
+
+Not infrequently the obsessive diner so long hesitates before giving his
+final order that the waiter brings the wrong dish. The insistent thought
+now replaces the doubting folly, and the diner would as soon think of
+eating grass as the article offered. I have known him impatiently to leave
+the table under these circumstances, and to play the ostentatious martyr,
+rather than partake of the food he had at the outset given weighty
+consideration. I have seen another omit his lunch because water had been
+spilled upon the cloth, and still another leave the dining-car, with
+the announcement that he would forego his meal because informed by the
+conductor that men's shirt waists without coats were taboo.
+
+The obsessive of this type may by training even reach the point of seeing
+the amusing instead of the pathetic side of the picture when, in the course
+of his travels, his request for "a nice bit of chicken, cut thin," is
+transmitted to the kitchen as--"One chick."
+
+One day, with pride, I called the attention of my easy-going friend to the
+fact that I was eating a dish I had not ordered. He quietly remarked that
+the next step was to eat it and say nothing! Another friend has this motto
+in his dining-room: "Eat what is set before you and be thankful." His
+children will open their eyes when they find others, less reasonably
+reared, demanding that the potatoes be changed because they are sprinkled
+with parsley, that a plate be replaced because it has had a piece of cheese
+upon it, or that the salad of lettuce and tomato be removed in favor of one
+with tomato alone.
+
+A lady recently told me of breakfasting with a foreign sojourner in
+America, who upon being offered the contents of an egg broken into a glass,
+was not satisfied with declining it, but felt impelled also to express his
+extreme disgust at this method of serving it, fortunately to the amusement,
+rather than to the annoyance of his hostess.
+
+"After this, know likewise," says Epictetus, "that you are a brother too;
+and that to this character it belongs to make concessions, to be easily
+persuaded, to use gentle language, never to claim for yourself any
+non-essential thing, but cheerfully to give up these to be repaid by a
+larger share of things essential. For consider what it is, instead of a
+lettuce, for instance, or a chair, to procure for yourself a good temper.
+How great an advantage gained!"
+
+The insistent desire to have a certain degree and character of appetite not
+infrequently leads to consulting the physician. Still more common is the
+obsession that the appetite must be gratified, the supposition being that
+the desire for food is, in the growing child or in the adult, an infallible
+guide to the amount needed, though it is a matter of common knowledge that
+this is not true of infants or of domestic animals. If one leaves the table
+hungry he soon forgets it unless inordinately self-centered, and he has
+no more desire to return than to go back to bed and finish the nap so
+reluctantly discontinued in the morning.
+
+I have heard the theory advanced by an anxious forecaster of future ills,
+that all unnecessary food, if packed away as adipose tissue, serves to
+nourish the body in periods of starvation. Assuming that the average
+individual need consider this stress of circumstance, I am strongly of the
+impression that the best preparation for enforced abstinence will prove,
+not a layer of fat, but the habit of abstinence. The nursery poet says:
+
+ "The worry cow would have lived till now
+ If she'd only saved her breath.
+ She feared the hay wouldn't last all day
+ So choked herself to death."
+
+The quantity of food proved by experiment to suffice for the best work,
+physical or mental, is surprisingly small. A feeling of emptiness, even, is
+better preparation for active exercise than one of satiety.
+
+It is a national obsession with us that no meal is complete without meat.
+Order fruit, a cereal, rolls and coffee, at the hotel some morning, and the
+chances are ten to one that the waiter will ask what you are going to have
+for _breakfast_, though you have already ordered more than is absolutely
+necessary for that meal, as demonstrated by the custom upon the Continent,
+where the sense of fitness is as much violated by the consumption of an
+enormous breakfast as it is with us by the omission of a single detail.
+
+It may be asked if it is not subversive of discipline for the hotel
+_habitue_ to become too easy-going. There is doubtless a limit to the
+virtue of allowing ourselves to be imposed upon, but there is little fear
+that the individual who opens the question will err in this direction. It
+behooves him rather to consider the danger of his occupying the unenviable
+position of the "fuss-budget."
+
+
+
+
+XIV.
+
+THE FEAR OF BECOMING INSANE
+
+We must be steadfast, Julian! Satan is very busy in all of us.
+
+IBSEN: _Emperor and Galilean_.
+
+
+Few, perhaps, among the high-strung and delicately organized can truly say
+that this fear has never occurred to them. It affects even children, at an
+age when their minds are supposed to be taken up with the pleasures and
+pursuits appropriate to their years. This fear is generally dispelled by
+the serious occupations of life, but in certain cases it persists as an
+insistent and compelling thought.
+
+It may afford consolation to know that insanity results, in the majority
+of cases, from physical disease of the brain, and that it is ordinarily
+unanticipated, unsuspected and uncredited by the patient. There is no more
+danger of insanity attacking the worrier and the delicate than the robust
+and the indifferent. In fact, the temperament which produces the faulty
+habits we are considering rarely culminates in insanity. It seems worth
+while, however, to replace the vague fear of insanity by a knowledge of the
+variety of mental unbalance remotely threatening the person who lacks the
+desire or the will, to place a check upon these faulty habits of mind. We
+may thus, in the worrier whose fears have taken this direction, substitute
+effort for foreboding.
+
+It is our _conduct_ rather than our thoughts that determines the question
+of insanity. The most practical definition of insanity I know is that of
+Spitzka, the gist of which is that a person is insane who can no longer
+correctly register impressions from the outside world, or can no longer act
+upon those impressions so as to formulate and carry out a line of conduct
+consistent with his age, education and station.
+
+The banker may repeat the process of locking and unlocking, even to
+the point of doubting his own sensations, but he may still be able to
+formulate, and carry out, a line of conduct consistent with his position,
+though at the expense of intense mental suffering.
+
+In the realm of morbid fears, the person obsessed by fear of contamination
+shows no sign of insanity in using tissue paper to turn the door-knob, or
+in avoiding objects that have been touched by others. Up to this point
+his phobia has led merely to eccentricity, but suppose his fear so far
+dominates him that he can no longer pursue his occupation for fear of
+handling tools or pen, and that he persistently refuses to eat through fear
+of poison, he has then reached the point where he can no longer formulate
+lines of conduct, and he is insane.
+
+It is, then, important to foresee the tendency of phobias, and to accustom
+one's self to the point of view that the worst possible harm, for example
+from contamination by ordinary objects, is no worse than mental unbalance,
+and that the probable consequences thereof (_nil_) are infinitely
+preferable.
+
+Even with regard to more tangible fears, as of elevators, fires, tunnels,
+thunder-storms, and the like, a certain tranquility may be gradually
+attained by a similar philosophy. Suppose instead of dwelling on the
+possibility of frightful disaster the sufferer practices saying: "The worst
+that can happen to me is no worse than for me to let these fears gradually
+lessen my sphere of operations till I finally shut myself up in my chamber
+and become a confirmed hypochondriac." One should also remember that many
+another shares his fears, but shows no sign because he keeps a "stiff upper
+lip," an example he will do well to follow, not only for his own eventual
+comfort, but for the sake of his influence on others, particularly on those
+younger than himself. The pursuance of this line of thought may result in
+the former coward seeking instead of avoiding, opportunities to ride in
+elevators and tunnels, and even to occupy an inside seat at the theatre,
+just to try his new-found power, and to rejoice in doing as others do
+instead of being set apart as a hopeless crank.
+
+These fears bear directly on the question of hypochondria. We have already
+seen how the sphere of the hypochondriac is narrowed. His work and his play
+are alike impeded by his fear of drafts, of wet feet, of loud noises, of
+palpitation, of exhaustion, of pain, and eventually of serious disease. Is
+he insane? Not so long as he can carry out a line of conduct consistent
+with his station and surroundings.
+
+It is remarkable how many obsessions we may harbor without causing us to
+swerve from our accustomed line of conduct. Whatever our thoughts, our
+conduct may be such that we attract little attention beyond the passing
+observation that we are a little odd. We may break down, it is true, under
+the double load we carry, but we are in little danger of insanity. Those
+established in the conviction that they cannot stand noises or other
+sources of discomfort, rarely reach the point of a certain poor old lady
+who used to wander from clinic to clinic, able to think of nothing else,
+and to talk of nothing else, than the ringing in her ears, and to attend to
+no other business than efforts for its relief. She was counselled again and
+again that since nothing was to be found in the ears she should endeavor
+to reconcile herself to the inevitable, and turn her thoughts in other
+directions. Unfortunately, she had become peculiarly adept in the detection
+of disagreeable sights, sounds, and other sources of irritation, and had
+for a long term of years practiced quite the opposite of control. She had
+hitherto either insisted on discontinuance of all sources of irritation,
+fled their neighborhood, or put on blue glasses and stopped her ears with
+cotton. When, finally, her sharpened sense caught the sound of her own
+circulation, she could think of nothing but this unavoidable source of
+discomfort, which was prepared to follow her to the uttermost parts of the
+earth.
+
+A well-known author has said that the difference between sanity and
+insanity depends only on the power to conceal the emotions. While this
+definition will hardly pass in law or medicine, it surely offers food for
+thought. Suppose for a moment that we were dominated by the impulse to
+externalize all our thoughts and all our emotions, there would be some
+basis for the common, but inaccurate, saying that everyone is insane.
+
+This brings us to a form of insanity which the obsessive may well bear in
+mind, namely, that known as manic-depressive. This disorder, in its typical
+form, is shown by recurring outbursts of uncontrollable mental and
+physical activity (mania), alternating with attacks of profound depression
+(melancholia). This form of insanity represents the inability to control an
+extreme degree of the varied moods to which we all are subject. Long before
+the modern classification of mental disorders, Burton, in his introduction
+to the "Anatomy of Melancholy," expressed this alternation of moods thus:
+
+ "When I go musing all alone,
+ Thinking of divers things foreknown,
+ When I build castles in the ayr,
+ Void of sorrow and void of feare,
+ Pleasing myself with phantasms sweet,
+ Me thinks the time runs very fleet.
+ All my joyes to this are folly,
+ Naught so sweet as melancholy.
+
+ "When I lie waking all alone,
+ Recounting what I have ill done,
+ My thoughts on me they tyrannize,
+ Feare and sorrow me surprise,
+ Whether I tarry still or go,
+ Me thinks the time moves very slow.
+ All my griefs to this are jolly,
+ Naught so sad as melancholy."
+
+ * * * * *
+
+ "I'll not change my life with any King,
+ I ravisht am: can the world bring
+ More joy, than still to laugh and smile,
+ In pleasant toyes time to beguile?
+ Do not, O do not trouble me,
+ So sweet content I feel and see.
+ All my joyes to this are folly,
+ None so divine as melancholy.
+
+ "I'll change my state with any wretch
+ Thou canst from goale or dunghill fetch:
+ My pain's past cure, another hell,
+ I may not in this torment dwell,
+ Now desperate I hate my life,
+ Lend me a halter or a knife;
+ All my griefs to this are jolly,
+ None so damn'd as melancholy."
+
+The depressed stage of this disorder is commonly shown by retardation
+of thought and motion, the excited stage by pressure of activity and
+acceleration of thought. In the so-called "flight of ideas" words succeed
+each other with incredible rapidity, without goal idea, but each word
+suggesting the next by sound or other association, thus:
+
+"Are you blue?"
+
+"Blue, true blue, red white and blue, one flag and one nation, one kingdom,
+one king, no not one king, one president, we are going to have a president
+first, cursed, the worst."
+
+Who does not recognize the modest prototype of this elaborate rigmarole
+chasing itself through his mind as he walks the street in jaunty mood, and
+who of us would not surprise and alarm his friends if he should suddenly
+let go his habitual control, express his every thought and materialize his
+every passing impulse to action? Who can doubt that the person who has
+trained himself for years to repress his obsessions is less likely to
+give way to this form of insanity than one who has never practiced such
+training? Let us then endeavor to pursue "the even tenor of our way"
+without giving way to the obsession that we must inflict our feelings upon
+our associates. We may in this way maintain a mental balance that shall
+stand us in good stead in time of stress.
+
+The autumnal tendency to melancholy is recognized by Thoreau. The
+characteristic suggestion of this nature-lover is that the melancholic go
+to the woods and study the _symplocarpus foetidus_ (skunk cabbage), whose
+English name savors of contempt, but whose courage is such that it is
+already in the autumn jauntily thrusting forth its buds for the coming
+year.
+
+An admirable reflection for the victim of moods, as for many another, is
+the old saying in which Abraham Lincoln is said to have taken peculiar
+comfort, namely, "This also will pass."
+
+
+
+
+XV.
+
+RECAPITULATORY
+
+And found no end in wandering mazes lost.
+
+_Paradise Lost_.
+
+
+We have reviewed the various phases of worry and the elements out of which
+worry is assembled. It has been seen that exaggerated self-consciousness
+blocks effort through fear of criticism, ridicule or comment. The insistent
+habit of mind in the worrier has been found to permeate the content of
+thought, and unfavorably to influence action. The fact has been pointed
+out that the obsession to do the right thing may be carried so far as to
+produce querulous doubt and chronic indecision--hence worry.
+
+It has been pointed out that over-anxiety on the score of health
+(hypochondria) aggravates existing symptoms, and itself develops symptoms;
+that these symptoms in turn increase the solicitude which gave them birth.
+Attention has been called to the influence of over-anxious and fretful
+days in precluding the restful state of mind that favors sleep, and to the
+influence of the loss of sleep upon the anxieties of the following day; in
+other words, worry prevents sleep, and inability to sleep adds to worry.
+
+We have seen that doubts of fitness lead to unfitness, and that the worry
+of such doubts, combined with futile regrets for the past and forebodings
+for the future, hamper the mind which should be cleared for present action.
+
+The injurious effect upon the nervous system of these faulty mental states
+has been emphasized, together with their influence as potent underlying
+causes of so-called nervous prostration, preparing the worrier for
+breakdown from an amount of work which, if undertaken with tranquil mind,
+could have been accomplished with comparative ease.
+
+The question is, will the possessor of these faulty mental tendencies grasp
+the importance of giving thought to the training that shall free him
+from the incubus? He certainly has the intelligence, for it is among the
+intelligent that these states are mostly found; he certainly has the
+will-power, for lack of will-power is not a failing of the obsessed. The
+question is, can he bring himself to make, at the suggestion of another,
+a fundamental change of attitude, and will he take these suggestions on
+faith, though many seem trivial, others, perhaps, unreasonable, and will he
+at least give them a trial? I hope so.
+
+In the next sections will be summed up such commonplace and simple
+suggestions as may aid emergence from the maze of worry. Many of the
+suggestions have been scattered through preceding sections. The worrier and
+folly-doubter is more likely to be benefited by trying them than by arguing
+about them, and it is within the realms of possibility that some may come
+to realize the truth of the paradox that he who loses himself shall find
+himself.
+
+
+
+
+XVI.
+
+MAXIMS MISAPPLIED
+
+ "Beware! yet once again beware!
+ Ere round thy inexperienced mind,
+ With voice and semblance falsely fair,
+ A chain Thessalian magic bind,--"
+
+_Thomas Love Peacock_.
+
+
+A friend of mine has a highbred Boston terrier named "Betty." Betty is a
+bundle of nerves, has a well-developed "New-England Conscience," and among
+other deviative (not degenerative) signs is possessed of an insatiate
+desire to climb trees. More than once I have watched her frantic efforts to
+achieve this end, and she really almost succeeds--at least she can reach
+a higher point on the trunk of a tree than any other dog of her size I
+know--say six feet; if the bark is rough, perhaps seven feet would not be
+an overestimate. Her attempts are unremitting--once the frenzy is on it
+is with the greatest difficulty that she can be separated, panting and
+exhausted, from her task.
+
+Betty's case furnishes an illustration of an inborn tendency, fostered
+neither by precept nor example, persistently to attempt the impossible,
+and to fret and fume when forced to discontinue. Some children are by
+inheritance similarly endowed. Imagine Betty a child. It is safe to assume
+that the mental trait which prompts this expenditure of tireless and
+misdirected energy has sifted down through her ancestry; the chances are,
+of course, against its having skipped the generation immediately preceding;
+in other words, one or both her parents are probably obsessive. It follows
+almost as a matter of course that the "indomitable will" of the child is
+viewed with pride by the parent. Instead of being kept within reasonable
+bounds, and directed into proper channels, it is encouraged in every
+direction, and fostered by every available means. Prominent among the
+incentives to renewed activity furnished by the solicitous parent, possibly
+by the undiscriminating teacher, will be found such precepts as: "In the
+bright lexicon of youth there's no such word as fail," "Never give up the
+ship," "Never say die," "There's always room at the top."
+
+Excellent maxims these, for the average child, particularly for the child
+who is under average as regards ambition to excel. But what of their effect
+upon the already over-conscientious and self-exacting child? Simply to
+tighten fetters which should rather be relaxed.
+
+Life becomes a serious problem to a child of this kind at a much earlier
+age than is generally realized. I have been surprised to learn at what
+tender years such children have been borne down by a weight of self-imposed
+responsibility quite as heavy as can burden an adult, without the power
+of the adult to carry it. Such, for example, are anxieties regarding the
+health or the financial status of the parents, matters freely discussed
+without a thought that the child will make these cares his own.
+
+I realize that this line of thought will seem to some revolutionary. A
+friend to whom I submitted the proposition that it did harm rather than
+good to encourage a child of this kind to attempt the impossible answered,
+"Nothing is impossible," and he said it as if he more than half believed
+it. Here we have the ambitious maxim challenging truth itself. It is
+certainly not impossible that Mozart wrote a difficult concerto at the age
+of five; nor is it impossible that, in precocious children of a different
+type, worry from failure to accomplish the desired may cause profound
+despair productive of disastrous results.
+
+Nor are such children either geniuses or freaks--they are merely inheritors
+of the "New England Conscience," so named, I suppose, because the trait
+has multiplied in this section more rapidly even than the furniture and
+fittings of the Mayflower. Without underrating the sterling qualities of
+the devoted band who founded this community it may safely be suggested that
+neither the effectiveness nor the staying qualities of their descendants
+will be lessened by a certain modification of the querulous insistence
+which dominates the overtrained adult in the rearing of the nervously
+precocious child.
+
+The maxim "What is worth doing at all is worth doing well," if carried to
+its ultimate conclusion by the over-careful, would justify the expenditure
+of a quarter of an hour in sharpening a lead-pencil. This maxim, while
+losing in sententiousness would gain in reason if it ran thus: "What is
+worth doing at all is worth doing as well as the situation demands." "Never
+put off till to-morrow what you can do to-day," an excellent maxim for
+the shiftless, must not be taken too literally by the individual already
+obsessed to do to-day twice what he can and quadruple what he ought.
+
+Neither the chronic doubter nor the prematurely thoughtful need be
+admonished, "Look before you leap," or "Be sure you're right, then go
+ahead." Such guides to conduct, however effective in the case of three
+individuals, in the fourth hinder accomplishment by encouraging querulous
+doubt;--it is for the benefit of the fourth that these pages are written. A
+revolutionary effort must be made before the worrier and the folly-doubter
+can throw off his shackles.
+
+It may be questioned whether this sort of philosophy does not savor of
+_laissez-faire_, and tend to produce indifference; but the worry against
+which these efforts are directed is a state of _undue_ solicitude,--_due_
+solicitude is not discouraged. Fortunately, as partial offset to the many
+maxims stirring to increased activity, there exist certain maxims of less
+strenuous, but not unreasonable, trend, thus:--"What can't be cured must be
+endured," "Patient waiters are no losers." Such maxims are quite as worthy
+of consideration by the obsessive as any of those previously cited.
+While they modify overzeal, they detract in no way from effective, even
+strenuous, endeavor.
+
+
+
+
+XVII.
+
+THE FAD
+
+"Fads may be said to constitute a perfect mental antitoxin for the poison
+generated by cerebral acuity."
+
+_Courtney_.
+
+
+There is nothing occult in the suggestion that the worrier cultivate a fad.
+Its object is to interest him in something outside of himself and of the
+monotony of his accustomed round. If it seems to him too much trouble to
+enter upon the details of the fad there is all the more reason for freeing
+himself from such mental inertia.
+
+How shall we set to work to acquire a fad, without special opportunity or
+education, and with but little time at our disposal? Suppose we take the
+study of botany as an illustration, not necessitating class instruction.
+This useful study may be made also a charming fad, and one not beneath the
+notice of so learned and busy a man as Sir Francis Bacon, who found time
+and inclination to write an essay "Of Gardens," in which he mentions by
+name and shows intimate acquaintance with, over one hundred distinct
+varieties of plant life.
+
+Sir John Lubbock (the Right Honourable Lord Avebury) in "The Pleasures of
+Life," says:
+
+"The botanist, on the contrary--nay, I will not say the botanist, but one
+with even a slight knowledge of that delightful science--when he goes
+out into the woods, or out into one of those fairy forests which we call
+fields, finds himself welcomed by a glad company of friends, every one with
+something interesting to tell."
+
+There are two ways of cultivating botanical as well as other knowledge;
+namely, the passive and the active. The passive method is to let someone
+inform us; the active is to find out something for ourselves. The latter is
+the only effective method. Suppose we start with the wild flowers:
+
+The first step is to purchase a popular illustrated book on this subject,
+preferably one in which the flowers are arranged according to color. We
+first learn, in the introduction, the principal parts of the flower, as
+the calyx, the corolla, the stamen and the pistil. We find that the
+arrangements of leaves and flowers are quite constant, that the leaves of
+some plants are opposite, of others alternate; of still others from the
+root only, that flowers are solitary, in raceme, head, spike or otherwise
+clustered.
+
+It now behooves us to take a walk upon a country road with our eyes open
+and our book under our arm. Along the roadsides passing vehicles have
+scattered the seeds of many flowering plants. We decide to pick and learn
+the first white blossom we see. This blossom appears, we will say, upon a
+plant about a foot high. We notice that its leaves are opposite, that its
+corolla has five petals and that its calyx is inflated. We now look through
+the section on white flowers. The first plant described has leaves from
+the root only; the second is a tall shrub, these we pass, therefore, and
+continue until we find one answering the description, leaves opposite,
+calyx inflated, corolla of five petals. When we reach it we have identified
+the plant; we now feel a sense of ownership in the _Bladder Campion_, and
+are quite shocked when our friend calls it only "a weed." Meantime we have
+noted many familiar names and some familiar illustrations which we must
+identify on our next ramble.
+
+On consulting our timepiece we find that we have absolutely spent a couple
+of hours in complete forgetfulness of the daily grind, to say nothing of
+having filled our lungs with comparatively fresh air, and having taken a
+little exercise. Best of all, we have started a new set of associations; we
+have paved the way for new acquaintances, Linnaeus, Gray, Dioscorides and
+Theophrastus, to say nothing of our friend _so-and-so_ whom we always
+thought rather tiresome but with whom we now have something in common.
+We shall take up our daily grind to-morrow with a new zest for having
+forgotten it for a few hours, and find it less of a grind than usual;
+moreover, we now have an object to encourage another stroll in the country.
+
+If we continue as we have begun we shall soon find ourselves prying into
+the more scientific works on botany, and perhaps eventually extending our
+interest to the birds, the beasts and the boulders. One of these days we
+may become quite proficient amateur naturalists, but this is only by the
+way; the real advantage to us has been the externalizing of our interests.
+
+This is the most desultory way possible of cultivating the fad. One may go
+a step further and transplant the wild flowers and the weeds. A busy and
+successful professional friend of mine, besides having a cabinet shop in
+his stable, finds (or makes) time to go to the woods with his trowel.
+He has quite a wild-flower bank in his garden. I cannot give definite
+directions as to their setting out--I think he just throws them down
+anywhere--a fair percentage seem to thrive,--I can remember the
+larger bur-marigold, the red and white bane-berry, rattlesnake-weed,
+rattlesnake-plantain, blood root, live-for-ever, wood betony, pale
+corydalis, and fern-leaved foxglove, and there are many more.
+
+Mushrooms and ferns offer fertile fields for special study. If the worrier
+has an altruistic turn he will find satisfaction in bestowing duplicates
+upon his friends, thus still further externalizing his interests. He will
+be surprised to find how many things there are in the world that he never
+noticed.
+
+Whether our tastes lead us in the direction of photography, pottery,
+mechanics, collecting china, books and old furniture, of philosophy or
+a foreign language, we need not aim to pursue these avocations too
+profoundly. We must not compare our acquisitions with those of the savant
+or the skilled laborer, but must console ourselves with the reflection that
+we at least know more, or can do more, than yesterday. If our fads, now
+and then, make us do something that gives us a little trouble, so much the
+better, if it is only to go to the library for a book,--the worrier whose
+idea of rest and recuperation is to remain forever glued to an easy-chair
+is indeed to be pitied.
+
+Collecting old prints, stamps, and coins, is by no means a waste of time.
+Fads of this nature offer the additional inducement of an asset which may
+serve, in a material way, to banish worry in time of stress. To reap the
+full advantage of the collection fads one should take pains to acquire a
+knowledge of the geography and history with which they are associated. Few
+are so unfortunately placed that they have no access to information on
+these subjects. The encyclopaedia, at least, is within general reach, though
+rarely consulted by those who most need its aid.
+
+Suppose one takes up history for an indoor fad. How shall he start in?
+Since he pursues this study only as a fad, he can commence almost anywhere.
+Let him decide to become familiar with the fifteenth century. The first
+step is to familiarize himself with the principal rulers and the principal
+battles of that time. Suppose he spends half an hour every evening upon the
+life of one or another ruler, as given in the encyclopaedia or elsewhere.
+If he is sufficiently inventive to construct a pictorial or other plan in
+which to give each his place, so much the better. Having thus constructed a
+framework he can begin to fill in the details, and now the study begins to
+interest him. At any public library he can find a catalogue of historical
+fiction arranged according to centuries. Under the fifteenth century
+he will find Quentin Durward, The Broad Arrow, Anne of Geierstein, The
+Cloister and the Hearth, Every Inch a King, Marietta, The Dove in the
+Eagle's Nest, and other standard works, all of which he may have read
+before, but every page of which will have for him a new interest since he
+can now place the characters, appreciate the customs, and form a consistent
+picture of what was doing in different countries at this time.
+
+The next step is to acquire, in the same way, equal familiarity with the
+preceding and succeeding centuries, particularly with the interrelations of
+the different countries, old and new.
+
+The reader who has followed to this point will need no further hint. If he
+continues as he has begun, he will be surprised to find how soon he will
+be able to instruct, on one subject at least, the college graduate, unless
+that graduate has happily continued as a fad what he once perfunctorily
+acquired.
+
+Another way of commencing this study, and the one, I confess, which appeals
+more to me, is first to establish a framework which shall cover a long
+period of time, then study special epochs. An interesting way to start
+this method is to purchase Creasy's "Decisive Battles of the World," and
+familiarize one's self with its contents. This will furnish pegs on which
+to hang further items of information, and will impart a running familiarity
+with different nations involved in war from the time of the supremacy of
+Greece, down to the battle of Manila, in the recent edition,--in earlier
+editions to the time of Napoleon.
+
+The only absolutely essential reference book for this study is Ploetz's
+"Epitome of Universal History."
+
+To make this fad interesting, the mere commitment to memory of facts and
+dates will not suffice. Items of history thus acquired will inevitably
+fade. The conscientious but ill-advised student who attempts to commit
+the "Epitome" to memory will fall by the way-side. Time is not wasted in
+dwelling sufficiently long on one subject to feel a sense of ownership in
+it, and there is opportunity for the exercise of individual ingenuity in
+devising means to accomplish this end. If one has the knack, for
+example, of writing nonsense verse (and this is a talent all too easy of
+cultivation) it will aid him in fixing by rhyme names and dates otherwise
+difficult to master, thus:
+
+"Ten sixty-six is a date you must fix;" or "Drake was not late in fifteen
+eighty-eight."
+
+The study of music, history, trees, flowers, or birds doubtless seems of
+trivial interest to one who occupies his leisure hours with such weighty
+problems as figuring out how rich he would have been to-day if he had
+bought Bell Telephone at 15, but such study is far more restful, and in the
+long run quite as useful for the over-busy man.
+
+It is not necessary to devote an enormous amount of time to such pursuits.
+One has only to purchase Miss Huntington's "Studies of Trees in Winter"
+and learn the trees in his own doorway, or upon his street, to awaken an
+interest that will serve him in good stead upon a railroad journey, or
+during an otherwise monotonous sojourn in the country. A walk around the
+block before dinner with such an object in view is more restful than
+pondering in one's easy-chair over the fluctuations of the stock market,
+and the man who is "too busy" for such mental relaxation is paving the way
+for ultimate, perhaps early, breakdown.
+
+Once started on the trees, the man who did not even know that their buds
+were visible in the winter, after absorbing the contents of the popular
+tree-books may find himself looking for something more elaborate. He
+may even look forward to his next western trip with pleasure instead of
+disgust, now that he anticipates seeing at close hand the eucalyptus, the
+Monterey cypress, and the _pinus ponderosa_.
+
+Courtney says "to all this will undoubtedly be objected the plea of lack of
+time. The answer to arguments formed on such flimsy basis is that all the
+time which is spent in preparing one's self as a candidate for a sanitarium
+is like the proverbial edged tool in the hands of children and fools."
+
+A little time spent in such simple pursuits as I have indicated, and a few
+weeks' vacation _before exhaustion appears_, may prevent a year's enforced
+abstinence from work on account of nervous invalidism. I am tempted here to
+say "A stitch in time saves nine," but adages are sometimes dangerous. Thus
+the adage, "If you want a thing well done you must do it yourself," has
+caused many a business and professional man to burden himself with details
+which in the long run he might better have intrusted to subordinates, even
+at the risk of an occasional blunder.
+
+It is not wise to specialize too much in the pursuit of the fad. Suppose
+the busy man, having conceded the value of some out-of-door study, decides
+that he will learn the lumber industry, but take no interest in the shade
+trees. He will not materially broaden his interests in this way. He will
+rather add to his burdens another business. If he applies to this new
+business the same conscientious methods which are wearing him out in his
+present one, the value of the fad is gone, the new study has done him more
+harm than good, and when on his vacation, unless there is a sawmill in
+the neighborhood, he finds himself stranded with only worry for company.
+Similarly, if the study of history is taken up in the way a fad should be
+taken up, anything in the way of a book will now interest the worrier,
+for hardly a book worth reading fails to contain either a bit of travel,
+geography, biography, law, or something on manners and customs.
+
+Permanent freedom from worry involves a change in one's whole view of
+life and method of thought. But the means by which introspection may be
+_temporarily_ alleviated are by no means to be despised. Among these comes
+the pursuit of the golf-ball. Many a business and professional man who
+thinks he has no time for golf can easily escape for an hour's play at the
+end of the day, twice a week, and in the long run it will prove to be time
+well expended. In point of fact, most are hindered rather by the notion
+that it is not worth while to visit the links unless one can play eighteen
+holes, or that it is not worth while to take up the game at all unless
+one can excel. But the exercise is the same, and the air equally bracing
+whether we win or lose; the shower-bath will refresh us just the same
+whether we have played nine holes or twenty-seven.
+
+The automobile ride, the drive, and, best of all, the ride on horseback,
+will often serve to banish the vapors. Many neglect these methods, not from
+lack of time or money, but from indisposition.
+
+A busy professional man recently assured me that he had renewed his youth
+by going three times a week to the gymnasium and joining the "old man's
+class." Here is an opportunity open to practically everyone; it is a
+desirable practice if continued. The drawback is the lack of incentive when
+the novelty has passed. Such incentive is furnished by the fad, in
+the satisfaction of gaining new knowledge and broadening the
+thought-associations.
+
+
+
+
+XVIII.
+
+HOME TREATMENT
+
+Submit to what is unavoidable, banish the impossible from the mind, and
+look around for some new object of interest in life.
+
+_Goethe_.
+
+
+In the treatment of faulty mental habits the chief reliance is the training
+of the mind; physical measures are merely supplementary. This fact has
+always been recognized in a general way. The need of such training was
+emphasized by Epictetus thus:
+
+"Not to be disappointed of our desire, nor incur our aversion. To this
+ought our training be directed. For without vigorous and steady training,
+it is not possible to preserve our desire undisappointed and our aversion
+unincurred."
+
+But there has always been an undercurrent of dissatisfaction with purely
+mental treatment, and a desire for the drug, which has more than once,
+doubtless, been prescribed for the purpose of "suggestion" only.
+
+The movement for psychic treatment on scientific principles, of faulty
+mental disorders, not of organic nature, is well under way. That the
+American profession takes an active interest in this movement is shown by
+the exhaustive paper on psycho-therapy by Dr. E. W. Taylor, recently read
+at a combined meeting held in Boston and discussed by such representative
+neurologists as Drs. Mills, Dercum, J. K. Mitchell, and Sinkler, of
+Philadelphia; Drs. Dana, Sachs, Collins, Hunt, Meacham, and Jelliffe, of
+New York; Dr. White of Washington, and Drs. Putnam and Prince, of Boston.
+
+Such faulty mental habits as worry and obsession, doubting folly, and
+hypochondria, are no more amenable to physical treatment than the habit
+of swearing, or of over-indulgence in food and drink. Even the psychic
+treatment, by another, of such disorders, as of such habits, labors under
+the disadvantage that all attempts to influence another by exhortation,
+ridicule, or reproach are met by active or passive resistance on the part
+of the individual toward whom these efforts are directed. A conscientious
+resolve on the part of the individual himself, whether started by a casual
+hint or by a new line of thought, is often more effective than any amount
+of outside pressure, however well directed.
+
+It is my hope and belief that the over-solicitous individual will be
+influenced by reading these descriptions to adopt, of his own initiative,
+some of these suggestions. His most striking peculiarity is his conviction
+that he cannot take the chances others do, that the criticisms he receives
+are peculiarly annoying, and that his sources of worry are something set
+apart from the experience of ordinary mortals. This conviction leads him to
+meet argument by argument, reproach and ridicule by indignant protest or
+brooding silence. The perusal of these sections may lead him to alter his
+ideals. Suggestions for home treatment have been scattered through the
+various pages; it only remains to sum them up.
+
+We have traced worry back to exaggerated self-consciousness and obsession;
+it is against these two faulty tendencies that training may be directed.
+
+The first step is the initiation of a new attitude, namely, the
+commonplace. The establishment of this attitude involves the sacrifice
+of self-love, and of the melancholy pleasure of playing the martyr. The
+oversensitive individual must recognize the fact that if people do not want
+him round it may be because he inflicts his _ego_ too obtrusively upon his
+associates. He must realize that others are more interested in their own
+affairs than in his, and that however cutting their comments and unjust
+their criticisms, and however deeply these may sink into his soul, they are
+only passing incidents with them.
+
+He must realize that if two people whisper they are not necessarily
+whispering about him, and if they are it is of no consequence, and merely
+shows their lack of breeding. On public occasions he must remember that
+others are thinking of themselves, or of the subject in hand, quite as much
+as they are of him and how he behaves. He must realize that even if he does
+something foolish it will only make a passing impression on others, and
+that they will like him none the less for it.
+
+He must practice externalizing his thoughts. If criticised, he must ask
+himself whether the criticism is just or unjust. If just, he must learn to
+accept and act upon it; if unjust, he must learn to classify the critic,
+as unreasonable, thoughtless, or ill-natured, place him in the appropriate
+mental compartment, throw the criticism into the intellectual waste-basket,
+and proceed upon his way. This practice, difficult at first, will, if
+assiduously cultivated, become more and more automatic, and will materially
+modify a fruitful source of worry.
+
+The next step is to practice the control of the dominating impulses
+(obsessions). If one finds himself impelled continually to drum, or walk
+the floor, he will find the habit cannot be dropped at once, but if he can
+refrain from it for a few moments once or twice in the day, no matter how
+lost he feels without it, and sit for a few minutes relaxed and motionless,
+the intervals can be gradually increased. Even the chronic doubter may
+appreciate the fact that this practice aids in preparing one for taking and
+keeping, at night, the quiet and immobile position which favors sleep. The
+bearing of this training upon worry may not be immediately obvious, but if
+one cannot overcome these simple physical compulsions he will find it still
+harder to overcome the doubts, the fears, and the scruples which underlie
+his worry.
+
+It is hard to give up the idea that we are so peculiarly constituted that
+it produces a special disgust in our case if another constantly clears his
+throat, and a peculiar annoyance if he rocks. It is difficult to relinquish
+the belief that, however callous others may be, our nervous system is so
+delicately adjusted that we cannot work when others make unnecessary
+noise, and we cannot sleep if a clock ticks in our hearing. But if one
+persistently cultivates the commonplace, he will at last find himself
+seeking instead of avoiding the objects of his former torture, merely to
+exercise his new-found mastery of himself, and to realize that "He that
+ruleth his spirit is better than he that taketh a city."
+
+It is the imperative duty of every sufferer from doubting folly to say to
+himself, "I will perform this act once with my whole attention, then leave
+it and turn my mind in other channels before I have dulled my perception by
+repetition."
+
+If one is prone to chronic indecision, he must remind himself that it is
+better to do the wrong thing with single mind, than to work himself into
+a frenzy of anxious doubt. In case the choice is not an important one, he
+must learn to _pounce_ upon either task, and waste no further time. If
+the doubt concerns an important matter, he must learn to devote only that
+attention to the matter which is commensurate with its importance, then
+decide it one way or the other, realizing that it is better to make a
+mistake, even in an important matter than to worry one's self into utter
+helplessness by conflicting emotions.
+
+If insistent fear attacks one, he must remind himself that the worst that
+can happen to him is not so bad as the state of the chronic coward and the
+hypochondriac. He must practice taking the chances that others do, and must
+learn to go through the dreaded experiences, not with his nervous system
+stimulated into undue tension, but with body and mind relaxed by such
+considerations as I have indicated.
+
+The maxim is a useful aid in suggestion, but it should be carefully
+selected. Most children seem to be brought up on maxims which presuppose
+mental deficiency and constitutional carelessness. But the naturally
+over-thoughtful and too-conscientious child, the child to whom applies Sir
+John Lubbock's observation that the term "happy childhood" is sometimes a
+misnomer, needs no admonition to "Try, try again," and to "Never weary of
+well doing."
+
+Among other sayings, whether of home manufacture or acquired, I have often
+found comfort in a suggestion first called to my attention by my friend,
+Dr. Maurice Richardson, who carries, I believe, Epictetus in his bag, but
+who does not despise the lesser prophets. One day when I was borrowing
+trouble about some prospective calamity, he said he always drew consolation
+from the old farmer's observation:
+
+"Mebbe 'taint so!"
+
+Much unintentional self-suggestion is conveyed in one's habitual method of
+expressing his attitude toward annoyances, thus: "That simply drives me
+wild." Suppose, now, one should try a little substitution; for example:
+
+
+ That \
+ drives me wild.
+ Nothing /
+
+
+ (but that).
+ I can stand anything
+ (at all).
+
+
+ (not) (this)
+ I can sleep in position.
+ (---) (any)
+
+
+The quieting effect is immediately perceptible.
+
+Nor is the injurious effect of the explosive habit of speech limited to
+the person who indulges it. The other day a lady, apparently in no haste,
+sauntered into a station of the "Elevated" ahead of me, holding by the hand
+a small boy. The boy was enjoying himself immensely, gazing about him
+with the wide-awake, but calmly contemplative air peculiar to childhood.
+Suddenly the lady saw that a train was about to leave the station, and was
+seized by the not uncommon compulsion to take the last train instead of the
+next one. She hurried the boy across the platform only to meet the closed
+door of the departing train.
+
+"_Isn't_ that _provoking_!" she exclaimed. And the boy began to whimper.
+
+Although the main object of this book is to call attention to the mental
+rather than the physical treatment of these states, I cannot forbear
+reminding the reader of certain routine measures which facilitate the
+desired improvement in mental attitude.
+
+It is well to start the day with a quick plunge in cold water, that is, in
+water of the natural temperature excepting in the cold season, when the
+extreme chill may be taken off to advantage. A brisk rub with rough towels
+should follow. One should proceed immediately from the warm bed to the
+bath, and should not first "cool off." A few setting-up exercises (bending
+the trunk forward and back, sidewise, and with a twist) may precede the
+bath, and a few simple arm exercises follow it. A few deep breaths will
+inevitably accompany these procedures. When one returns to his room he
+no longer notices the chill in the air, and he has made a start toward
+accustoming himself to, and really enjoying, lower temperatures than he
+fancied he could stand at all.
+
+Every healthy adult should walk at least two miles daily in the open. We
+have been forced to readjust our ideas as to the distance even an elderly
+person can walk without harm since a pedestrian of sixty-nine has, without
+apparent injury, covered over one thousand miles, over ordinary roads, at
+an average of fifty miles a day.
+
+The day's work should be started with the resolution that every task shall
+be taken up in its turn, without doubts and without forebodings, that
+bridges shall not be crossed until they are reached, that the vagaries of
+others shall amuse and interest, not distress us, and that we will live in
+the present, not in the past or the future. We must avoid undertaking too
+much, and whatever we do undertake we must try not to worry as to whether
+we shall succeed. This only prevents our succeeding. We should devote all
+our efforts to the task itself, and remember that even failure under these
+circumstances may be better than success at the expense of prolonged
+nervous agitation.
+
+"Rest must be complete when taken and must balance the effort in work--rest
+meaning often some form of recreation as well as the passive rest of sleep.
+Economy of effort should be gained through normal concentration--that is,
+the power of erasing all previous impressions and allowing a subject to
+hold and carry us, by dropping every thought or effort that interferes
+with it, in muscle, nerve, and mind." (Annie Payson Call, "Power Through
+Repose.")
+
+The over-scrupulous and methodical individual who can neither sleep nor
+take a vacation until all the affairs of his life are arranged must remind
+himself that this happy consummation will not be attained in his lifetime.
+It behooves him, therefore, if he is ever to sleep, or if he is ever to
+take a vacation, to do it now, nor need he postpone indefinitely
+
+ "That blessed mood
+ In which the burden of the mystery,
+ In which the heavy and the weary weight
+ Of all this unintelligible world
+ Is lightened."
+
+
+
+
+XIX.
+
+HOME TREATMENT (CONTINUED)
+
+Happiness and success in life do not depend on circumstances, but on
+ourselves.
+
+_Sir John Lubbock_.
+
+
+The obsession to "arrive" is a fertile source of fret and worry. This habit
+of mind leads to frantic and impatient labor and blocks our pleasure at
+every point. The person who plays a game only to see who wins loses half
+the benefit of the recreation. Here are two ways of walking the half-mile
+to and from my office:
+
+Suppose I start out with my mind on my destination, thinking only of what I
+shall do when I get there, and how I shall do it. This thought influences
+my whole body. I am all "keyed up," my muscles are tense, my breathing,
+even, is constricted and the walk does me comparatively little good.
+
+Suppose, now, I decide I am making a mistake, and determine to live in the
+present. General relaxation follows, I take a deep breath, and begin to
+notice my surroundings. I may even observe the sky-line of the buildings I
+have passed daily for years without knowing they had a sky-line; my gait
+becomes free and life takes on a different aspect. I have taken a long step
+toward mental tranquility as well as gaining "power through repose."
+
+One of the hardest obsessions to overcome is the _unduly_ insistent habit
+of mind regarding orderliness and cleanliness. It is not undue to desire
+and practice a reasonable degree of these virtues, but when it gives one a
+"fit" to see a picture slightly off the level, and drives one "wild" to see
+a speck of dust, it is time to modify the ideal. This is the frame of mind
+which encourages worry over trifles. If one really wishes to lessen worry
+he must cultivate a certain degree of tolerance for what does not square
+with his ideas, even if it does violence to a pet virtue.
+
+The careful housekeeper may object that so long as she can regulate her
+household to her liking, the habit of orderliness, even though extreme,
+causes her no worry. But it is only the hermit housekeeper who can entirely
+control her household. And further, the possessor of the over-orderly
+temperament, whether applied to housekeeping, business, or play (if he ever
+plays), is bound sooner or later to impinge his ideas of orderliness
+upon the domain of other peoples' affairs, in which his wishes cannot be
+paramount. In this event, at least, he will experience a worry only to be
+allayed by learning to stand something he does not like.
+
+Worry about the mental condition is disastrous. The habit should be
+cultivated of taking the mind for what it is, and using it, wasting no
+time in vain regrets that it is not nimbler or more profound. Just as the
+digestion is impeded by solicitude, so the working of the brain is hampered
+by using the energy in worry which should be devoted directly to the task
+in hand. Children frequently worry because their memory is poor. It should
+be explained to them that in ninety-nine cases out of a hundred apparent
+lack of memory is only lack of attention, and they should be urged to cease
+distracting the attention by wandering in the fields of idle speculation or
+in making frantic leaps to surmount imaginary obstacles.
+
+It is important for parents of morbidly sensitive and over-scrupulous
+children, with acute likes and dislikes, to discourage the tendency of the
+child to become more and more peculiar. Sensitive children are inclined to
+worry because they think others do not care for them or want them round. If
+such children can be led to take a bird's-eye view of themselves, they may
+be made to realize that others crave their society according as they are
+helpful, entertaining, sympathetic, or tactful, because they instil courage
+and give comfort. They should be urged, therefore, to cultivate these
+qualities instead of wasting their energy in tears and recriminations; and
+they should be encouraged to practice such of these traits as they can
+master instead of becoming moody in society, or withdrawing to brood in
+solitude, either of which errors may result in producing on the part of
+others a genuine dislike. In other words, teach them to avoid enforcing too
+far their _ego_ on themselves or their environment.
+
+Parents must also remember that over-solicitous attention on their part
+is bound to react to the disadvantage of the child. The story is told of
+Phillips Brooks that, when a child, he put a newly sharpened pencil into
+his mouth further and further until it slipped down his throat. He asked
+his mother what would happen if anyone should swallow a pencil. She
+answered that she supposed it would kill him. Phillips kept silence, and
+his mother made no further inquiry.
+
+This incident would indicate that Phillips Brooks had already, as a child,
+attained a mental equipoise which the average individual hardly achieves in
+a lifetime. The story appeals to me no less as evidence of self-control
+on the part of the mother; and I like to imagine that she suppressed the
+question a startled parent naturally would ask, realizing that no amount of
+worry would recall the pencil if he had swallowed it, and that nothing was
+to be gained by overturning the household, or by giving the boy an example
+of agitation sure to react to the detriment of the mind unfolding under
+her supervision. Unless, therefore, the facts of this story have become
+distorted by imagery, it shows exceptional heredity and unusual training.
+
+Not every one can claim such heredity, and not every one can look back on
+such training; but it is not too much to say that every one can so direct
+his thoughts and so order his actions as gradually to attain a somewhat
+higher level of self-control than either his mental endowment or his early
+training would have promised. For mental training is no more limited to
+feats of memory, and to practice in the solution of difficult problems,
+than is physical training comprised in the lifting of heavy weights in
+harness. In fact, such exercises are always in danger of leaving the mental
+athlete intellectually muscle-bound, if I may use such an expression;
+whereas the kind of training I have in mind tends to establish mental
+poise, to improve the disposition, to fit the mind (and indirectly the
+body) better to meet the varied exigencies of daily life, and to help the
+individual to react in every way more comfortably to his surroundings.
+
+I have only hinted at the detailed suggestions by which the worry habit and
+allied faulty mental tendencies may be combated. The obsessive who is able
+to alter his ideals and systematically pursue the line of thought here
+sketched will himself find other directions in which control can be
+exercised. It is true that no one is likely to reach any of the extreme
+degrees of incapacity we have considered unless he is naturally endowed
+with a mind predestined to unbalance. At the same time any of us who have a
+nervous temperament ever so slightly above the average of intensity will
+do well to check these tendencies as far as possible in their incipiency,
+realizing that no physical evil we may dread can be worse than the lot of
+the confirmed hypochondriac or the compulsively insane.
+
+Perhaps I have dwelt too much upon the extreme results of morbid mental
+tendencies, and too little upon the ideal for which we should strive.
+This ideal I shall not attempt to portray, but leave it rather to the
+imagination. Suffice it to say that the ladder by which self-control is
+attained is so long that there is ample room to ascend and descend without
+reaching either end. Some of us are started high on the ladder, some low;
+but it is certainly within the power of each to alter somewhat his level.
+We can slide down, but must climb up; and that such commonplaces as are
+here presented may help some of my fellow worriers to gain a rung or two is
+my earnest wish. Even when we slip back we can appreciate the sentiment of
+Ironsides:
+
+ "Night after night the cards were fairly shuffled
+ And fairly dealt, but still I got no hand.
+ The morning came, but I with mind unruffled
+ Did simply say, 'I do not understand.'
+
+ "Life is a game of whist; from unseen sources
+ The cards are shuffled and the hands are dealt.
+ Vain are our efforts to control the forces,
+ Which, though unseen, are no less strongly felt.
+
+ "I do not like the way the cards are shuffled,
+ But still I like the game and want to play,
+ And through the long, long night with mind unruffled,
+ Play what I get until the dawn of day."
+
+
+
+
+
+
+End of Project Gutenberg's Why Worry?, by George Lincoln Walton, M.D.
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