第 75 节
作者:
暖暖 更新:2021-02-24 23:00 字数:9321
; energy; interest and enthusiasm。 Fortunately the armistice came at this time。 S。 was examined and discharged as well because he made no complaints; for he was anxious to get home。 This was his one great desire。 At home; with a nice bed to sleep in; good food to eat and the pleasant faces of his own people; his 〃nerves〃 would yield; he had no doubt。 But he was mistaken; this was not the case。 He became no better; and though he tried his old 〃job;〃 he found that he could not find the energy; enthusiasm or concentration necessary for success。 He was then referred to the United States Public Health Service; where I saw him; and he became my patient。 My first problem was to restore the power of sleeping。 This I succeeded in doing by means that were entirely 〃physical。〃 With that accomplished; the man became hopeful of further results; and this enabled one to bring about a desire for food; again by physical means; medicine; in short。 The problem of awaking S。's interest simmered down to that of finding an outlet for his ambition。 The Federal Vocational Board granted him the right to take up a business course in a college。 Though he found the study hard at first; he was encouraged to keep on and told to expect little of himself at first。 This is an important point; for if a man holds himself to a high standard under conditions such as those of S。; then failure brings a discouragement that upsets the treatment。 At any rate this method of readjustment; with its reliance on medicines to bring sleep and appetite and on training to bring hope and relief from introspection; worked splendidly。 The fact is that no abstruse complicated psychological analysis was necessary here or in most cases。 A man is 〃jarred〃 from light…hearted health to a grim discouraged state。 This discouragement brings with it sleeplessness and loss of appetite; and there gradually develops a series of habits which lower endurance and energy。 The habit elements in this condition are not enough recognized; and also the fact that most of the disability is physical in its development though psychological at the start。 That is; A。 had a severe emotional reaction to a horrible experience; this brought about insomnia and disordered nutrition; and these; by lowering the endurance and ability; brought to being a vicious circle of fatigue and depression; in which fatigue caused depression and depression increased fatigue。 The treatment must be directed at first to the physical factors; and with these conquered the acquired forms of anhedonia usually yield readily。 It would be interesting to consider other types related to the anhedonic personality。 The complainer; the whiner; the nag; all these are basically people who are hard to satisfy。 The artistic temperament (found rather frequently in the non…artistic) is hyperesthetic; uncontrolled; irritably egoistic and demands homage and service from others which exceeds the merit of the individual; in other words; there is added to the anhedonic element an unreasonableness that is peculiarly exasperating。 I pass these interesting people by and turn to the opposite of the anhedonic group; the group that is hearty in tastes and appetites; easily pleased as a rule and often crude in their relish of life。 There are two main divisions of these hearty simple people;those who are untrained and relatively uneducated; and whose simplicity may disappear under cultivation; and another typecultivated; educated; wisewho still retain unspoiled appetite and hearty enjoyment。 Briefly let me introduce Dr。 O。; an athlete in his youth and always a lover of the great outdoors。 O。 is Homeric in the simplicity of his tastes。 A house is a place in which to sleep; clothes are to keep one warm; food is to eat and the manner of its service is an indifferent matter。 He enjoys with almost huge pleasure good things to eat and good things to drink; but as he puts it; 〃I am as much at home with corned beef and cabbage as I am with any epicurean chef d'oeuvre。 I like the feel of silk next my body; but cotton pleases me as much。〃 He is clean and bathes regularly; but has no repulsion against dirt and disorder。 At home; among the utmost refinements of our present…day life; he prefers the rough bare essentials of existence。 To him beauty is not exotic; but everywhere present; and he sees it in a workman clad in overalls and breaking stone quite as much as in a carefully harmonized landscape。 He has no pose about the beauty of nature as against the beauty of man's creations; and he thinks that a puffing freight engine; dragging a load of cars up a grade; is as much a thing to enthuse about as a graceful deer sniffing the scent of the hunter in some pine grove。 Imbued with a zeal for living and a desire for experience; O。 has not been as successful as one more cautious and less impetuous might have been。 He loves his profession so well that he would rather spend a day on an interesting case in the ward of some hospital than to treat half a dozen rich patients in his consulting room。 His purpose is indeed unified; he seeks to learn and to impart; but the making of money seems to him a necessary irrelevance; almost an impertinent intrusion upon the real purposes of life。 He is eager to know people; he shows a naive curiosity about them; an interest that flatters and charms。 All the phenomena of lifeesoteric; commonplace; queer and conventionalare grist to his mill。 His sexual life has not differed greatly from that of other men。 In his early youth his passions outran his inhibitions; and he tasted of this type of experience with the same gusto with which he delved into books。 As he reached early manhood he fell in love and pledged himself to chastity。 Though he fell out of love soon his pledge remained in full force; and though he cursed himself as a fool he held himself aloof from sex adventure。 When he was twenty…seven he again fell in love; had an impetuous and charming courtship and married。 He loves his wife; and there is in their intimacy a buoyant yet controlled passion which values love for its own sake。 He enters into his duties as father with the same zeal and appetite that characterizes his every activity。 O。 is no mystic; proclaiming his unity with all existence; in the fashion of Walt Whitman。 Rather he is a man with a huge capacity for pleasure; not easily disgusted or annoyed; with desires that reach in every direction yet with controlled purpose to guide his life。 As he passes into middle age he finds his pleasures narrowing; as all men do; and he finds his appetites and tastes are becoming more restricted。 This is because his purpose becomes more dominant; his habits are more imperious; his energy less exuberant。 In thought O。 is almost a pessimist because his knowledge of life; his intelligence and his sympathy make it difficult to understand the need of suffering; of disease and of conflict。 But in emotion he still remains an optimist; glad to be alive at any price and rejoicing in the life of all things。 Apropos of this contradiction between thought and mood; it is sometimes found reversed。 There are those whose philosophy is optimistic; who will not see aught but good in the world; yet whose facial expression and actions exhibit an essential melancholy。 In every category of character there are specialists; individuals whose main reactions are built around one great trait。 Thus there are those whose egoism takes the form of pride in family; or in personal beauty; or some intellectual capacity; or in being independent of others; who worship self…reliance or self…importance。 There are the individuals whose social instincts express themselves in loquacity; in a talkativeness that is the main joy of their lives; though not at all the joy of other lives。 A fascinating series of personalities in this respect come to my mindL。 B。; who talks at people; never with them; since he seems to take no note of their replies; T。 K。; who seems to regard conversation as largely a means of demonstrating her superiority; for she picks her subjects with the care a general selects his battlefield; F。; who is a born pedagogue and seeks to instruct whoever listens to him; whose conversation is a lecture and a monologue; R。 O。; the reticent; says little but that pertinent and relevant; cynical and shrewd; and R。 V。; who says little and that with timidity and error。 So there are specialists in caution and 〃common sense;〃 self…controlled; never rash; calculating; cool and egotistic; narrow and successful。 Every one knows this type; as every one knows the 〃fool;〃 with his poor judgment; his unwise confidence in himself and others; his lack of restraint。 There is the tactful man; conciliating; pliant; seeking his purposes through the good will of others which he obtains by 〃oil〃 and agreeableness; and there is the aggressive man; preferring to fight; energetic; at times rash; apt to be domineering; and crashing on to victory or defeat according to the caliber of his opponents and the nature of the circumstances。 Those whose ego feeling is high; whose desire for superiority matches up well with their feeling of superiority are often called the conceited。 Really they are conceited only if they show their feelings; as; for example; does W。 Wherever he goes W。 seeks to occupy the center of the