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 appet.i.te and on training to bring hope and relief from introspection, worked splendidly.
The fact is that no abstruse complicated psychological a.n.a.lysis 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 appet.i.te, 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 pa.s.s these interesting people by and turn to the opposite of the anhedonic group, the group that is hearty in tastes and appet.i.tes, 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 type--cultivated, educated, wise--who still retain unspoiled appet.i.te 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 life--esoteric, commonplace, queer and conventional--are grist to his mill.
His s.e.xual life has not differed greatly from that of other men.
In his early youth his pa.s.sions 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 chast.i.ty. 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 s.e.x 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 pa.s.sion which values love for its own sake. He enters into his duties as father with the same zeal and appet.i.te 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 pa.s.ses into middle age he finds his pleasures narrowing, as all men do, and he finds his appet.i.tes 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 mind--L. 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 circ.u.mstances.
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 stage, brags of his achievements and his fine qualities. "I am the kind" is his prefix to his bragging. W. thinks that everything he does or says is interesting to others, and even that his illnesses are fascinating to others. If he has a cold he takes a remarkable pride in detailing every pain and ache and every degree of temperature, as if the experience were remarkable and somehow creditable. But W. is very jealous of other"s achievements and is bored to death except when he can talk or perform.
W. does not know how to camouflage his egoism, but F. does. Fully convinced of his own superiority and with a strong urge at all times to demonstrate this, he "knows enough" to camouflage, to disguise and modify its manifestations. In this way he manages to be popular, just as W. is decidedly unpopular, and many mistake him for modest. When he wishes to put over his own opinion he prefaces his statements by "they say," and though whatever organization he enters he wishes to lead, he manages to give the impression that he is reluctant to take a prominent part. A man of ability and good judgment, the narrow range of F."s sympathies, his lack of sincere cordial feeling, is hidden by a really artistic a.s.sumption of altruism that deceives all save those who through long acquaintance know his real character. One sees through W. on first meeting, he wears no mask or disguise; but F. defies detection, though their natures are not radically different except in wisdom and tact.
Half and more of the actions, poses and speech of men and women is to demonstrate superiority or to avoid inferiority. There are some who feel inwardly inferior, yet disguise this feeling successfully. This feeling of inferiority may arise from purely accidental matters, such as appearance, deformity, tone of voice, etc., and the individual may either hide, become seclusive or else brazen it out, so to speak.
A famous Boston physician was a splendid example of a brusque, overbearing mask used to hide a shrinking, timid, subjectively inferior personality. Always very near-sighted and unattractive, he was essentially shy and modest but decided or felt that this was a rough world and the way to get ahead was to be rough.
Towards the weak and sick he was kindness itself--gentle, sympathetic and patient--but towards his colleagues he was a boor. Distant, haughty, quick to demand all the consideration due him, he was noted far and wide for the caustic way he attacked others for their opinions and beliefs and the respect he required for his own. The general opinion of physicians was that he was a conceited, arrogant, aristocratic man, and he was avoided except for his medical opinion, which was usually very sound. Those admitted to the sanctum of this man"s real self knew him to be really modest and self-deprecatory, anxious to do right and almost obsessed by the belief that he knew but little compared to others.
One day there walked into my office a lady, head of a large enterprise, who had been pointed out to me some time previously as the very personification of self-a.s.surance and superiority. A dignified woman of middle age, whose reserve and correct manners impressed one at once; she bore out in career and casual conversation this impression of one whose confidence and belief in herself were not misplaced, in other words, a harmoniously developed egotist. What she came to consult me about, was--her feeling of inferiority!
All of her life, said she, she had been overawed by others. As a girl her mother ruled her, and her younger sister, more charming and more vivacious, was the pet of the family. Brought up in a strict church, she developed a firmness of speech and conduct that inhibited the frankness and friendliness of her social contacts. Because of this, and her overserious att.i.tudes generally, girls of her own age rather avoided her, and she became painfully self-conscious in their company as well as in the company of men. She wanted to "let go" but could not, and in time felt that there was something lacking in her, that people laughed at her behind her back and that no one really liked her.
Her reaction to this was to determine that she would not show her real feelings, that she would deal with the world on a basis of "business only" and cut out friendship from her life. Her intelligence and her devotion to her work brought her success, and she would have gone her way without regard for her "inferiority complex" had not chance thrown in her way a young woman colleague who saw through her elder"s pose and became her friend. My patient drank in this friendship with an avidity the greater for her long loneliness, and she was very happy until the younger woman fell in love with a man and began to neglect her colleague.
This broke Miss B."s spirit. "Had I not known friendship I might have gone on, but now I feel that every one must see what a fool I am and what a fool I have been. I am more shy than ever, I feel as if every one were really stronger than I am, and that some day everybody will see through my pose,--and then where will I be?"
Hide-and-go-seek is one of the great games of adults as well as of children. We hide our own defects and seek the defects of others in order to avoid inferiority and to feel compet.i.tive superiority. But there is a deep contradiction in our natures: we seek to display ourselves as we are to those who we feel love us, and we hide our real self from the enemy or the stranger. The protective marking of birds and insects "amateurish compared to the protective marking we apply to ourselves.
I forbear from depicting further character types. People are not as easily cla.s.sified as automobiles, and the combinations possible exceed computation. Character growth, in each individual human being, is a growth in likeness to others and a growth in unlikeness, as well. As we move from childhood to youth, and thence to middle and old age, qualities appear and recede, and the personality pa.s.ses along to unity and harmony or else there is disintegration. He who believes as I do that the Grecian sage was immortally right when he enjoined man to know himself will agree that though understanding character is a difficult discipline it is the princ.i.p.al science of life. We are only starting such a science; we need to approach our subject with candor and without prejudice. Though our subject brings us in direct contact with the deepest of problems, the meaning of life, the nature of the Ego and the source of consciousness, these we must ignore as out of our knowledge. Limiting ourselves to a humble effort to know our fellow men and our own selves, we shall find that our efforts not only add to our knowledge but add unmeasurably to our sympathy with and our love for our fellows.