Part 23

Somewhat akin to the unconscious recurrence of mental processes after considerable intervals of time is the tendency to imitate the actions of others as though sharing in their thoughts, and according to many _because_ mind acts upon mind. This tendency, though not always associated with disease, is usually a sign of bodily illness. Dr. Carpenter mentions the following singular case, but rather as illustrating generally the influence of suggestions derived from external sources in determining the current of thought, than as showing how prone the thoughts are to run in undesirable currents when the body is out of health:--'During an epidemic of fever, in which an active delirium had been a common symptom, it was observed that many of the patients of one particular physician were possessed by a strong tendency to throw themselves out of the window, whilst no such tendency presented itself in unusual frequency in the practice of others. The author's informant, Dr. C., himself a distinguished professor in the university, explained the tendency of what had occurred within his own knowledge; he having been himself attacked by the fever, and having been under the care of this physician, his friend and colleague, Dr. A. Another of Dr. A.'s patients whom we shall call Mr. B., seems to have been the first to make the attempt in question; and impressed with the necessity of taking due precautions, Dr. A. then visited Dr. C., _in whose hearing_ he gave directions to have the windows properly secured, as Mr. B. had attempted to throw himself out. Now Dr. C. distinctly remembers, that although he had not previously experienced any such desire, it came upon him with great urgency as soon as ever the idea was thus suggested to him; his mind being just in that state of incipient delirium which is marked by the temporary dominance of some one idea, and by the want of volitional power to withdraw the attention from it. And he deemed it probable that, as Dr. A. went on to Mr. D., Mr. E., &c., and gave similar directions, a like desire would be excited in the minds of all those who might happen to be in the same impressible condition.' The case is not only interesting as showing how the mind in disease receives certain impressions more strongly than in health, and in a sense may thus be said to possess for the time an abnormal power, but it affords a useful hint to doctors and nurses, who do not always (the latter indeed scarcely ever) consider the necessity of extreme caution when speaking about their patients and in their presence. It is probable that a considerable proportion of the accidents, fatal and otherwise, which have befallen delirious patients might be traced to incautious remarks made in their hearing by foolish nurses or forgetful doctors.

In some cases doctors have had to excite a strong antagonistic feeling against tendencies of this kind. Thus Zerffi relates that an English physician was once consulted by the mistress of a ladies' school where many girls had become liable to fits of hysterics. He tried several remedies, but in vain. At last, justly regarding the epidemic as arising from the influence of imagination on the weaker girls (one hysterical girl having infected the others), he determined to exert a stronger antagonistic influence on the weak minds of his patients. He therefore remarked casually to the mistress of the school, in the hearing of the girls, that he had now tried all methods but one, which he would try, as a last resource, when next he called--'the application of a red-hot iron to the spine of the patients so as to quiet their nervously-excited systems.' 'Strange to say,' remarks Zerffi--meaning, no doubt, 'it is hardly necessary to say that'--'the red-hot iron was never applied, for the hysterical attacks ceased as if by magic.'

In another case mentioned by Zerffi, a revival mania in a large school near Cologne was similarly brought to an abrupt end. The Government sent an inspector. He found that the boys had visions of Christ, the Virgin, and departed saints. He threatened to close the school if these visions continued, and thus to exclude the students from all the prospects which their studies afforded them. 'The effect was as magical as the red-hot iron remedy--the revivals ceased as if by magic.'

The following singular cases are related in Zimmermann's _Solitude_:--A nun, in a very large convent in France, began to mew like a cat. At last all the nuns began to mew together every day at a certain time, and continued mewing for several hours together. This daily cat-concert continued, until the nuns were informed that a company of soldiers was placed by the police before the entrance to the convent, and that the soldiers were provided with rods with which they would whip the nuns until they promised not to mew any more,' ... 'In the fifteenth century, a nun in a German convent fell to biting her companions. In the course of a short time all the nuns of this convent began biting each other. The news of this infatuation among the nuns soon spread, and excited the same elsewhere; the biting mania passing from convent to convent through a great part of Germany. It afterwards visited the nunneries of Holland, and even spread as far as Rome.' No suggestion of bodily disease is made in either case. But anyone who considers how utterly unnatural is the manner of life in monastic communities will not need the evidence derived from the spread of such preposterous habits to be assured that in convents the perfectly sane mind in a perfectly healthy body must be the exception rather than the rule.

The dancing mania, which spread through a large part of Europe in the fourteenth and fifteenth centuries, although it eventually attacked persons who were seemingly in robust health, yet had its origin in disease. Dr. Hecker, who has given the most complete account we have of this strange mania, in his _Epidemics of the Middle Ages_, says that when the disease was completely developed the attack commenced with epileptic convulsions. 'Those affected fell to the ground senseless, panting and labouring for breath. They foamed at the mouth, and suddenly springing up began their dance amidst strange contortions. They formed circles hand in hand, and appearing to have lost all control over their senses continued dancing, regardless of the bystanders, for hours together, in wild delirium, until at length they fell to the ground in a state of exhaustion. They then complained of extreme oppression, and groaned as if in the agonies of death, until they were swathed in clothes bound tightly round their waists; upon which they again recovered, and remained free from complaint until the next attack.... While dancing they neither saw nor heard, being insensible to external impressions through the senses; but they were haunted by visions, their fancies conjuring up spirits, whose names they shrieked out; and some of them afterwards asserted that they felt as if they had been immersed in a stream of blood, which obliged them to leap so high. Others during the paroxysm saw the heavens open, and the Saviour enthroned with the Virgin Mary, according as the religious notions of the age were strangely and variously reflected in their imaginations.' The epidemic attacked people of all stations, but especially those who led a sedentary life, such as shoemakers and tailors; yet even the most robust peasants finally yielded to it. They 'abandoned their labours in the fields as if they were possessed by evil spirits, and those affected were seen assembling indiscriminately from time to time, at certain appointed places, and unless prevented by the lookers-on, continued to dance without intermission, until their very last breath was expended. Their fury and extravagance of demeanour so completely deprived them of their senses, that many of them dashed their brains out against the walls and corners of buildings, or rushed headlong in rapid rivers, where they found a watery grave. Roaring and foaming as they were, the bystanders could only succeed in restraining them by placing benches and chairs in their way, so that by the high leaps they were thus tempted to take, their strength might be exhausted. As soon as this was the case they fell, as it were, lifeless to the ground, and by very slow degrees recovered their strength. Many there were who even with all this exertion had not expended the violence of the tempest which raged within them; but awoke with newly revived powers, and again and again mixed with the crowd of dancers; until at length the violent excitement of their disordered nerves was allayed by the great involuntary exertion of their limbs, and the mental disorder was calmed by the exhaustion of the body. The cure effected by these stormy attacks was in many cases so perfect, that some patients returned to the factory or plough, as if nothing had happened. Others, on the contrary, paid the penalty of their folly by so total a loss of power, that they could not regain their former health, even by the employment of the most strengthening remedies.'

It may be doubted, perhaps, by some whether such instances as these illustrate so much the state to which the mind is reduced when the body is diseased, as the state to which the body is reduced when the mind is diseased, though, as we have seen, the dancing mania when fully developed followed always on bodily illness. In the cases we now have to deal with, the diseased condition of the body was unmistakable.

Mrs. Hemans on her deathbed said that it was impossible for imagination to picture or pen to describe the delightful visions which passed before her mind. They made her waking hours more delightful than those passed in sleep. It is evident that these visions had their origin in the processes of change affecting the substance of the brain as the disease of the body progressed. But it does not follow that the substance of the brain was undergoing changes necessarily tending to its ultimate decay and dissolution. Quite possibly the changes were such as might occur under the influence of suitable medicinal or stimulant substances, and without any subsequent ill effects. Dr. Richardson, in an interesting article on ether-drinking and extra-alcoholic intoxication (_Gentleman's Magazine_ for October), makes a remark which suggests that the medical men of our day look forward to the discovery of means for obtaining some such influence over the action of the brain. After describing the action of methylic and ethylic ethers in his own case, he says: 'They who have felt this condition, who have lived as it were in another life, however transitorily, are easily led to declare with Davy that "nothing exists but thoughts! the universe is composed of impressions, ideas, pleasures, and pains!" I believe it is so, and that we might by scientific art, and there is such an art, learn to live altogether in a new sphere of impressions, ideas, pleasures, and pains.' But stay,' he adds, as if he had said too much, 'I am anticipating, unconsciously, something else that is in my mind. The rest is silence; I must return to the world in which we now live, and which all know.'

Mr. Butterworth mentions the case of the Rev. William Tennent, of Freehold, New Jersey, as illustrative of strange mental faculties possessed during disease. Tennent was supposed to be far gone in consumption. At last, after a protracted illness, he seemingly died, and preparations were made for his funeral. Not only were his friends deceived, but he was deceived himself, for he thought he was dead, and that his spirit had entered Paradise. 'His soul, as he thought, was borne aloft to celestial altitudes, and was enraptured by visions of God and all the hosts of Heaven. He seemed to dwell in an enchanted region of limitless light and inconceivable splendour. At last an angel came to him and told him that he must go back. Darkness, like an overawing shadow, shut out the celestial glories; and, full of sudden horror, he uttered a deep groan. This dismal utterance was heard by those around him, and prevented him from being buried alive, after all the preparations had been made for the removal of the body.'

We must not fall into the mistake of supposing, however, as many seem to do, that the visions seen under such conditions, or by ecstatics, really present truths of which the usual mental faculties could not become cognisant. We have heard such cases as the deathbed visions of Mrs. Hemans, and the trance visions of Tennent, urged as evidence in favour of special forms of doctrine. We have no thought of attacking these, but assuredly they derive no support from evidence of this sort. The dying Hindoo has visions which the Christian would certainly not regard as heaven-born. The Mahomedan sees the plains of Paradise, peopled by the houris of his heaven, but we do not on that account accept the Koran as the sole guide to religious truth. The fact is, that the visions pictured by the mind during the disease of the body, or in the ecstatic condition, have their birth in the mind itself, and take their form from the teachings with which that mind has been imbued. They may, indeed, seem utterly unlike those we should expect from the known character of the visionary, just as the thoughts of a dying man may be, and often are, very far removed from the objects which had occupied all his attention during the later years of his life. But if the history of the childhood and youth of an ecstatic could be fully known, or if (which is exceedingly unlikely) we could obtain a strictly truthful account of such matters from himself, we should find nearly every circumstance of his visions explained, or at least an explanation suggested. For, after all, much which would be necessary to exactly show the origin of all he saw, would be lost, since the brain retains impressions of many things of which the conscious memory has entirely passed away.

The vivid picturing of forgotten events of life is a familiar experience of the opium-eater. Thus De Quincey says: 'The minutest incidents of childhood or forgotten scenes of later years, were often revived. I could not be said to recollect them, for if I had been told of them when waking, I should not have been able to acknowledge them as part of my past experience. But placed as they were before me in dreams like intuitions, and clothed in all their evanescent circumstances and accompanying feelings, I recognised them instantaneously.' A similar return of long-forgotten scenes and incidents to the mind may be noticed, though not to the same degree, when wine has been taken in moderate quantity after a long fast.

The effects of hachisch are specially interesting in this connection, because, unless a very powerful dose has been taken, the hachischin does not wholly lose the power of introspection, so that he is able afterwards to recall what has passed through his mind when he was under the influence of the drug. Now Moreau, in his interesting _Etudes Psychologiques_ (_Du Hachich et d'Aliénation Mentale_), says that the first result of a dose sufficient to produce the _hachisch fantasia_ is a feeling of intense happiness. 'It is really _happiness_ which is produced by the hachisch; and by this simply an enjoyment entirely moral, and by no means sensual as we might be induced to suppose. This is surely a very curious circumstance; and some remarkable inferences might be drawn from it; this, for instance, among others--that every feeling of joy and gladness, even when the cause of it is exclusively moral--that those enjoyments which are least connected with material objects, the most spiritual, the most ideal, may be nothing else than sensations purely physical, developed in the interior of the system, as are those procured by hachisch. At least so far as relates to that of which we are internally conscious, there is no distinction between these two orders of sensations, in spite of the diversity in the causes to which they are due; for the hachisch-eater is happy, not like the gourmand or the famished man when satisfying his appetite, or the voluptuary in gratifying his amative desires, but like him who hears tidings which fill him with joy, like the miser counting his treasures, the gambler who is successful at play, or the ambitious man who is intoxicated with success.'

My special object, however, in noting the effects of opium and hachisch, is rather to note how the mental processes or faculties observed during certain states of disease may be produced artificially, than to enter into the considerations discussed by Dr. Moreau. It is singular that while the Mohamedan order of Hachischin (or Assassins) bring about by the use of their favourite drug such visions as accompany the progress of certain forms of disease, the Hindoo devotees called the Yogi are able to produce artificially the state of mind and body recognised in cataleptic patients. The less-advanced Yogi can only enter the state of abstraction called reverie; but the higher orders can simulate absolute inanition, the heart apparently ceasing to beat, the lungs to act, and the nerves to convey impressions to the brain, even though the body be subjected to processes which would cause extreme torture under ordinary conditions. 'When in this state,' says Carpenter, 'the Yogi are supposed to be completely possessed by Brahma, "the supreme soul," and to be incapable of sin in thought, word, or deed.' It has been supposed that this was the state into which those entered who in old times were resorted to as oracles. But it has happened that in certain stages of disease the power of assuming the death-like state has been possessed for a time. Thus Colonel Townsend, who died in 1797, we read, had in his last sickness the extraordinary power of apparently dying and returning to life again at will. 'I found his pulse sink gradually,' says Dr. Cheyne, who attended him, 'so that I could not feel it by the most exact or nice touch. Dr. Raymond could not detect the least motion of the heart, nor Dr. Skrine the least soil of the breath upon the bright mirror held to the mouth. We began to fear he was actually dead. He then began to breathe softly.' Colonel Townsend repeated the experiment several times during his illness, and could always render himself insensible at will.

Lastly, I may mention a case, which, however, though illustrating in some degree the influence of bodily illness on the mind, shows still more strikingly how the mind may influence the body--that of Louise Lateau, the Belgian peasant. This girl had been prostrated by a long and exhausting illness, from which she recovered rapidly after receiving the sacrament. This circumstance made a strong impression on her mind. Her thoughts dwelt constantly on the circumstances attending the death of Christ. At length she noticed that, on every Friday, blood came from a spot in her left side. 'In the course of a few months similar bleeding spots established themselves on the front and back of each hand, and on the upper surface of each foot, while a circle of small spots formed in the forehead, and the hæmorrhage from these recurred every Friday, sometimes to a considerable amount. About the same time, fits of ecstasy began to occur, commencing every Friday between eight and nine in the morning, and ending about six in the evening; interrupting her in conversation, in prayer, or in manual occupations. This state,' says Dr. Carpenter, 'appears to have been intermediate between that of the biologised and that of the hypnotised subject; for whilst as unconscious as the latter of all sense-impressions, she retained, like the former, a recollection of all that had passed through her mind during the ecstasy. She described herself as suddenly plunged into a vast flood of bright light, from which more or less distinct forms began to evolve themselves; and she then witnessed the several scenes of the Passion successively passing before her. She minutely described the cross and the vestments, the wounds, the crown of thorns about the head of the Saviour, and gave various details regarding the persons about the cross, the disciples, holy women, Jews and Roman soldiers. And the progress of her vision might be traced by the succession of actions she performed at various stages of it: most of these movements were expressive of her own emotions, whilst regularly about three in the afternoon she extended her limbs in the form of a cross. The fit terminated with a state of extreme physical prostration; the pulse being scarcely perceptible, the breathing slow and feeble, and the whole surface bedewed with a cold perspiration. After this state had continued for about ten minutes, a return to the normal condition rapidly took place.'

There seems no reason for supposing that there was any deceit on the part of Louise Lateau herself, though that she was self-deceived no one can reasonably doubt. Of course many in Belgium, especially the more ignorant and superstitious (including large numbers of the clergy and of religious orders of men and women), believed that her ecstasies were miraculous, and no doubt she believed so herself. But none of the circumstances observed in her case, or related by her, were such as the physiologist would find any difficulty in accepting or explaining. Her visions were such as might have been expected in a person of her peculiar nervous organisation, weakened as her body had been by long illness, and her mind affected by what she regarded as her miraculous recovery. As to the transudation of blood from the skin, Dr. Tuke, in his 'Illustrations of the Influence of the Mind upon the Body in Health and Disease' (p. 267), shows the phenomenon to be explicable naturally. It is a well-authenticated fact, that under strong emotional excitement blood escapes through the perspiratory ducts, apparently through the rupture of the walls of the capillary passages of the skin.

We see, then, in Louise Lateau's case, how the mind affected by disease may acquire faculties not possessed during health, and how in turn the mind thus affected may influence the body so strangely as to suggest to ignorant or foolish persons the operation of supernatural agencies.

The general conclusion to which we seem led by the observed peculiarities in the mental faculties during disease is, that the mind depends greatly on the state of the body for the co-ordination of its various powers. In health, these are related in what may be called the normal manner. Faculties capable of great development under other conditions exist in moderate degree only, while probably, either consciously or unconsciously, certain faculties are held in control by others. But during illness, faculties not ordinarily used suddenly or very rapidly acquire undue predominance, and controlling faculties usually effective are greatly weakened. Then for a while the mental capacity seems entirely changed. Powers supposed not to exist at all (for of mental faculties, as of certain other qualities, _de non existentibus et de non apparentibus eadem est ratio_) seem suddenly created, as if by a miracle. Faculties ordinarily so strong as to be considered characteristic seem suddenly destroyed, since they no longer produce any perceptible effect. Or, as Brown-Sequard says, summing up the results of a number of illustrative cases described in a course of lectures delivered in Boston: 'It would seem that the mind is largely dependent on physical conditions for the exercise of its faculties, and that its strength and most remarkable powers, as well as its apparent weakness, are often most clearly shown and recognised by some inequality of action in periods of disturbed and greatly impaired health.'

FOOTNOTES: