Mental
Mental
Mental
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*** START OF THE PROJECT GUTENBERG EBOOK THE UNTROUBLED MIND ***
THE
UNTROUBLED MIND
BY
PREFACE
A very wise physician has said that "every illness has two parts--what
it is, and what the patient thinks about it." What the patient thinks
about it is often more important and more troublesome than the real
disease. What the patient thinks of life, what life means to him is also
of great importance and may be the bar that shuts out all real health
and happiness. The following pages are devoted to certain ideals of life
which I would like to give to my patients, the long-time patients who
have especially fallen to my lot.
They are not all here, the steps to health and happiness. The reader may
even be annoyed and baffled by my indirectness and unwillingness to be
specific. That I cannot help--it is a personal peculiarity; I cannot ask
any one to live by rule, because I do not believe that rules are
binding and final. There must be character behind the rule and then the
rule is unnecessary.
All that I have written has doubtless been presented before, in better
ways, by wiser men, but I believe that each writer may expect to find
his small public, his own particular public who can understand and
profit by his teachings, having partly or wholly failed with the others.
For that reason I am encouraged to write upon a subject usually shunned
by medical men, being assured of at least a small company of friendly
readers.
CONTENTS
IV. IDLENESS 30
X. THE VIRTUES 81
If such a change, and it would be a change for most of us, could come
about instantly, in a flash of revelation, that would be ideal, but it
would not be life. We must return again and again to the old uninspired
state wherein we struggle conscientiously with perverse details. I would
not minimize the importance and value of this struggle; only the sooner
it changes its level the better for every one concerned. Large serenity
must, finally, be earned through the toughening of moral fibre that
comes in dealing squarely with perplexing details. Some of this struggle
must always be going on, but serener life will come when we begin to
concern ourselves with larger factors.
How are we to live the larger life? Partly through uninspired struggle
and through the brave meeting of adversity, but partly, also, in a way
that may be described as "out of hand," by intuition, by exercise of the
quality of mind that sees visions and grasps truths beyond the realms of
common thought.
II
RELIGIO MEDICI
When a medically educated man talks and writes of religion and of God,
he is rightly enough questioned by his brothers--who are too busy with
the hard work of practice to be concerned with anything but material
problems. To me the word "God" is symbolic of the power which created
and which maintains the universe. The sunrise and the stars of heaven
give me some idea of his majesty, the warmth and tenderness of human
love give me some idea of his divine love. That is all I know, but it is
enough to make life glow; it is enough to inspire the most intense
devotion to any good cause; it is enough to make me bear suffering with
some degree of patience; and it is enough, finally, to give me some
confidence and courage even in the face of the great mystery of death.
Why this or another conception of God should produce such a profound
result upon any one, I do not know, except that in some obscure way it
connects the individual with the divine plan, and does not leave him
outside in despair and loneliness. However that may be, it will be
conceded that a religious conception of some kind does much toward
justifying life, toward making it strong and livable, and so has
directly to do with certain important problems of illness and health.
The most practical medical man will admit that any illness is made
lighter and more likely to recover in the presence of hope and serenity
in the mind of the patient.
Naturally the great bulk of medical practice calls for no handling other
than that of the straight medical sort. A man comes in with a crushed
finger, a girl with anæmia--the way is clear. It is only in deeper, more
intricate departments of medicine that we altogether fail. The
bacteriologist and the pathologist have no use for mental treatment, in
their departments. But when we come to the case of the nervously
broken-down school teacher, or the worn-out telegrapher, that is another
matter. Years may elapse before work can be resumed--years of dependence
and anxiety. Here, a new view of life is often more useful than drugs, a
view that accepts the situation reasonably after a while, that does not
grope blindly and impatiently for a cure, but finds in life an
inspiration that makes it good in spite of necessary suffering and
limitations. Often enough we cannot promise a cure, but we must be
prepared to give something better.
A great deal of the fatigue and unhappiness of the world is due to the
fact that we do not go deep enough in our justification for work or
play, or for any experience, happy or sad. There is a good deal of a
void after we have said, "Art for art's sake," or "Play for the joy of
playing," or even after we have said, "I am working for the sake of my
family, or for some one who needs my help." That is not enough; and
whether we realize it or not, the lack of deeper justification is at the
bottom of a restlessness and uncertainty which we might not be willing
to acknowledge, but which nevertheless is very real.
I am not satisfied when some moralist says, "Be good and you will be
happy." The kind of happiness that comes from a perfunctory goodness is
a thing which I cannot understand, and which I certainly do not want. If
I work and play and serve and employ, making up the fabric of a busy
life, if I attain a very real happiness, I am tormented by the desire to
know why I am doing it, and I am not satisfied with the answer I
usually get. The patient may not be cured when he is relieved of his
anæmia, or when his emaciation has given place to the plumpness and
suppleness and physical strength that we call health. The man whom we
look upon as well, and who has never known physical illness, is not well
in the larger sense until he knows why he is working, why he is living,
why he is filling his life with activity. In spite of the elasticity and
spring of the world's interests, there must come often, and with a kind
of fatal insistence, the deep demand for a cause, for a justification.
If there is not an adequate significance behind it, life, with all its
courage and accomplishment, seems but a sorry thing, so full of pathos,
even in its brightest moments, so shadowed with a sense of loss and of
finality that the bravest heart may well fail and the truest courage
relax, supported only by the assurance that this way lies happiness or
that right is right.
What is this knowledge that the world is seeking, but can never find?
What is this final justification? If we seek it in its completeness, we
are doomed always to be ill and unsatisfied. If we are willing to look
only a little way into the great question, if we are willing to accept a
little for the whole, content because it is manifestly part of the final
knowledge, and because we know that final knowledge rests with God
alone, we shall understand enough to save us from much sorrow and
painful incompleteness.
There is, in the infinitely varied and beautiful world of nature, and in
the hearts of men, so much of beauty and truth that it is a wonder we do
not all realize that these things of common life may be in us and for us
the daily and hourly expression of the infinite being we call God. We do
not see God, but we do feel and know so much that we may fairly believe
to be of God that we do not need to see Him face to face. It is
something more than imagination to feel that it is the life of God in
our lives, so often unrecognized or ignored, that prompts us to all the
greatness and the inspiration and the accomplishment of the world. If we
could know more clearly the joy of such a conception, we should dry up
at its source much of the unhappiness which is, in a deep and subtle
way, at the bottom of many a nervous illness and many a wretched
existence.
III
Since our minds are so constantly filled with anxiety, there would seem
to be at least one sure way to be rid of it--to stop thinking.
A great many people believe that the mind will become less effective,
that life will become dull and purposeless, unless they are constantly
thinking and planning and arranging their affairs. I believe that the
mind may easily and wisely be free from conscious thought a good deal of
the time, and that the greatest progress and development in mind often
comes when the thinker is virtually at rest, when his mind is to all
intents and purposes blank. The busy, unconscious mind does its best
work in the serenity of an atmosphere which does not interfere and
confuse.
One of the greatest benefits of work with the hands, or of objective and
constructive work with the mind, is that it saves us from unending hours
of thinking. Work should, of course, find its fullest justification as
an expression of faith. If we have ever so dim a vision of a greater
significance in life, of its close relationship to infinite things, we
become thereby conscious of the need of service, of the need of work. It
is the easy, natural expression of our faith, the inevitable result of
a spiritual contact with the great working forces of the world. It is
work above all else that saves us from the disasters of conflicting
thought.
A few years ago a young man came to me, suffering from too much
thinking. He had just been graduated from college and his head was full
of confused ideas and emotions. He was also very tired, having
overworked in his preparation for examinations, and because he had not
taken the best care of his body. The symptoms he complained of were
sleeplessness and worry, together with the inevitable indigestion and
headache. Of course, as a physician, I went over the bodily functions
carefully, and studied, as far as I might, into the organic conditions.
I could find no evidence of physical disease. I did not say, "There is
nothing the matter with you"; for the man was sick. I told him that he
was tired, that he had thought too much, that he was too much concerned
about himself, and that as a result of all this his bodily functions
were temporarily upset. He thought he ought to worry about himself,
because otherwise he would not be trying to get well. I explained to him
that this mistaken obligation was the common reason for worry, and that
in this case, at least, it was quite unnecessary and even harmful for
him to go on thinking about himself. That helped a little, but not
nearly enough, because when a man has overworked, when he has begun to
worry, and when his various bodily functions show results of worry, no
reasoning, no explanations, can wholly relieve him. I said to this young
man, "In spite of your discomforts, in spite of your depression and
concern in regard to yourself, you will get well if you will stop
thinking about the matter altogether. You must be first convinced that
it is best for you to stop thinking, that no harm or violence can
result, and then you must be helped in this direction by going to work
with your hands--that will be life and progress, it will lead you to
health."
Fortunately I had had some experience with nervous illness, and I knew
that unless I managed for this man the character and extent of his work,
he would not only fail in it, but of its object, and so become more
confused and discouraged. I knew the troubled mind, in this instance,
might find its solace and its relief in work, but that I must choose the
work carefully to suit the individual, and I must see that the nervously
fatigued body was not pushed too hard.
The interest of the patient was always fresh, he was eager for more, and
he did not taste the dregs of fatigue. Yet he did get the wholesome
exercise, and he did get the strong turning of the mind from its worry
and concern. Of course, the rest of the day was taken care of in one
way or another, but the work was the central feature. In a week, we were
at it two hours a day, in three weeks, four hours, and in a month, five
hours. He had made a handsome display of hand-wrought nails, a superior
line of pokers and shovels for fireplaces, together with a number of
very respectable andirons. On each of these larger pieces of handiwork
my patient had stamped his initials with a little steel die that was
made for him. Each piece was his own, each piece was the product of his
own versatility and his own strength. His pride and pleasure in this
work were very great, and well they might be, for it is a fine thing to
have learned to handle so intractable a material as iron. But in
handling the iron patiently and consistently until he could do it
without too much conscious thinking, and so without effort, he had also
learned to handle himself naturally, more simply and easily.
As a matter of fact, the illness which had brought this boy to me was
pretty nearly cured by his blacksmithing, because it was an illness of
the mind and of the nerves, and not of the body, although the body had
suffered in its turn. That young man, instead of becoming a nervous
invalid as he might have done, is now working steadily in partnership
with his father, in business in the city. I had found him a very
interesting patient, full of originality and not at all the tedious and
boresome person he might have been had I listened day after day, week
after week to the recital of his ills. I was willing to listen,--I did
listen,--but I also gave him a new trend of life, which pretty soon made
his complaints sound hollow and then disappear.
There may be some nervous invalids who read these lines who will say,
"But I have tried so many times to work and have failed." Unfortunately,
such failure must often occur unless we can proceed with care and with
understanding. But the principle remains true, although it must be
modified in an infinite variety to meet the changing conditions of
individuals.
I see a great many people who are conscientiously trying to get well
from nervous exhaustion. They almost inevitably try too hard. They think
and worry too much about it, and so exhaust themselves the more. This is
the greater pity because it is the honest and the conscientious people
who make the greatest effort. It is very hard for them to realize that
they must stop thinking, stop trying, and if possible get to work
before they can accomplish their end. We shall have to repeat to them
over and over again that they must stop thinking the matter out, because
the thing they are attempting to overcome is too subtle to be met in
that way. So, if they are fortunate, they may rid themselves of the
vagueness and uncertainty of life, until all the multitude of details
which go to make up life lose their desultoriness and their lack of
meaning, and they may find themselves no longer the subjects of physical
or nervous exhaustion.
IV
IDLENESS
I have for a long time been accustomed to combat the worry and fret of
necessary idleness--not by forbidding it, not by advising struggle and
fight against it, but by insisting that the best way to get rid of it is
to leave it alone, to accept it. When we do this there may come a kind
of fallow time in which the mind enriches and refreshes itself beyond
our conception.
I would rather my patient who must rest for a long time would give up
all thought of method, would give up all idea of making his mind follow
any particular line of thought or absence of thought. I know that the
mind which has been under conscious control a good deal of the time is
apt to rebel at this freedom and to indulge in all kinds of alarming
extravagances. I am sure, however, that the best way to meet these
demands for conscious control is to be careless of them, to be willing
to experience these extravagances and inconsistencies without fear, in
the belief that finally will come a quiet and peace which will be all
that we can ask. The peace of mind that is unguided, in the conscious
and literal sense, is a thing which too few of us know.
When you have tried your best to get back to your work and have failed,
when you have done this not once but many times, it is inevitable that
misunderstanding should creep in, inevitable that you should question
very deeply and doubt not infrequently. Yet the chances are that one of
the reasons for your failure is that you have tried too hard, that you
have not known how to rest. When you have learned how to rest, when you
have learned to put off thinking and planning until the mind becomes
fresh and clear, when you are in a fair way to know the joy of idleness
and the peace of rest, you are a great deal more likely to get back to
efficiency and to find your way along the great paths of activity into
the world of life.
Unfortunately, the idleness of disability often means pain, the wear and
tear of physical or nervous suffering. That is another matter. We cannot
meet it fully with any philosophy. My patients very often beg to know
the best way to bear pain, how they may overcome the attacks of "nerves"
that are harder to bear than pain. To such a question I can only say
that the time to bear pain is before and after. Live in such a way in
the times of comparative comfort that the attacks are less likely to
appear and easier to bear when they do come. After the pain or the
"nervous" attack is over, that is the time to prevent the worst features
of another. Forget the distress; live simply and happily in spite of the
memory, and you will have done all that the patient himself can do to
ward off or to make tolerable the next occasion of suffering. Pain
itself--pure physical pain--is a matter for the physician's judgment. It
is his business to seek out the causes and apply the remedy.
V
RULES OF THE GAME
It is, after all, not so much the things we do as the way we do them,
and what we think about them, that accomplishes nervous harm. Strangely
enough, the sense of effort and the feeling of our own inadequacy damage
the nervous system quite as much as the actual physical effort. The
attempt to catch up with life and with affairs that go on too fast for
us is a frequent and harmful deflection from the rules of the game. Few
of us avoid it. Life comes at us and goes by very fast. Tasks multiply
and we are inadequate, responsibilities increase before we are ready.
They bring fatigue and confusion. We cannot shirk and be true. Having
done all you reasonably can, stop, whatever may be the consequences.
That is a rule I would enforce if I could. To do more is to drag and
fail, so defeating the end of your efforts. If it turns out that you are
not fit for the job you have undertaken, give it up and find another, or
modify that one until it comes within your capacity. It takes courage to
do this--more courage sometimes than is needed to make us stick to the
thing we are doing. Rarely, however, will it be necessary for us to give
up if we will undertake and consider for the day only such part of our
task as we are able to perform. The trouble is that we look at our work
or our responsibility all in one piece, and it crushes us. If we cannot
arrange our lives so that we may meet their obligations a little at a
time, then we must admit failure and try again, on what may seem a
lower plane. That is what I consider the brave thing to do. I would
honor the factory superintendent, who, finding himself unequal to his
position, should choose to work at the bench where he could succeed
perfectly.
The larger life leads us inevitably away from ourselves, away from the
super-requirements of our families. It demands of them and of ourselves
an unselfishness that is born of a love that finds its expression in the
service of God. And what is the service of God if it is not such an
entering into the divine purposes and spirit that we become with God
re-creators in the world--working factors in the higher evolution of
humanity? While we live we shall get and save, we shall use and spend,
we shall serve the needs of those dependent upon us, but we shall not
line the family nest so softly that our children become powerless. We
shall not confine our charities to the specified channels, where our
names will be praised and our credit increased. We shall give and serve
in secret places with our hearts in our deeds. Then we may possess the
untroubled mind, a treasure too rich to be computed. We shall not have
it for the seeking; it may exist in the midst of what men may call
privations and sorrows; but it will exist in a very large sense and it
will be ours. The so-called hard-headed business man who never allows
himself to be taken advantage of, whose dealings are always strict and
uncompromising, is very apt to be a particularly miserable invalid when
he is ill. I cannot argue in favor of business laxity,--I know the
imperative need of exactness and finality,--but I do believe that if we
are to possess the untroubled mind we must make our lives larger than
the field of dollars and cents. The charity that develops in us will
make us truly generous and free from the reaction of hardness.
We shall have to look well to our habits lest serious ills befall, but
that must never be the main concern or we shall find ourselves living
very narrow and labored lives; we shall find that we are failing to
observe one of the most important rules of the game.
VI
THE NERVOUS TEMPERAMENT
He that too much refines his delicacy will always endanger his
quiet.
SAMUEL JOHNSON.
The sensitive, high-strung spirit that does not give of its own best
qualities to the world of its acquaintance, that does not express itself
in some concrete way, is always in danger of harm. Such a spirit turned
in upon itself is a consuming fire. The spirit will burn a long time and
suffer much if it does not use its heat to warm and comfort the world of
need.
VII
SELF-CONTROL
The person who thinks little of his own attitude of mind is more likely
to be well controlled and to radiate happiness than one who must
continually prompt himself to worthy thoughts. The man whose heart is
great with understanding of the sorrow and pathos of life is far more
apt to be brave and fine in his own trouble than one who must look to a
motto or a formula for consolation and advice. Deep in the lives of
those who permanently triumph over sorrow there is an abiding peace and
joy. Such peace cannot come even from ample experience in the material
world. Despair comes from that experience sometimes, unless the heart
is open to the vital spirit that lies beyond all material things, that
creates and renews life and that makes it indescribably beautiful and
significant. Experience of material things is only the beginning. In it
and through it we may have experience of the wider life that surrounds
the material.
Our hearts must be opened to the courage that comes unbidden when we
feel ourselves to be working, growing parts of the universe of God. Then
we shall have no more sorrow and no more joy in the pitiful sense of the
earth, but rather an exaltation which shall make us masters of these and
of ourselves. We shall have a sympathy and charity that shall need no
promptings, but that flow from us spontaneously into the world of
suffering and need.
VIII
We cannot suddenly change our mental outlook and become happy when grief
has borne us down. "For the broken heart silence and shade,"--that is
fair and right. I would say to those who are unhappy, "Do not try to be
happy, you cannot force it; but let peace come to you out of the great
world of beauty that calmly surrounds our human suffering, and that
speaks to us quietly of God." Genuine laughter is not forced, but we may
let it come back into our lives if we know that it is right for it to
come.
The need of the world is very great and its human destiny is in our
hands. Half of those who could help to right the wrongs are asleep or
too selfishly immersed in their own affairs. We need more helpers like
my friend of the skylights. Most of us are far too serious. The
slumberers will slumber on, and the worriers will worry, the serious
people will go ponderously about until some one shows them how
ridiculous they are and how pitiful.
IX
One of my patients decided some time ago that her life was wasted, that
she had accomplished nothing. It was true that she had not the endurance
to meet the usual demands of social or even family life, and that for
long periods she had to give up altogether. But it happened that she had
the gift of musical understanding, that she had studied hard in younger
days. With a little urging the gift was made to grow again and to serve
not only the patient's own needs, but to bring very great pleasure to
every one who listened to her playing. That rare, true ability was worth
everything, and she came to realize it in time. The gift of musical
expression is a very great thing, and I succeeded in making this woman
understand that she should be happy in that ability even if nothing
else should be possible.
Often enough nothing that can compare with music exists, and life seems
wholly barren. Rather cold comfort it seems at first to assure a person
who is helpless that character is the greatest thing in the world, but
that is the final truth. The most limited and helpless life may glow
with it and be richer than imagination can believe. It is never time to
regret--and never time to despair. The less analysis the better. When it
comes to character, live, grow, and get a deeper and deeper
understanding of life--of life that is near to God and so capable of
wrong only as we turn away from Him. "Do not say things; what you are
stands over you and thunders so, I cannot hear what you say to the
contrary." We shall do well not to forget that, whatever failures or
mistakes we have made, there is infinite possibility ahead of us, that
character is the greatest thing in the world, and that most good
character has been built upon mistakes and failures. I believe there is
no sin which may not make up the fabric of its own forgiveness in the
living of a free, self-sacrificing life. I know of no bodily ill nor
handicap which we may not eventually rise above and beyond by means of
brave spiritual progress. The body may fail us, but the spirit reaches
on and into the great world of God.
THE VIRTUES
The human body is a very complex organism, and sometimes pain and
distress are better not relieved, since they may be the expression of
some deeper maladjustment which must first be straightened out. This is
also true of the mind--in which the unhappy proddings of conscience had
better not be cured by anodynes or by evasion unless we are prepared to
go deeply enough to make them disappear spontaneously. We must sometimes
insist upon patience, though it should exist as a matter of
course--patience with ourselves and with others. The physician who
demands and secures the greatest degree of patience from his clients is
the most successful practitioner, for no life can go on successfully
without patience. If patience can be spontaneous,--the natural result of
a broadening outlook,--then it will be permanent and serviceable; the
other kind, that exists by extreme effort, may do for a while, but it is
a poor makeshift.
The practice of good living will never be easy in its details, but if it
is sure in its inspiration there will be no question of the final
triumph. We shall have to fight blindly sometimes and with all the
strength and persistence of animals at bay. We shall fail sometimes,
too, and that is not always the worst thing that can happen. It is the
glory of life that we shall slowly triumph over ourselves and the world.
It is the glory of life that out of sore trouble, in the midst of
poverty and human injustice, may rise, spontaneous and serene, the
spirit of self-sacrifice, the unconquerable spirit of service that does
not question, that expresses the divine tenderness in terms of human
love. Through the times of darkness and doubt which must inevitably
come, there will be for those who cherish such a vision, and who come
back to it again and again, no utter darkness, no trouble that wholly
crushes, no loss that wholly destroys.
XI
THE CURE BY FAITH
The cure and prevention of disease through the agency of man are
evidently part of the divine plan. Our eagerness to advance along the
lines of investigation and practice is but that divine plan in action.
The truly scientific spirit will neglect no possible curative agent.
When scientific men ridicule prayer, they are thinking not of the real
thing which is above all possible criticism, but of the feeble and often
pathetic groping for the real thing. We ask in our prayers for
impossible blessings that would invert the laws of God and change the
face of nature--very well, we must be prepared for disappointment. The
attitude of prayer may, indeed, transform our own lives and make
possible for us experiences that would otherwise have been impossible.
But our pathetic demands--we shall never know how forlorn and weak they
are. Prayer is the opening of the heart to the being we call God--it is
most natural and reasonable. If we pray in our weakness and blindness
for what we may not have, there is, nevertheless, a wonderful
re-creative effect within us. The comfort and peace of such communion is
beyond all else healing and restoring in its influence upon the troubled
and anxious mind of man. The poet or the scientist who bows in adoration
before the glory of God revealed in nature, prays in effect to that God
and his soul is refreshed and renewed. The poor wretch who stands
blindfolded before the firing squad, waiting the word that ends the life
of a military spy, is near enough to God--and the whispered prayer upon
his lips is cure for the wounds that take his life.
The best kind of prayer seeks not and asks not for physical relief or
benefit, but opens the heart to its maker, and so receives the cure of
peace that is a greater miracle than any yet wrought by man. Under the
influence of that cure the sick are well and the dead are alive again.
With the courage and spirit of such a cure in our lives, we shall
inevitably do our utmost to relieve, by any good means, the physical
suffering of the world. We shall follow the laws of nature. We shall
study them with the utmost care. We shall take nothing for granted,
since by less careful steps we shall miss the divine law and so go
astray. The science of healing will become no chance and irrational
thing. We shall use all the natural means to relieve and prevent
suffering--there will be no scoring of one set of doctors by another
because all will have one purpose. But more to the point than that, men
will discover that health in its largest sense consists in living devout
and prayerful lives whereunto shall be revealed in good time all that
our finite minds can know and use. There will be no suffering of the
body in the old and pitiful sense, for we shall be so much alive that
disease and death can no longer claim us.
THE END
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