pulsions to command, to theft, to aggression, to extraordinary acts,
varied impulsions which play a great part in psychoses as well as in
neuroses.
I shall not insist any more on a very interesting phenomenon in
connection with the oscillations of the mind and which still plays a
great part in these diseases. I am speaking of the change of feeling
which may accompany the same action in the course of the oscillations of
the mind. At the level with the reflected action, more or less complete,
the thought of an action which appears important and of which one often
thinks, determines interrogations, doubts, scruples. If the individual
descends one degree, if he becomes quite incapable of reflecting and
therefore of doubting, the same action he continues to think about may
present itself under the form of an impulsion more or less irresistible.
There are patients who in the first stage have the fear and horror of
committing an act and who in the second stage are driven to accomplish
it. In other cases a subject may make use of an action as a means of
exciting and raising himself; he seeks it, and the thought of this
action is accompanied by love and desire. Let him become depressed and
he will no longer be able to accomplish this same action without
exhausting himself; he is then reduced to dread it and take an aversion
to it. That which was an object of love becomes an object of hatred.
Thence these turnings of mind that are so often to be observed in the
course of neuroses and psychoses. In a score of my observations the
frenzy of persecution and hatred presents itself as an evolution of
those obsessions of love and domination.
These are very curious facts that one observes in the oscillations of
the mind, in particular when the psychasthenic depression becomes more
serious and transforms itself in psychasthenic delirium, which is more
frequent than one generally imagines. As a rule the properly so-called
psychasthenic has only disorders of the reflection; he doubts but he
does not rave. But under different influences, his depression may
augment, and when he drops below reflection he has no longer the doubts,
the hesitations, he no longer shows manias of love and of direction, he
transforms his obsessions into deliriums and often his loves into
hatreds.
These are a few examples of the perturbations of conduct common to
neurotic sufferers and the diseased in mind. One perceives that the same
laws relating to the dim
|