nfused with an injury of the motor nerves; in short,
each symptom has to be treated as part of a complete situation. The
efforts of the psychotherapist will move over as large a part of the
disease as possible and cover, perhaps, the causes of the disturbance as
far as they are of psychical origin. Yet it would remain dilettanteism
if we were to accept the popular view that the mere psychotherapeutic
aid is a sufficient treatment of the whole disease. The physician has to
be much more than a psychotherapist. Our discussion only seeks to point
out that whatever else he may be, he must be also a psychotherapist.
The more conservative method which befits us may be, therefore, the
method of dealing with symptoms only and abstracting from the more
ambitious plan of discussing the diseases entire. We simply separate the
mental symptoms and the bodily symptoms which the psychotherapist is to
remove. And just in order to classify somehow the manifold mental
symptoms, we might separate those in the sphere of ideas, those in the
sphere of emotions, and those in the sphere of volitions. Of course,
nothing is further from such a plan than the old-fashioned belief that
intellect, feeling, and will represent three independent faculties of
the soul. Modern psychology has not only substituted the millionfold
phenomena for the schematic faculties, but emphasizes above all the
interconnectedness of the mental facts. There is no experience into
which ideas, and feelings, and impulses do not enter together. And
correspondingly we emphasized that on the physiological side too, every
sensory excitement is at the same time the middle point of central
irradiation and the starting point of motor activity. Thus there can be
no disturbance of ideas which does not influence feeling and will, and
vice versa. Yet it would be artificial to deny that any one of those
various sides of the psychical process may come to prominence, sometimes
the impulse, sometimes the emotion, and sometimes the interplay of
ideas. The separation means only an abstraction, but it is an
abstraction which is justified and suggested by the actual experiences.
Thus we shall deal with the psychical treatment of ideational,
emotional, volitional, and bodily symptoms.
Common to our discussions will be only the effort to avoid everything
which is exceptional and by its unusual complications apparently
unexplainable and mysterious. The greater complexity of the case
certainly a
|