d life, beauty in art and literature and music. To enjoy a
landscape ought to be not merely a negative rest for the man of the
office building, and good literature or music absorbs the mental
energies and harmonizes them. In the second place come games and sport,
which may enter into their right if fatigue can be avoided. Harmonious
joyful company, as different as possible from the depressing company of
the sanitariums, will add its pleasantness.
While the advice of the physician ought thus to emphasize the positive
elements which work, not towards rest, but toward a harmonious mental
activity, we must not forget some essential negative prescriptions.
Everything is to be avoided which interferes with the night's sleep.
Furthermore, in the first place, alcohol must be avoided. There cannot
be any doubt that alcoholic intemperance is one of the chief sources of
brain disturbances and that the fight against intemperance, which in
this country is essentially the fight against the disgusting saloon, is
a duty of everyone who wants to prevent nervous disaster. There may and
must be divergence of opinion as to the safest way to overcome
intemperance. The conservative physician will feel grave doubt whether
the hasty recommendation of complete prohibition is such a safe way,
whether it does not contain many conditions of evil, and whether the
fight against the misuse of alcohol will not be more successful if a
true education for temperance is accepted as the next goal. But for the
man of neurasthenic constitution and for any brain of weak resistance,
the limit for permissible alcoholic beverages ought to be drawn very
narrow and in such cases temporary abstinence is usually the safest
advice. Individual cases must indicate where a glass of light beer with
the meal or a glass of a mild wine may be permissible. Strong drinks
like cocktails are absolutely to be excluded. In the same way a strong
reduction is advisable in tobacco, tea, and especially coffee. A
complete withdrawal of all stimulations to which a nervous system has
been accustomed for years is not wise, or at least mild substitutes
ought to be suggested, but if coffee can be ruled out at once, often
much is gained. In the same way all passionate excitements are to be
eliminated and sexual life to be wisely regulated. An especial warning
signal is to be posted before all strong emotions, and if the patient
cannot be asked to leave his worry at home, he can at least be
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