Meantime, he made a searching inquiry to ascertain just why she had been stricken by hysterical paralysis. He discovered, for one thing, that the patient's fainting and vomiting spells and her headaches had usually followed bitter quarrels with her husband--and usually had the effect of placing victory on her side. There was one point, nevertheless, on which the husband was immovable. He was a poor man and could not grant his wife's insistent demand to move to a more expensive neighbourhood. He would not have granted it if he could, for in the particular neighbourhood to which she wished to move she had friends whom he regarded as undesirable. It appeared that the attack of paralysis and speechlessness had been preceded by an exceptionally bitter quarrel over this question of moving--"a quarrel which," to quote from Doctor Myerson's report, "had lasted for a whole day and into the night of the attack."
Thus, the attack itself could be correctly interpreted as the supreme effort of a self-centred, neurotic personality to gain a desired end. But, while making this interpretation, Doctor Myerson was quick to add, in his report on the case, that the attack had not by any means been brought on through the patient's "conscious purpose or volition." It was all an affair of her subconsciousness, working in a blind, abnormal, irrational way to help attain the object of her conscious desire. That her subconsciousness should work so abnormally and so disastrously was chiefly due, beyond any doubt, to the absence of adequate training in self-control and emotional restraint.
But it is not only as a strange, irrational mode of fulfilling a wish that hysteria and other nervous disorders may become manifest in selfish people. Without this element of wishing entering in at all, nervousness is particularly likely to attack the selfish. Many nervous conditions are directly brought on by conscious or subconscious fixing of the thoughts on the bodily processes. We are so constituted that our internal organs work best when we pay no attention to them--or, more strictly, when we pay no attention to the physical sensations to which they give rise while working. If, for any reason, our attention is turned to and held on these sensations, they at once become exaggerated, and the organs giving rise to them tend to function badly. In this way any bodily organ may be disturbed in its action, and general symptoms of nervousness result through nothing but over-attention.