Mental pain

“ Kill not for food, and where Necessity Demands the sacrifice of sentient life, Kill with all kindness and with due regard To Physical—and Mental—feelings. Pain Is a nerve-racking, dread experience, Especially unto the dumb Creation, Who cannot question, yet are forced to bear That dread experience, all unwillingly. ”

“ Such sensitiveness and susceptibility to mental pain is a rare occurrence where the nervous constitution is entirely normal; one seldom finds it in a healthy subject even where he is the victim of the most atrocious cruelties of outward fortune. So we note here the neurotic constitution, of which I said so much in my first lecture, making its active entrance on our scene, and destined to play a part in much that follows. Since these experiences of melancholy are in the first instance absolutely private and individual, I can now help myself out with personal documents. ”

“ The physical side of agreeable emotions, as a rule, is a heightened tone of the purely animal functions. The physical side of fear is a complicated series of effects, one of them being the depression of the organic processes, digestion among the rest. In this respect, however, it more or less resembles severe pain, sorrow, shame, remorse, and other states, characterised by the general phrase “depressing passions;” the depression being both mental and physical. ”

“ However, the struggle with that sentinel is, as a rule, not so hard as it may seem from a long way off, mainly in consequence of the antagonism between the ills of the body and the ills of the mind. If we are in great bodily pain, or the pain lasts a long time, we become indifferent to other troubles; all we think about is to get well. In the same way great mental suffering makes us insensible to bodily pain; we despise it; nay, if it should outweigh the other, it distracts our thoughts, and we welcome it as a pause in mental suffering. It is this feeling that makes suicide easy; ”

“ It is only when the mind is in an abnormal condition that pain can be felt, or even imagined, and irritations of the nerves are followed by pain only when such irritations produce mental strain. If the mind is not disturbed by them, there is no pain, and therefore, by learning to avoid this disturbance pain can be prevented, or relieved. ”

“ As a matter of fact, however, the mental attitude towards pain modifies it to a considerable degree. I have quoted Hippocrates' declaration that a greater pain drives out a lesser pain. Any strong preoccupation of mind will greatly lessen pain at any time. ”

“ Sensitiveness to pain is largely due to the fear of pain, and a reversal of the accustomed attitude towards fear will have an immediate effect upon the severity of pain by mitigating much of its sting. Christian scientists, mental scientists, spiritual scientists, faith curists, and all others who practice mental therapeutics in physical diseases, escape much suffering in this way, and the happy result of this attitude [159] towards pain serves to strengthen their faith. ”

“ Again, there are deaths which are accompanied by great pain or delirium, or which are caused by sudden accidents, altogether hiding from our observation the mental condition of the patient. Only in a small residue of cases, the bodily conditions are such as to cause neither interference with nor yet concealment of the process of calm and peaceful dissolution in the full light of mental sanity ”

“ And as, when head or eye in us is smit By assailing pain, we are not tortured then Through all the body, so the mind alone Is sometimes smitten, or livens with a joy, Whilst yet the soul's remainder through the limbs And through the frame is stirred by nothing new. But when the mind is moved by shock more fierce, We mark the whole soul suffering all at once Along man's members: sweats and pallors spread Over the body, and the tongue is broken, And fails the voice away, and ring the ears, Mists blind the eyeballs, and the joints collapse,— Aye, men drop dead from terror of the mind. ”

“ Long days of suffering followed as the tortured nerves recorded their far-spread effects in the waste of the body and that failure of emotional control which even the most courageous feel when long under the tyranny of continuous pain. ”

“ They prove that suffering is confined within definite limits, and that economy of pain forms part of the universal design, for the sensitive animal as well as the sensitive man. If all our nerves shrank equally with equal tenderness, life would be a history of protracted agony. Yet one might have expected, primâ facie, that a fibre which telegraphs shapes and colours with their blendings, would eloquently tell the story of its own occasional anguish. And our whole nervous framework might have been conceived as an instrument of torture. ”

“ Nothing, perhaps, has impressed me so deeply as the clear view I have of almost all, if not quite the whole, of the suffering I have witnessed being the consequence of vice or ignorance. But when my heart has sickened at the sight, and at the thought of so much gratuitous pain, it has grown strong again in the reflection that, if unnecessary, this misery is temporary,—that the true ground of mourning would be if the pain were not from causes which are remediable. ”

“ And the pain grows, expands,—fills all the skull,—forces you to cry out, replaces all other sensations except a weak consciousness, vanishing and recurring, that you are very sick, more sick than ever before in all your life. ”

“ Once these cases are recognized, the attention can be diverted from themselves and they can be made to understand that their grief and sympathy are being concentrated on the part and by transfer are producing physical manifestations. The pain is not imaginary, but the condition will improve as soon as the mind is diverted from it. ”

“ 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. ”

“ By a line of humorous reflection already suggested, we may in all cases of worry and moral disturbance reach the consolatory idea that the trouble has, in the first view of it, been grossly exaggerated. At the moment when the sensitive tissue is lacerated the shock of pain blinds us to dimensions; our disappointment fills the outlook, like a thunder-storm. The healthy nervous organism will show its vitality in the rapidity of the recuperative process ”

“ Because it is simply an excited, and therefore in his eyes diseased, self-consciousness, a wavering struggle between pleasure and pain. "Could man," he says, "but begin to love sickness and suffering, he would perhaps in their arms experience the most delicious rapture, and feel the thrill of the highest positive pleasure.... Does not all that is best begin as illness? ”

“ You know how it takes some people, even the sanest? That is the devil of what they call its convalescence. One can endure the fever and the pain and the nausea; but the suicidal depression during recovery! ”

“ These symptoms are ordinarily accompanied by others of varying character, from simple heat in the extremities and painful sobbing to actual syncope. In almost all such cases, however, the nervous system is suffering from a violent shock, and this produces spasms of more or less appalling violence. The temper of the sufferers—for such they are all to some degree—varies from deep despondency to exulting blissfulness, but is as changeable as that of children, and resembles but too frequently the capricious and unintelligible mental condition of insane persons. ”

“ Evil thought, worry, directs to the person, or to that part of the body considered, an injurious and baneful influence that produces pain, inharmony, unhappiness. It is as if one were to divert a stream of corroding acid upon a sensitive wound, and do it because we wished to heal the wound. ”

“ In fact, it becomes evident that all the pain which the sufferer experiences is referred to his mind as something distinct from his body, and is there, and only there, to be met, handled and helped, if possible. "Give me relief from this awful feeling of inadequacy—from the pain that accompanies every thought—from the dark that clouds all the future. Please do this, and I will be well," is the cry: and to the sufferer this is all there is that can be described or helped.
Of course, psychalgia may accompany or succeed every form of physical distress imaginable ”

“ From the evidence just given it appears that any high degree of excitement in the central nervous system, whether felt as anger, terror, pain, anxiety, joy, grief or deep disgust, is likely to break over the threshold of the sympathetic division and disturb the functions of all the organs which that division innervates. ”

“ Even men who have been hardened and accustomed to the sight of blood and of human misfortunes, are yet moved at the terrible picture of pain wreaking its rude will on a sensitive organism. Human pain is of such importance that all scientific curiosity becomes a trifling and ridiculous thing, and our mind rebels and feels an invincible repugnance to every desire which has not the alleviation of the sufferer for its object, to every act which does not spring from a lively and intense compassion. ”

“ But there is still the difficulty to explain why it should be exactly the very feeling of pain,—suffering properly so called,—that in objects of pity attracts us with the greatest force, while, according to those elucidations, a less degree of suffering ought evidently to be more favorable to those causes to which the source of the emotion is traced. ”

“ Thus the surgeon and physician gradually form such habits that the sight of pain and suffering lead the mind to conception of modes of relief, whereas a mind not thus interested dwells on the more painful ideas.
The mind, also, can form a habit of inattention to our own bodily sufferings by becoming interested in other things, and thus painful sensations go unnoticed. Some persons will go for years with a chronic headache, and yet appear to enjoy nearly as much as those who never suffer from such a cause. ”

“ Since this test of emotion is fundamentally sound, it is not surprising that the nervous man is in a state of distress. Indigestion, fatigue, over-sensibility, sound like problems in physiology, but we cannot go far in the discussion of any of them without coming face to face with the emotions as the real factors in the case. When we turn to the mental characteristics of nervous folk, we even more quickly find ourselves in the midst of an emotional disturbance. ”

“ It is known only too well today by those who seek to know, that back of all such physical conditions as nervousness, prostration, temporary insanity, nervous disorders, pains resembling rheumatism, hay fever, heart troubles, mental symptoms, nervous chills, morbid forebodings and mild mania, there lurks the abnormal activity of the psychic or "thought body" caused by thoughts and feelings acting abnormally upon the vital centers of the nervous system and mind. ”

“ It is a small price to pay if emotional symptoms can be traced to a physical cause.
It is well known that virtually any serious organic illness or injury can produce emotional suffering, either in the form of physical pain or in the form of anxiety and depression. Chronic pain is a chronic stress and can lead to the same emotional problems as prolonged stress of any variety: anxiety or depression. Similarly, prolonged severe anxiety or depression can cause physical deterioration and make the body more susceptible to disease. ”

“ Painful sensations, when great, excite the faculty of volition; and the person continues voluntarily to call up or perform those ideas, which occasion the painful sensation; that is, the afflicted person becomes so far insane or melancholy; but tears are produced by the sensorial faculty of association, and shew that the pain is so far relieved as not to excite the excessive power of volition, or insanity, and are therefore a sign of the abatement of the painful state of grief, rather than a cause of that abatement. ”

“ The greatest difficulties in the study of the alterations which the human face undergoes in suffering are essentially two in number. The first is the rapidity and the perpetual restlessness of muscular movements, [201] which are so fugitive that our eye cannot grasp and comprehend them. The second difficulty lies in the nature of our mind, which is disturbed and touched at the sight of pain. ”

“ A third element in the suffering must briefly be mentioned. It results directly from the others. It is that exhaustion of nervous power which invariably ensues on protracted pain of mind or body. It proceeds beyond reaction to collapse in a hopeless case ”

“ Body, perhaps Mind of Man, sometimes produce such undoing Misery, such deplorable Ruin, as would make even an Heart of Stone break and bleed, and Death to think of it. Suppose one should lose his Limbs or Health, and live unhappily in Pain, Sick or Bedrid all his Days through your improper Applications or ignorant Omissions ”

“ Although the mind, under ordinary circumstances, is conscious of the attitude, gestures, and cries, which accompany pain, neither the intellect nor the will have any share in their production. On the contrary, they usually take place in spite of the efforts of the will to prevent them, and one may understand that, when consciousness and volition are suspended, the actions usually indicative of pain may, for want of control, be excited by slighter causes, and to a greater degree, than in the waking state. ”

“ The higher possibility called life entails the correlative evils called death and disease. The possibility of keen sensation, which permits pleasure, also involves capacity for the corresponding penalty called pain: but the pain is in ourselves, and is the result of our sensitiveness combined with imperfection. ”