~N THE GLANDS REGULATING PERSONALITY THE MACMILLAN COMPANY HEW YORK • BOSTON • CHICAGO • DALLAS ATLANTA • SAN FRANCISCO MACMILLAN & CO., Limited LONDON • BOMBAY ■ CALCUTTA MELBOURNE THE MACMILLAN CO. OP CANADA, Ltd, TORONTO PHE GLANDS REGULATING PERSONALITY A STUDY OF THE GLANDS OF INTERNAL SECRETION IN RELATION TO THE TYPES OF HUMAN NATURE BY LOUIS BEEMAN, M.D. ASSOCIATE IN BIOLOGICAL CHEMISTRY, COLUMBIA UNI- VERSITY; PHYSICIAN TO THE SPECIAL HEALTH CLINIC, LENOX HILL HOSPITAL The passage from the miracles of nature to those of art is easy. —Francis Bacon, Novum Organwm, 1620. ^ ^ J cj Q • 3 ■ 0 3 jQeto gotfe THE MACMILLAN COMPANY 1922 All rights reserved PRINTED IN THE UNITED STATES OF AMERICA Copyright, 1921, By LOUIS BERMAN. Set up and printed. Published October, 1921. 1H1 Press of J. J. Little & Ives Company New York, U. S. A. \ CONTENTS CHAPTER PAGE ^ Introduction: Attitudes Toward Human Nature 1 ^--IT How the Glands of Internal Secretion Were Discovered 28 II. The Glands: Thyroid and Pituitary .... 46 III. The Adrenal Glands, Gonads, and Thymus . 69 IV. The Glands as an Interlocking Directorate . 96 V. How the Glands Influence the Normal Body 113 VI. The Mechanics of the Masculine and Feminine 132 VII. The Rhythms of Sex 149 VIII. How the Glands Influence the Mind . . . 166 IX. The Backgrounds of Personality 186 X. The Types of Personality 202 XI. Some Historic Personages 231 XII. Applications and Possibilities 255 XIII. The Effect upon Human Evolution .... 275 THE GLANDS REGULATING PERSONALITY THE GLANDS REGULATING PERSONALITY INTRODUCTION ATTITUDES TOWARD HUMAN NATURE The Case Against Human Nature Man, know thyself, said the old Greek philosopher. Man per- force has taken that advice to heart. His life-long interest is his own species. In the cradle he begins to collect observations on the nature of the queer beings about him. As he grows, the research continues, amplifies, broadens. Wisdom he measures by the devastating accuracy of the data he accumulates. When he declares he knows human nature, consciously cynical maturity speaks. Doctor of human nature — every man feels himself entitled to that degree from the university of disillusioning expe- rience. In defense of his claim, only the limitations of his ar- ticulate faculty will curb the vehemence of his indictment of his fellows. For all history provides the material, literature the critique, biology the inexorable logic of the case against human nature. The historical record is a spectacle of man destroying man, a collection of chapters on man's increasing cruelty to man. Limi- tations of time and space have been shortened and eliminated. Tools of production have been multiplied and complicated. The sources of energy and power have been systematically attacked and trapped. But the nature of man has remained so unchanged that clap trap about progress is easy target for the barrage of every cheap pamphleteer. The naturalist probes into codes of conduct, systems of moral- ity, structures of societies, variations in the scales of value that individuals, races and nations have subjected themselves to as custom, law and religion. Again and again the portrait is presented of man preying upon man, of cunning a parasite upon 1 2 THE GLANDS REGULATING PERSONALITY stupidity and of predatory strength enslaving the weakling intel- lect. Until finally are evoked reactions and consequences that overtake in catastrophe and catacylsm preyer and preyed upon alike. Human nature is but part of the magnificent tree of beast nature. Man is linked by every tie of blood and bone and cell memories with his brethren of the sea, the jungle, the forest and the fields. The beast is a seeker of freedom, but a seeker for his own ego alone, and the satisfaction of his own instincts only. Thus he struggles to a sort of freedom which makes him the Ishmael of the Universe, everyone's hand against him, as his own hand is against everyone. The human animal has achieved no advance beyond the necessities of his ancestors, nor freed himself from his bondage to their instincts and automatic reflexes. And so the sociologist, the analyst of human associations, turns out to be simply the historian and accountant of slaveries. Yet the history of mankind is, too, a long research into the nature of the machinery of freedom. All recorded history, indeed, is but the documentation of that research. Viewed thus, customs, laws, institutions, sciences, arts, codes of morality and honor, systems of life, become inventions, come upon, tried out, stand- ardized, established until scrapped in everlasting search for more and more perfect means of freeing body and soul from their congenital thralldom to a host of innumerable masters. Indeed, the history of all life, vegetable and animal, of bacillus, elephant, orchid, gorilla, as well as of man is the history of a searching for freedom. Freedom! What to a living creature is freedom? How com- pletely has it dominated the life history of every creature that ever crawled upon the earth? Trace our cellular pedigree, descend our family tree to its rootlets, our amebic ancestors, and the craving for more freedom is manifest in the soul of even the lowest, buried in darkness and slime. When the first clever bit of colloidal ooze, protoplasm as the ameba, protruded a bit of itself as a pseudopod, it achieved a new freedom. For, accident- ally or deliberately, it created for itself a new power — the ability to go directly for food in its environment, instead of waiting, patiently, passively, as the plant does, for food to just happen along. Therewith developed in place of the previous quietist pacifist, quaker attitude toward its surroundings, a new religion, a new tone: aggressive, predatory, careerist. That adventure was a great step forward for the ameba — a ATTITUDES TOWARD HUMAN NATURE 3 miracle that freed it forever from the danger of death by starva- tion. But latent in that move were all the terrible possibilities of the tiger, the alligator, the wolf and all the varieties of preda- ceous beast and plant, parasitism and slavery. The device that enabled the ameba to change its position in space of its own will, and so increased its freedom immeasureably, meant the genera- tion of infinite evil, pain, suffering and degradation for billions in the womb of time. The Breeding of Inferiority Human history, being a continuation of vertebrate his- tory, is full of similar instances. The invention of the stock company, for example, furnished a certain relative freedom to hundreds, a certain amount of leisure to think and play, and independence to travel and record, and immunity from a daily routine and drudgery. In turn, it bore fruit in miseries and horrors multiplied for millions, like those of the child lacemakers of Mid- Victorian England, who were dragged from their beds at two or three oclock in the morning to work until ten or eleven at night in the services of a stock company. A corporation is said to have no soul. The struggle for freedom of every living thing has no conscience. Throughout the living world, from ameba to man, parasitism and slavery together with their by-products, physical and spiritual degeneracy, appear as the after effects of the more vital individual's efforts to remain alive and free. The origins of slavery may be seen in the parasit- isms of the infectious diseases which kill man. The change from parasitism to slavery was an inevitable step of creative intelli- gence. In the transition evolution made one of those breaks which it indulges in periodically as its mode of progress. The natural effect of slavery has been a selection of two sorts of individuals along the lines of the survival of the adapted. It has tended to perpetuate in the breed the qualities of the strong which would make them stronger, and certain qualities in the weak which would increase their weakness. For parasitism and likewise slavery infallibly entail the degradation of certain structures and an overgrowth of others by the law of use and disuse. The type of organ which would function normally, were not its possessor parasitic in that function, invariably degenerates or disappears. Parasitic insects lose their wings. An entire 4 THE GLANDS REGULATING PERSONALITY anatomical system may even be lost. So the tapeworm, which feeds upon the digested food present in the intestines of its host, has no alimentary canal of its own because it needs none. On the other hand, the. organs of attack and combat grow by a constant use into the most remarkable of efficient weapons. In human society the process continues. Out of the tapeworm nature, the tiger nature, the wolf nature, the simian nature, human nature evolves. Repeated episodes of subjugation and suppression mixed with countless incidents of predaceous cupidity and rapacity have made Man what he is today. Indeed, by a sort of instinct, society has constructed its institutions upon em- pirical observations and assumptions agreeing with this principle. The deductions concerning human nature and human traits that an interplanetary visitor would draw from a study of our common law would be at least slightly humiliating to our incor- rigible pride. Law courts, codes of civil contract and criminal procedure, the systems of subordination in armies and navies, castes and classes, men and women, employers and employees, teachers and pupils, parents and children, are based upon the fundamental, the conservative axiom that man, especially the common plain man (Lincoln's phrase) , is a being incurably lazy, stupid, dishonest, muddled, cowardly, greedy, restless, obsessed with a low cunning and a selfish callousness and insensibility to the sufferings of his fellow creatures, animal and human. Why is it that Man, the noblest creature of creation, made in the image of God, capable of the flights of attainment that dis- tinguish a Christ, a Csesar, a Plato, a Shakespeare, a Shelley, a Newton, is so described, not alone by hopeless pessimists like Koheleth, Swift, and Mark Twain, but by the common law, the common opinion, the common assumptions of mankind? Because the development of slavery and parasitism in human society, the subjection of the weak to the strong, the dull and base to the clever and headstrong, set up a vicious cycle: the liberation of more energy for the making of more and more slaves and the propagation of slaves and slave qualities in a geometrically increasing proportion. This might be called the Malthusian law of slavery. For the qualities that I have named as man's own characterization of himself are the qualities of the slave and the slave-soul. Nietzche took great pains to repeat ad nauseam that these qualities were the qualities of the slave. But by burdening himself with the hypothesis, evolved from his inner consciousness, that the slaves ATTITUDES TOWARD HUMAN NATURE 5 imposed from below a morality of weakness upon their masters, he missed the really obvious process by which slaves beget more slaves, slavery begets more slavery, and the slave-soul becomes universal. That process is the simple action of physical and spiritual reproduction of the slaves. The subnormal begets the subnormal, the inferior begets the inferior. Slavery appeared as an invention of the would-be-free. It was a brilliant flash of genius of a seeker after freedom. However, it became a boomerang. By multiplication and hereditary trans- mission, the inferiority and the number of the slaves created a new overwhelming problem for the superior few, the upper crust of the free. At last the problem grew into the problem of prob- lems, the problem of government, that threatened all freedom, as an epidemic disease threatens even the most healthy. Govern- ment, at first organized for conquest and subjugation, had to change its character until it became more and more to consist of experiments in a new social machinery that would free somebody of the incubus. So through the centuries, one technique of liberty after another was tested in the laboratory of experience. But always the attempts are so muddled, because the problem is not grasped. Muddledom is the essence of the slave-soul. And the essence infiltrates and poisons the whole atmosphere in which the would-be-free think and act. Kings' heads are chopped off, a whole class is guillotined, reform movements come and go, the masters fight every inch of their retreat, and pile stratagem upon stratagem, device upon device, to retain their spoils. The democratic formula of freedom for all comes to the fore. So at last universal suffrage is introduced as the panacea. Free- dom seems within grasp. Now it looks as if a method and an objective have been hit upon, that will lead both the free and the enslaved out of their mutual bondage, and release the handcuffs which have bound them together. All the trial and error tests to which history had subjected institutions appeared to culminate in the formula that would automatically yield Liberty. The French wanted a little more and added Equality and Fraternity. The Americans put it quite definitely as the formula that would assist the Pursuit of Life, Liberty, and Happiness. That formula is: the democracy of the normals. To be sure, a civilization might be organized for the breeding and the glorification of the supernormals. Such a civilization may yet have to be tried. But as the supernormals, as we know them today, are merely biologic sports, in a sense, simple acci- 6 THE GLANDS REGULATING PERSONALITY dents, no one can tell whether they will turn out true shots or just flashes in the pan. So it looks the better course to stick to the plan of nature, which seems to be the raising of the level of the normals, and the gradual increase of their faculties and powers. What the Statesman Is Up Against Under the terms of the democratic formula the problems of the statesman seem to become enormously simplified. That is, if one assumes that he has worked out a perfectly clear idea of what a democracy means and what the normal means. Assuming these unassumables, his problem simplifies into the definite object of producing and developing the greatest possible number of normals — or if you will, the greatest happiness of the greatest number of normal lives. Furthermore you then begin to have the entirely novel possi- bility in the world: some sort of collective effort for a collective purpose, beyond the personal greeds and fears, factions and hatreds. So the state, instead of fulfilling its old function of serving as the tool of certain powerful individuals, latterly known as the Big Men, might be transformed into an instrument toward freedom. With the ideal of a democracy of the normals ever before him, the statesman could go on to construct and modify his social machinery. That would entail the satisfaction not alone of the animal needs, but also the highest aspirations and therefore the provision of the finest conditions of life for the normal: those most favorable, stimulative, and assistant to crea- tive activity. For what else is the content of the idea of freedom? Without committing the intellectual sin which William James named Vicious Abstractionism, the goal of the clearest progres- sive and liberal thought and forces of the twentieth century might be summed up as this freedom in a democracy of normals. A good formula which coincides with the technique of nature in the evolution of species. A fair fight, a free-for-all who are unhandicapped, is the motto of natural selection. Where civiliza- tion shakes hands with natural instinct, what but the happiest of results can be expected? Unfortunately, the formula in human society possesses an Achilles' heel. Again it is slavery. Where slavery has become bred into the bone, the standard of the normal becomes reduced so tremendously that the average of normals, the majority, are ATTITUDES TOWARD HUMAN NATURE 7 hopelessly inferior. In effect, they are really subnormal. So the ideal of our ideal statesman is bound to be defeated because of the inadequacy of his material. No matter how interested in his main business: the promotion of freedom for creative activities in a democracy of the normals, he is bound to be beaten by the majority consisting of subnor- mals. There is nothing left for for him but to cater to the minority of careerists, the one-eighth of the electorate represent- ing superior intelligence. The intelligence tests employed in the War showed that and also that forty-five per cent of the exam- ined, or about one half the total population, had a mental capacity, or natural ability that would never develop beyond the stage normal to a twelve-year-old child. They are doomed to remain forever subnormal. The Careerists as the Abnormal^ The careerists are those who practice the careerist religion. The careerist religion is the religion par excellence of modernity. Someone once said, with the perfect candor of the North American, that America is the land of opportunity. He meant that America is the land of the Careerist or, as it has also been put, it is the land of the man on the make. The careerist, or the man on the make, is of a thousand genera and species, varie- ties and subvarieties, with transition links between. One finds him at every level of society. Excepting a negligible minority, the feminine career of today (as of the last ten thousand years of the race's history) consists in the acquisition of a husband. After that she is so identified with him that her own life, as something distinct, individual and unique, becomes blurred and then completely erased. The femi- nine careerist, the careeristina, if you will, is a definite type. Consider the unimportance of a collective purpose to the woman whose career is the mate, and then the mate's career. All the kinks and twists of the feminine mind, resulting from the neces- sities of that fundamental primary problem, would form a multi- tudinous and interesting list. The most successful careeristinas are the absolutely unconscious ones because they are not passively besieged nor actively bombarded by any doubts as to what they want. They play their game exceedingly well as do not the quasi-rebels and faint-hearted revoltees that form no small percentage of the Newest Women. For a number of women the 8 THE GLANDS REGULATING PERSONALITY feminist movement has been an attempt to break away from the traditions of the wife-careerist, and to strike a line of auto- careerism. Can the careeristina instinct, the fruit of the practice of so many generations, be uprooted by the good intentions of a mere statesman? But the masculine careerist is a marvelous creature. He is a biologic sport, an abnormal variation. New York is the place to watch and study him in his thousands and tens of thousands. You can observe him climbing, climbing, climbing, precisely as an ant climbs a tree. Nothing can really discourage or sway him from his chosen path. If he is not getting on financially, he is getting on socially, or he is using the one method of advance to help him with the other. How the line of least resistance and greatest advantage is determined for and taken by him is a fas- cinating process. The careerist instinct, the inherited flair for a career, must not be confounded w^th the instincts of self-preservation, self-expan- sion or self-expression, because they are utterly different. Indeed, the careerist instinct is often their direct antagonist, clashing with and dominating them. The making of the career involves the distortion, the mutilation, degradation, degeneration or even the complete suppression of the true personality. But it is all instinc- tive. To consider the life of the careerist as an expression of instinct will explain too the success of so many who have no inner awareness of what they want. These go straight for the career, looking neither to the right nor to the left, without doubt or hesitation, just as they go for the respiration business as soon as they are born. Then there is the Super-Careerist. Ordinarily, the careerist is rather obvious, easily recognizable, with diaphanous motives and conduct. But there is another and rarer bird, the careerist of talent, even the careerist of genius, whom it is not so easy to see through. Clever and brainy, he may be a good all around trifler, or his specific gift for some line of achievement may make him more"effective. There is nothing he may not call himself: conser- vative, liberal, progressive, or radical. Often he is an agnostic about social and political affairs and problems, which passes for the indecision of the open mind, and is quite handy to render him all things to all men. But perpetually, the underlying careerist instinct drives him to use all men and women, all ideas and movements and forces he comes in contact with for his own personal advancement, just as the slave making instinct guides ATTITUDES TOWARD HUMAN NATURE 9 the red ant in all its activities to procure its captives. Ideas do not make a hero out of him, but he makes heroes of ideas, be- cause they serve him in his ascent. Because he is the most subtle, the most complex and the most deceptive type of careerist, he is the most dangerous to the adven- ture and speculation in intellect which mankind is. To say that he is a wolf in sheepskin is to be unjust to him, since he is most successful when he is most unaware of his own charlatanry. He is most sincere when he is most insincere, and most truthful when he lies best. A little self-consciousness of hypocrisy is a corrupt- ing thing, much of it completely incompatible with the most suc- cessful careerism. TartufTe is always applauded by the world when he plays Hamlet, if he really believes in himself as Hamlet. And, as all he has to do, if he is at all talented, is to look into his glass and see himself in the part, he carries it off very well. Why the Statesman Fails Slaves and careerists, subnormals and abnormals, are the im- portant elements of the constituency of every modern statesman. The financial and social careerists as business men, professionals, artists, publicists, presidents of countries, politicians, philosophers dominate his outlook, his plans, his horizon. The slaves, the inferiors, the subnormals exist merely to be exploited by them. No one questions the causes of the multiplicity of them. No one asks why there are so many little lives. For a fundamentally minded statesman the control of the production of the careerist, why he is produced, and how he may be prevented, becomes the primary problem of his art. Well, you say, what are you going to do about it? That is human nature. The Evils of Human Nature! There is the perpetual answer to be repeated by our clever editors unto Eter- nity. You cannot get away from human nature. It is human nature to be a careerist. It is human nature to put the immediate triumphs of the self and its pleasures above the more indirect, the more remote and distant benefits of a great, wonderful, free community. We are all careerists. In so far as democracy has succeeded as a form, it has persisted because there was in it for the common man the promise of his getting more out of life that way than any other way. For himself. And the devil take the others. The myopia of such crude selfishness continues to deter- mine his politics to this very day. And so he proceeds to vote for 10 THE GLANDS REGULATING PERSONALITY favors bestowed and patronage past or potential. That is, when he does not throw his ballot away altogether into the fire of family habit, sectional inertia, or race prejudice. Again you say, that is human nature. It is human nature for us to be narrow, to be confined within the circle of personal thought and desire, without imagination for the beyond. So the calf is limited in its wanderings to the radius of the rope by which it is tethered. The servile soul will always be submissive and docile, greedy and stupid. What else could you expect from the descendant of the solitary beast who once lived for thousands of years in caves? Without servility of the soul, without chains for the spirit of the wild animal against the world, men could never have been driven to live together for twenty-four hours in communities. The conception of human quality out of which all social machinery has been devised and built is a conception of slave- quality and careerist quality. As we are all caught in the net, as the unconscious memories of our slave and careerist ancestors flow in our blood and echo in our cells, all we can do is accept it and work with it. Human nature is an incurable disease. Like Jehovah's definition of Himself, it is, it has been, and ever will be. Everywhere the same, always the same, forever the same, there is no way out. Poor Human Nature All of these strictures upon poor human nature are exceedingly delightful to our careerists. Every unpleasant social fact, every outrage to our best instincts, every exhibition of incapacity, in- competency, inefficiency, indifference, every example of super- criminal negligence is pardoned as an effect of that universal sin, human nature. Take the case of the statesman and the diplomats who failed to prevent the Great War, though they saw it coming for years, and who should therefore all, Entente as well as Ger- man, American as well as Japanese, be indicted for their criminal negligence, precisely as a physician would be for failure to report and stop the spread of an epidemic disease. All these crimes of omission and commission are excused on the plea that it was all due to human nature, and that what can be blamed on human nature in general can be blamed on no one in particular. Poor human nature! Flagellated on every hand, what are we to do with it? Why is the careerist so numerous and ubiquitous? ATTITUDES TOWARD HUMAN NATURE 11 Why does the slave-soul infiltrate like a cancer the soul of society with its black fluid? Is freedom, the divine idea, nothing but the toy of an orator to the majority, a distant star in the night to a helpless minority? Yet the instinct to freedom, the appetite for freedom, flickers through the centuries as a fitful flame, though snuffed out by every gust of class passion, every wind of mob resentment, and every storm of national jealousy. Though the inferior subnormals multiply into great sheep majorities, and the careerists, like Napoleon, morbid variants, involve millions in their disease, the idea of freedom persists obstinately. Have we any reason for regarding it as other than an illusion? If freedom is an illusion, we must admit the doom of democracy. And no Wagnerian crashes of orchestration mitigate the tragedy of the scene as our eyes are opened to the twilight of our new gods. For what other social methods are there left to us? In the struggle against nature's barriers upon human aspiration for per- fect satisfactions, it looks as though every other method has failed us. In the past, refined aristocracies and benevolent despotisms have failed as miserably as our democracies are now failing and as we are sure crude anarchism and communism would. Their inferiority has thrown them on the scrap heap. As for our present ways of government as a permanent method, the storage of power in the hands of the Clever Few, War burns in the lesson of how little the careerist regards either the subnormal or supernormal. He condemns them all sooner or later to wholesale slavery and carnage. Is man then never to be the architect of his own destiny? Are we to surrender our faith in the future of our kind to the spectacle of a miserable species sentenced by its own nature to self-destruc- tion? We thought to rise upon the wings of knowledge and beauty, lured by the mysteries of color and the magic of design and the might of the intellect and its words, that have trans- figured life into the greatest adventure ever attempted in time and space. But we find ourselves merely another experiment, intricate and rather long drawn out, to be sure, with marvelous pyrotechnics, magnificent effects here and there, but bound to eliminate itself in the end, to make stuff for the museums of the real conqueror of the stars yet to come. We are condemned to be classed with the dodo and the mammoth by the coming dis- coverer of an escape from the slave and careerist. And so let us resign ourselves to fate. Let us eat of the humble bread of 12 THE GLANDS REGULATING PERSONALITY the stoic's consolation in the face of the mocking laughter of the gods, let us admit that Mind in Man has unconsciously but irretrievably willed its own self-annihilation. What remains for us except to beat our breasts and proclaim: So be it, O Lord, so be it? Man as a Transient Yet, true as it is that the human animal has achieved no advance beyond the necessities of his ancestors, nor freed himself from his bondage to their instincts and automatic reflexes, is there no way out anywhere? Is there perhaps some ground for hope and consolation in the thought that we, of the twentieth century, no longer see ourselves, Man, as something final and fixed? Darwin changed Fate from a static sphinx into a chame- leon flux. Just as certainly as man has arisen from something whose bones alone remain as reminders of his existence, we are persuaded man himself is to be the ancestor of another creature, differing as much from him as he from the Chimpanzi, and who, if he will not supplant and wipe him out, will probably segregate him and allow him to play out his existence in cage cities. The vision of this After-man or From-man is really about as helpful to us as the water of the oasis mirage is to the lost dying of thirst in the desert. The outcries of the wretched and miser- able, the gray-and-dreary lived din an unmanageable tinnitus in our ears. Like God, it may be but a large, vague idea toward which we grope to snuggle up against. It seems implicit in the doctrines of evolution. But how do we know that in man the spiral of life has not reached its apex, and that now, even now, the vortices of its descent are not beginning? How do we know that the From-man is to be a Superman and not a Subman? How can we dare to hope that the slave-beast-brute is to give birth to an heir, fine and free and superior? We do not know and we have every indication and induction for the most oppositely contrary conclusions. Life has blun- dered supremely, in, while making brains its darling, forgetting or helplessly surrendering to the egoisms of alimentation. So it has spawned a conflict between its organs, and a consequent impasse in which the lower centres drive the higher pitilessly into devising means and instruments for the suicide of the whole. As War shows plainly to the most stupidly gross imagination, the germs of our own self-destruction as a species saturate our blood. The probability looms with almost the certainty of a ATTITUDES TOWARD HUMAN NATURE 13 syllogistic deduction, that such will be the outcome to our hun- dreds of thousands of years of pain upon earth. In the face of that, speculations upon a comet or gaseous emanations hitting the planet, or the sun growing cold, become babyish fancies. How clearly the possibility is pointed in the discussions about the use in the next War of bacterial bombs containing the bacilli of cholera, plague, dysentery and many others! What influenza did in destroying millions, they can repeat a thousand times and ten thousand times. What else the laboratories will bring forth, of which no man dreams, in the way of destructive agents acting at long distance, upon huge masses and over any extent of territory, is presaged in that single example. But besides thus willing, by an inner necessity, its own annihilation, Life, in the very struc- ture and machinery of its being, seems caught into the entangle- ments of an inescapable net, an eternity-long bondage it can never rip, to flee and remake itself into the immortal image that is its God. And so there go by the board the last alleviations of those un- beatable optimists who would soothe their aching souls with at least the drop of comfort: that if man is a mortal species, with not the slightest prospect of a continuing immortality, not to mention a glorious future and destiny, there are others. Man, after all, may be simply a bad habit Life will succeed in shaking off. No philosophy or religion can afford to be anthropocentric merely. It must include all life and all living things to which we are blood-related. There are other species or latent species to take up the torch that burned poor homo sapiens and ascend the heights. The ant and bee may yet mutate along certain lines that would make them the masters of the universe. But no matter what species or variety gets the upper hand in the struggle for survival and power, the implications of the qualities necessary to victory in conflicts of individual separate pieces of protoplasm will be there. Besides, life is always begot- ten of life. That is why synthetic protoplasm is nothing but a phrase. It is impossible to conceive of something alive, possessed of the property of remembering, that is not possessed of a store of past experiences. You can no more think of getting rid of these unconscious memories of protoplasm than you can think of getting rid of the wetness of water. They are imbedded in the most intimate chemistry of the primeval ameba as well as in our most complex tissues. The memories of the cold lone fish and the hot predatory car- 14 THE GLANDS REGULATING PERSONALITY nivor who were our begetters, may haunt us to the end of time. The bee and the ant, too, have woven inextricably into the woof of their cells the instincts that sooner or later would send their brain ganglia, even when evolved to the pitch of perfection, to elaborating the self-and-species murdering inventions and dis- coveries that are apparently destined to slay us. The powers of unconscious memory and unlearnable technique of reaction to experience, once grooved, thus prove the great gift and the eternal curse of protoplasm. Making it possible for it to be and become what it is and has, they have also made it forever impos- sible for it to be or become its own contradiction. Add to this unsloughable remembrance of the past, for better, for worse, the secretive consciousness of its present needs every living thing, as against every other living thing, is obsessed with. As a peregrinating, finite, spatially limited being, it is separated from all other living beings by inorganic, dead masses, and yet driven to contact with them by a fundamental impulse to as- similate them into itself, and make them part of itself. That as- similatory urge is present in every activity from coarse ingestion as food to the moral metabolism of the hermit-saint who would influence others to do as he. Fate and Anti-Fate In effect the history of Life resembles the life history of the smallest things we know of, the electrons, and the largest, the great suns and stars of space. The electron begins, perhaps, as a swirl in the primeval ether, joins other electrons, forms colonies, cities, empires, elements of an increasing complexity, through stages of a relative stability, like lead or gold. Until it reaches the stage of integration which wills its own disintegration, that we have been taught to look upon with proper awe and reverence as radium. And we are told that nebulae wander until they collide and give birth to stars, stars wander and collide and give birth to nebulae. Life begins as a quivering colloid, goes on painfully to build a brain, which automatically refines itself to jthe point of discovering and using the most efficient methods of destroying others, and by a boomerang effect, itself. Fate I The conception of Fate was a Greek idea. The classic formula for tragedy, the struggle of Man with the sequence of cause and effect within him and without, that is so utterly beyond his grasp and ken, or power to modify, originated with them. But they ATTITUDES TOWARD HUMAN NATURE 15 must also be given the credit for having conceived an idea and started a process which, at first slowly and gropingly, now slip- ping and falling, torn and bleeding among the thorns of the dark forest of human motives, presently goes on, with a firmer, more practiced, more confident step, to emerge into the light as the deliberate Conqueror of Fate. That idea-process, this Anti-Fate is Science. Science began with the adventures of free-thinking speculators, who revolted against religious cosmogonies and superstitions. Sceptics concerning the knowledge that was the accepted mono- poly of the priesthood must have existed in the oldest civilization we know anything of, more than twenty-five thousand years ago, the Aurignacians. But it was to the Greeks that we owe that amalgamation of curiosity delivered of fear, that merger of systematic research and critical thinking untrammelled by social inhibitions which is the essence of modern science. Out of them has come the great Tree of Knowledge of our time, which is, too, the only Ygdrasil of Life, undying because it lives upon successive generations of human brain cells. Science, as the pursuit of the real, began with very small things by men with very small intentions. Inventories, collections of isolated data, something permanent for the mind out of the flux of transient sensations, little tracks and foot paths in the jungle of phenomena, were their goal. With no sense of themselves as the mightiest of master-builders, cultivating humility toward their material at any rate, the little men ploughed their little fields, striking the oil of a great generalization or classification or explanation with no fanfare of trumpets. First as freaks and cranks> then as scholars and pedants, then protected and perhaps stimulated under the competitive royal patronage as societies and academies, they prepared for the harvest. Comparing them to pioneer farmers sowing an undevel- oped territory is really totally inadequate and inaccurate. For the most part, they were like coral makers, laboriously construct- ing, with no vision, certainly no sustained vision, of the whole. To the practical men of affairs, the shopkeepers and traders, the land-owners and ship-owners, the soldiers and sailors, the statesmen and politicians, the people who specialized in maneu- vering human beings and materials, they were, for this futile devotion to abstract knowledge, marked ridiculous and absurd weaklings, mollycoddles, babies, not to be trusted with the de- mands and dangers of public life. 16 THE GLANDS REGULATING PERSONALITY But it so happened remarkably late in history that with the discovery of the possibilities of coal there was a great boom in the demand for industrial machinery. At the same time there were thrown up the most marvelous advances in physics and chemistry. Recurring War became not the clashes of mercenary armies, but the catapulting of whole nations at each other. New destructive devices out of the laboratories were raised into the commandants of the course of history. Then science acquired prestige. Science as King, science as power, looms as the great new figure, the overshadowing novel factor, in practical statesman- ship. Unlike the factor X in the traditional equation, it is the known factor par excellence, the factor by which the value of all the other factors of human life will be ascertained and solved. As knowledge of the conditions determining all life, it stands as the courageous David of the race against the Goliath territory of the uncontrollable and the inevitable, even the unknowable. Human history resolves itself into the drama: Science contra Fate. Quite a change from the vaudeville show of the restless personal ambitions of vindictive fools and greedy scoundrels, the mischief and adventures of half-witted geniuses and licensed rogues that have been figures of the prologue. The future of science has become the future of the race. So much of an inkling of the truth is beginning to be appreciated. That is ordinarily taken to mean that the process by which the Wessex man became the New York and London man, the accumu- lation of accidental discoveries and inspired inventions of scat- tered individuals, will go on, providing a succession of marvels and miracles for the careerist and his retinue. Not only is he to be entertained and served by them, but any commercial value will also be exploited by him. The natural wonders of the labora- tories have taken the place of the supernatural absurdities of the medieval mind as a fillip for the imagination of the man in the street. Even spiritualism apes the technique of the physicist. The credulity of reporters alone concerning developments in surgery, for example, is incredible. There is enough rot published daily for a brief to be made out against the idolatry of science. The Religion of Science Science also as a religion, as a faith to bind men together, as a substitute for the moribund old mythologies and theologies which ATTITUDES TOWARD HUMAN NATURE 17 kept them sundered, is commencing to be talked of in a more serious tone. The wonder-maker may have forced upon him, may welcome, the honors of the priest, though he pose as the humble slave of Nature and her secrets. Presently the founda- tions and institutes, which coexist with the cathedrals and churches, just as once the new Christian chapels and congregations stood side by side with pagan temples and heathen shrines, may oust their rivals, and assume the monopoly of ritual. Should its spirit remain fine and clear, should it maintain the glorious promise of its dawn, should its high priests realize the perpetually widening intimations of its universal triumph, and escape the ossi- fication that has overtaken all young and hopeful things and institutions, the real foundation for a future of the species would be laid, and so its ultimate suicide prevented. The time has gone by, however, for any complacent assurance that the redemption of mankind is to be attained by a new religion of words. There is no doubt that the damnation or salva- tion of an individual has often been determined by a religious crisis, in which the magic of words have worked their witchery. There is plenty of evidence that a psychic conversion will effect an actual revolution in the whole way of living of the victim or patient, as you like it. William James, in his "Varieties of Religious Experience," established that pretty definitely. When it comes to groups, races, nations, the outlook is wholly different- There is a conflict of so many and diverse habits and interests, beliefs and prejudices, that hope for some common merely intel- lectual solvent for all of them is rather forlorn. If at all, the resolution of the conflict will come by a pooling of actual powers and interests, in which the religion of science will play the great part of the Liberator of mankind from the whole system of tor- ments that have made the way of all flesh a path of rocks along which a manacled prisoner crawls to his doom. Science and Human Nature Science has a future. The religion of science has a future. Can science assure us that human nature, in spite of its beast- brute-slave origins holds the possibility of a genuine transforma- tion of its texture? Can Fate's stranglehold upon us be broken? There will be certainly a tremendous, an overwhelming increase in the general stock of informations we call physics and chemistry and biology. An abundance of new comforts, novel sensations, 18 THE GLANDS REGULATING PERSONALITY fresh experiences, and breath-bereaving devices that will thrill or heal, will follow of course in their wake. The religion of science will infiltrate and penetrate and permeate by its capillary action the barbaric superstitions, the ridiculous rites, the un- sanitary insanities of our social systems. But what about the poor human soul itself, with its inherent vices and virtues, its fears and indulgences, audacities and nobili- ties, jealousies, shames, blunders, incurable likes, cravings and diseases? Can science change the texture of the slave and careerist, if they represent the subnormal and the abnormal? What about the Becky Sharps, the Mark Tapleys, and Tom Pinches, not to speak of the Nicholas Nicklebys and the Hamlets, the Micawbers and the Falstaffs? What future have they as they recur in the generations? Indeed, does not the very fact of their recurrence, of them and of the hundreds of other types and temperaments, point implacably to the conclusion to which the historian, the philosopher and the biologist have driven us: that in the grip of an endless chain of pasts the human soul has no future? That may appear an irrelevant, an immaterial, and an incom- petent question to our men of business and affairs. Human nature, as fallen angel or ape parvenu, has always looked upon itself as fixed for eternity. "Human nature never changes, and is everywhere and always will be the same." "As a man is built." "Bred in the bone." These are the axioms of our social and economic Euclids. Indeed, Man, assuming that his nature is as uncontrollable as the course of the stars, has limited his research into the substance of freedom to a groping for an understanding of the adequate external conditions of liberty. Thus he set himself another of the insoluble problems he seems to delight in by neglecting the most important factor in the equation. Yet the invisible soul of man, ignored, as a variable, varying quantity, has upset all societies and constitutions, and all schemes of bond- age as well as of freedom. For freedom, it becomes obvious as soon as it is clearly stated, is sheer impossibility until the internal conditions of his nature are ascertained, and the way paved for their control. A simple illustration of the working of this principle is supplied by our democracies, grossly pretenders. How can a democracy be pos- sible without a knowledge of the control of the individually and socially subnormal, who, since they offer themselves to exploita- ATTITUDES TOWARD HUMAN NATURE 19 tion by the careerists, prove themselves the weak links in the chain of co-operation with an equal opportunity for all, that is the : democratic ideal? In what does the equality or inequality of men consist? Just what are the qualities necessary for successful competition, or if you will, co-living, of man with his fellow-men, and how and why do they operate? No freedom, independent of the servile repetitions of history and heredity, is conceivable I until these inquiries have been elaborately carried out toward a certain working finality. The Promises of Eugenics There are, to be sure, the claims and assertions and negative i achievements of the youngest of the sciences, eugenics. They are invincible optimists, the eugenists: it is perhaps a case of a ! virtue born of necessity. Thus Francis Galton, in the preface \ to the "Bible of Eugenics," his essays on Hereditary Genius, de- ; clares: "There is nothing either in the history of domestic animals [ or in that of evolution to make us doubt that a race of sane men may be formed who shall be as much superior, mentally and morally, to the Modern European, as the Modern European is to j the lowest of the Negro races." High hopes beat in this declara- tion. But Galton could not have foreseen that the signing of a scrap of paper by one of the Modern Europeans would let loose all the other Modern Europeans in a pandemonium of horrors | the lowest of the Negro races could not but envy as a master- | piece of its kind. It seemed to be suspiciously easy for him to j| accept an excuse to slide down the dizzy height he had climbed f from the African level. The eugenists would put their trust in the encouraged breeding of the best and the compulsory sterility of the rest. But what is the best, and who are the best, and where will you find them when they are not inextricably emulsified with the worst? It's a long, long way to the day of a segregating out and in of Mendelian unit-characters. Besides, this is a strange world of choices. No- body is to be considered worthy of parenthood until he has fallen in love properly. Nobody who would permit an outsider's deci- sion as to when he was properly in love would be worth thirty cents as a parent. There is the ultimate dilemma of the eugenist — the dilemma which destroys forever the dream of a control of parenthood from the point of view of merely psychic values. 20 THE GLANDS REGULATING PERSONALITY New Psychology There are the claims and outcries and promises of the psychologists — the specialists in the probing of the human soul and human nature. In our time, the demand for a dynamic psychology of process and becoming, psychology with an energy in it, has split them into two schools — the emphasizers of instinct and the subconscious, the McDougallians, and the pleaders for sex and the unconscious, the Freudians. A synthesis between these two groups is latent, since their differences are those of horizon merely. For the McDougallians look upon the world with two eyes and see it whole and broad — the Freudians see through their telescope a circular field and exclaim that they behold the universe. It is true that they own a telescope. But what has either to offer our quest for light on the future of the species? Nothing very much. Thus, to turn to the dis- ciples of McDougall. In a recent volume entitled, "Human Nature and its Remaking," Professor William Ernest Hocking of Harvard contends that Man, all axioms about his nature to the contrary, is but a creature of habit, and so the most plastic of living things, since habit is self-controlled and self-determined. By the self-determination of the habits of the race will the new freedom be reborn. It sounds old, very old. And pathetic be- cause it recognizes original and permanent ingredients of our composition in the words pugnacity, greed, sex, fear, as elements to be accepted in any system of the principles of civilization. It is the bubble of education all over again. What in our cells ia pugnacity? What in our bones is greed? What in our blood is sex? What in our nerves is fear? Until these inquiries are respected, conscious character building or even stock breeding must remain the laughing stock of the smoking rooms and the regimental barracks. Come the Freudians. To them we owe the aeroplanes to a new universe. They have opened up for us the geology of the soul. Layer upon layer, cross-section upon cross-section have been piled before us. And what a melodramatic cinema of thrills and shivers, villains and heroes, heroines and adventuresses have they not unfolded. Each motive, as the stiff psychologist of the nine- teenth century, with his plaster-of-Paris categories and pigeor holes and classifications, labelled the teeming creatures of th> mind, becomes anon a strutting actor upon a multitudinous stage, and an audience in a crowded playhouse. Scenes art ATTITUDES TOWARD HUMAN NATURE 21 enacted the febrile fancy of a Poe or a de Maupassant never could have conjured. The complex, the neurosis, the compulsion, the obsession, the slip of speech, the trick of manner, the devotion of a life-time, the culture of a nation all furnish bits for the Freudian mosaic. Attractions and inhibitions, repulsions and suppressions are held up as the ultimate pulling and pushing forces of human nature. But is the problem solved? Is not human nature primarily animal nature? And do we so thoroughly understand this animal nature? Does not all this material of Freudianism consist of variations upon social burdens imposed on the original human nature? To be sure, at every moment of life, choices have to be made, and choice involves the clashing of instincts and motives, with victory for one or some, and defeat for the others. But the Freudian material per se — the sex material — is it not merely the by-product of a certain state of society? A sane society would eliminate nearly all of Freudian disease, but still have original human nature upon its hands. Why is it that of two individuals exposed to the same situation, one will develop a complex, the other will remain immune? The only soil we know of, the real foundation stones of our being and living, are the cells we are made of. Tell me the cellular basis of a complex, and I will grant that you have arrived at some real knowledge. Way for the Physiologist There has grown up, contemporaneously with the teachings of Freud, a body of discoveries and knowledge in physiology, con- cerning these factors, which is like a long sword of light illumi- nating a pitch-black spot in the night. The dark places in human nature seem to have become the sole monopoly of the Freudians and their psychology. But only seemingly. For all this time the physiologist has been working. Beginning with a candle and now holding in his hands the most powerful arc-lights, he has explored two regions, the sympathetic nervous system and the glands of internal secretion, and has come upon data which in due course will render a good many of the Freudian dicta obso- lete. Not that the Freudian fundamentals will be scrapped com- pletely. But they will have to fit into the great synthesis which must form the basis of any control of the future of human nature. That future belongs to the physiologist. Already his achieve- ments provide the foundations. I propose in the following chap- 22 THE GLANDS REGULATING PERSONALITY ters to sketch the history and outline the elements of this new knowledge, and then to glimpse some of the larger human reac- tions to it. A good deal of this new knowledge is not altogether new. A number of the isolated facts have been known and talked about for more than two generations. But the newer additions, and the light they have thrown upon old problems present the opportunity for a synthesis, which must sooner or later be made. The Chemistry of the Soul Besides, it is time that the secrets of the laboratories stepped out into the market place, unashamed. Imaginative man has played for ages immemorial with wondrous fairy tales and fan- cies of what he would achieve. The sciences of physics and chemistry have made every-day commonplace realities out of his radiant dreams. One need not repeat the cliches of our editors. But the analogy is there nevertheless. No control over heat and light and electricity, today our slaves, was possible until physics and chemistry took them in hand. No control of the human soul is possible until it too will be taken in hand by them. We may now look forward to a real future for mankind because we have before us the beginnings of a chemistry of human nature. The internal secretions, with their influence upon brain and nervous system as well as every other part of the body corporation, as essentially blood-circulating chemical substances, have been dis- covered the real governors and arbiters of instincts and disposi- tions, emotions and reactions, characters and temperaments, good and bad. A huge complex of evidence, as various, complicated and obscure as human nature itself, supports that fundamental law. The chemistry of the soul! Magnificent phrase! It's a long, long way to that goal. The exact formula is as yet far beyond our reach. But we have started upon the long journey and we shall get there. Then will Man truly become the experimental animal of the future, experimenting not only with the externa] conditions of his life, but with the constituents of his very nature and soul. The chemical conditions of his being, including! the internal secretions, are the steps of the ladder by whicr he will climb to those dizzy heights where he will stretch ou1 his hands and find himself a God. < Modern knowledge of thes< chemical substances, circulating in the blood, and affecting even ATTITUDES TOWARD HUMAN NATURE 23 cell of the body, dates back scarce half a century. But already the paths blazed by the pioneers have led to the exploration of great countries. The thyroid gland, the pituitary gland, the adrenal glands, the thymus, the pineal, the sex glands, have yielded secrets. And certain great postulates have been estab- lished. The life of every individual, normal or abnormal, his physical appearance, and his psychic traits, are dominated largely by his internal secretions. All normal as well as ab- normal individuals are classifiable according to the internal secretions which rule in their make-up. Individuals, families, nations and races show definite internal secretion traits, which stamp them with the quality of difference. The internal secretion formula of an individual may, in the future, constitute his meas- urement which will place him accurately in the social system. "More and more we are forced to realize that the general form and external appearance of the human body depends, to a large extent, upon the functioning, during the early developmental period, of the endocrine glands. Our stature, the kinds of faces we have, the length of our arms and legs, the shape of the pelvis, the color and consistency of the integument, the quantity and regional location of our subcutaneous fat, the amount and distri- bution of hair on our bodies, the tonicity of our muscles, the sound of the voice, and the size of the larynx, the emotions to which our exterior gives expression. All are to a certain extent iconditioned by the productivity of our glands of internal secre- tion." (Llewellys F. Barker, Johns Hopkins University, 1st President of Association for Study of Internal Secretions.) The implications for the statesman, the educator, the voca- lonal expert, the student of the neurotic and of genius, of elinquents, deficients and criminals, the explorers of the excep- tional and the commonplace, the understanding of the poetic and rinetic, base and dull types, as well as of those two master inter- sts of mankind, Sex and War, are manifest. The mystery of he individual, in all his distinct uniqueness, begins to be pene- rated. And so every phase of social life, in which the individual s at bottom the final determinant, must be reviewed in the light f the new knowledge. History may be examined from an en- irely new angle. The biographies of our Heroes of the Past, in he Carlylean sense, will bear reinspection. Even Utopias will ave to be revised. The internal secretions constitute and determine much of the lherited powers of the individual and their development. They 24 THE GLANDS REGULATING PERSONALITY control physical and mental growth and all the metabolic proc- esses of fundamental importance. They dominate all the vital functions during the three cycles of life. They co-operate in an intimate relationship which may be compared to an interlocking directorate. A derangement of their function, causing an in- sufficiency of them, an excess, or an abnormality, upsets the entire equilibrium of the body, with transforming effects upon the mind and the organs. . In short, they control human nature, and who- ever controls them, controls human nature. The control of the glands of internal section waits upon our knowledge of them, the nature and precise composition of the substances manufactured by them, and just what they do to the cells. Envisaging the future, that knowledJfctoday is meagre. Looking back fifty years, it becomes an amaziflg" achievement and revelation. It is worth our whilejjW survey the accomplished, and to trace its general hunrerPsignificance. For a certain tangible degree of knowledge ^pl control has been attained and should be part of the average citizen's equipment in dealing with the everyday problems of his life. The Attitude of the Laboratory A certain number of so-called experimental physiologists, tha is, the physiologists of the animal laboratory, who will have noth- ing but syllogistic deductions and quantitative determination based upon animal experiments as the data of their science, wi be apt to look askance upon the preceding paragraphs, and th which will follow. To them, any man who relates the inte: secretions to anything, outside of the routineer's paths, puts reputation at stake, if he has any reputation at all to start with. They would have us deliver a Scotch verdict upon all t questions which arise as soon as one attempts to take in tl more general significance of the glands of internal secretion. Thi even though the more general implications concerning the effec of their products, the relations of them to growth and develoj ment, nutrition and energy, environmental reactions and resis ance to disease, as well as the grand complex of intelligence, a admittedly well ascertained in some directions. The method of absolute measurement in science has yield miracles. For some thousands of years, an isolated inc vidual, here and there or an isolated institution have devot themselves to the task, struggling not only with their own wea ATTITUDES TOWARD HUMAN NATURE 25 nesses, but with religious and political dogmas which spoiled and vitiated even the beginnings of their efforts. When, in the seven- teenth century, men associated themselves in research, for free communication and discussion of their findings, a great invention came alive. Close on its heels was born the exact experimental method. Amazing triumphs were born of that marriage which swept away before it ignorance and superstition and prejudice. Its children and grandchildren have flourished and grown strong and mighty. They have transmuted the material conditions of life. Certainly all the laurels belong to the method of absolute, measured observations. Yet all this time the old method of inductive observation has not gone dead. Most magnificent triumph of nineteenth century science, the evolution theory of Charles Darwin, remains the most conspicuous instance of clarification of thought in human history. That work was the outcome of an attempt to relate and interpret a collection of observations on species and their variations, that had long lain to hand, a mixture without a solvent. Darwin saw certain generalizations as solvents, and behold! a clear solution out of the mud. But it was by piling evidence upon evidence, co-ordinating isolated facts not directly associated, that the towering structure was erected. There is no prettier sample extant of the powers of the inductive method. Not that there are no triumphs of the quantitative method in store for the biologist. Already, the materials of the Mendelians have become basic parts of his structure. And today, in pursuit of the solutions of hundreds of the problems of living matter, chemists and physiologists are employing the most precise stand- ards, units, and measures of the physical sciences. Blood chem- istry of our time is a marvel, undreamed of a generation ago. Also, these achievements are a perfect example of the accom- plished fact contradicting a priori prediction and criticism. For it was one of the accepted dogmas of the nineteenth century that the phenomena of the living could never be subjected to accurate quantitative analysis. However desirable the purely quantitative experimental methods may be, they naturally need always to be preceded by the qualitative studies of direct observations. Inevitably there will be numberless errors, apparent and real inconsistencies and contradictions, and ideas that will have to be discarded. Just the same there is no other method of progress. Every bit of evidence points towards the internal secretions as the holders of 26 THE GLANDS REGULATING PERSONALITY the secrets of our inmost being. They are the well springs of life, the dynamos of the organism. In trailing their scent we appear to be upon the track not only of the chemistry of our bodies, but of the chemistry of our very souls. An increasing host of facts and studies marshal themselves solidly for that declaration. Endeavor to conceive the consequences and possibilities for the future. A synthesis of the known in the field provides even now means of understanding and control of the perplexities of human nature and life that are like a vista seen from a mountain top after the lifting of a fog. The most precious bit of knowledge we possess today about Man is that he is the creature of his glands of internal secretion. That is, Man as a distinctive organism is the product, the by- product, of a number of cell factories which control the parts of his make-up. Much as the different divisions of an automobile concern produce the different parts of a car. These chemical factories consist of cells, manufacture special substances, which act upon the other cells of the body and so start and determine the countless processes we call Life. Life, body and soul emerge from the activities of the magic ooze of their silent chemistry precisely as a tree of tin crystals arises from the chemical reac- tions started in a solution of tin salts by an electric current. Man is regulated by his Glands of Internal Secretion. At the beginning of the third decade of the twentieth century, after he had struggled, for we know at least fifty thousand years, to define and know himself, that summary may be accepted as the truth about himself. It is a far-reaching induction, but a valid induction, supported by a multitude of detailed facts. Amazingly enough, the incontestable evidence, that first pointed to, and then proved up to the hilt, this answer to the question: What is Man? has been gathered in less than the last fifty years. Darwin and Huxley, and Spencer, who first opened men's eyes to their origins, were ignorant of the very existence of some of them, and had not the faintest notion or suspicion of the real importance or function of any of them. The Prejudices of Philosophers Now, there are certain prejudices and problems which appear rudely brushed away by the dogmatic arrogance of the principle lUted What, you say, is Man but an affair of his peculiar gland chemistry? But what of mind, soul, conscious- ATTITUDES TOWARD HUMAN NATURE 27 ness? Still another of these pathetically one-sided and superficial theories of man as a machine pure and simple which would make him the most complicated of mechanisms, a marvel of intricate parts, but would deprive him of his essence as self- conscious unique in the universe. Man, thinking man, at any rate, dreads to lose the cherished impregnable conviction that he is something apart, inherently, and therefore infinitely different from every other phenomenon in the range of his cosmos. A thorough dissection of the relation and attitude toward psychic material of the consistent physiologist, who refuses to deal in contradictory terms, would lead us a little too far. So would the reconciliation between the claims of mind and the concept of the organism as a system of chemical reactions. The most fundamental aspects of that herculean task, warned by the sign, No Trespassing, we shall leave to the metaphysicians. The influence of the glands of internal secretion upon the mind we must consider, but at present postpone. Yet the hot-headed con- tenders on both sides may be reminded of certain facts. We live in the most iconoclastic of ages. There are sane people alive today going quietly about their business who deny the very existence of consciousness. These heretics of course pooh-pooh absolutely the lions of metaphysics. On the other hand, it may be pointed out to our mechanists who believe in mechanism to the bitter end, that even if man can be described entirely as a mere transformer of energy, there is no reason why he cannot also be described as a transformer of energy plus someone who makes use of the transformer and of the energy transformed. The stone wall before the honest mechanist is the abolition of purpose, and design, an old insoluble problem upon his premises. Preach, until you are blue in the face, behaviorist tropisms, in which man is pushed and pulled about in his environ- ment as are iron filings in a magnetic field. Think up objective physiologies in which your life and mine become a series of con- catenated influences and compound reflexes. Play with words like the concentration reflex when you mean idea, and the sym- bolic reflex when you mean language. But your most rigid nomenclature will never abolish the mystic personal purpose in the equation, no matter how low the step in the animal series to which you descend. The declaration that a man is dominated by certain glands within his body should not be taken to give aid and comfort to those who would banish mind from the universe. CHAPTER I HOW THE GLANDS OF INTERNAL SECRETION WERE DISCOVERED Just what are the glands of internal secretion? And how have we become possessed of whatever information about them we have? A brief review of how the idea of a gland of internal secre- tion came into the human mind and of the contributions that have converged into a single body of knowledge i3 worth while. A gland is a collection of cells (those viscous globules which are the units of all tissues and organs). It manufactures sub- stances intended for a particular effect upon the body economy. The effect may be either local or upon the body as a whole. Originally, a gland meant something in the body which was seen to make something else, generally a juice or a liquid mix- ture of some sort. A classical example is the salivary glands elaborating saliva. The microscope has shown us that every gland is a chemical factory in which the cells are the workers. The product of the gland work is its secretion. Thus the sweat glands of the skin secrete the perspiration as their secretion, the lachrymal glands of the eyes the tears as theirs. The collec- tivism of management and control is the only essential difference between them and the modern soap factory or T.N.T. plant. Man as a carnivor, and as a consequent anatomist, has been acquainted with these more superficially placed glands for some thousands of years. During all this time and during the epoch of the achievements of gross anatomy, it was believed that the 'ions of all glands were poured out upon some surface of the body. Either an exterior surface like the skin, or some in- terior surface, the various mucous membranes. This was sup- 1 by the discovery of canal-like passage ways leading from !:u)(l to the particular surface where its secretion was to'- act. These corridors, the secretory or excretory ducts, are pres- ent, for example, in the liver, conducting the bile to the small intestine. Devices of transportation fit happily into a com- parison of a gland to a chemical factory, corresponding thus closely to the tramways and railroads of our industrial centers. HOW THE GLANDS WERE DISCOVERED 29 Little more than a hundred years ago, it was observed that certain organs, like the thyroid body in the neck, and the adrenal capsules in the abdomen, hitherto neglected because their func- tion was hopelessly obscure, had a glandular structure. As in so much scientific advance, the discovery or improvement of a new instrument or method, a fresh tool of research, was responsible, The perfection of the microscope was the reason this time. If one wishes to trace the idea of internal secretion by cells to an individual, it is convenient, if not pedantic, to give the credit to Theophile de Bordeu, a famous physician of Paris in the eighteenth century. Bordeu came to Paris as a brilliant pro- vincial in his early twenties and by the charm of his manner and daring therapy fought his way to the most exclusive aristo- cratic practice of the court. Naturally a courtier, taking to the intrigues of the royal court like a duck to water, making enemies on every hand as well as friends, and with a fastidious and impatient clientele, he yet found time to dabble in the wonders of the newly perfected microscope and to speculate upon the meaning of the novelties revealed by it in the tissues. He coined the thought of a gland secretion into the blood. It was in the year 1749 that he came to Paris from the Pyrenees, a young medical graduate, destined to become the most fashionable practitioner of his time. At the age of twenty-three he was holding the professorship of anatomy at his alma mater, Montpelier, where his father was a successful physician. At twenty-five he was elected corresponding member of the Royal Academy of Sciences. A handsome presence and a Tartarin de Tarascon disposition assured his success from the start. The medical world was then composed of the emulsion of charlatanry and science Moliere ridiculed. Success stimulated envy and jealousy. One of the richest of the older medical men set himself the job of procuring his scalp. On a trumped-up charge of steal- ing jewels from a dead patient — a favorite, accusation against the doctors of the eighteenth century — he had Bordeu's license taken away from him. The good graces of certain women to whom Bordeu had always appealed, and who indeed supplied the funds to get him started in Paris, rammed through two acts of Parliament to reinstate him. Nothing daunted, he returned to his quest for a court clientele, and was rewarded finally by having the moribund Louis XV as a patient. This was the man with whom the modern history of the in- ternal secretions begins. Not content with adventures among the 30 THE GLANDS REGULATING PERSONALITY courtiers and desperadoes of the most corrupt court in the most corrupt city of the world, he went in for research. The high power microscope that came into vogue when he was studying, revealed vague wonders which he described in a monograph, "Re- searches into the mucous tissues or cellular organs." But what makes him interesting is a slender volume on the "Medical Analy- sis of the Blood," published in the year of the American Declara- tion of Independence. The sexual side of men and women aroused Bordeu's most ardent enthusiasms. Starting with observations on the characters of eunuchs and capons, as well as spayed female animals, he formulated a conception of sexual secretions absorbed into the blood, settling the male or female tint of the organism and setting the seal upon the destiny of the individual. Thus he must be donated the credit of anticipating the most modern doctrine on the subject. The generation after him witnessed the triumph of the cell as the recognized unit of structure of the tissues, the brick of the organs. It was soon found that the cells of the more familiar glands, like the sweat or tear glands, resembled the cells of the more mysterious structures named the thyroid in the neck, or adrenal in the abdomen, of which the function was unknown. What had hitherto prevented classification of the latter as glands was the fact that they possessed no visible pathways for the removal of their secretion. So now they were set apart as the ductless glands, the glands without ducts, as contrasted with the glands normally equipped with ducts. Since, too, they were observed to have an exceedingly rich supply of blood, the blood presented itself as the only conceivable mode of egress for the secretions packed within the cells. So they were also called the blood or vascular glands. The names which became most popular were those which represented a contrast of the glands with the ducts, conveying their secretion to the exterior, as the glands of external secretion and the glands without the ducts, the secretions of which were kept within the body, absorbed by the blood and lymph to be used by the other cells, as the glands of internal SECRETION. How different these two classes of glands are may be realized by imagining the existence of great factories manufacturing food products, which would diffuse through their walls into the atmosphere, to be absorbed by our bodies. re are certain terms for the glands of internal secretion HOW THE GLANDS WERE DISCOVERED 31 which are used interchangeably. They are spoken of often as the endocrine glands and as the hormone producing glands. Endocrine is most convenient for it stands for both the gland and its secretion. Hormone is employed a good deal in the lit- erature of the subject. But it applies specifically to the internal secretion, and not to the gland. The Experimental Pioneer All this clarification of the concept of the glands of internal secretion occurred in the first quarter of the nineteenth century. However, no inkling of their real importance to the body, of which quantitatively they form so insignificant a part, was ap- parently revealed to anyone. Not even the most daring specula- tion or brilliant guess work in physiology engaged them as material. Thus Henle, the great anatomist, calmly affirmed that these glands "have no influence on animal life: they may be extirpated or they degenerate without sensation or motion suffer- ing in the least." Johann Miiller, the most celebrated physiologist of his day and contemporary of Henle, wrote in 1844 and coolly stated, "The ductless glands are alike in one particular — they either produce a different change in the blood which circulates through them or the lymph which they elaborate plays a special role in the formation of blood or of chyle." In other words, they were dismissed as curious nonentities, of no real significance to the running of the body. Laennec, the French founder of the Art of Diagnosis in Medicine, once said that nothing about a science is more interesting than the progress of that science itself. He might have added that nothing either was more interesting than the contradictions in that progress. For while these grand moguls of their sciences were enunciating their dogmas, pioneers here and there were already setting the mines that were to explode them. The experimental method, to the value of which biologists were just beginning to awaken, was destined to be the vehicle of Time's revenges. An application of it to the mysteries of sex was the immediate occasion. Sex and sex differences have always more or less obsessed the imagination of mankind. The volumes of theories about them would constitute a respectable museum. Certain gross facts, however, were known. 'fhe effects of loss of the sex glands upon the configuration of the body and the predominating constitution in animals and eunuchs have always 32 THE GLANDS REGULATING PERSONALITY attracted attention. The proverbs and stories of all nations are full of references to them. But up to the nineteenth century no controlled experimental work was ever carried out regarding i. It was in 1849, that A. A. Berthold of Gottingen, a quiet, re lecturer, carried out the pioneer experiment of removing the testes of four roosters and transplanting them under the ^kin. It was Berthold's idea to test whether a gland with a definite external secretion, and a duct through which that secre- tion was expelled, but which yet had powers over the body as a whole that were to be attributed only to an internal secretion, could not be shown, by a clean-cut experiment, to possess such an internal secretion. He succeeded perfectly. For he found that, though, in thus separating the gland from its duct and so cutting off its external secretion, the action of the cells manufac- turing that secretion was destroyed, the general effects upon the body were not those of castration. The animals retained their male characteristics as regards voice, reproductive instinct, fight- ing spirit and growth of comb and wattles. Whereas if the glands were entirely removed, these male traits, peculiar to the rooster, were completely lost. The inference was the existence of an internal secretion. To Berthold belongs the honor of being the first experimental demonstrator who proved the reality of a gland with a true in- ternal secretion and the power it exercised through the blood upon the entire organism. Besides, he showed that a typical gland of external secretion could also have an internal secretion, a possi- bility never before considered. That two kinds of cells could live within the same gland: one set usually recognized as pro- ducing the external secretion, the other evolving the internal secretion, was an astounding original conception. Enter Claude Bernard Science is supposed to be immune to the personal prejudices and emotional habits of the vulgar. It is the tradition that a new contribution to knowledge emerging from no matter how obscure the source, should be hailed as a gift from the gods. But the sad truth of the matter is that a new finding in science requires as much backing as a new project in high finance or social climbing. Berthold, like Mendel, the founder of genetics, was a great pioneer. But there was no personage, no person of consequence, with no patronage by anyone of consequence, nQ HOW THE GLANDS WERE DISCOVERED 33 wife or kin, to push him, and no audience to stimulate him. His poor four little pages of a report, published ten years before Darwin's "Origin of Species," attracted not the slightest notice. Buried in the print of a journal with a subscription list of pos- sibly two or three hundred, of whom perhaps two dozen may have been interested enough to read it, but without any recorded reaction on the part of any of them, it was a flash in the pan. Though it was good, original, conclusive stuff, it was cut dead, absolutely, by the scientific world. As a result, forty years elapsed before the implications of his studies were rediscovered by the Columbus of the modern approach to the internal secre- tions, the American Frenchman, Brown-Sequard. It took a first class man of genius in his field, in Paris, with a respected position in the whirl of its medical planetary system and a university appointment, to boom and advertise the doc- trine of the internal secretions, so that people began to sit up and listen and take sides — on the wrong grounds. This French- man was Claude Bernard. At a series of lectures on experi- mental physiology delivered at the College of France, in 1855, he coined the terms internal secretion and external secretion and emphasized the opposition between them, on the basis of an in- correct example, the function of the liver in the supply of sugar to the blood. Just as Columbus reached America, carried on a series of logical syllogisms, built upon unreal pictures of a straight .path to the East, Claude Bernard opened up the continent of the internal secretions to the experimental enthusiasts of his time by a discovery which today is not grouped among the phenomena of internal secretion at all. In attempting to throw light upon the disease diabetes, in which there is a loss of the normal ability of the cells to burn up sugar, he examined the sugar content of the blood in different regions of the body. He found that the blood of the veins, in general, contained less sugar than the blood of the arteries, which meant that sugar was taken from the blood in passing through the tissues. But the venous blood of the right side of the heart contained as much sugar as the arterial blood. Evidently, somewhere, sugar was added to the blood in the veins before it got to the heart. The blood of the vein which goes from the liver to the right side of the heart was then found to contain a higher percentage of sugar than is present in the arteries. The vein which transmits the blood from the intestines to the liver had the usual lower percentage of 34 THE GLANDS REGULATING PERSONALITY sugar corresponding to the analysis established for the other 5. The liver, therefore, must add sugar to the blood on its way to the heart. Extraction of the liver then revealed the presence in it of a form of starch, an animal starch, which Ber- : called glycogen, the sugar-maker. The origin of the sugar added to the blood on its way from the liver to the heart was settled. Bernard went on to hail glycogen and the sugar derivable as the internal secretions of the liver, and to erect, and then drive home, a theory of internal secretions and their impor- o in the body economy. The case he had hit upon was exquisitely fortunate, as the liver had hitherto been regarded purely a gland of external secretion, the bile. Nowadays, glycogen and the blood sugar are not considered internal secretions, because they are classified as elementary reserve food, while the concept of the internal secre- tions has become narrowed down to substances acting as starters or inhibitors of different processes. Moreover, the process of liberation of sugar from glycogen itself in the liver, upon demand, is today set down to the action of an internal secretion, adrenalin. Claude Bernard's conception, like a novelist's characters, has turned upon its creator, taken on a life of its own, and evolved into something he never intended. He looked upon an internal Mon as simply maintaining the normal composition of the blood, which bathed alike and treated alike the democracy of cells. Today, the blood is believed merely the transporting medium for the internal secretion, destined for a particular group of cells. Addison's as the First English Contribution The years 1855-56 are red-letter years in the history of the plands of internal secretion. They witnessed, not only the pub- lication of Claude Bernard's "Lectures on Experimental Physi- ology," but also the appearance of a monograph by Thomas Addison, an English physician, entitled "On the constitutional Mid local effects of disease of the suprarenal bodies." In this, he described a fatal disease during which the individual affected ! inguid and weak, and developed a dingy or smoky ion of the whole surface of the body, a browning or \ of the skin, caused generally by destructive tubercu- ase of the suprarenal or adrenal bodies. Addison i'tly put down these constitutional effects of loss of the HOW THE GLANDS WERE DISCOVERED 35 adrenal bodies to loss of something produced by them of con- stitutional importance. He was particularly struck by the change in the pigmentation of the skin, so much so that his own designation for the affection was "bronzed skin." Since then, however, the condition has been universally styled Addison's Disease. There is something spectacularly mysterious and picturesque about most of the malign, insidious effects of the disease which appealed at once to a number of investigators. The most adven- turous, the most daring, the most imbued with enthusiasm for the experimental method, was the American Frenchman, Brown- Sequard, who is acknowledged the father of modern knowledge of the glands of internal secretion, though to Claude Bernard belong the honors of the grandfather. Brown-Sequard the Great Brown-Sequard, as the outstanding figure in the history of the glands of internal secretion, deserves some notice as a person- ality. In the words of the note-makers for novels and plays, he was a card. He was born in 1817 at Port-Louis, on the island of Mauritius, off Africa, then French property. His father was a Mr. Brown, an American sea captain; his mother a Mme. Sequard, a Frenchwoman. Early in childhood, the father sailed away on one of his voyages and never came back. The mother thereafter supported herself and her son sewing embroideries. At fifteen, Brown-Sequard, with the physical appearance of an Indian Creole, was clerking in a colonial store by day, and com- posing poetry, romances arid plays by night. The call of Paris was in his blood, which was indeed a supersaturated solution of wanderlust. Soon he was landed there to make his fortune in literature, only too speedily to be disillusioned. Exhibition of manuscripts to a leading literary light merely evoked curt advice to learn a trade or go into business. He would have none of either and studied medicine instead, earning his way by teaching as he learned. In the laboratories, he made the acquaintance of people who more than once were to be his salvation in the ups and downs of his career. In 1848 he was one of the secretaries of the Society of Biology, newly founded by Claude Bernard. Some trouble, perhaps some effect upon his health of cholera which then swept Paris, caused him to return to his native 36 THE GLANDS REGULATING PERSONALITY Mauritius, to encounter an epidemic of cholera. There he slaved manfully, for which a gold medal was afterward struck for him. That over with, he embarked in 1852 for New York, without a word of American, learning English on board. This was the first of a series of voyages. As he often boasted, he crossed the ocean sixty times, not a bad record for the days when the Mauretania was still in the womb of time. He made a hopeless failure out of practice in New York, became so poor as to practice obstet- rics at five dollars a case, and married a niece of Daniel Webster. Then he went back to Paris. Back to America next as Professor of Physiology at the University of Richmond, Virginia, a job occupied for a few months only because of his opinions on slavery, ostensibly anyhow. To Paris then the rolling stone meandered again. So that soon after he was offered and accepted the charge of a great newly opened hospital for epileptics in London. That proved merely an interlude and in 1863 we find him back in his father- land (if we may hold France his motherland) as Professor of Neuropathology at Harvard. In New York fame preceded him now with a thousand trumpets, so that on the day of his arrival, he was kept busy seeing patients until night, when he had to desist because of exhaustion. But still he did not prosper. An unfortunate second marriage almost broke his heart, and an at- tempt to found in New York a new medical periodical, the Archives of Scientific and Practical Medicine and Surgery, got him into hot water. Not until the death of Claude Bernard in 1878 left vacant the chair of physiology in the College of France, did he find peace and rest. He hastened to Paris, was appointed, and lived, in spite of the most erratic of existences, to the ripe old age of 78, working up to the last minute. Addison's monograph stimulated Brown-Sequard, in the year after its printing, to reproduce the fatal disease experimentally by excising the suprarenal capsules in animals. Addison was very modest in his monograph. He stated that the first case of the malady had been reported by his great predecessor at Guy's Hospital, London, Richard Bright, the describer of Bright's Disease. Then he talks about the "curious facts" he had "stumbled upon" and refers to an "ill-defined impression" that these suprarenal bodies, in common with the spleen and other organs, "in some way or other minister to the elaboration of the blood." In the preface to his work he had spoken more confi- 1 HOW THE GLANDS WERE DISCOVERED 37 dently of the fact that Nature, as an experimenter and a vivi- sector, can beat the physiologist to a frazzle. Indeed, he begins like this: "If Pathology be to disease what Physiology is to health, it appears reasonable to conclude that, in any given struc- ture or organ, the laws of the former will be as fixed and sig- nificant as those of the latter: and that the peculiar characters of any structure or organ may be as certainly recognized in the phenomena of disease as in the phenomena of health. Although pathology, therefore, as a branch of medical science, is neces- sarily founded on physiology, questions may nevertheless arise regarding the true character of a structure or organ, to which occasionally the pathologist may be able to return a more satisfactory and decisive reply than the physiologist — these two branches of medical knowledge being thus found mutually to advance and illustrate each other. Indeed, as regards the func- tions of individual organs, the mutual aids of these two branches of knowledge are probably much more nearly balanced than many may be disposed to admit: for in estimating them we are very apt to forget how large an amount of our present physi- ological knowledge respecting the functions of these organs has been the immediate result of casual observations made on the effects of disease." William James expressed the same thought some decades later, when he emphasized that the abnormal was but the normal exaggerated and magnified, played upon by the limelight, and therefore the best teacher and indicator of the exact definition and limitations of the normal. Addison, speaking before the South London Medical Society in 1849, declared that in all of three afflicted individuals there was found a diseased condition of the suprarenal capsules, and that in spite of the consciousness "of the bias and prejudice in- separable from the hope or vanity of an original discovery . . . he could not help entertaining a very strong impression that these hitherto mysterious organs — the suprarenal capsules — may be either directly or indirectly concerned in sanguification (the making of the blood) : and that a diseased condition of them, functional or structural, may interfere with the proper elabora- tion of the body generally, or of the red particles more especially. , ," A modern, acquainted with after developments, would say that Addison was very hot upon the trail indeed. But withal, though he must have been well aware of John Hunter's advice to Jenner on vaccination, "Don't think, make some ob- 38 THE GLANDS REGULATING PERSONALITY servations," his training in the indirect reasoning and deductions of the clinician prevented him from going right on to a direct experimental test of his theories. This Brown-Sequard proceeded to do. Removing the adrenal ghmds in several species of animals, he found, meant a terrible weakness in twenty-four to forty-eight hours, and death shortly after. If only one were removed, there was no change apparent in the normal animal, but death occurred rapidly upon removal of the other, even after a long interval. Furthermore, trans- fusion of blood from a normal into one deprived of its supra- renals prevented death for a long time, indicating that the suprarenals normally secreted something into the blood neces- sary to life. The years 1855-1856 beheld two other important glands of internal secretion, the thyroid, the gland in the neck astride the windpipe, and the thymus, in the chest above the heart, make their debut. The thymus was introduced by the great classic monograph of Friedleben on the "Physiology of the Thymus," in which he mentioned the usual forgotten pioneers: Felix Plater, a Swiss physician, who in 1614 had found an enlarged thymus in an infant dying suddenly, and Restelli, an Italian, who interested himself in the effects of removal of the thymus more than ten years before. Friedleben believed that in the young without a thymus, there occurred a softening of the bones, and general physical and mental deterioration. He started the ball rolling for a number of researches. Moritz Schiff, of Frankfort-on-the-Main, showed that excision of the thyroid gland in dogs is invariably fatal. A number of physicians in the first half of the century had reported certain remarkable symptoms associated with enlargement of the thyroid gland, as goitre. In 1825 the collected posthumous writings of b Perry, an eminent physician of Bath, England, recorded eight cases, in which, together with enlargement of the gland, developed enlargement and palpitation of the heart, a dis- protrusion of the eyes from their sockets and an appearance tat ion and distress. SchifT's paper was the first to throw any light on the subject. But for some reason, probably the same as in Berthold's forlorn experiments with the sex glands, the work of a person of no importance was ignored, or perhaps the mere charitable view is that it was forgotten. Yet the tide of observation kept sweeping in relevant data. HOW THE GLANDS WERE DISCOVERED 39 In 1850, Curling, an English pathologist, studying the cretinous idiots of Salzburg, written about centuries before by Paracelsus, discovered that with their defective brain and mentality there was associated an absence of the thyroid body, and accompanying symmetrical swellings of fat tissue at the sides of the neck. Then Sir William Gull in 1873 painted the singular details of a cretinous condition developing in adult women, a condition to which another Englishman, William Ord, of London, five years later donated the title of myxedema, because of a characteristic thickening and infiltration of the skin that is one of its features. Surgery then enters upon the scene. The great Swiss surgeon. Theodore Kocher, performed the first excision of the thyroia gland in human beings for goitre, in the same year. In 1882, J. L. Reverdin, another surgeon of Geneva, noticed that in man complete removal of the thyroid was followed by symptoms identical with those collected under the name of myxedema, and used the phrase "operative myxedema" to emphasize his convic- tion of the connection between them. Then Schiff, in 1884, neglected twenty-five years, came back, with an array of dem- onstrations, proving that the various symptoms, tremors, spasms and convulsions, following removal of the thyroid, could be pre- vented by a previous graft of a piece of the gland under the skin, or by the injection of thyroid juice into a vein or under the skin, or by the ingestion of thyroid juice or the raw thyroid by mouth. A crystallization of ideas about the true function of the thyroid was now inevitable. In 1884, Sir Victor Horsley produced an experimental myxedema by removal of the thyroid in monkeys, resembling closely in its symptom-picture the disease as it occurs in human beings. Mobius, a German neurologist, came out boldly for the conception that a number of ailments could be due to qualitative and quantitative changes in the secretion of the thyroid, and that just as myxedema and cretinism were due to an insufficiency of the secretion, Parry's disease was to be ascribed to an excessive outpouring of it. The next steps were easy. In 1888, Sir Felix Semon, as an outcome of a collective investigation, established for all time that cretinism, myxedema and post-operative myxedema were one and the same. It was bound to occur to someone that if human myxedema and animal experimental myxedema were one and the same, Schiff 's procedure of prevention and cure by feeding thyroid gland by mouth in the latter could be applied to the former. The idea occurred to two men, Murray and Howitz, in 1891. Murray's 40 THE GLANDS REGULATING PERSONALITY patient, a Mrs. H., was shown before the Northcumberland and Durham Medical Society, an English country medical organiza- tion, in February, 1891. She was forty-two years old and had borne nine children. The illness attacking her had begun in- sidiously, with a gradual enlargement and thickening of her face and hands. She had become very slow in speech and gait, sensi- tive to cold, and languid and depressed in spirit to the point of inability to go about alone. Murray, employing the glycerin extract of the thyroid gland of a freshly killed sheep, injected twenty-four drops hypodermically, twice a week. There was an immediate and marvelous improvement, which continued steadily, Murray finding that it could be maintained by feeding the gland by mouth. The features and skin returned to the normal, speech quickened and she became able to walk about and live her life without hesitation or assistance. She lived to the age of seventy-four, dying in 1919. In the twenty-eight years, during which it was always necessary to administer the thyroid, she consumed over nine pints of thyroid, comprising the glands of 870 sheep. Giants and dwarfs and fat people have always interested people as freaks, departures from the usual and the normal, and have formed the stock of popular museum, circus and country fair. Every mythology has concerned itself with them. The Titans among the Greeks, Og, Gog and Magog among the Hebrews, are examples of the fascination of the superlarge. John Hunter, the founder of experimental surgery, spent a fortune in chasing after the skeleton of a famous Irish Giant in 1783. Dwarfs have also fascinated — witness the short-limbed satyrs of the Greeks and the dwarf gods (Ptah and Bes) of Egypt, as well as the vogue of the court dwarf-buffoons, of whom Velasquez has left us some portraits. Fat people, obesity as a manifestation of per- sonality, have aroused wonder and amusement the world over. The Fat Boy has always furnished good sport to the Sam Wellers. All these characters, tall or short, fat or lean, are related to the activity of a gland of internal secretion in the head, the pituitary, which became a centre of interest in the late eighties. Because of its situation, the opinion of the ancients was that it was the source of the mucus of the nose, an opinion reinforced by the greatest anatomist of the Dark Ages, Galen, and held up to the seventeenth century. In other words, it was considered sim- ply a gland of external secretion. Experimental removal of the HOW THE GLANDS WERE DISCOVERED 41 pituitary was essayed by Horsley in 1886, the same man who two years before had reproduced myxedema successfully in monkeys. Others succeeded his attempt. But the conclusions drawn were uncertain or contradictory, resulting from the difficulties of the operative technique of getting at a gland placed at the base of the brain. Not until 1908 was the problem solved by Paulesco of Bucharest, who devised a way of reaching it by trepanning the skull. He was thus able to prove beyond a doubt that the pituitary gland was essential to life, and that without it no animal could continue to live for any length of time. Soon after, Harvey Cushing and his associates at Johns Hopkins Hos- pital discovered that removal of part of the gland was followed by a pronounced obesity and sluggishness. A basis for the under- standing of obesity and growth was then established. In the eighties, there came to the clinic of Pierre Marie in Paris, a pupil of the great Charcot, various women complaining of headache. They also told him about an enlargement of their hands and feet, and an alarming change in the bones of the face. He differentiated the affection from its imitators, and created its present designation of "acromegaly" (enlargement of the extremi- ties). Also he correlated their relationship to the giants who have been mentioned. Acromegalics have been also likened to the Neanderthal Man, who had probably, as the gorillas may have, an excess of the pituitary in their systems. For four years he studied the morbid phenomena in the tissues of these sufferers at last consigned to their end. First one, and then another, and then a third and a fourth exhibited a striking hypertrophy of the pitu'tary body and a consequent widening of the portion of the bas( of the skull which cradles the gland. He proceeded to say so a the graduating thesis of his pupil, Souza Leite. The inferem e was inevitable that the entire process was to be put down to an overactivity of the pituitary. Ever since, too, the growth of the skeleton has been accepted as controlled by that gland. About this time another set of old observations came to life again, related to those of Docent Berthold on the auto-grafting of the testes of a cock, with complete retention of its sexual char- acters, which he said, must be due "to the productive action of the testes, i. e., to its effect upon the blood, and thence to the corresponding effect of such blood upon the entire organism." Of course, stock raisers and poultry fanciers have noted the inter- esting outcome of castration for about as long as their professions 42 THE GLANDS REGULATING PERSONALITY have existed. And for ages the diminution of sexual activity as a predecessor to the decadence of senility has been harped upon. Rejuvenation, especially in connection with sexual activity, as will as with tissue and spiritual elasticity, has been one of the haunting phantoms of the imagination for as long as we have .Is of articulate humanity. Together with El Dorado, the Elixir of Youth has shared the honors with the Philosopher's Stone. The idea of employing the chemical materials of the sex is, the testes or the ovaries, to bring back youth, to restore juvenility, had not, as far as we know, occurred to anyone who at any rate put himself on record, by word or deed, until 1889. The hero of the new departure was the hero of so many daring adventures among speculative experiments, Brown-Sequard. At this time the wanderer was an aged sage, seventy-two years old, fit, as custom goes, only for retirement and resignation to the fate of all flesh. The old passion of experimenting upon him- self as well as upon the guinea-pigs, dogs, cats and monkeys, by which he was always surrounded, was as alive and kicking as ever. I suppose he had been thinking for years concerning some method for the resumption of youth, for we find him exclaiming, when the opportunity loomed of a great laboratory on Agassiz Island, Long Island, on one of his recurrent flights to New York: "Would that I were thirty!" And other passages in his personal communications refer again and again to his consciousness of growing old. The miracles that were being performed by inject- ing thyroid and feeding thyroid in animals probably acted as the spark to an inflammable mass of ideas long smouldering in the subcellars of his mind. The effects were reported to the Society of Biology in Paris, one memorable evening, June 1, 1889, in two notes on the results of the hypodermic injection in man of the testis juice of monkeys and dogs, and certain generaliza- tions deduced therefrom. Such juices, he stated, had a definite energy-mobilizing or, as he put it, dynamogenic action upon the subject himself, stimulating amazingly his general health, muscular power and mental activity. These experiments, their nature, the manner in which they conducted, the character and age of the experimenter, and the results claimed, were exquisitely good stuff for ridicule. Car- ets and reporters leaped upon the theme with the avidity of rue-blue interviewer. Paris, where to be ridiculed is to be killed in public with the most ignominious of deaths, reacted as only the French temperament can react. The wits of the salons HOW THE GLANDS WERE DISCOVERED 48 crackled, the bourgeoisie chortled, the proletariat roared. The Elixir of Life had been discovered and it was excellent sport. But Brown-Sequard remained unshaken. He had all the roues of Paris running to him, and consequent charges of quackery and charlatanism. How much of these unsavory epi- thets really applied to him will not be determined until we have a better acquaintance with his more intimate life. A biography and collection of his letters is needed. But it is certain that the general principles he arrived at, aided as much by the wings of intuition as by the clues of incomplete and incompletely con- trolled experiments, survive as the foundations of whatever we know about the internal secretions, and all our present viewpoints. He summed these up in 1891 as follows: "All the tissues, in our view, are modifiers of the blood by means of an internal secretion taken from them by the venous blood. From this we are forced to the conclusion that, if sub- cutaneous injections of the liquids drawn from these parts are ineffectual, then we should inject some of the venous blood sup- plying these parts. . . . We admit that each tissue, and, more generally, each cell of the organism, secretes on its own account, certain products or special ferments, which, through this medium (the blood), influence all other cells of the body, a definite solidarity being thus established among all the cells through a mechanism other than the nervous system. . . . All the tissues (glands and other organs) have thus a special internal secretion, and so give to the blood something more than the waste products of metabolism. The internal secretions, whether by direct favor- able influence, or whether through the obstacles they oppose to deleterious processes, seem to be of great utility in maintaining the organism in its normal state." The only part of this statement not conceded today is that relating to the formation of internal secretions by tissues other than those of which the cells are definitely glandular, that is secretory: as can be determined under the microscope. Brown- Sequard added to the concept of internal secretions, fathered by Claude Bernard, the idea of a correlation, a mutual influencing of them and of the different organs of the body through them. The nervous system had hitherto been regarded as the sole means of communication between cells, by its telegraphic arrangements of nerve filaments reaching out everywhere, interweaving with each other and the cells. The Brown-Sequard conception in- ferred the existence of a postal system between cells, the blood 44 THE GLANDS REGULATING PERSONALITY supplying the highway for travel and transmission of the post, the post consisting of the chemical substances secreted by the glands. To be sure, the doctrine was only an inference, though well-founded, of which the direct experimental proof was not to be obtained until the researches of Bayliss and Starling. Yet to Brown-Sequard belongs the immortal credit, if not of the origina- tor, at any rate of the resurrector of the idea of using gland extracts to influence the body. The unwarranted hopes aroused by his enthusiastic reports of rejuvenating miracles have long since been dissipated. Moreover, they smeared the whole subject with a disrepute which clings to certain narrow and unreasonable minds to this day. But as every physiologist since has acknowl- edged, he was and remains the great path-breaker in the conquest of the internal secretions. The Hormones The problem of the internal secretions was now attacked from another angle. A great Russian physiologist, Pawlow, called attention to the fact that the introduction of a dilute mineral acid, such as the hydrochloric acid, normally a constituent of the stomach digestive fluid, into the upper part of the intestine, provoked a secretion of the pancreas, which is so important for intestinal digestion. He explained the phenomenon as a reflex, a matter of the nerves going from the intestine to the pancreas. His pupil, Popielski, threw doubt upon so easy an explanation, by proving that the same reaction could be elicited even after all the nerve connections between the gut and the spinal cord were severed. If the relation was a reflex, it would have to be classed now as one of those local nerve circuits, which are pretty common among the viscera, a local call and reply as it were, without mediation of the great long distance trunk lines in the spinal cord and the medulla oblongata. The work of Bayliss and Starling, two English physiologists, was commenced then to test the hypothesis. They soon found that the experiment could be so devised as to exclude any influ- ence whatever on the part of the nervous tissues, and yet result positively. Thus, if a loop of intestine was so prepared as to be attached to the rest of the body only by means of its blood ves- sels, all the nerves being cut, putting some acid into it was still followed by a flow of pancreatic juice, no less marked than when none of the parts about the piece of gut had been disturbed. It HOW THE GLANDS WERE DISCOVERED 45 was evident that the stimulus to the pancreas was carried by way of the blood stream. That the stimulating substance was not the acid itself, was shown by the failure of the reaction to occur when the acid was injected directly into the blood stream. Since there was this difference in the effects between acid in the intestine and acid in the blood, it was manifest that the active substance must be some material elaborated in the intestinal mucous membrane under the influence of the acid. So they scraped some of the lining of the bowel, rubbed it up with acid, and injected the filtered mixture into the blood. They were re- warded by a flow of pancreatic juice greater in amount than any obtained in their other experiments. From the filtered mixture they isolated in an impure form, a solid substance which, when introduced into the circulation, has a similar action. To this, of which the exact chemical make-up is as yet an unknown, they gave the name secretin. Secretin and its properties they used to generalize as a per- fectly direct and amply demonstrable example of an internal secretion. Metaphors are no less valuable in physiology than in poetry. They declared that the internal secretions appeared to them to be chemical messengers, telegraph boys sent from one organ to another through the public highways, the blood (really more like a moving platform). So they christened them all hormones, deriving the word from the Greek verb meaning to rouse or set in motion. As a science is a well-made language, a new word is an event. It sums up details, economizes brain- work and so is cherished by the intellect. The study of the internal secretions has advanced by leaps and bounds since it became convenient to speak of them as hormones. Withal, the brilliant work of Bayliss and Starling stands as the third great foundation stone, the first Claude Bernard's and the second Brown-Sequard's, in the architecture of the modern concepts of the internal secretions. CHAPTER II THE GLANDS: THYROID AND PITUITARY The glands of internal secretion, the history of which, as tools of thought, I reviewed in the previous chapter, have each an interesting evolutionary story. Without some acquaintance with that story, the rough outline of their physical architecture, and the particular work they are called upon to perform in the body, no adequate understanding of their influence upon types of human nature and personality is possible. The Thyroid Gland This gland consists of two maroon colored masses astride the neck, above the windpipe, close to the larynx. These are bridged by a narrow isthmus of the same tissue. They remind one of the flaps of a purse opened up. The gland has always attracted much attention because its enlargement constitutes the prominent deformity known as goitre. To begin with, the thyroid was once a sex gland, pure and simple. In the lowest vertebrates and in the homologous tissues of the higher invertebrates, the fractions of the thyroid are inti- mately connected with the ducts of the sexual organs. They are indeed accessory sexual organs, uterine glands, satellites of the sex process. From Petromyzon upward that relationship is lost, the thyroid migrates more and more to the head region, to become the great link between sex and brain. How alive that function still is, is grossly shown by the swelling of the gland with sexual excitement, menstruation and pregnancy. Relative to the body weight it is largest in the mammalia, and smallest in the fishes. It therefore grows larger as the f>rate ascends in the scale. It has, in fact, developed in oportion to and side by side with the fundamental, differentiating vertebrate characteristics. Of these, the posses- sion of ;i dry hairy skin instead of a moist or mucus bearing, chitinous skin, the ownership of an internal bony skeleton and 46 THE GLANDS: THYROID AND PITUITARY 47 a large skull, and a complicated development of brain, are the diagnostic signs. Thyroid internal secretion has a very definite controlling relation to all of them: to skin, its hairiness, mois- ~ ture and amount of mucus, to the growth and size of the bones, especially the bones of the extremities and the skull, and to intelligence and the complexity of the convolutions of the brain.^. Injury to the thyroid, especially in growing animals, is followed by profound retrogression or arrest of development in skin,-,, skeleton and brain. In the fishes and the cyclostomes the thyroid is represented only by some small scrubby patches, little larger than the heads of pins, scattered along the aorta, the great blood vessels from the heart, and out a little way along each gill. It becomes larger and more compact among the amphibians and reptiles, but still remains quite small. Large and prominent among the birds and mammalia, it is largest and most prominent among the primates and man. It is hence permissible to think of the thyroid as a dictator of evolution, to crown it as the vertebrate gland par excellence, and to call the typical vertebrate brand marks sec- ondary thyroid characteristics in precisely the sense of Darwin classing the horns of cattle as secondary sexual characteristics. In such enthusiasm for the thyroid as a determinant of evolu- tion, its pillar of cloud by day and column of fire by night, one should not forget the other glands of internal secretion. In them all, we may suppose, Life, tired of inventing merely prehensile, destructive and reproductive organs, hit upon the happy thought of contrivances which are in essence chemical factories to speed up the rate of variation and so of a higher evolution. Creator of the Land Animal According to this conception the thyroid played a fundamental part in the change of sea creatures into land animals. Experi- mentally, thyroid has been used to transform one into the other. Thus the occasional change of a Mexican axolotl, a purely aquatic newt, breathing through gills, into the amblystoma, a terrestrial salamander, with spotted skin, breathing by means of lungs, has long been known. Feeding the axolotl on thyroid gland pro- duces the metamorphosis very quickly, even if the axolotl is kept in water. In the reptile house at the London Zoological Gardens full-grown examples of the common black axolotl and the pretty white variety are exhibited. Some are nearly three inches long. 48 THE GLANDS REGULATING PERSONALITY Alongside are shown several examples of the amblystoma stage, produced in one of the laboratories of Oxford University and at the gardens by thyroid feeding. A variation of the thyroid in the direction of increased secretion was probably responsible for the first land animals. Thyroxin, Secretion of the Thyroid Under the microscope, as in the test tube, the thyroid shows remarkable and unique features. Closed spherules lined by a single layer of cells enclosing a gelatinous material known as colloid, which stains deeply with acid dyes, comprise the units of its architecture. Essentially, it may be pictured as a series of jelly bubbles secreted by outlying cells. A relatively high percentage of iodine is the unique distinctive fact in its chemistry. Discovered by Baumann in 1895, the presence of the element has focused the intelligence of chemists upon the gland, with the consequent demonstration of arsenic also in it. It was soon manifest that the secretion of the gland was dependent upon the iodine content for its activity. Active extracts of the thyroid like thyreoglobulin and iodothyrin were proven to contain iodine, and to become inactive when the iodine was removed. Efforts to isolate the iodine containing active principle in pure form were fruitless until the work of Kendall at the Mayo Foundation. He obtained it as a white, finely crystalline, odorless and tasteless substance, heat stable, and analyzable. The free form separates as a sheaf of fine needles. Kendall at first called it the a-iodine compound, then named it thyroxin. There are other internal secretions of the thyroid, with a func- tion ef their own, that have no iodine. But they are secondary, and obscure. Thyroxin is accepted today as the purified internal secretion of the thyroid because all the effects of the whole gland may be elicited with it. Thyroxin produces results with doses amazingly minute compared with the quantity of whole gland necessary. Moreover, a dose of thyroxin appears to last an organism in need of it over a period of time; the other has to be administered continuously. Studies with thyroxin carried on in recent years have rounded out the whole concept of the business of the thyroid in the body my. One may sum it up by saying that the thyroid secre- tion is the great controller of the speed of living. The more thy- THE GLANDS: THYROID AND PITUITARY 49 roid one has, the faster one lives; the less one has, the more slowly • one lives. That is not to imply any direct proportion between the amount of thyroid secretion in an individual, and the length of life to which he is destined. The speed of living, in the chemical sense (which is the fundamental s^nse), and the rate at which the chemical reactions go on that constitute the process of life, are ** dependent upon the thyroid. When the reactions go faster, more oxygen and food material are burned up or oxidized, more energy is liberated, the metabolic wheel rotates more quickly, the indi- vidual senses, feels, thinks and acts more quickly. Likening one energy machine to another, the thyroid may be compared to the accelerator of an automobile. That is a rough and superficial comparison because an accelerator lets in more of the fuel to be burned up, while the thyroid makes the fuel more combustible. It thus resembles more the primer, for a rich mixture of gasoline and air burns at a greater velocity than a poor one. But the action of thyroid could really be simulated only by some substance that could be introduced into the best possible of gasoline mixtures, to increase its combustibility by a hundred per cent or more. For that is what thyroid will do to our food. Nor has it only this destructive or combustion side. Withal there is at the same time a constructive action, for the process frees energy to be used for heat, motion or other need. The thyroid, therefore, in addition to its role as an accelerator, _ acts, too, as the efficient lubricator for energy transformations."* So we see it as accelerator, lubricator and transformer of ouil. energies. The Gland of Energy Production The isolation of thyroxin has made possible the determination of the influence of the thyroid hormone upon the evolution of energy in any higher animal organism. There is, for every indi- vidual, a constant, known as the metabolic rate, or the combus- tion rate, a reading of the rate at which his cells are consuming material for heat. The metabolic rate is thus a gauge of the energy pressure within the organism. It may be calculated by measuring the amount of carbon dioxide gas exhaled during a unit of time, and the number of calories of heat radiated by the skin simultaneously. A simplified device has lately rendered it practicable to make actual determinations by a few five-minute 50 THE GLANDS REGULATING PERSONALITY readings of the rate of oxygen absorption by the lungs. Plummer, also connected with the Mayo Foundation, has shown that what would amount to less than a grain of the thyroxin would more than double the amount of energy produced in a unit of time. m To be exact, one milligram of thyroxin increases the metabolic rate two per cent. That illustrates some of the power of the internal secretion of the thyroid and its importance to normal ' life. The Mobilization of Energy But not only is the height of pressure of energy in the cells controlled by the thyroid. The mobility of that energy is also controlled. Without it, rapid and large fluctuations of energy output, and elasticity and flexibility of energy mobilization for any sudden mental or muscular act, let alone an emergency, be- come impossible. A woman suffering with myxedema, the con- dition described by the English physician Gull as a cretinoid state supervening in the adult life of woman, has an insufficient ""amount of thyroxin in her blood and tissues. She is clumsy and awkward and will stumble when endeavoring to walk up- stairs. Any effort is almost paralyzed because the range of fluctuation of energy, the ability to mobilize energy, in turn de- pendent upon an ability to increase the metabolic rate, is limited. In slang phrase, she cannot step on it. Her existence is set to go at a rate in the neighborhood of forty per cent below the normal. By the administration of thyroxin, her metabolic rate can be raised to any desired figure, the spark can be adjusted, so to speak, to any point we like, and it can be so maintained for years. In the normal animal, to be sure, the internal secretion of the thyroid is not absolutely essential to life. So it contrasts with the hormone of the minute parathyroids placed so closely to it, a minimum dose of which is absolutely a prerequisite for con- tinued life. The fundamental chemical reactions within the cells occur in the complete absense of thyroxin. But they go on in a relatively fixed, rigid and unvarying way, confined within the narrow limits of a constant figure. Under such conditions, the level of energy production is bound to be low, and to remain low, and the modus of its mobilization slow and unwieldy. With thyroid is introduced the trick of catalysis, or the speeding up of the vital chemical reactions, through the agency of an intermedin THE GLANDS: THYROID AND PITUITARY 51 ate which accelerates the process. It is par excellence the great catalyst of energy in the body. (A catalyst is an intermediary like the trace of water, which will bring about an explosion be- tween dry oxygen and hydrogen that without it have stayed inert with the strongest currents of electricity.) Thus it supplies a mechanism not only for quantity output of that subtle reality we label energy, but also an apparatus for varying the available amount of it, and for permitting the maximum range in ease and rapidity of its utilization. The thyroid is still another device of life for procuring more and more variation and differentiation, its goal, as far as we can peer through the opalescent screen upon which its manifestations quiver. From another point of view, the thyroid may be looked upon as the organ evolved for maintaining the same amount of iodine in the blood as there is in sea water. Sea water was our original habitat, since, like Venus, we have all come up out of the sea. The more intimate study of the composition of the blood has revealed the most astonishing parallelism between it and the compounds of sea water. The blood is sea water, to which has been added hemoglobin as a pigment for carrying oxygen to the cells not in direct contact with the atmosphere, nutrients to take the place of the prey our marine ancestors gobbled up frankly and directly, and white cells to act as the first line of defense. To keep the concentration of iodine in the blood a con- stant, the thyroid evolved, since there is no iodine in most foods and very little in those which do contain it. That a minimum amount of iodine in the food is necessary to health is shown by the existence of goitre regions. Around some of the Great Lakes in the United States, for instance, the water does not contain enough iodine. As a result, numerous cases of goitre occur. Iodine in the form of sodium iodide in small doses will act as a prophylactic. The amount of iodine in the blood is about one or two parts to ten millions, and that of the liver is about three or four parts to ten millions. Since the liver is the most complex and active chemical factory in the body, its appropriation of a greater amount of iodine for itself is under- standable. When thyroxin is administered in a single dose, there is a dis- tinct lag in the absorption of it by the tissues. A single dose does not generate its maximum effect until the tenth day. This effect continues for about ten days. Then there is a gradual decrease in the intensity of reaction for another ten days. So that the 52 THE GLANDS REGULATING PERSONALITY length of time a single administration of thyroxin functions with- in the body is about three weeks. Again we have occasion to notice a protective device of the cells. Since the presence of thyroxin in the tissues determines the rate at which they burn themselves up, it is obvious that if there were no mechanism for retarding its action, and at need varying it, they really would set fire to themselves. That is to say, if the tissues held a maximum of the thyroid internal secretion, and had to take up more and more as it was fed out to them by the thyroid through the blood, the pressure of energy production would attain the state of a boiler without a safety valve. Even if self-destruction were avoided by the ingestion of the largest quantities of energy- bearing foods, rest for the cells would be difficult, if not impos- sible. The thyroxin in the tissues diminishes after a period of great exertion, the thyroxin probably being carried back to the thyroid gland and kept there as reserve until further demand. So it has been discovered that during the winter months, the thyroid glands of beef, sheep and hogs all contain much less iodine than during the summer months. During the winter months, manifestly, more energy is required to maintain body temperature, hence the gland surrenders more of its secretion to the tissues and so keeps less • of it itself. There must be, too, a certain wearing out of the potency of the iodine with time. Even dead inorganic catalysts, made of simple elements, wear out after having been used time and time again. Though the thyroid is the supreme energizer, life is incom- patible with a certain excess of it. Death can be produced by successive daily injections of its internal secretion. But it has, besides the energizing effect, certain formative and nervous influ- ences equally marvelous. As illustrations, there are the cases of thyroid deprivation in human beings, cretinism and myxedema, as well as those in which it is believed there occurs an excess of the thyroid secretion in the blood and tissues, the condition of /it/pcrthyroidism. Cretinism as Thyroid Deficiency Not that there is any arresting contrast of startling difference between the phenomena presented by different species. The younger the animal, the grosser the morbid symptoms witnessed. The animal fails to grow. The bones and cartilage, except of THE GLANDS: THYROID AND PITUITARY 53 ! the skull, fail to develop. The abdomen projects and becomes j, large and flabby. The sex organs atrophy. There is sterility. Pregnant rabbits abort, hens produce very small eggs or none at all. These are the results of removing the thyroid in animals. Apathetic, indifferent, dirty, awkward, apparently idiotic, describe the human cretins. Their skin is rough and coarse, peeling in sheets. In some it is considerably knarled and creased as in the aged, and in others swollen, hard and resistant. The hair becomes shaggy and rough, losing all luster, and tends to grow irregularly and fall out. The temperature becomes sub- normal and an anemia supervenes. There is a distinct reduction in the resistance to infections and intoxications. Cretinism in the human is a condition in which the burning taper we call Life flickers and smoulders and smokes. Thirty years ago it was an example of the most hopeless idiocy. Whole populations were afflicted with it. But neither man of science, nor bigot-fanatic, assured by the Divine Confidence of its mean- ing as a visitation, believed it could be modified an iota. Today, that inept word "cure" may be applied to our power of attack upon it, provided it is permitted to attack early enough. Modifi- cation, in the direction of the most surprising betterment, is the miracle that has been wrought. The history of a cretin runs somewhat as follows: A baby is born, which in all appearances seems normal. Perhaps the nose is a trifle squatter than even the average new-born's flat nose. There may also be abnormal sleepiness, greater even than that of the normal baby in the first month or two in that there is no spontaneous awakening from the coma for food. But in most cases this is put down to normal variability, or maybe to that limbo of all a baby's troubles: weakness. After some months, it is noticed that the infant is failing to grow at the normal rate, either physically or mentally. Examination at this time reveals a curious thickening of the dental ridges. Then the tongue takes the centre of the scene, by becoming unusually thick and promi- nent, to the point of projecting beyond the mouth at all times, and interfering with breathing, when the infant is in a recumbent position. More and more of the characteristics of the affection turn up. The queer, repulsive, pitiful face of the cretins, which makes them all seem brothers or twins, shapes itself. A yellowish, white or waxy pallor; rough, dry, scaly, bloated skin; swollen, often wrinkled brow; watery eyes, often almost concealed by the thick- 64 THE GLANDS REGULATING PERSONALITY ened eyelids; the depressed pug nose with its wide, thick nostrils; large, erect ears; the wobbly, drooling tongue, sticking out at one, yet not in derision; the hair thin, and like tow in texture rather than human; eyebrows and eyelashes are scant, and often absent; the nails short, thin and brittle; the teeth, very late in coming, may be represented by a few sharp points, irregular, decaying quickly, sometimes not succeeded at all by those of the second dentition. Whatever growth occurs is irregular and disproportionate. The trunk, though small compared with the head, appears massive against the background of the diminutive extremities. The back is somewhat humped, arching at the waist-line, while the abdo- men protrudes like a balloon, with a hernia, often, at the navel. The extremities are short, bowed, cold, and livid, covered with rolls of the infiltrated skin, rolls which cannot be smoothed out. Hands and feet are broad, pudgy, and floppy, the fingers stiff, square and spade-like, the toes spread apart, like a duck's, by the solid skin. Above the collar bones there are frequently great pads of fat which sometimes encircle the narrow bull neck. * The mental state varies with the degree of deprivation of the internal secretion of the thyroid. In the worst cases it is repul- sively vegetable. Even the intelligence common to the higher animals is wanting. The cretins of the "human plant" kind, as they have been nicknamed, will not recognize mother or father or any person about them, or even a person from an object, and manifest no interest in anything or anybody, not even toys. Hunger and thirst they manifest by grunts and inarticulate sounds, or by screaming. They neither smile, cough, nor laugh, but sit like sphinxes, breathing, but not reacting. There are, of course, all grades and varieties. There are those who recognize parents and familiar faces, and exhibit some evi- dence of affection for them, acquire a limited vocabulary, and then cease, no progress possible even with the alphabet. They attain the size and age of two or three years and there stop alto- gether, as if a permanent brake were applied to the wheels of their growth. Some higher types may even come to speak con- nected sentences, and exhibit a certain mild spontaneity, though stupid nnd slow and abnormally deliberate, resembling the ac- quired form of thyroid deprivation or insufficiency, for which Ord invented the name myxedema. I have filled in with some detail this thumbnail sketch of thy- roid deprivation as it occurs in infancy to illustrate how wide a THE GLANDS: THYROID AND PITUITARY 55 sweep the gland's lariat embraces. Skin, hair, bones, muscle and : fat, brain and intelligence, growth and development, are modified precisely as the size and shape of certain crystals are modified by the presence or absence of ingredients in an apparently homo- geneous solution. A fertilized ovum, in which the predecessor of the thyroid gland is present, that is to say, in which there is , the seed and soil for its sprouting, looks the same as one without that formative material. Yet, when the time comes for the internal secretion of the thyroid to put in its oar in the metabolic game, its presence or absence makes all the difference in the world to the individual. In the middle of the nineteenth century, when the concentra- : tion of phosphorus in the brain was established as significant, the cry for the emphasis of that fact was — without phosphorus no thought is possible. We can much more relevantly declare that without thyroid, no thought, no growth, no distinctive humanity or even animality is possible. For the epigram about phosphorus was bombast, since it can be declaimed with equal truth that without oxygen, without carbon, without nitrogen, without any of the food elements that go to make up the chemical composition of brain matter, no thought is possible. Indeed, if r one were set upon the indictment of a single chemical element as the begetter of consciousness, the prisoner at the bar would have j to be copper. There is more copper in the brain by a considerable \ degree than in any other organ of the body. Which perhaps ] will be exceedingly regretted by the patrons of the aristocracy of I the soul who would have it as an emanation of a deposit in the \ brain of silver at least, if not gold. They are like the old lady who would never permit herself to be cured of her ailments except by gold plated pills. Copper, however, is not necessary to intelligence. Without thyroid there can be no complexity of thought, no learning, no education, no habit-formation, no re- sponsive energy for situations, as well as no physical unfolding of faculty and function, and no reproduction of kind, with no sign of adolescence at the expected age, and no exhibition of sex tendencies thereafter. Effects of Feeding Thyroid How subtly the internal secretion affects every phase and aspect of child as well as adult, by doing something to the speed of activities in their cells, is told straightway by the effects of 56 THE GLANDS REGULATING PERSONALITY it when eaten or introduced into the skin or blood of various people. A cretin, idiotic, dwarfish, deformed, hopeless, an inces- santly prodding burden of sorrow to the mother, who looks upon the masterpiece she had labored to bring forth, and beholds a terrible gargoyle, becomes transformed when fed thyroid. In a few days the cretin will get warmer, and require much less wrapping and bed-clothing. With the improvement in cir- culation, the color becomes better and the extremities lose their coldness. In a week or so, irritability and resentment at disturb- ance appear. He will begin to recognize and know his parents, smile and play. There is a gradual return to the normal of the facial appearance, and a resumption of growth. All kinds of marvelous growth effects occur. Twenty teeth may be cut in six months. Coarse, rough dry, shaggy hair becomes fine, silken, long and curly. The skin becomes soft, moist and roseate. Inches in height may be added every month. Bright, active, even talkative, are the descriptive terms an observer would apply after a few months. A complete remaking of body and soul is apparently affected. Yet, should the administration of the thyroid cease, an almost immediate reversion to the original vegetative condition is in- evitable. After a few days, reactiveness slows down, the child will speak only when spoken to, will sit quietly in a chair all day and act semi-anesthetized. Gradually hair and skin return tc the previous cold-blooded animal state, and the whole pic of the cretin is in full bloom. Supplying the internal secre of the gland promptly repeats the transformation. One wonders what is to be the ultimate fate of these refor cretins. Since the tale of the opening of life to them, once sidered hopeless idiots, is scarce a generation old, we hav< data, as yet, as to the character of their children or gr children, their adventures and vicissitudes, in short, their history. Those of whom we have any record are normal healthy school children or workers, alive to the interests of cl hood or their occupation and social circles. No one outside 1 family knows that they are cretins, and the most acute obse would be hard put to it to suspect. What a theme for the re tions upon appearances the eminent Victorians loved! There are possibilities the imagination may envisage, may suppose such a cretin, with all his other ductless gl intact, grown successfully to manhood under careful me< guidance. No one but himself is aware of his affliction, ou' THE GLANDS: THYROID AND PITUITARY 57 of his medical advisers. Luck aids him to rise in the world, or perhaps he has been born with a spoon of the precious metals in his mouth. Adolescence, love and marriage dance their sequence. Our hero of course keeps his dread secret to himself. Whether such an omission of confidence would entitle his wife to a divorce is something courts will be called upon to decide sooner or later. But, without anticipating, the honeymoon involves a trip to the South Seas. A storm and a wreck throws them alone on an island, tropical, easy to live on, and rescue in the course of a few months certain. The man, to his horror, discovers that he has saved of his medicaments only a pill box containing half a dozen of thyroid tablets, his requirement being one a day. He sees them go day by day. Finally they are all gone. He feels his faculties slipping hour by hour. Shall he tell her? Indecision grips him, and he delays until the day when his consciousness sinks to the point where his mind no longer grasps his problem. The wife must endure the spectacle of the enchantment of her husband, and his change from gallant lover to dull animal ogre. A new version of Beauty and the Beast! Cretinism as one manifestation of a soul without thyroid or without enough thyroid is not all. The first great successes with thyroid were achieved in adults, particularly adult women, ex- hibiting a peculiar obesity, coldness, loss of hair and teeth and a remarkable lassitude and torpor that might be summed up as a chronic drowsiness, like a saturation of the blood with some narcotic drug. Or there may be a melancholia, or a lack of ability to seize the finer points of a mental process, or an argument treated in the abstract. Children are said to be lazy, slow or dull. They experience an irritating difficulty in understanding questions and expressing their wants and desires, and so are de- clared to be vicious, or stupid. All these are grades of the degeneration which Ord, the English- man, named myxedema. At its worst it is a sort of bloating and drying of the body and the mind. Then there is infantilism, which is helped by the giving of thyroid extract. It differs from the ordinary cretinism in that, while one is reminded of the latter by the physical stunting and the other stigmata, there is a certain amount of intelligence which enables the individual to hold his own while he is a child. He becomes a grown-up baby: at twenty prefers the company of children of ten, and passes under the evil influence of designing so-called normal persons. So dominated he will lie, steal, start fires, commit almost any 58 THE GLANDS REGULATING PERSONALITY crime, with no inherent flair for criminality, but because of a lack of independent judgment and inability to resist suggestion, and a desire to please friends. He is simply an overgrown child who still loves to play with toys, laughs and cries, becomes angry or afraid, unreasonably and ridiculously, and yells for mamma when thwarted or scared. So much for what happens when there is not sufficient of the thyroid secretion in the blood and tissues. Now to consider the effects of an excess of it, the condition called hyperthyroidism, as the insufficiency of it is labelled subthyroidism. Too much thyroxin can be introduced into the system of a normal indi- vidual, or even a cretin by the simple administration of too large doses or over too long a time. Also a train of symptoms similar to those evoked by an oversecretion of the thyroid may be mobilized by the taking of too much iodine. Great sorrow, great joy, a sudden severe jolt to the nervous equilibrium, sexual excitement, an overwhelming anger or grief may leave in their wake a permanent hyperthyroidism. The symptoms are the reverse of cretinism and myxedema. There is an over-excitability of the nerves in place of sluggishness, and an over-reactivity of the whole organism to its environment. The heart's action is too fast, and under the slightest stimulus gets faster to the point of obtruding itself into the conscious mind as a palpitation. In- stead of the lowered temperature and coldness of the cretin, there is a heightened temperature, one or two degrees above the normal, and a feeling of heat. The individual has a high warm color, does not sleep well, becomes or remains thin no matter how much he or she eats, is abnormally susceptible sexually, may suffer from a definite insomnia, is emotional, and perspires freely. Alert, neurotic or high-strung, magnetic, and imaginative are some of the descriptive adjectives applicable. The eyes are bright and prominent, large and beautiful, when they have not reached the stage entitled "pop-eyed." Or they may even become so pro- tuberant and bulging as to develop the expression of one staring aghast at some ineffable horror. The latter is the feature of only the severest types, when there is an associated goitre, the com- bination designated as exopthalmic goitre. There are, too, individuals in whom hyperthyroidism and hypothyroidism are mixed, or rather alternate. At one time they nt the phenomena of the one, at another of the other. They are the people who complain of the cyclic quality of their moods and purposes. Their mood will be a heaven of exaltation and THE GLANDS: THYROID AND PITUITARY 59 exhilaration, and then descend into a slough of despond from which they feel themselves inextricable. They are always talk- ing about the ups and downs of their mental states. Headache and languor and fatigability, dry skin and lack of appetite for food or exertion on one day or for one week, give way on the next day, or for the next week, to an energetic gayety, and sweaty, flushed skin, a prominent appetite for food and every sort of activity. Driven to be forever on the go, for one period, in the next they feel like lying down most of the day, with no inclina- tion for any life whatever. The stage of depression may go as far as a melancholia, the stage of stimulation as far as mania. They may simulate manic-depressive or cyclic insanity. Some- thing restrains them, and holds them bound as in a vise in the one cycle. And then they are driven on beyond themselves by some invisible whip in the next. Thyroid as Differentiator Besides the action of the thyroid as energizer, lubricator, and growth catalyzer, it has a remarkable power as a differentiator of tissues. It determines the embryonic etchings of the different organs which in their totality comprise the unique individual. Every multicellular animal must first have existed as a single cell, the impregnated ovum. With the body and personality of the ovum, the creature is one and continuous, literally something the single cell has made of itself by sub-dividing and differenti- ating. In the process, the cell mass often goes through stages which stand out as individualities in themselves, that appear on the surface absolutely unrelated. So the caterpillar and the butterfly, to the naive child, seem as far apart as worm and bird. In the case of the frog, the tadpole as a first sketch seems completely an impossible and wild absurdity. Yet we know that there is an orderly progression of events, a propagation of cells, a forward going arrangement of chemical reactions, that results in expansion and intricate complication of the organism. Just what the forces at work in this most mysterious of all natural processes are, has been an intellectual mystery that the best minds of the race have attempted to get rid of with words like pangenesis (Darwin). Words of Black (Mediterranean or Greek and Latin) origin, as Allen Upward has named them, always cover a multitude of ignorances. The glands of internal secretion, here, as in so many other dark places, provide the open 60 THE GLANDS REGULATING PERSONALITY sesame to certain long closed doors of biology. They offer them- selves to us as the first definitely tangible agents which are known to keep the process of growth going, and undoubtedly initiate the marvelous unfolding of tissues and functions, organs and faculties summed up as development or differentiation. Thus by the direct feeding of thyroid at particular points in the differentiating history most curious effects have been elicited. If the gland is made part of the nutriment, the bathing environ- ment, of the tadpole, a hastening of its metamorphosis is attained. The tadpole lives not out its day as a tadpole, but precociously turns into a frog. But such a frog! It is a miniature frog, a dwarf frog, a frog seen by looking through the wrong end of the telescope, a frog not magnified, but micrified. Frogs have been so created the size of flies. There has occurred a splitting of the two reactions which ordinarily go hand in hand: the reaction of growth which is just brute increase of total mass or weight and volume, and the reaction of differentiation which is the finer process. The picture is a frog, but a frog the size of a tadpole, a frog which has missed its childhood, adolescence and youth, skipping over these transition stages into the adult age, as a pigmy. It is all as if a baby were suddenly to grow a beard and moustache, evolve and shed teeth, and acquire the manner of an earnest citizen, and yet retain the height and weight of a baby. That the spectacle of such a superbaby is not quite the most fan- tastic of all improbabilities is shown by the condition of progeria, first recorded by the Briton, Hastings Guilford. A queer spec- tacle in which a child incontinently grows old without having lived — in the course of a few weeks or months. You look upon him and see senility on a small scale, but with all its peculiari- ties: wrinkled skin, apathy, gray hair and all the rest of it. All we can say about it is that it is probably due to a paralysis of all the glands of internal secretion, a removal of their influence upon the cells. Contrariwise to the feeding of thyroid, removal of the thyroid of tadpoles will prevent their development into frogs. If iodine is then fed to them, say mixed with flour, normal metamorphosis will occur. If Body is the tool chest which we carry about with us, as Samuel Butler said, then to the thyroid belongs the name of tool-maker. Another function of thyroid that must be taken into considera- tion is what has been spoken of as its antitoxic function — in THE GLANDS: THYROID AND PITUITARY 61 plainer English, its power to prevent poisoning, or to increase I- resistance against poisons, including the bacteria and other liv- ing agents which cause the infectious diseases. Each molecule of I food, ingested for assimilation into our substance, accumulates a i history of wanderings and pilgrimages, attachments and trans- ; formations beside which the gross trampings of a Marco Polo i become the rambling steps of a seven-league booted giant. In the course of its peregrinations, it becomes a potential poison, potential because it is never allowed to grow in concentration to the danger point. The thyroid plays its role of protector like all I the internal secretory machines. In an animal deprived of a i thyroid the feeding of meat shortens life — a single sample of how it works to guard against intoxication from within. The feeding of thyroid will also raise the ability of the cells to stand poisons introduced from without — intoxications of all sorts. Alcohol and morphine will affect in much smaller doses the subthyroid person than the normal or the hyperthyroid. As regards the infections, which directly or indirectly kill most of us, the injection of thyroid will increase the content in the blood of the protective antibodies which preserve us, temporarily at any rate, against malignant invaders. The opsonins, for example, those substances which butter the bacteria so that the appetite of the white cells for them is properly roused, are mobilized by thyroid feeding or injection. Other substances in the blood which destroy and dis- solve bacteria are also increased. The thyroid probably per- forms these functions by sending its secretion to the cells directly responsible for the immunity reactions, and stimulating them to activity. A sketch of the thyroid like the foregoing shows it as the won- drous controller of vitality and growth, and indefatigable pro- tector against intoxicants and injuries. When it is sufficiently active, life is worth while; when it is defective, life is a difficult threatening blackness. That would make it out as the gland of glands. It is tremendously important, without a doubt, in normal everyday life. But no more so than the other members of the cast. The position of star it may claim, but in vain. The other glands of internal secretion to be sketched will each, when the marvels of its business in the cell-corporation are considered, present itself as candidate for the honors of the president. Jus- tice should give fair credit to all the organs which fabricate the reagents of individuality, and the regulators of personality. 62 THE GLANDS REGULATING PERSONALITY The Pituitary In the human skull, the pituitary is a lump of tissue about the size of a pea lying at the base of the brain, a short distance ^behind the root of the nose. It is of a grayish-yellow color, unpretentious and insignificant enough in appearance, and so long neglected by the scientists who boast their immunity to the glamor of the spectacular. Guesses at its nature date back to Aristotle. Like most of its colleagues among the glands of internal secre- tion, it is really two glands in one, two glands with but a single name. At least it consists of two different parts, distinct in their origin, history, function and secretions, but juxtaposed and fused into what is apparently a homogeneous entity. They are conven- iently spoken of as the anterior gland and the posterior gland. In the embryo, the anterior gland is derived by a proliferation of cells from the mouth area. The posterior gland represents an outgrowth of the oldest part of the nervous system. When it is traced back along the tree of the vertebrate species, it is found to be present in all of them. An ancient invention, its precursor has been identified in worms and molluscs and even among the starfish. "The pituitary is practically the same, from myxine to man." A trusted veteran, therefore, among the internal secre- tory organs, its importance can be surmised. To understand the story of the pituitary, variously acquired bits of information concerning it have been assembled and fitted together like the fragments of a picture puzzle, as Cushing has so well put it. Here and there pieces stick out, obviously out of place. The relations of some of them to one another or to the whole design are not at all clear. Parts appear to have been irrevocably lost, or not yet to have turned up. Chance bystanders will select odd figures and articulate them into a new harmony. Yet out of the jumble of fragments, a fairly respectable insight has been gained in less than a half century. The pituitary is cradled in a niche at the base of the skull which, because of its form, is known as the Sella Turcica or Turkish saddle. So situated, an operative approach to it is overwhelmingly difficult. On the other hand, X-ray studies are favored. "Nature's darling treasure" it might be called, since Hi. M has been provided a skull within the skull to shelter it. Under the most highly magnifying lenses of the microscope, three kinds of cells have been distinguished. The anterior gland THE GLANDS: THYROID AND PITUITARY 63 is a collection of solid columns of cells, surrounded by blood spaces into which their secretion is undoubtedly directly poured. A gelatinous material, presumed to be the internal secretion of the gland, has, in fact, been observed emerging from the cells into the blood spaces. The posterior lobe, or gland, consists of secreting cells producing a glassy substance which finds its way-"" into the spinal fluid that bathes the nervous system. The spinal ^ fluid itself is a secretion of another gland at the base of the brain, the choroid. Nerves and internal secretion are associated here with a closeness symbolic of their general relations. From each portion of the gland (to stick to the accepted nom- enclature of speaking of the two glands as one) an active sub- stance has been isolated. Robertson, an American chemist, separated from the anterior lobe a substance soluble in the fat solvents, like ether and gasoline, which he christened tethelin. But P. E. Smith has shown that the active material is soluble neither in boiling water nor in boiling alcohol, the typical fat solvent. A number of facts favor the idea of the anterior"" lobe cells as stimulants of growth of bone and connecting and_^ supporting tissues generally. From the posterior lobe, pituitrin, believed its internal secretion, has been obtained in solution. Pituitrin is a substance of many marvelous functions. In gen- eral, it controls the tone of the tissues, of involuntary or smooth m muscle fibres of the blood vessels and the contractile organs of the body like the intestines, the bladder and uterus. When in- -m jected, it will slowly raise the blood pressure and keep it raised for some time, and will increase the flow of urine from the kid- neys and of milk from the breasts. It will also cause an intense continued contraction of the bladder and the uterus. It is also said to control the salt content of the blood upon which its electrical conductivity and other properties depend. Normally, there is a certain fixed ratio of the salts in the blood, which keeps them like the ratio in sea- water. Again, we have an example of the curious atavism of the internal secretions. The thyroid, remember, keeps the iodine concentration of the blood like that of the ocean, our original habitat. Pituitrin likewise does its part to maintain our internal environment as near as possible to what was once the surrounding medium. A substance somewhat similar has been found in the skin glands of toads. The extraordinarily well protected position of the pituitary, its persistence throughout life, and its abundant blood supply, em- phasize its vital importance. No other gland of internal secretion 64 THE GLANDS REGULATING PERSONALITY can adequately substitute for it. Complete expiration means death, in two or three days, with a peculiar lethargy, unsteadiness of gait and loss of appetite, emaciation, and a fall of temperature, so that the animal becomes cold-blooded, its temperature the same as that of the atmosphere it occupies. If only part of the anterior lobe is taken away, there occurs a remarkable degenera- tion of the individual. The degeneration is not a mucinous infil- tration of the skin and the internal organs which occurs with thyroid deprivation, but a fatty degeneration, with a tendency to inversion of sex. A singular somnolence, a dry skin, loss of hair, a dull mentality, sometimes epilepsy, and a noticeable crav- ing for and tolerance of sweets appear. These are but a few of the observations obtained in experimental sub-pituitarism, that is, underaction or insufficient secretion of the pituitary, produced by removing part of the anterior gland. If such an experimental sub-pituitarism is started in infancy, for instance in puppies, there is a cessation, or marked hindering and slowing of growth. That is, dwarfs are artificially created. Apropos, pathologists have shown that in several true human dwarfs the gland is rudimentary or inadequate. All of which goes hand in hand with the evidence that the skeleton stands -directly under the domination of the pituitary. Regulator of Organic Rhythms There are certain other singular by-effects of the gland in its relation to the periodic phenomena of the organism like hiberna- tion, sleep, and the critical sex epochs of both sexes. In hiberna- tion, or winter sleep, the animal in cold weather passes into a cataleptic state in which it continues to breathe, more deeply' but more slowly than when awake, but shows no other signs of consciousness or life. A lowered blood pressure and a marked insensitivity to painful and emotional stimuli go with it. There is a preliminary storage of starch in the liver, and of fat through- out the fat depots of the body. These are so like what happens after part of the pituitary is removed, that a comparison of the two becomes inevitable. Common to both conditions is a drop in the rate of tissue combustion or metabolism, which can be relieved by injection of an extract of the pituitary, a rise of temperature occuring simultaneously. Moreover, examination of the glands of internal secretion of hibernating species, like the ffoodchuck, during the period of hibernation, shows changes in till of them, but most marked in the pituitary, the shrunken cells THE GLANDS: THYROID AND PITUITARY 65 staining as if they too were asleep, or in a resting stage. The characteristic alive qualities of these cells return, without relation to food or climate, when the animal comes to in the spring, at the vernal equinox. Hibernation may, perhaps, be put down to a seasonal wave of inactivity of the pituitary gland. Now winter sleep may be looked upon as an exaggeration of ordinary night sleep, the latter differing from the former only in its brevity. In the natural sleep of non-hibernating species there occurs, too, a fall in temperature. Moreover, they all, even man, have a certain capacity for winter sleep, as the experiences of travellers and explorers in the arctic regions indicate. In certain parts of Russia, where there is a scarcity of food during the winter months, the peasants pass weeks at a time in a somnolent state, arousing once a day for a scant meal. Just as the sex glands influence the body and mind profoundly with a certain cyclic periodicity of activity and inactivity (rut, heat, menstrual period and so on), which has been demonstrated to have a very close functional relationship with the pituitary, so sleep and hibernation will bear interpretation as products of a temporary dormancy of the same gland. We have, then, to set up in the place of Morpheus and Apollo, the new gods of the internal secre- tion of a chemical-making bit of the brain, as an explanation of the rhythms of sleep and wakefulness. There are individuals who go about outside of hospital walls, quasi-normally, who are semi-hiberaators or partial hibernators, and who are really in a state of subpituitarism. They are people who may have something wrong or inferior with their pituitary, but not to the extent of interference with their daily life. They go about with their type stamped upon them for the seeing eye. The classical type is obese, with fat distributed everywhere, but more so in the lower abdomen and the lower extremities. They are slow and dull, and sexually inactive, often impotent. They are sometimes tall, but most often dwarfish, and may be subject to epileptic seizures. They recall the picture of what happens to young dogs partially deprived of the pituitary. Dickens delivered a perfect likeness of an extreme degree of the condition in the Fat Boy of the "Pickwick Papers," whose employment with Mr. Wardle consisted in alternate sleeping and eating. When the Pituitary Overacts All grades of overaction of the pituitary exist. Then its pecu- liar power to act as a stimulant to the growth of bone and the 66 THE GLANDS REGULATING PERSONALITY soft supporting and connecting tissues like tendons and ligaments ^ comes into play. If the overaction or excess of secretion begins in childhood or adolescence, that is, before puberty, there results a great elongation of the bones, so that a giant is the consequence. Now giants have always appealed to the imagination of the little man, and have had all kinds of wonderful abilities ascribed to them by him. The giants and ogres of folk-lore and fairy tales are favored with the most extraordinary mental advantages. Direct and analytic acquaintance with the giants of our own day, as well as a probing of their conduct in the past, has shown that normal giants — persons of exceptional size free from physical or mental deformities — are rare. There are people with hyper- pituitarism who exhibit the highest mental powers. In them is an increased activity of the posterior lobe in association with en- largement and hyperfunction of the anterior, overgrowth is not so marked, and the individual is lean and mentally acute. But the ordinary giant is one in whom there is degeneration of the pitui- tary after too much action of the anterior and too little of the posterior glands. A tumor or disease process in the gland is most often responsible. If the overaction of the anterior happens after puberty, when the long bones have set, and can not grow longer, a peculiar diffuse enlargement of the individual occurs, especially of his hands and feet and head. The nose, ears, lips and eyes get larger and coarser. As these people are rather big and tall to begin with, the effect produced is that of a heavy-jawed, burly, bulking person, with bushy overhanging eyebrows, and an aggres- sive manner. For there is, too, something distinctive about their mentality which has been as often portrayed as those of the path- ologic giant. Rabelais' most famous character, Gargantua, be- longs to the group. We recruit more drum-majors than prime ministers from among these people. They often suffer much from torturing boring headaches, and a consequent despondency and feeling of hopelessness which colors gray the entire spiritual spectrum. Up to a certain point these sufferers have a remark- able alertness and capacity. When conscious of the malady, they often meet it with a doggedly courageous optimism, which is an- other characteristic, although women occasionally commit suicide. In both the semi-hibernators who remind one of cattle, and in the giant or acromegalic types who remind one of the anthropoid », ape, there develops a distinct diminution of sexual life. An ab- normal process in the anterior gland, whether of oversecretion THE GLANDS: THYROID AND PITUITARY 67 or of undersecretion, may interfere with the proper functioning of the posterior gland, the secretion of which is tonic not only to the brain cells, but also to the sex cells. Thus, young animals deprived of the pituitary will not, if male, grow spermatozoa, nor ripe ova in the female. Moreover, the feeding of pituitary in- creases sexual activity. In the case of hens, this has been demon- strated to be about thirty per cent by a pretty experiment. At a time of the year when eggs diminish, six hundred and fifty-five hens laid two hundred and seventy-three eggs upon an ordinary diet. When pituitary was added to their food for four days, the number of eggs rose to three hundred and fifty-two, an in- crease of seventy-nine. In addition, the fertility of the chicks born of these eggs was augmented, especially if both parents had been fed on pituitary. There are other aspects of the rela- tion of the pituitary to sex, which will be treated in another chapter. The Bony Cradle of the Pituitary Always, in attempting to understand the pituitary, it is neces- sary to remember that it is tightly packed in the bony cradle, the Turkish Saddle or Sella Turcica. Should some stimulus, local, or in the blood, arouse the gland to growth, a good deal will depend upon whether it has room to grow in, or it will make room by eroding the bone. With space for the formation of a large anterior and posterior pituitary gland, there will be created the long, lean individual, with a tendency to high blood pressure and sexual trends, great mental activity, initiative, irri-~ tability and endurance. An outstanding trait of these favorites of fortune is that they remain thin no matter how much food they consume, and they have the best of appetites. They often are subject to severe headaches because of intermittent swelling of the gland against the bone of its container. If the bony container is or becomes too small for its contents, it is interesting that along with the other signs of pituitary insuf- ficiency, such as undersize, obesity, and asymmetry, there devel- opes conspicuous moral and intellectual inferiority. The unfor- tunates suffer from compulsions and obsessions and lack inhibi- tions. They are the pathological liars with little or no initiative or conscience — amoral, not merely theoretically, but instinctively and unconsciously, with all the certitude and perfection of the unconscious accomplishment. 68 THE GLANDS REGULATING PERSONALITY Thyroid and Pituitary The thyroid and the pituitary have often been compared. The anterior gland and the thyroid arise from almost the same spot in the embryonic oesophagus, the thyroid being an outgrowth in front, the anterior pituitary an outgrowth behind of the same soil. They both control growth marvelously, also the differentia- tion, the mass and intricacy of the tissues. But they differ in the site of their control. The thyroid bears more directly upon the inner and outer coverings of the body, the skin, the skin glands and the hair, the mucous membranes, and the irritability and the preparedness for response of the nerves. The pituitary acts more upon the framework of the body, the skeleton and the mechan- ical supports and movers. Bone and ligament, muscle and tendon seem to be within its immediate sway. The secretion or secre- tions of the pituitary diffuse directly into the fluid bathing the nervous system, supplying beneficent stimulants and aiding in the abstraction of harmful waste. So while the thyroid raises the energy level of the brain, and the whole nervous system, as a by- product of its general awakening effect upon all the cells of the body, the pituitary probably stimulates the brain cells more directly, perhaps in the manner of caffeine or cocaine. The difference between the thyroid and the pituitary might be put this way: that while the thyroid increases energy evolution and so makes available a greater supply of crude energy, by speeding up cellular processes, the pituitary assists in energy transformation, in energy expenditure and conversion, especially of the brain, and of the sexual system. In short, the thyroid facilitates energy production, the pituitary its consumption. The pituitary appears therefore as the gland of continued effort. Hence fatigability, an inability to maintain effort, is one of the prominent complaints when there is destruction or an insufficiency of it for one reason or another. As such, it contrasts with the glands of emergency effort, known as the adrenals. CHAPTER in THE ADRENAL GLANDS, THE GONADS, AND THYMUS Like the pituitary, each adrenal gland is a double gland, that is, consists of two distinct portions, united together, one might say, by the accident of birth. It would be confusing, however, to speak of each as two glands, because there are, as a matter of fact, two separate adrenal glands, one in the right side of the abdomen, and the other in the left. Each gland is composite, or duplex. How the two parts came to be united is a long story, interesting but too long to be recounted here. In fishes they are apart and independent. Each adrenal is a cocked hat shaped affair, astride the kidneys, easily recognized because of its yellowish fatty color. Indeed, for centuries the glands were not given a separate status as organs, but were passed up as part of the fat ensheathing the kidney. In childhood and youth, in common with the other glands, they are relatively larger and more prominent than in the adult. Also, at every age, the amount of blood passing through them is very large compared to their size. Their tre- mendous importance in the body economy accounts for their being so favored. The two parts of which each gland is composed, are known as the cortex or outer portion (literally the bark) and the medulla or inner portion (literally the core). No clean-cut boundary sharply delimits the two, as strands and peninsulas of tissue of one portion penetrate the other. In the history of their devel- opment in the species and the individual, and in their chemistry and function, a sharp difference contrasts them. In the embryo, the cortex is derived from the same patch that gives rise to the sex organs, the ovaries in the female, and the testes in the male, described as the germinal epithelium. How intimately the two sets of glands are connected is neatly pointed by this fact of a common ancestor. All vertebrates possess 70 THE GLANDS REGULATING PERSONALITY adrenal glands. In the lowest of the vertebrates, Petromyzon, the two parts are distinct, the cells of the cortex-to-be are situated in the walls of the kidney blood vessels, projecting as peninsulas in the blood stream, the blood sweeping over and past them. The medulla-to-be consists of cells accompanying the vegetative nerves. Among reptiles, the two become adjacent for the first time, and among birds one part occupies the meshes of the other. The size of the cortex varies directly with the sexuality and the pugnacity of the animal. The charging buffalo, for example, owns a strikingly wide adrenal cortex. The fleeing rabbit, on the other hand, is conspicuous for a narrow strip of cortex in its adrenal. Human beings possess a cortex larger than that of any other animal. No definite chemical substance has as yet been isolated from the cortex. That remains a problem for the investigator of the future. But certain observations, especially concerning the relation between the development and behaviour of the so-called secondary sex characteristics, those qualities of skin, hair and fat distribution, physical configuration and mental attitudes, which distinguish the sexes, and the condition of the gland, indicate clearly that an internal secretion will be isolated, and that it will in its activity furnish certain predictable features. Three different layers of cells, arranged in strings, that inter- penetrate to form a network directly bathed by blood, that breaks in upon them from open blood vessels, compose the cortex. Most remarkable is this method of blood supply for it is exceedingly common among the invertebrates and rare among the vertebrates. In certain disturbances of these glands, especially when there are tumors, which supply a massive dose of the secretion to the blood presumably, peculiar sex phenomena and general develop- mental anomalies and irregularities are produced. If the disease be present in the fetus, taking hold before birth, and so brought into the world with the child, there evolves the condition of pseudo-hermaphroditism. The individual, if a female, presents to a greater or less extent the external habits and character of the other sex. So that she is actually taken for a man, although the primary sex organs are ovaries, often not discovered to be such except when examined after an operation or death. How closely such an occurrence touches upon the problems of sex rsion and perversion comes at once to mind. If the process involving the adrenal cortex attacks it after THE ADRENAL GLANDS 71 birth, the symmetrical correspondence and harmony of the pri- mary sex organs and the secondary sex characters are not affected. But there follows a curious hastening of the ripening of body and mind summed up in the word puberty, a precocious puberty, with the most startling effects. A little girl of 2, 3, or 4 years of age perhaps will come to exhibit the growth and appearance of a girl of 14. She begins to menstruate, her breasts swell, she shoots up in height and weight, sprouts the hair distribution of the adult, and the mentality of the adolescent, restless, acquiring, doubting, emerge. A tot bewitched into puberty ! A boy of six or seven may suddenly, in the course of a few weeks or months, become a little man, robust, rather short and stocky, but mous- tached, with the muscular strength and sexual powers of a man and thinking as a man. It is all as if into some fermentable medium or solution a little yeast were dropped that changed the quiet calm of its surface into a bubbling, effervescing revolu- tion. It suggests at once that maturation, the transformation-^" of the child into the man or woman, must be due to the pouring into the blood and the body fluids of some substance which acts like the yeast in the fermentable solution. The adrenal cortex is one source of the maturity -producing internal secretions. . — If trouble in the adrenal cortex starts after puberty, phenomena of the same type, but of a different order, exhibit themselves. A woman, say in the thirties, becomes thus afflicted. Slowly or quickly her body will be covered by an abundant growth of hair, more or less of a beard and moustache appear upon the face, her voice will become deep and penetrating, her muscles will harden, and she will show a capacity for hard physical labor. Sexually she appears to be made over, masculinity now predominates in her make-up. Virilism is the name by which the French in particular have popularized the knowledge of the condition. Virilists have to shave or be shaved regularly and are not both- ered in the least by the cares, responsibilities, jealousies and— anxieties of personal beauty, for the change in their spirituality makes them immune to the preoccupations of the feminine. The cause of such a transformation in a previously entirely normal woman has been found to be a tumor of the adrenal cortex. But not only is sexuality, and the conduct of the secondary sex characters, connected with the adventures of the adrenal cortex. The development of the master tissues of the body, the brain, the pride and darling of evolution, is in some subtle way correlated with it. The adrenal cortex contains more of the 72 THE GLANDS REGULATING PERSONALITY phosphorus-containing substances of the general nature of those found in the central nervous system than any other gland or non- nervous tissues in the body. During human intrauterine life the adrenal glands are large and conspicuous, in the first half of the second month being twice as large as the kidneys. Most of this relatively huge size, which happens in the human alone, and not in other animals, is due to enlargement of the cortex. Should this preponderance of the cortex over the medullary portion not occur in the human, that is, if the proportions remain like those of other animals, the brain fails to develop properly, or an entirely brainless monster is generated. The human brain, therefore, probably owes its superiority over the animal brain, to the adre- ~ nal cortex, in development anyhow. The growth of the brain cells, their number and complexity is thus controlled by the adrenal cortex. • Besides its action upon the sex cells and the brain cells, the :•— internal secretion of the adrenal cortex acts upon the pigment -^ cells of the skin, blunting their sensitiveness to light. In degene- ration of the interior of the gland, which destroys the medulla, but not the cortex, the color of the skin is left unmodified. If, however, the cortex is invaded, as happens most often in the classical tuberculosis of the adrenals which drew the attention of the Englishman Addison to them, then a darkening of the skin, which may go on to a negroid bronzing, follows. That means an increased sensitiveness of the pigment cells of the skin to light. Skin color control may therefore be looked upon as an adrenal cortex function. So much is known about the adrenal cortex. Upon the medulla, the interior gland of the gland, there has been lavished an amount of attention beside which the cortex is to be classed as a neglected wall-fiower. Nearly everything that possibly could be determined about an internal secretion has in its case been settled or plausibly guessed at. The cells manufacturing the secretion, its exact chemistry and function, its action upon the blood, the liver and spleen, the heart and lungs, the brain and nervous sys- tem, have been minutely investigated, studied and charted. Its source in the food, its fate in the body, its place in the history of the individual and the species, its importance as a weapon in the struggle for existence, and the survival of the fittest have meo made the subject of an astonishing number of researches, considering the short period of scarce three decades that inten- eive sci. centered its barrage upon it. THE ADRENAL GLANDS 73 In the first place, the medulla contains numerous nerve cells, belonging to the vegetative, also called the sympathetic nervous system. But these nerve cells are merely minor notes of the symphony. The motif is settled by a majority of large, granular cells, which stain a- distinctive yellowish-brown when the gland is fixed in a solution of bichromate of potash. All chromium salts, in fact, stain the therefore labelled chromaffin cells. The characteristic staining power appears to be dependent upon, or correlated with, the presence of the internal secretion of the medulla of the adrenal, adrenalin. For the content of adrenalin, as calculated chemically, and the depth of stain as seen under the microscope, rise and fall together. Chromaffin reaction and adrenalin content go together. The poisonous skin glands of the toad have been found to give a marked chromaffin reaction, and to contain a large amount of adrenalin. Other masses of cells in the human body, especially along the course of the sympathetic nervous system, have been shown to give the reaction and to contain adrenalin. The erratic Brown-Sequard pounded and hammered away for more than thirty years on the importance to life of the adrenal glands, since death occurred so quickly after their removal. But it was not until Schaefer, the Scotch physiologist, (who has done more than any other living man to stimulate study of the internal secretions) found that an extract of them, when injected into a vein, produced a remarkable though temporary rise of the blood pressure, that a real enthusiasm for its investigation was gener- ated. As the upshot, a number of other significant properties besides the first of blood-pressure raising, have been put down to its credit. Chemical tests demonstrated that it originated in the medulla. The exact amount of it present in the medulla, in the blood issuing from the adrenals and in the circulation in general have been determined. The concentration in the blood is about one part in twenty million, while there is about a hundred thousand times as much stored in the gland as reserve. In infections and intoxications, after muscular exertion, and with profound emotions, there is a decrease of it in the gland and an increase in the blood. Pain and excitement, especially fear?*^ and rage, will bring about its discharge from the gland. With - its entry into the blood, there is a tremendous heightening of the tone, a tensing, of the nervous system. The nerve cells become *"~ more sensitive to stimuli, more sugar is poured into the blood from the liver, more red blood corpuscles are squeezed into the 74 THE GLANDS REGULATING PERSONALITY circulation from the blood lakes of the liver and spleen. There a redistribution of the whole blood mass, a good deal of it being withdrawn from the internal viscera, and hurried to the ^-skeleton muscles and the brain. The heart beats more strongly, the eye sees more clearly, the ear hears more distinctly, and the breathing is more rapid. The temperature rises, the hair of the -head and the body becomes erect, the skin gets moist and greasy. It will help a fatigued muscle to regain its normal tone. In short, it has a reinforcing action upon the nutritive properties of the blood, the tone of the muscles, and the activity of the brain and the vegetative nerves. Chemists set themselves the task of discovering just what was the substance possessed of such extraordinary and hitherto un- imagined properties. The pure adrenalin was isolated, capable of evoking all the reactions of the impure adrenal extract mix- tures. The final triumph was the preparation of it artificially in the laboratory, its synthesis. When a substance can be synthe- sized in the chemist's laboratory, it means that its composition has become thoroughly understood. Here at last was an example of those mysterious internal secretions, the existence of which had indeed been postulated and proven, but which had never actually been inspected by the eye of mortal man. To have it in a test- tube, indeed to possess it in large quantities in bottles, to be able to manipulate and examine it without fear of the co-action of admixed impurities, to see it with the eye, and to taste it with the tongue, was truly a marvel. The miracle aroused at once scores of researches. The Gland of Combat and Fight Considering its effects, one is reminded at once of the similarity to the expression of a primitive emotion like anger or fear. So, by turning a relation upside down, it was argued that if artificial adrenalin could produce all these effects of an emotion like fear, the emotion itself should produce an increase of the natural adre- nalin in the blood. This was found to be the case. Cannon of Harvard has built up an entire theory of the adrenal as the gland of emergencies upon the basis of these effects. In the facing of crises the adrenal functions as the gland of combat. And indeed, as I have mentioned, the more combative and pug- nacious an animal, the more adrenal it has, while the timid and meek and weak have less. THE ADRENAL GLAttDS 75 The Glands of Combat, the glands of emergency energy, the glands of preparedness, — such are the adrenal glands when viewed from the adrenalin standpoint. A picture of its activity - in the evolutionary scheme of struggle and survival is something like the following: meeting an enemy, the animal is put in danger. It must fight or flee for its life. In either case, certain conditions must be fulfilled, if the body of the animal endangered is to be saved. To prevent injury to itself, and to do as much injury as possible to the foe — that becomes its immediate urge and neces- sity. Of the two animals, if in one the heart should begin to beat more strongly, the blood pressure to rise, the blood to flow more rapidly through the attacking instruments, the muscles, the teeth and claws, the brain and its eyes, while the other animal experiences none of these, the former will be the victor in fight or flight. Adrenalin may be looked upon as the invention for the •■-* mobilization at a moment's notice, or as we say, after generations *. of use, by instinct, of all these visceral and blood advantages in the struggle of combat or flight. The nature of instinct, in its relation to the glands of internal secretion, is a problem for another chapter. But we may note that the James-Lange theory of an emotion regards it as a consciousness of the very changes in the organism adrenalin causes. Since adrenalin is the starter of the whole process, and since McDougal has defined emotion as the feeling aspect of an instinct, just as an instinct may be defined as the motor aspect of an emotion, the adrenals as emotion-genetic, and instinct-gene- tic, play a part in the most profound processes of the subcon- scious and unconscious. The Mechanism of Fear We may therefore visualize a mechanism of fear. An instant excess of adrenalin occurs in the blood of, say, a cat when it is alarmed by the sight of a dog. In that cat, at the image of its hereditary enemy, certain brain cells vibrate. A nerve tract, in use as the line for that particular message in a hundred thousand generations of cats, whirrs its yell to the medulla of the adrenal gland. Through the tiny, solitary veins of the glands, an in- finitesimal quantity of the reserve adrenalin responds. And with what an effect! The blood, that primary medium of life, the precious fluid that is everything, must all, or nearly all, be sent to the firing line, the battle trenches, the brain and muscles, now 76 THE GLANDS REGULATING PERSONALITY or never. So the blood is drafted from the non-essential indus- tries— from the skin where it serves normally to regulate the heat of the body — from the digestive organs, the stomach and intes- tine, which must forsooth stop now, since if the organism will die, their last effort of digestion has been done — from the liver and spleen, great chemical factories in normal times, but now of no moment. Besides, should they be wounded, it is better they should be bloodless, and so run the least chance of bleeding to death, or getting infected, for the more tissue there is around, the greater the danger of infection. So, like the skin, the liver which usually holds in its great lakes and vessels about a quarter of all the blood in the body, is almost drained and blanched. At the same time, its great storehouses of sugar open their sluices and pour into the blood, increasing its sugar content by about a third -because the combustion of sugar is the easiest way of getting energy free in the cells, sugar being the most quickly burned up of all the foods, and so the great food of the muscles and the heart. The poisons of fatigue, acid products of the con- traction of muscles, are antagonized and neutralized by sub- stances formed in the course of the oxidation of the sugar. Adre- nalin, too, is directly fatigue antagonist. It causes the blood to clot faster than under ordinary circumstances. It erects the hair of the animal, and dilates the pupils of the eyes. There is an increase of the apparent size, all of which are to intimidate the enemy, like an Indian's painting of his face blue and green. It also — but what else does it not do? The story of adrenalin would have delighted the heart of Samuel Butler. His "Note Books," opulent as they are, would have been the richer in pages and pages with his comments on it. Contending as he did with the pompous, dogmatic mechanism worship of the new scientific clique of his time on the one hand, and the superstitions of the old theological caste on the other, he had to fight the hardest kind of guerrilla warfare in defense of the Purpose of Life. Adrenalin, that weapon of a gland tracing its ancestry back to the begetter of the brain itself, for brain and adrenal gland both have evolved from the small nerve •i of the invertebrates, would have backed up to the hilt his argument, which he had to elaborate on the indirect grounds of analogy and induction. Essential for defense, and for protec- tion,—an organ in which everything necessary for the stratagems of retreat, or the offensives of attack, are supplied ad libitum, THE ADRENAL GLANDS 77 while everything non-essential or detrimental to the matter of the moment is inhibited, arrested and suppressed — no more per- fect sample of the design with which Life is drenched could be imagined by the most closeted of passionate idealists. Failure of the Adrenals As the gland of acute stress and strain, the adrenals in modern life are called upon to function more heavily and frequently than in the past. As a matter of fact, the life of the beast of jungle and field, as well as of savage and barbarian, is just as full of emergencies and shocks as that of the average city man or woman. In the case of the latter, however, inhibitions, education, and the conditions of modern living, improper food, sedentary indoor confinement, and universal rack and noise, have undoubt- edly made greater and greater demands upon the adrenal glands. Chemical quantitative studies have shown that by repeated stimulation, the adrenal glands may be exhausted of their reserve supply of secretion, which returns only insufficiently if not enough time is given for recuperation. There results a condition of temporary or chronic adrenal insufficiency, supposedly an insuf- ficient functioning of the gland as a whole. In persons so afflicted there appears a fatigability, a sensitiveness to cold, cold hands and feet, which are sometimes mottled bluish-red, a loss of ap- petite and zest in life, and a mental instability characterized by an indecision, and a tendency to worry, a weepishness upon the slightest provocation. A certain number of the temporary breakdowns or nervous prostrations, which seem to be growing more common or fashion- able, may be sometimes traced to such a deficiency of normal response to the needs of everyday conflict by the adrenal gland. In some, mental and physical elasticity are totally lost, and even the slightest exertion in either field often causes so much weariness and exhaustion as to be prohibited. Depression and even melancholia are associated with the fear of not being able to accomplish good work hitherto easy and enjoyed. Sometimes _ they are obsessed with the thought that they have lost their nerve completely, and so dread to commit themselves in even the most^ trivial of situations. The vacillating frame of mind is so distress- ing at times as to arouse thoughts of suicide. When thes^g. symptoms concur in the type of personality whom I shall describe 78 THE GLANDS REGULATING PERSONALITY as the unstable adrenal-centered individual, there is evidence for explaining the process as the effect of an insufficiency of secretion by the adrenal gland. Shock, collapse, heart failure and sudden death following ab- normal emotion, like an attack of rage, or the terrors of a railroad accident, or bad news, or excessive exertion like running a long race or climbing a high mountain when in poor general health, as the phrase goes, or in the terminal stages of infections like epidemic influenza or Asiatic cholera, have been put down to an acute insufficiency of the adrenal gland. A lowered temperature, blood pressure, and blood vessel tone, exhibited in tests of the response of the skin to stroking, are present in all of these and point the same moral. In the second half of the 19th century, an American physician, Beard, described Neurasthenia, a general disturbance of the body and mind, not properly classifiable as a disease, but serious enough to incapacitate or at least greatly limit the sufferer. The neurasthenic is to be recognized by the fact that the most pains- taking objective examination of his organs reveals nothing the matter with them. Yet, according to his complaint, everything is the matter with him. He cannot sleep when he lies down, he cannot keep awake when he stands up. He cannot concentrate, but still he is pitifully worried about his life. The slightest irri- tant causes him to go off the handle. As he works himself up into his hysterical state as a reaction to a disagreeable person or prob- lem, irregular blotches may appear on his face and neck. Gen- erally, his hands and feet are clammy and perspiring, his face is abnormally flushed or pallid, the eyes are worried or starey, un- wonted wandering sensations involving now this area of the body, or now that obsess him. As the blood pressure is too low for the age, the circulation is nearly always inadequate and palpita- tion of the heart is a frequent complaint. So frequent, that attention is often centered upon the heart, a diagnosis of heart disease is made, and the unfortunate is doomed for life — to brood over horrible possibilities. The brooding over themselves and their troubles is one of the distinctive features of the whole com- plex. Neurasthenia may masquerade as any organic disease. An individual with a soil for a neurasthenic reaction to life will ome neurasthenic when confronted by any stone wall, includ- ing a serious ailment within himself. - Beard's Neurasthenia leaped at once into the limelight. It was seized upon and applauded in Europe as a good new name THE ADRENAL GLANDS 79 for an old condition, observed particularly in Americans abroad to rest from the fatigues of the get-rich-quick games of industrial speculators. In fact, the name of the American Disease was given to it. Various theories about the effects of climate, sunlight per square inch and unit of time, oxygen content of the air, and so on, were offered up upon the altar of scientific explanation. Sir Arbuthnot Lane, famous protagonist of Lane's intestinal kink, said that all Americans were neurasthenic. Neurasthenia became one of the most popular of diagnoses, and remains so today. Neurasthenia, regarded as a reaction of people to the stress and strain of life, has without a doubt increased. The most casual of observers will tell you that the generation of the Great War is a neurasthenic generation. It takes its pleasures too intensely, its pains too seriously, its troubles too flippantly. But what is neurasthenia? Beard himself regarded it as a chronic fatigue and loss of tone of the nervous system, a literal interpreta- tion of his term. That the conception, as far as it goes, is valid is proved by the fact that it is the neurasthenics who furnish the majority of the clientele of the cujt^the Christian Scientists, the osteopaths and the chirnoracfet& and who are the subjects of the faith and miracle cures, like those of Lourdes. That is because their particular disease, or what appears to them to be their very own disease — and they certainly cherish their ail- ments— is but an expression of, a compensation for, indeed a consolation for, the underlying feelings of insufficiency or infe- riority. Were there no moral code, were there no social system, nor the consequent inculcated conscience to be responsible to, there would be no such disguising symptom as the disease which preoccupies the consciousness. The feeling of insufficiency would be there, and would be recognized as in itself the disease. To the physiologist and the psychologist, the feeling of insufficiency is the disease, no matter how spectacular the overlaying phenomena — a cripple on crutches or a man blind and speechless. Shell shock is now acknowledged to belong to this group. Now one of the outstanding effects of disease of the adrenal glands is the feelings of muscular and mental inefficiency. And as a matter of fact, a good number of observations conspire for the idea that a certain number of neurasthenics are suffering- from insufficiency of the adrenal gland. The chronic state of the- acute phenomenon, known as the nervous breakdown, really rep- resents in them a breakdown of the reserves of the adrenals, and an elimination of their factor of safety. In the light of that 80 THE GLANDS REGULATING PERSONALITY conception, the great American disease — dementia americana — is seen to be adrenal disease — and the American life to be the adrenal life, often making too great demands upon that life, and so breaking down with it. Adrenal Excess The converse of adrenal insufficiency, that of adrenal excess, also exists. In certain types of the middle-aged, "a high blood pressure, accompanied by a great capacity for work, has been shown to be associated with hypertrophy of the cortex. In women, there is a degree of masculinity, as the adrenal in women makes for masculinity, neutralising more or less the specifically femi- nine influences of the internal secretions of the ovary. Such women possess a vigor and energy above the normal, and com- mand responsible positions in society, not only among their own sex, but also among men. They are the ones who, in the present overturn of the traditional sex relationships, will become the professional politicians, bankers, captains of industry, and di- rectors of affairs in general. The Gonads (Sexual, Puberty or Interstitial Glands) — - The gonads is the name applied to the generative or repro- ductive glands considered collectively. In the male, they are the __ testes; in the female, the ovaries. They are, therefore, sometimes ^ called the sexual glands. As they possess definite canals for the removal of their gross secretion, the specific reproductive cells, - ova or spermatozoa, to a surface of the body, they are first of all glands of external secretion. But they have been also found to hold secretory cells not concerned with the making of the repro- ductive corpuscles, but, as all the evidence indicates, with the manufacture of an internal secretion. These interstitial cells form the interstitial gland. A classic example of a gland of internal secretion lodged in the interstices of a gland of external secretion is thus furnished by the gonads. Origin of Sex Traits WW history of sex goes back far in the scheme of life. The immortality of the ameba was at one time one of the indisput- THE ADRENAL GLANDS 81 ables of biology. Then some observations were made which threw doubt upon a long accepted fact, now declared a dogma. Lately, opinion has veered back to immortality. But in the case of a close relative of the ameba, the one-celled animal known as the Paramecium, union with another Paramecium, true conjuga- tion, has been proved necessary to prevent death sooner or later. Sex here appears in its most primitive form, on the basis of ex- change of necessary materials, between individuals to prevent death, their own having been, so to speak, worn out, in the course of metabolism. Specifically different sexes come later, when mortality is a uni- versal fate, as a means of rebirth and escape from death. Then the sexes develop their latest function, most prominent among the younger vertebrates, of acting as nature's most potent method of variation and differentiation. In the pursuit of the different, nature has exalted sex, and the intensity of the sex life. As far as the preservation of a species is concerned, and the reproduc- tion of the individual, the asexual methods, budding, for example, would have done well enough. But when it comes to enacting a different individual apart from the effects of environment, sex stands out as the favored method of Life. The development of the sexes and the sexual life brought a new element of conflict into the living world. Before the advent of the sexes the conflict was essentially for the means of existence, food alone. But with the sexual life came a conflict for sex pleasure, a competition among members of the same species for the same individual as their sex partners. The result was the introduction of a factor in evolution which Darwin examined so closely in the "Descent of Man." The sex conflict has been the cause for the origin and the survival of certain physical and mental traits, helpful in sex attraction, sex combat, the growth of the embryo, and the nutri- tion and safety of the young of a species, — in short, the whole process of sexual selection. The proportions of the skeleton, the distribution of hair and fat, the construction of organs of attack and defense, the color of the skin, the cyclic processes of prepara- tion for impregnation, the oestrus or heat period in animals, the menstrual period in the human being, the psychic reactions to danger and combat have all been thus determined. That man is bearded while woman is not, — that woman has potentially func- tional breasts while man has not, — the aggressive pugnacity of man contrasted with the more passive timidity of woman, have 82 THE GLANDS REGULATING PERSONALITY all been evolved in the sex struggle, surviving because most effec- tive in that struggle. These so-called secondary sexual character- istics are an expression of the influence of the internal secretion of the gonads, or the interstitial glands. Some call them puberty- glands, because their ripening initiates puberty. We know that these interstitial glands, to stick to that name, (rather than to the name of the puberty glands, since they serve not only to induce puberty but to maintain maturity) are the actual primary dictators of the process by which male and female are distinguished, if not created. Castration was probably the first surgical operation carried out for experimental purposes, suggested no doubt by a curiosity concerning its effects. Trepan- ning of the skull, the geologic record indicates, wa^ done even by the cave man. But as an experimental operation, castration seems to hold the primary position in the annals of surgery. Its effects noted, the satisfaction of one of the lower human instincts, jealousy, popularised it. From the days of Semiramis, eunuchs have been commonplace figures of the East, their func- tion definite: to guard the harems of the powerful. The age of Abdul Hamid witnessed no diminution of the barbaric tortures by which children are prepared for the profession. It is to the credit of England that in its dominions in the Orient the practice has been abolished. But it goes on even today. According to the best authorities, four out of five of these victims at the auto-da-fe of a vicious human instinct die immediately or soon after from exhaustion due to pain and infection. Not all of the ancient nations countenanced the brutal horror. The Hebrews placarded castration an unpardonable sin, making it a sin to cas- trate even animals. Nor was any man so mutilated permitted to worship in the house of the Lord (Deuteronomy xxiii, 11). Yet we have evidence that the latter Jewish kings employed foreign eunuchs in their harems, who often held the most im- portant positions as ministers of the court. Besides the eunuchs, another group of people have presented material for the study of the interstitial glands. These are the Skoptzi of Russia and the Lipowaner of Roumania. Among them castration is a religious ritual. Mankind has always been most brutal to itself in the name of the ideal. These sects were founded because in the eighteenth century an antipode of Joseph Smith and Brigham Young discovered this passage in Matthew xix, 12. "For there are some eunuchs which were so born from their mother's womb, and there are some eunuchs which were made THE ADRENAL GLANDS 83 eunuchs of men: and there be eunuchs which have made them- selves eunuchs for the kingdom of heaven's sake. He that is able to receive it, let him receive it." He decided that he was inspired to spread the gospel of cas- tration. A sect was founded who thought that surgery was the easiest way to enter the gates of Paradise, and they multiplied and fructified. The sect exists today, and some of the most inter- esting studies of the internal secretion of the interstitial glands have been made among them. Related to acquired eunuchism is the condition of eunuchoid- ism, the eunuchs which were so born from their mother's womb. Baron Larey, the great surgeon of Napoleon's armies, was their first painter. He was the only altruist Bonaparte said he had ever met in his life. He portrayed a group of soldiers with pecu- liarly high-pitched voices, smooth and hairless skins, and atrophied generative organs. A somewhat similar picture is evolved in certain types of insufficiency of the pituitary gland. Features of the picture are exhibited with disturbances of the other internal secretory glands also, like the thymus. But a host of experiments and data prove the interstitial glands* - to be the direct controllers of elementary sexuality and the specific sex traits of male and female. Beginning with Berthold - back in the first half of the nineteenth century, who studied the fowl, a number of observations have been made on the effects of excision, translocation and transplantation of these glands. The results of the experiments and observations can be summed up as follows: if the male individual is castrated before puberty^ that is, before the advent of the sexual life, secondary sex qualities do not develop. In males, the generative organs do not grow, hair on the face does not appear, hair elsewhere on the body re- mains generally scanty, the voice continues as high-pitched as the child's, there is more or less muscle weakness, obesity, and mental sluggishness. In other words, we have an effeminate man, tech-" nically a eunuch. In the castrated female, the pelvis does not- grow to the normal feminine size, the breasts do not swell as they should, more or less hair comes out on the face, the voice is low- pitched, and tends to be rather husky, the legs are longer, and again, the mentality is dulled. That is, a masculine sort of. woman is produced. In short, the castrated male takes on a feminine type, and the castrated female, a male type. In either case there is also an infantilism, a retention of the infantile mental traits, a lack of 84 THE GLANDS REGULATING PERSONALITY development of the adult mental attitudes and reactions. Now, if in the castrated male is transplanted an ovary, the positive characteristics of the female are evoked, such as enlarged mam- mary glands, and a tendency to secretion of milk. Experiments have also been reported in which a uterus was also placed in such an animal, with a means of entry, and pregnancy followed. If in the castrated female a testicle is planted, the masculine traits become much more marked and striking. A direct exchange of the male and female roles can thus be achieved. Castration after puberty cannot modify profoundly structures like the skeleton which are already completed. Yet it may unquestionably bring about definite retrogressive changes in the secondary sex charac- ters: reduction or loss of virility, diminution of facial and body hair, and a general presenility or hastening of senility. How remarkably these interstitial cells influence the entire structure and vitality of the organism is indicated by these facts. How much they have to do with sexual impulses, sexual excite- ment, and sexual desire, what the Freudians have popularized as the libido, and how subtly they act upon the coming and duration of adolescence and maturity, as well as sexual precocity and pe- versions, we shall consider in a later chapter. But it is enough now to remember that these interstitial glands are the primary dictators of the genital sense and flair of the individual. In any attempt at measurement of men and women, the quality and quantity of the internal secretion of the interstitial cells must be respected as a fundamental consideration. The womanly woman and the manly man, those ideals of the Victorians, which crum- bled before the attack of the Ibsenites, Strindbergians and Sha- vians in the nineties, but which must be recognized as quite valid biologically, are the masterpieces of these interstitial cells when in their perfection. They are such solely because of the right concentration in the blood of the substances manufactured not only by these cells, but by all the glands of internal secretion. For it cannot be repeated and emphasized too often that the interstitial cells of the sex glands are most sensitive to all kinds of other influences, and, in particular, the other internal secre- tory organs. They may indeed be watched as an index scale or barometer of the general tone of the whole internal secretion sys- tem. Sex variations offer a variety of clues to variations, dis- turbances, predominances and abnormalities in all the compo- nents of the ductless gland association. To take a single instance, the development of the long bones THE ADRENAL GLANDS 85 is dependent upon the handling of food lime by the body. Eunuchs and eunuchoids, that is, individuals with insufficient internal secretion of the interstitial cells, have longer bones and more fragile bones than the normal. Vice versa, those with an excess of the secretion have shorter and thicker bones. The earlier the onset of menstruation, which means puberty, the shorter the extremities, as the action of the internal secretion of the ovaries closes the story of the growth of the long bones. The ovaries are a most important factor in the regulation of the power of the organism to keep lime in the bones. If they over- secrete in an excess which cannot be taken care of by the other glands of internal secretion, the body loses lime, a softening and curving of the bones occurs, and the most horrible deformities and tortures for the sufferer. Taking out the ovaries has cured some of the afflicted. Administration of the antagonizing gland extracts has helped others. An Italian, Bossi, in 1907, used adrenal gland curatively. More recently, a British student of the subject, Blair Bell, was given the direction of the treatment, at long range, of a number of cases in India, the land of chronic pregnancy with insufficient food, and consequent oversecretion of the ovaries, with the typical softening of the bones. At his sug- gestion pituitary was used successfully. Some of the glands of internal secretion act as accelerators to the sex glands. Others act as retarding antagonists. Among the most important of the latter is The Thymus The thymus is the gland which dominates childhood. It ap- pears to do so by inhibiting the activity of the testes or ovaries. Castration causes a persistent growth and retarded atrophy of the thymus. Removal of the thymus hastens the development of the gonads. Situated in the chest, astride the windpipe, it descends and covers over the upper portion of the heart, overlapping the great vessels at the base of the heart. It is a brownish red mass, which when cut presents the spongy effect of a sweetbread. The more intimate view of detail revealed by the higher powers of the microscope shows conglomerations of the white cells of the blood known as lymphocytes. But scattered through the substance of the gland, between these lymphocytes, like the interstitial cells of the sex glands rJlaced between the sex cells, are peculiarly 86 THE GLANDS REGULATING PERSONALITY staining cells in whorls. Of which there are many more in the thymus of embryonic and early postnatal life, known after their discoverer as Hassal's Corpuscles. They are believed by some to elaborate the specific internal secretion of the thymus. Present in all vertebrates, there seems to be more of it in the carnivora than in the herbivora, like the thyroid. Concerning the exact function of the thymus, we are a good deal at sea. The latest opinion about the results of extirpation even in young and growing animals is that they are nil. Yet there is a certain justification for proclaiming the thymus the gland of childhood, the gland which keeps children childish and some- times makes children out of grown-ups. There is a quantity of data for that proposition. In the first place, the curve of rise of growth of the gland seems to coincide with the period of child- hood, the curve of its decline with the period of adolescence and the rise of the sex glands. In the past, it was accepted, that with puberty the thymus atrophied and was replaced by some sort of fatty tissue. Nowadays, it is held that secretion cells persist throughout life. When the extent of this persistence is too great, the gland being from five to ten times as large as the normal, a number of other features become prominent to make the extraordinary individual, the status lymphaticus, who amid the hazards of life will react in an extraordinary way. He will be taken up in the consideration of internal secretion person- alities. Then there are the varied and remarkable phenomena of thymus enlargement and hyperactivity in childhood itself. When an enlarged thymus is present in an infant, the initiation of breathing in the new-born, the introduction of the newcomer t the oxygen of the air, may be an exceedingly prolonged, difficult, matter. Such a baby is said to be born blue, and the breathing may be stridorous for days, becoming normal for a time, to be followed later by spells of trouble in breathing, breathlessness or breathlessness with blueness, and threatened extinction. Some- times these spells come out of a clear sky in an apparently healthy child. That some poison, probably an oversecretion of the thymus, is responsible is shown by the relief obtainable by X-ray shrinkage of the gland, or the surgical removal of a part of it. Moreover, the gland is influenced by and influences the factors of body weight and growth with an extreme readiness and lability. Deficient general undernutrition leads to rapid decline THE ADRENAL GLANDS 87 in its weight. Back in 1858, the pioneer student of the thymus, Friedleben, declared that the size and condition of the thymus is an index to be the state of nutrition of the body. Underfeeding for four weeks will reduce it to one thirtieth the normal. It seems to act as a storage and reserve organ, affording some protection against the limitation of growth by lack of food material. In exhausting or wasting disease, the weight of the gland sinks much more quickly than other glands. Scattered instances have been reported of children growing, putting on inches in height and expanding mentally, when thymus was fed to them, in whom every other measure previously tried had failed. A French study of over four hundred idiotic children with normal thyroids reported that over three fourths had no thymus at all. Everything points to the most direct and close relation between the gland and nutrition and growth, but with nothing tangibly definite like our knowledge of the thyroid and the pituitary. There is evidence that the thymus is involved in the health and efficiency of muscle cells and muscularity. Certain tumors of the thymus, presumably destructive of the gland substance proper, and thus cutting off its secretion, are accompanied by a singular muscle weakness and atrophy of the muscle cells, entirely out of proportion to the general damage suffered by the other cells of the body when affected by the poison of a malignant growth. Also, the thymus has been discovered diseased in certain mysterious progressive muscular wastings. A remarkable fatigability of muscles, which appears after the slightest exertion, is a feature. The feeding of thymus has caused muscle cramps which appar- ently depends upon an increased excitability of the muscle nerve endings. Feeding of thymus to some of the lower* creatures of tlie animal kingdom will completely hold up differentiation. Take the un- folding of the specialized tissues and organs which transform the tadpole into the frog and the chrysalis into the butterfly. A tadpole kept supplied with enough thymus in a nutrient medium will swell into an extraordinary giant tadpole, but will not change into a frog. Recently, this experiment has been contradicted. Yet this effect corresponds to the conception of its importance in childhood as a retardant of precocity, physical and mental. Clinical observations emphasize that in childhood it is the chief brake upon the other glands of internal secretion which would 88 THE GLANDS REGULATING PERSONALITY hasten development and differentiation, checking them perhaps for a given time and so profoundly influencing growth. The Pineal The pineal is another gland which has been credited with similar abilities and a like holding-the-reins-tight-in-childhood function among the cells. Like the thymus, it has been supposed one of the distinctive organs of childhood and to die with it. Generations of anatomists solemnly asserted, repeating each other's mistakes with the aplomb of the historians who declare that history repeats itself, that the pineal body was a useless, wastefully space consuming vestige of a once important struc- ture. That was the view in that century of grandly inaccurate assertions, the nineteenth. Not that they relegated it with that statement to the limbo of the dull and the uninteresting. Quite the contrary. They conferred upon it a distinguished romance and mystery by identifying it as the last heir and vestigial rem- nant of a third eye, situated in the back of the head, which may still be observed in certain reptiles. Imagine it! Somewhere, stuck away in a cranny of the floor of your head and mine, is this descendant of an organ that once sparkled and shone, wept and glared, took in the stars and hawks and eagles, and now is condemned to eternal darkness and an ineffectual sandiness. Today, we have not discarded that view of its history, but we know a little more regarding its composition and function. What and where is the romantic object? It is a cone-shaped bit of tissue hidden away at the base of the brain in a tiny cave behind and above its larger colleague, the pituitary. Microscopic scrutiny reveals that it is made up in part of nerve cells contain- ing a pigment similar to that present in the cells of the retina, thus clinching the argument for its ancient function as an eye. But the outstanding and specifically glandular cells are large secreting affairs, which too reach back to the tidewater days of our vertebrate ancestors, when Eurypterus and other Crustaceans were engrossed with the fundamental problems of brain versus belly. Besides these, there are the singular masses upon which has been fastened the unnecessarily opprobious epithet of brain sand. These, noted and commented upon from the earliest times, consist of collections of crystals of lime salts, sometimes small, lying about in discrete irregular masses, and sometimes grouped THE ADRENAL GLANDS 89 into larger mulberry-like concretions, varying much in size. These brain sand particles have become of practical importance in the detection of pineal disease because they, like all lime salts, will stop the X-rays, and so can be photographed. For a long time, indeed up to scarcely more than a few decades or so ago, the pineal was believed to have no present function at all, or at least no ascertainable or accessible duty in the body economy. That it might perhaps be, in a sense, a gland of inter- nal secretion was a despised theory. Then a classic case, the most extraordinary and curiosity-piquing sort of case, with symp- toms involving the pineal gland, in a boy, was reported by the German neurologist, Von Hochwart. That boy provoked a little army of researches. He came to the clinic complaining about his eyes and other troubles which pointed pretty definitely to a brain tumor as the diagnosis to pigeon-hole him. Nothing extra- ordinary about him in that respect. But the story told by his parents was quite extraordinary, even to the jaded palate of the clinic professor and his assistants. They said that he was a little over five years old, a statement conclusively proved correct at his death. Up to the time at which his illness began, he had been quite normal in size, intelligence and interests. But with the onset of his misfortune, he had begun to grow, and rapidly until now he looked and corresponded in all measurements to a normal boy of twelve or thirteen. Hair developed all over his skin, most prominently and abundantly in the typically hairy places of adults. His voice became low-pitched, and most re- markable of all, his sexuality and mentality precocious. He became capable of true sexual life and is said to have asked many questions about the fate and condition of the soul after death. On one occasion he remarked reflectively: "It is odd how much better I feel when I let other children play with my toys than when I play with them myself." Other statements attributed to him imply the most astounding maturity of thought and mental process. Headaches finally came, and he died about four weeks later. The cause of the whole bizarre tragedy was found to be a tumor of the pineal gland. As has happened before in medical history, no sooner was the one prodigy reported, than a score of others of the same ilk sprang into the limelight. Cases of precocious genital develop- ment, especially, some of them occurring as early as the second year of life, were linked with them. It is an interesting point to be noted that in these, as in those started by an overaction of the 90 THE GLANDS REGULATING PERSONALITY adrenal cortex, it is premature masculinity that is stimulated. The adrenal cortex must be classed as a gland of masculinity. The pineal possibly acts as a brake upon the adrenal cortex. Very soon after the report of Von Hochwart's prodigy ap- peared, an experimental research on the pineal was begun in New York. The pineal glands of a number of young bullocks were obtained and used for feeding, to see whether an overaction of the internal secretion could be produced. Guinea pigs, kittens and rabbits were used. The experiments covered about two years in time. Of a dozen small kittens, the subjects outgrew the controls rapidly in activity, size, intelligence, and resistance to intercurrent disease. Of ten small rabbits, the controls weighed about a third less than the subjects, which were strikingly clean, active, fat and salacious. Feeding of the gland was then extended to a particular class of defective children, children with well-shaped heads, normal eyes, symmetrically functioning limbs, excellent digestion, strong muscles and generally^ normal, sometimes rapid growth. It is to them, particularly when mental normality has progressed up to the eighth, tenth or twelfth year and stopped, that the term "moron" has been applied. They have been a hopeless lot, be- longing to the limbo of the incurables. Moreover, they, em- phatically the physically normal ones, differ from one another enormously in the extent to which mental operations are possible. As all transitions and degrees exist, no definite classification and subdivision of them has been made. Yet ever since the cretin, once looked upon as an eternally damned defective, was trans- formed by thyroid feeding into an apparently normal being, there has been no dearth of effort to find the '•ight kind of internal secretion to fit their desperate situations, but in vain. In defec- tives with definitely, organically damaged brains, no result of course was to be expected. In those of any class over fifteen, no response has been elicited by feeding pineal gland. In the others the results have been contradictory. A set of observations have related the pineal to muscle func- tion, inviting comparison of it with the thymus. There is a singular muscle shrinking and deforming disease, known as progressive muscular dystrophy, hitherto a complete and unsolved mystery. Newer studies of the pineal in this disease during life by means of the X-ray have shown it calcified, that is, buried in lime salts, which signifies put out of business. Recently thus another hint as to its function has been ferreted out. THE ADRENAL GLANDS 91 The tadpole as a reagent to test out the growth effects of differ- ent glands of internal secretion has also been employed for the pineal. Ten-day-old tadpoles fed on pineal present a marked translucency of the skin due to a retraction of the skin pigment cells. Now without a doubt a number of as yet unknown growth and metabolic effects follow exposure of the body to the complete gamut of light rays. The interesting suggestion follows that the pineal influences the body by varying the degree of light ray reaction. The pineal, the ghost of a once important third eye at the back of our heads, still harks back in its function to a regulation of our susceptibility to light, and its effect upon sex and brain. So it becomes one of the significant regulators of development, with an indirect hastening or retardation of puberty and maturity according as it works in excess, or too indolently. It appears thus the blood brother of the adrenal cortex which also influences the skin pigment and so susceptibility of the organism to light, brain growth and sex ripening. It is interesting that Descartes, in 1628; considered the pineal the seat of the soul. The Parathyroids Sometimes imbedded within the substance of the thyroid in the neck, sometimes placed directly behind it upon the windpipe, are four tiny glands, each about the size of a wheat seed, the parathyroids. For long they were swamped in the nearness of their great neighbor, and considered merely a variable part of it. There are some who contend that even today. But it has been proven that they are separate, individual glands, with a structure and function of their own, and a definite importance to the body economy. On the animal family tree they appear early, contempora- neously with the thyroids. In the embryo they develop from about the same sites. And very often they look very much alike under the microscope, especially when the cells are in certain quiescent stage of secretion. Yet they are wholly independent in nature, activity and business. First experimenters upon the effects of removal of the thyroid were confused by contradictory findings with different animals because in some they would take out the parathyroids at the same time without knowing it, and in others they would not. That possibility suggested, more careful dissectors accomplished 92 THE GLANDS REGULATING PERSONALITY the job of extirpating the thyroid while leaving the parathyroids intact and vice versa. In consequence some definite information about the parathyroids is available, even though their internal secretion has never been isolated, or its existence established as more than an inference. When the parathyroids are removed, an astounding increase in the excitability of the nerves follow. It is as if the animal were thoroughly poisoned with strychnine. The slightest stimu- lus will make him jump, or throw him into a spasm. When the excitability of the nerves is measured by an electrical instrument it is found augmented by from five hundred to one thousand per cent. The reflexes, those automatic responses of brain and spinal cord to certain stimuli and situations, become enormously sensi- tive, so that merely letting the light into a darkened room will make the subject of the experiment go into a series of convul- sions. On the chemical side, an explanation for these nervous phe- nomena has been advanced. Lime in the blood and cells appears to be necessary in a number of ways. In the making of bone and teeth, in the coagulation of the blood, in the keeping of fluid within the blood vessels, and in maintaining the tone of the nerves, it plays a major role. Now the parathyroids, among all the glands of internal secretion, seem to act as the prime regula- tors of the amount of lime held within the blood and cells. For when the parathyroids have been completely and aseptically ex- cised, without injuring any other organ, immediately the body begins to lose lime. Something has gone out of it that helped it to bind lime, and without that essential something, the internal secretion presumably of the parathyroids, the lime departs. As a conspicuous consequence the teeth fail to develop properly, particularly as to their enamel, for which lime is an essential constituent. Hair is lost, there is a general wasting, the nails get brittle, and the bones soften, and the animal dies. Supplying lime directly, particularly by direct injection into the blood, will relieve the symptoms. In man, a condition of nervous over-excitability has been described as tetany. It occurs most often in the young, the preg- nant, or in vomiting after operations. All sorts of tests have related the malady to the phenomena succeeding parathyroic deprivation, and they are now looked upon as aspects of it Individuals havo been reported suffering from an insufficiency o: the internal secretion of parathyroids, with a sudden extreme de- THE ADRENAL GLANDS 93 pression, nervousness and restlessness, an inability to sleep or sit still, and a tremulous handwriting. Such reports round out the evidence for the importance of the parathyroids in an understanding of the factors which control growth, especially as regards lime utilization, for without lime properly handled no building of cells is possible. Also the parathyroids are necessary to a steadiness of muscle and nerve. The Pancreas The business of the parathyroids concerns the keeping of lime in the body. Another gland, the pancreas or sweetbreads, this time within the abdomen, a close neighbor of the solar plexus, alias the abdominal brain, is occupied with holding and hoard'ng sugar in the body, particularly in the liver, the great sugar ware- house. This matter of retaining sugar and controlling its output is one of the utmost significance for growth and metabolism, the resistance to infections, the response to emergency situations, and in general to the mobilization of energy for physical and mental purposes. For without sugar sufficiently at hand for the cells, no muscle work or nerve work, the essentials of the struggle for existence,, are possible. The pancreas is an organ with both an internal and external secretion. The external secretion, long known, evolved by the major portion of the gland, is poured into $ie small intestine to play the star in digestion. Scattered here and there among the definitely glandular cell groups creating the external secre- tion are smaller collections of cells, called the islets of Langer- hans, which have been demonstrated to elaborate the internal secretion. There are about a million of these islands in each gland. The hormone has been called insuline. Unlike most of the glands with a double secretion in which the internal is abso- lutely independent, and so to speak, unconscious of the external, these two of the pancreas are often disturbed together, perhaps because trouble easily hits them both together. Quite the most well-known disease due to disturbed internal secretory function of the pancreas is diabetes. An enormous amount of work has been spent upon the various aspects of it as a mystery. Hundreds of papers in a dozen languages upon the subject are in existence. In a nutshell, they have established pretty well that diabetes is a disease in which there is an excess of sugar in the blood and urine because of an insufficient amount 94 THE GLANDS REGULATING PERSONALITY of the secretion of the islands of Langerhans in the pancreas. Removal of the pancreas makes the body, essentially the liver, unable to retain sugar, as well as unable to burn up sugar for energy. The situation is comparable to a locomotive with its coal bins leaking, and the coal itself acting as if made of slate or some equally uncombustible or only partially combustible material. The control of sugar mobilization from the liver, where it is stored as glycogen or animal starch, is divided between the pancreas and the adrenals, the pancreas acting as the brake, the adrenals as the accelerator of the mechanism. Adrenal and pan- creas are therefore direct antagonists, the pans of the scale which represents sugar equilibrium in the organism. Diabetes may be regarded as a disturbance of the adrenal-pancreas balance, assisted by events which produce adrenal overwork like great or prolonged emotion, or by strain of the pancreas, effected by over-eating for example. There are other minor glands of internal secretions. But those considered are by far the most important and the -most recently explored. In a summary, one would classify them as follows: Name Secretion Function 1. Thyroid Thyroxin Gland of energy pro- duction Controller of growth of specialized or- gans and tissues- brain and sex 2. Pituitary- anterior posterior Unknown Pituitrin Gland of energy con- sumption and utilization — con- tinued effort Growth of skeleton and supporting tis- sues Nerve cell and invol- untary muscle cell, brain and sex tone TH E ADRENAL GLA NDS 95 3. Adrenals The Gland of Combat cortex Unknown a. Brain growth — tone development of sex glands medulla Adrenalin b. Energy for emer- gency situations 4. Pineal Unknown a. Brain and sex de- velopment ~ b. Adolescence and puberty c. Light and matur- ity 5. Thymus Unknown Gland of Childhood 6. Interstitial Testes in male Glands of secondary glands of Ovaries in female Sex traits 7. Parathyroids Unknown a. Controllers of lime metabolism b. Excitability of muscle and nerve 8. Pancreas Insulinf Controller of sugar metabolism CHAPTER IV THE GLANDS AS AN INTERLOCKING DIRECTORATE Now in considering each gland of internal secretion as a sep- arate entity, and labelling it with certain properties and actions, we of course commit the usual sin of the intellect: the sin of abstraction and isolation of its material. This crime of analysis the intellect commits every day in the search for truth. Before its dissection, it seems to have to dip the elusive article in a fixa- tive, and bottle it in a vacuum. Yet nothing in reality is more of a changing flux than the body in all of its parts and tissues and organs. And of all these, the glands of internal secretion stand out as the most susceptible to change. Made to react to stimuli of offense and defense, instan- taneously responsive to situations involving energy exchanges and protective reflexes, they are never for any minute the same or alone. They never function separately. Each influences the other in a communicating chain. Let one be disturbed, and all the others will feel the impact of the disturbance and vibrate with it. Any break in the somatic or psychic equilibrium, a blow or an infection, or a startling thing seen, or a worrisome thought felt, will start a process going. This will only wind up when every gland has been somehow touched, and a final equilibrium re- established. The thyroid, maybe, was first excited, and then in turn the adrenals, with a boomerang reinforcing effect upon the thyroid, and at the same time a stimulating effect upon the pituitary. Each gland is thus influenced and influencing, agent and reagent in the complex adjustments of the organism. Endocrine Co-operations The body-mind is a perfect corporation. Not quite perfect, for continually there arise little insurgencies, inadequacies and frictions to which in time it will succumb. Yet, in the efficiency of its co-operations, and in the co-ordination of the needs and 96 GLANDS AS AN INTERLOCKING DIRECTORATE 97 supplies of producer, middle man, and consumer, there is no one of the great organizations of the captains of industry which can for a moment approach it. Of this corporation the glands of internal secretion are the directors. But the huge corporation, not to topple over with its own unwieldy size, must be composed of smaller units, each within itself a corporation, and governed by a directorate. There are, in the corporation-organism, different departments and bureaus, subdivisions of function, which constitute the smaller corporations within the larger corporation. These subsidiary companies have their own glands of internal secretion as their directors. Thus, the growth of the brain is presided over by the adrenal cortex, the thyroid, the thymus and the pituitary. They deter- mine the size of the brain, the number of its cells, the complexity of its convolutions and the speed of its chemistry, which means the speed of thought and memory and imagination. As its direc- torate, therefore, they may be entitled. The disturbance of one of them means the disturbance of all of them, and a consequent deleterious effect upon the brain. Now take the burning up of sugar in the organism, the great material source of energy, which is controlled by the pancreas, the adrenals and the liver, the thyroid and the pituitary. Together they form the directorate of sugar metabolism. But, as is evident from a glance at the membership of the growth directorate, and comparing it with the directorate of sugar metabolism, there are some members who are present on both boards. An infection, an illness, an ail- ment, an exaltation or intoxication of such members will produce reverberations in both directorates. A disturbance of sugar metabolism might then cause a disturbance of growth. The advantages and disadvantages are before us of having, in the glands of internal secretion, an interlocking directorate, rulers over all the varied and manifold activities of the organism. Behind the body, and behind the mind is this board of gov- ernors. Indeed, from the administrative and legislative points of view, the body-mind may be said to be governed by the House of Glands. It is the invisible committee behind the throne. Upon the throne is what? Man, the most baffling of complexi- ties. Man who is not a mind, but. owns a mind — Man who is not a body, but possesses a body, just as he might have a motor car, a fortune or a calamity. Back of all his daily activities, behind the life of body-mind is the mysterious unique individuality, the 98 THE GLANDS REGULATING PERSONALITY Ego, the Psyche or the Soul. Lately, a competitor with these ancient and honorable terms has come upon the scene as the Subconscious. In that darkened No Man's Land is determined a man's destiny. The endocrine association stands out as at least the most important physical determinant of the states and processes of the subconscious. Antagonisms and Co-operations As within a corporation there are factions and cliques, influ- ences that always work together, and forces that are always pulling in opposite directions, so within the interlocking direc- torate of the ductless glands there are antagonisms and inhibi- tions, co-operations and compensations. One gland will assist the action of another's secretion with its own, or will in turn be stimulated to secrete by it. Another will throw out its secretion in order to neutralize the effects produced. Or its own activity will be depressed or completely inhibited by it. Thus the pitui- tary arouses the interstitial glands and vice versa, whereas the pancreas and the thyroid are mutually inhibitory. Indeed, whole systems of glands may work in unison, or be pitted against each other in certain situations, especially when the organism is sub- jected to conflicting impulses with the clash of opposing instincts, like fear and anger. In general there is reciprocity and team work among the internal secretions. A certain minimum amount of each must be present if life is to continue along the normal lines. Whether there is ,to be an excess of any one secretion above this minimum, or a de- ficiency below it, decides the fate of the individual. If there is deficiency of one, the other members of the directorate attempt to make up for what has been lost, and to carry on its work by an extra effort, to substitute. Or, released from the discipline of the deficient member, or the necessity for antagonizing it, they may be released from its stimulus to secrete, and produce less of their own specific secretion. A general reaction all along the line will accompany overaction, oversecretion, of one gland. Due to consequent stimulations and depressions of other glands, some m:iy be excited by the event to overwork — some to assist — others, to act as antidote for — the excess secretion, while still others, relieved of a burden, do not have to supply as much of quota under the circumstances and so shut down, or limit their output. GLANDS AS AN INTERLOCKING DIRECTORATE 99 It is important to get clearly in mind these subtle inter-reac- tions of the different ductless glands. They may be antagonistic in their end effects because of the opposed functions of the nerves or organs stimulated. There are inhibitions and restraints pro- duced when a gland will send out its secretions to stop another gland secreting. There are compensations resulting when be- cause of insufficiency of a gland, others will endeavour, by manu- facturing more of their own secretion, to compensate for the loss. There are mutual co-operations, partnerships, when a gland will oversecrete to assist another, or in response to another which is also oversecreting. There are losses of balance, so that when one gland ceases secreting, another will simultaneously or soon after. Normal secretion, oversecretion or undersecretion are thus adjusted, but leave a train of after effects. So with loss or insufficiency of the thyroid, there may be pituitary overgrowth, because the pituitary may act as vicar for the thyroid. The thyroid and thymus are antagonistic, for the thyroid hastens differentiation, puberty and the coming of sexual maturity, while the thymus delays and retards them and prolongs the period of childhood. The thyroid and the pancreas are antagonists, for when the thyroid has been excised, the pancreas appear no longer necessary to act as a break upon the mechanism of sugar liberation into the blood from the liver. The thyroid stimulates the interstitial glands, for menstruation and pregnancy are impossible with no thyroid or an insufficient thyroid. Removal of the pituitary makes the thymus shrink because the restraining influence of the latter is no longer needed. But there is an enlargement of the thyroid to compensate. In castrates there is an increase in the size and number of the cells of the anterior pituitary, again a compensation or substitution effect. The pituitary and the adrenal cortex are mutually assist- ant, alike in their influence upon the tone of the brain and sex cells. The Kinetic System So there are combinations of glands to assist or restrain others, or to control a body function, or to determine the domination or abeyance of an instinct. One such has been named the kinetic system because it comes into play in situations which demand prompt adaptation without hesitancy, and a consequent imme- diate transformation of static or stored energy into kinetic or 100 THE GLANDS REGULATING PERSONALITY active energy. According to this conception the brain, the adrenals, the liver, the thyroid and the muscles together con- stitute a machine very much like an automobile. The self- starter of the machine is the brain, with storage battery (com- posed of stored past memories) and ignition combined. The thing seen without, or the idea felt within, act as the initial sparks, while the adrenals, as the carburetors, permit the freer flow of fuel, sugar, from the liver. The thyroid works as the accelerator, the original impulse finally landing upon muscles keyed up and supplied with food to meet the situation, be it that of removing a poison, removing an aggressor (attack) or removing the individual himself (running away). When one is exhausted by exertion and emotion, injury, intoxication or infec- tion, it is these members of the kinetic system, the brain, the adrenals, thyroid and liver, which are exhausted. Exhaustion diminishes when the activity of the brain is diminished by anesthetics, and cured when it is abolished by sleep. If the adrenal gland may be called the Gland of Emergency energy, the Kinetic System is entitled to the name of Council of Emergency Defense for the organism. The Kinetic Drive is the name that has been given to the whole system at work. It is one of the best examples we have of inter-glandular co-operations and reactions in reply to the threat of danger or the hint of pleasure. The Check and Drive System Another instance of the complexity of these inter-glandular reactions is furnished by the thyroid and the adrenals. The thyroid and the adrenals are mutually stimulating — when the thyroid oversecretes, the adrenal dittos, and vice versa. Yet they have directly opposed effects upon the economy — because they act upon antagonistic portions of the involuntary or vege tative nervous system, the system which is independent of the will. Before proceeding further, it is worth while sketching this division of the nervous system. In the construction of a motor car from the point of view oi absolute control of it at every moment, the first thought of the" mechanic is an adequate brake and an efficient regulator of speed instruments antagonistic, but necessary to work simultaneously or alternately. The involuntary or vegetative nervous system is! built upon the same principle. It supplies every organ in the GLANDS AS AN INTERLOCKING DIRECTORATE 101 body beyond the control of the will (that is to say, the brain) with two sets of filaments which have opposing functions. One group of filaments in general increases or activates the function of the organ to which it is distributed. The other group of filaments, when tingling, inhibits or prohibits that function. They are like the two buttons on the wall which regulate the supply of electricity to incandescent bulbs, one switching on the current, the other switching it off. It has been agreed to call the stimulative or activating portion the autonomic or drive system. To its antagonist has been left the older name of the sympathetic or check system. It is because they do not both act upon these two components of the vegetative nervous system, but only upon one, that the thyroid and adrenal though in themselves comple- mentary, come to exert opposite effects. For the internal secre- tion ol the thyroid has a selective affinity for the autonomic or activating system, while that of the adrenals has a selective affinity for the sympathetic or inhibiting system. In the stomach, for instance, extracts of the adrenal glands have been proved to intensify the function of the sympathetic or check system in different degrees, so that there is a lessening of the amount and acidity of the gastric fluid. On the other hand, thyroid extracts will intensify the action of the autonomic or drive system, so that the amount and acidity of the digestive juice is increased. The stomach cell may, therefore, be regarded as a test-reagent for the different internal secretions, as they affect the check and drive systems. These constitute an automatic device for regulating the activi- ties of every organ. Three factors enter into the mechanism. One is the amount of the circulating internal secretions. Another is the organic and functional integrity of the nerve filaments comprising the check and drive systems. The third consists of the number and vitality and limitations of the terminal re- ceiving cells acted upon by the nerve filaments, which in their turn have been acted upon by the internal secretions. Upon every organ, including the mind, through the brain, a stimulus from without or within will act according to its ability to influ- ence one or others of these factors. Normally, the check and drive systems are properly balanced. But under stress and strain the balance is upset. Indeed, the Kinetic Drive may be defined as a mechanism contrived in the course of evolution as the normal, healthy mode for meeting 102 THE GLANDS REGULATING PERSONALITY stress and strain. The Kinetic chain of organs, brain, adrenals, liver, thyroid and muscles, began working together in desperate situations for their possessor ages ago. Successful in helping him to survive, they have survived as a functional unit. It was probably evolved in the Post-Tertiary Era, about twenty million years ago, when the coming of the carnivores introduced direct body-to-body conflicts, and their concomitants, a quick and versatile nervous system. During the Tertiary epoch the earth basked in the heat of a tropical sun nearly everywhere on its surface. The luxuriant vegetation of the torrid zone flourished and swarmed, for the temperature all over was what it is today at the equator. Gigantic vegetarians were the animals, creatures like the dinosaurs, enormous, gargoylean monsters, of an in- credible size and strength, but clumsy and grotesque, with small brains and little intelligence. For what need was there for brain and intelligence when food lay about so abundantly at hand for them to gorge themselves. As there was no competition for food, there were no enemies. Then as the earth evolved and grew cooler, vegetation failed, the ancestors of the present carnivora appeared, the fathers of the wolf and tiger, light, lithe and pugnacious, with senses acute and ferocious weapons of attack, who set out to destroy every- body. They destroyed pretty nearly all of the huge leaf-eating species, and only the more plastic and smaller ones, who were more keen-sensed and swift- footed (of whom the deer and ante- lope, horse and ox are the descendants), escaped. The smallest either took to the air to become the bat, or, like the forerunners of the squirrel and ape, took to the trees. It was the coming of the carnivores, therefore, that accelerated the development of brain matter, and started the process which created man. But in the millions and millions of years of con- flicts, instincts grew into being that sank deep into bone and marrow. The most fundamental reflexes, those immediate re- sponses to irritation or danger, were laid down, and among them the drive and check system. When the animal had decided to fight its enemy or was forced to fight, or determined to prey, then was the time for the drive system to do its utmost to speed up everything that would help in the fight, while the check system came into play to hinder whatever would interfere or burden in the fray. First the drive mechanism must have hit upon, and then the value of the check devices must have been found in fear and flight, and especially in hiding and GLANDS AS AN INTERLOCKING DIRECTORATE 103 simulation of death, when even breathing had to be inhibited. Until finally there developed, for everyday use, a complete check and drive nerve machinery for every organ, to be used according to the exigencies of the moment, with the thyroid as the primary stimulant and controller of the drive system and the adrenal as the primary dictator over the check system. The Harmony of the Hormones All the glands, in fact, work in unison, with a distribution of the balance of power that diplomatists might envy. In the co- ordinating synchronism, the vegetative nervous system plays the part of an agent that acts as well as is acted upon. The chemical interaction of the internal secretions is not the only way in which they influence each other. For, as the case of the thyroid and the adrenal so well shows, secretions which, when directly interacting, are mutually reinforcing, when affecting nerves, may become clashing opponents. The Kinetic Chain is about as good a case as there is of the glands of internal secretion co-operating. The Check and Drive systems, with the adrenals and thyroid opposed, are one of the best instances of their antagonisms. Besides, there are a number of other relationships between them that might be cited. They all bear with more or less pressure, positive or negative, upon the sex glands which will be considered in its place. If one wished to consider all the glands in their pro and anti relations, a separate volume would be required. The Vegetative Apparatus The combination of the internal secretions and the vegetative system has been spoken of as the vegetative or autonomic appa- ratus. The vegetative apparatus is the oldest part of the nervous system. And some acquaintance with its constitution is neces- sary to any understanding of the possibilities of control of human nature. For modern thought does not regard the brain as the organ of mind at all, but as one unit of a complex synthesis, of which mind is the product, and the vegetative apparatus is the major component. That involves the blasting of the last current super- stition of the traditional psychology, the dogma that the brain is the exclusive seat of mind. 104 THE GLANDS REGULATING PERSONALITY That an animal is a vast concourse of cells is one of the ac- cepted fundamentals of biology. What is not so generally taken into consideration is that the assemblage is formed by the agglutinations of millions of years, and that it is hence composed of parts of different ages and pedigrees, some exceedingly ancient and hoary, some middle-aged, and some relatively new and recent. In the invertebrates, who date further back in the history of the planet than any vertebrate, the nervous system consists of discrete patches of nerve cells, the ganglions composing the ganglionic system of which the vegetative or autonomic nervous system of man is the direct descendant and representative. The brain and central nervous system are definitely later acquisitions, imposed upon the original stratum of the check and drive machine. The primitive chassis of the mechanism, so to speak, is the so- called vegetative nervous system. Grouped with that system are the primeval breathing, feeding and reproducing inventions, the viscera boxed up in the chest and abdomen. The third partner is the glands of internal secretion, which act upon the viscera both directly and indirectly through the check and drive effect upon the vegetative nerves. The glands are like tuning keys, by which certain strings in the instrument may be tight- ened, so that its vibratory activity is increased, or they may be loosened, the vibrations decreased, the activity lessened. Tuning up the motors is a constant process in the organism. Finally, there are the large nerve masses at the base of the brain known as the basal ganglia, which contain the nerve centers for the co-ordination of the other three. All these to- gether constitute the oldest family of the corporate organism. Beside them, the brain and the face and the prehensile organs are mere parvenus. The Oldest Part of the Mind Granted, then, that this vegetative apparatus is the most deeply rooted core of our being. What warrant is there for the grandiloquence of the phrase: the Oldest part of the Mind? There is, indeed, room for rhetoric, even poetry, here. For all the evidence points to it as the rightful occupant of the throne upon which Shelley placed his Brownie as the Soul of the Soul. Or to put it in another way, we think and feel primarily with the vegetative apparatus, with our muscles, especially the invol- GLANDS AS AN INTERLOCKING DIRECTORATE 105 untary, with our viscera, and particularly with our internal secretions. Whenever there is thought and feeling, there is move- ment, commotion, precedent and concomitant, among these. They are the oldest seats of feeling, thought and will and con- tinue to function as such. Just what evidence is there for this conception? In the first place, there is the fascinating story of the origin of vertebrates from invertebrates of the sea scorpion or spider type. Then there is a whole group of data which demonstrate that the primitive wishes which make up the content of a baby consciousness are determined, settled by states of relaxation or tension in different segments or areas of the vegetative apparatus. According to this, the brain enters as only one of the characters in the play of consciousness. It is just the organ of awareness by the organ- ism of itself as an integer which must adjust itself to the specific condition within the disturbed vegetative apparatus. Conse- quently the brain emerges not as the master tissue, but as merely the servant of the vegetative apparatus. ~ Consciousness is a circuit. Swinging around in it are the . wish-feelings generated by the vegetative dynamo. From each viscus, from the stomach and intestine, from the kidneys and bladder, from the liver and spleen, from the blood-vessels, from all the glands of external and internal secretion, there flow along the vegetative nerves, to and from the brain, energies of various qualities and intensities. All the members of the vegetative apparatus are more or less active, and so all our wishes are all more or less active. All our working hours we are aware of hunger, satiety or indifference, of a desire to empty the intestine or bladder, or of a lack of necessity of doing so, of a state of tranquillity of the blood-vessels and sweat glands, or of a per- turbation of them, of a varying tensity of even the muscles that are, as we say, under the control of the will, of the state, in fact, of all the elements of the vegetative complex. The stream of feeling which constitutes the undertow of consciousness originates outside of the brain altogether, and is composed of currents arising from viscera, muscles, blood-vessels and glands. Now the component currents are of different sizes and positions and variable degrees of warmth. That is another way of saying that whether or not a current is to become the center of the stream, or to approach it, or whether it is to be hot, cold, or tepid, depends upon the degree of activity of the various parts of the vegetative apparatus. A convenient name for this is 106 THE GLANDS REGULATING PERSONALITY tonus. Tonus can be experimentally watched and measured. Thus hunger, the most primitive of the wish- feelings, has been found to be simultaneous with certain characteristic contractions of the stomach. Stop those contractions, and you stop the hunger. The contractions begin slowly and weakly, and no awareness of them occurs in the mind. As they grow stronger, consciousness becomes a sensation rather like an itch somewhere in the upper abdomen, and accompanied sometimes by a sense of general weakness. The vegetative activity going on as a current almost on the outside of the stream of feeling has swelled and warmed, and so forced itself, in a manner of speaking, into the center of the stream. Or if you will, the rest of the stream has to arrange itself around it as the center. A similar mechanism for the tonus of the other members of the vegetative system, and how they determine consciousness and behaviour is understandable. It has been shown that when the bladder tone and the intestinal tone are of a definitely measurable size, one has the desire to empty them. The same applies to the sex glands. The pressure within a viscus is dependent upon the ratio between the amount of contraction of the involuntary muscle in its walls, the external pressure, and the quantity of its distending contents, the internal pressure. The resultant quotient, the internal pressure divided by the external pressure, measures the intravisceral pressure. The primitive wish-feelings are the direct expressions of the various intravisceral pressures, or tones. The primitive soul is an awareness of the fused primitive wish-feelings of themselves as a whole, and of the struggle between them for recognition, isolation, and, as we say, satisfaction. This satisfaction consists in a degradation of the highest intravisceral pressure to a point at which some other intravisceral pressure becomes higher and therefore predominant. Physics of the Wish Mind, consciousness, may then be portrayed as an ocean com- prised of mobile current layers, complexes built up around the awareness of different intravisceral pressures. A shifting hier- archy of such pressures form the points of focusing of conscious- ness that result in conduct. Behaviour may be defined as the resultant of the organism's pressure against the environment's counter pressure until there is a sufficient reduction of the specifi- cally exciting intravisceral pressure. Just as water flows to its GLANDS AS AN INTERLOCKING DIRECTORATE 107 own level, so will conduct flow to reduce intravisceral pressure to its own level. A physics of the soul comes into prospect, in which a mathematical analysis will state the process quanti- tatively in terms of some common unit of pressure. Not only conduct, but also character, because it is past con- duct repeated, associated, and fixed, will be so statable. For intravisceral tonus or pressure is not simply or only an acute or passing affair. There is for it a persistent or average figure, the so-called normal for it, below which or above which the acute situation will bring it. Character is a matter then of standards in the vegetative system. Character, indeed, is an alloy of the different standard intravisceral pressures of the organism, a fusion created by the resistance or counter pressure of the ob- stacles in the environment. Character, in short, is the grand intravisceral barometer of a personality. Thus the comfortable, healthy, happy, well-balanced, progres- sive, constructive, virile personality is one in whom there is a continuously harmonious reduction of the intravisceral pressures in the environment called society. For in a gregarious creature, like man, fellow beings are the most powerful determinants of negative and positive vegetative pressures. Not so well rounded are other types existing because of inferiorities or excesses of the Standard visceral tone. There is, for instance, the sexually cold type, comfortable by creating for itself an anaphrodisiac en- vironment composed of pressures that can be fitted into its own. Or there may be an insufficiency of standard pressure in the alimentary tract, and we have the ascetic, mal-nourished, striv- ing, uplifting type. Different types will be made by the permu- tations and combinations of factors that determine the intra- visceral pressure and the environmental, i. e., social resistances or counter pressures. Internal Secretions Determinants of Vegetative Pressures Now of all the different factors which determine the tones, that is to say, the internal pressures, of the various parts of the vege- tative apparatus (including all structures not controlled by the will in the term), the internal secretions or hormones are by far the most important. This significance is conferred upon them because it is by their activities primarily that these pressures are produced, regulated, lowered and heightened; in short, con- trolled. We have seen how the thyroid and adrenal hold the 108 THE GLANDS REGULATING PERSONALITY reins of the drive or check systems in the vegetative apparatus. Together with the other ductless glands, they decide the advance or halt, forward or retreat, tension or relaxation, charge and dis- charge, of the visceral — involuntary muscle — blood vessel com- bination which is at the core of life. Here again they emerge as the directorate. Carlson, the Chicago physiologist, who probably knows more about being hungry than any other man on the planet, once demonstrated that the injection of an ounce -or two of the blood, which means the internal secretion mixture, of a starving animal, into one not starving increased the signs of hunger and the ac- companying hunger contractions of the stomach. There can be no doubt that hunger is the expression of a certain specific con- centration of internal secretion or secretions in the blood. When the quantity, in the cycles of metabolism, becomes sufficiently great, it stimulates the stomach to contract in a way which augments the pressure within it to a point at which the feeling of hungriness, and the wish to satisfy it, or to get rid of it, becomes imperative, and the dominant of consciousness. Without doubt the sexual cravings are likewise so determined. Sex libido is an expression of a certain concentration, a definite amount peculiar to the individual, of the substance manufac- tured by the interstitial cells, circulating in the blood. It arouses its effects probably by (1) increasing the amount of reproductive material in the sex glands in a direct chemically stimulating effect upon the germinative cells, and so raising the internal pressure within them, (2) stimulating the involuntary muscles within the walls and the canals of the sex glands, and so, by augmenting the tenseness of the muscles, elevating the total intra- visceral pressure, (3) by a direct chemical and indirect nervous effect upon the brain, the muscles, the heart, as well as the other glands of internal secretion stimulating the organism as a whole. Though the isolation in pure form of the substance or substances involved has never been scientifically achieved, their inference is entirely justified. It is indeed the only compre- hensible mechanism conceivable that will fit all the known facts about the matter. And even though the assertions of Brown- Sequard were only the exaggerations of a semi-charlatan, it is certain that some day in the near future the particular sub- stance, that he claimed he had discovered, will be handed about in bottles for the inspection of the curious. Besides thyroxin, adrenalin, and the libido-producing secre- GLANDS AS AN INTERLOCKING DIRECTORATE 109 tion of the interstitial cells, the substance produced by the paired glandlets, situated behind the thyroid, the parathyroids, have a profound influence upon the vegetative apparatus and the vege- tative nervous system. These direct the lime exchanges within the cells of the organisms, including the nerve cells. It has been shown that lime is, relatively, a sedative to cells. It raises the threshold or strength of stimulus necessary to evoke a reac- tion. Removing the parathyroids means removing the lime barrier, for with their deficiency there is a change in, and then an escape, from the blood, of the lime, by way of the kidneys. The result is sometimes an enormous increase in the excitability of all the cells, and especially of the vegetative apparatus. What that means for the individual whose comfort depends upon a stability of the intravisceral tones and pressures may be readily imagined. The pancreas likewise acts as a sedative to the vegetative apparatus. In particular, this applies to the sugar mechanism in the liver under the discipline of the check and drive organiza- tion. The adrenal and the pancreas are the direct antagonists in the struggle for control of sugar. Removal of the adrenals will cause a decrease in the amount of sugar in the blood, while removal of the pancreas will produce an increase. Excess of sugar in the blood may thus be concomitant with changes of character considered incorrigible. In different locales of the vegetative apparatus, as indeed of the body in general, the directorate seems to be handed over to a committee of control, generally made up of two members work- ing in opposing directions. Such a division of power in the gen- eral directorate is analogous to the small holding corporations which divide functions in, for example, the United States Steel Corporation. The relative ratios of tonus in these smaller internal secretion balances are of the utmost significance as causes of differences in the vegetative apparatus, which are the basis of differences in structure, power, and character between individuals. The General Laws of the Directorate Our knowledge of the glands of internal secretions as an inter- locking directorate presiding over all the functions of the organ- ism is still exceedingly meagre. As yet, we seem to be knocking at the portals of the chemistry of the imponderable. There are 110 THE GLANDS REGULATING PERSONALITY holes in the bronze doors, and we glimpse the unfathomable dis- tances of unexplored regions. But we do see something, and we do glimpse a beginning. Already the outlines of a differential anatomy, and a different physiology and a differential psy- chology, which will explain to us the unique in the constitution, the temperament and character of an individual, emerge. It is worth while, before proceeding to the details, so valuable to a society which would become rational, to summarize the general principles emerging, expressing the directing powers of the duct- less glands over the individual. They may be regarded as the present postulates of a new science of the whys and wherefores separating and setting apart, as so recognizably distinct, those peregrinating chemical mixtures: men and women., 1. The life of every individual, in every stage, is dominated largely by his glands of internal secretion. That is, they, as a complex internal messenger and director system, control organ and function, conduct and character. The orderliness of human life, in the sequential march of its episodes, crises, successes and failures, depends, to a large extent, upon their interactions with each other and with the environment. 2. One or several of the glands possesses a controlling or superior influence above that of the others in the physiology of the individual and so becomes the central gland of his life, its dominant, indeed, so far as it casts a deciding vote or veto, in its everyday existence and incidents as well as in its high points, the climaxes and emergencies. 3. These glandular preponderances are at the basis of per- sonality, creating genius and dullard, weakling and giant, Cavalier and Puritan. All human traits may be analyzed in terms of them because they are expressions of them. 4. Specific types of personality may be directly associated with particular glandular prominences, so that we have the thyroid-centered types, the pituitary-centered types, the adrenal- centered types, etc. These are the classic Three, the prototypes in their purity most easily described and recognized. 5. Combinations of these, as well as of other glands — with joint predominance — occur and indeed form the majority of populations. The phenomena of varieties in species are thus explained. 6. Internal secretion traits are inherited, and variations in heredity are essentially the structural representation of the re- sultant of a parallelogram of forces exerted by each of the GLANDS AS AN INTERLOCKING DIRECTORATE 111 parental prepotent glands. If they are of the same type, they may reinforce each other: if not, inhibitions and compensations will come into play. Mendelian laws may apply. 7. The process of evolution, as the play of natural selection upon these variations, becomes comprehensible from a new stand- point. 8. Certain diseases, and disease tendencies, both acute and constitutional, as well as traits of temperament and character, and predetermined reactions to certain recurring situations in life, are rooted in the glandular soils that compose the stuff of the individual. 9. The subconscious, of which the vegetative apparatus is the physical basis, leads back to the internal secretions for the profoundest springs of its secrets. We shall see how and why. 10. Given the internal secretory composition, so to speak, of an individual — his endocrine formula — and so his intravisceral pressures, one may predict, within limits, his physical and psychic make-up, the general lines of his life, diseases, tastes, idiosyn- crasies and habits. 11. Within limits, if the previous history of an individual is known, his physical appearance may be approximately described, and his future outlined. 12. Conversely, given the physical and psychic composition of an individual, and his past history, one may deduce the in- ternal secretion type to which he belongs. Examples: A. One Thyroid-centered Type has - B. One Pituitary-centered Type 'Bright eyes Good clean teeth Symmetrical features Moist flushed skin Temperamental attitude toward life Tendency to heart, in- testinal and nervous disease Abnormally large or small size Musical — acute sense of rhythm Asymmetrical features Tendency to cyclic or periodic diseases 112 THE GLANDS REGULATING PERSONALITY C. One Adrenal-centered Type Hairy Dark Masculinity marked Tendency to diphtheria and hernia These are some of the master types. They have their variants depending upon the influences of the other glands, especially the interstitial cells of the sex glands. Ante-Natal Development In their ensemble, the glands of internal secretion wield a de- termining influence upon the development of the individual from his very inception. If his various powers may be conceived of as an orchestra, they may be said to conduct it from the very beginning of its movements, and to cease only with its termina- tion. From the moment when the spermatozoon penetrates and fecundates the ovum, the fate of the future being is settled by their disposition. The seal of his destiny is soaked with their substance. Post-Natal Development Every particle of protoplasm, every granule of the impreg- nated ovum carries the representatives of the parental ductless glands. As a consequence, they transmit chemically, with no figure of speech involved, the peculiar familial, racial and national characters from progenitors to offspring. They confer upon the child a number of the properties commonly recognized as inherited. All those features which distinguish Caucasian from Mongolian, Scandinavian from Italian, Italian from Jew are determined by them. In short, at every step of his life, in every relation and asso- ciation, in every expression of the inner forces that control his being, the normal individual is influenced by his internal secre- tions. Let us now see how. CHAPTER V HOW THE GLANDS INFLUENCE THE NORMAL BODY The origin of the remarkable differences between individuals that distinguish species, varieties and families, has long been one of the chief puzzles of biology. It may indeed be called the lead- ing puzzle, which led Darwin on to the collection of the data that culminated in the "Origin of Species." The why of the Unique is the fundamental problem of those who would understand life. An explanation is an attempt at a consistent and persistent, sometimes an obstinate clarity of mind. A vast number of ob- servations gathered by laboratory experimentalists as well as by those naturalists of the abnormal, physicians in active practice, prove that the construction of the individual both during de- velopment before maturity, and maintenance during maturity, his constitution, in short, is directed by the endocrine glands. It is possible now to present an explanation of the individuality of the individual. To assert that variation is responsible for the individual, that it is the mechanism which isolates him as a being like none other of his fellows, not even his parents, brothers, and sisters, is merely to beg the question. What is variation? The internal secretion theory of the process offers, for the first time, an explanation that is coherent and comprehensive, based upon con- crete and detailed observations. It provides an adequate inter- pretation of the numberless hereditary gradations and transi- tions, blendings and mixtures. It suggests a control of heredity in the future. The Pure Types In the pure types, only one gland, either by being present in great excess above the average, or by being pretty well below the average, comes to exercise the dominating influence upon the traits of the organism. As the strongest link in the chain, or as the weakest, it rules. The others must accommodate themselves to it. Among them as commanders of growth, development and 113 114 THE GLANDS REGULATING PERSONALITY normal function, it holds the balance of power. In every emer- gency it stands out by its strength or by its weakness. It thus creates its own type of man or woman, with attributes and char- acteristics peculiar to itself. These pure types, as we have seen, are mainly the thyroid, the pituitary, and the adrenal- centered. Each with the signs peculiar to it can be identified among the faces that pass one in the street. And they differ so mark- edly among themselves that they provide a new and accurate means of classifying varieties among the races of the species: man. The thyroid type differs as much from the adrenal type as does a greyhound from a bull-dog. The greyhound has a certain size, form, character and capacity. The bull-dog has similar qualities which are yet quite different. Each is built for a particular career. Among human beings, the pure thyroid type is easily distinguished from the pure adrenal type, and both of these from the pure pituitary type. Each is stamped with a significant figure, height, skin, hair, temperament, ambition, social reactions and predisposition to certain diseases, The Mixed Types Among the mixed types, the lines of distinction are less clear, and so they are more difficult to classify. The mixed types may be said to be hyphenated. In them, two or even three of the in- ternal secretory glands conflict for predominance. The combined action makes for a resultant modification in the primary glandular markings and effects, A hyphenated classification thus becomes inevitable. Especially is this so if the two glands are mutually antagonistic and inhibitory. A compromise effect is then neces- sitated. Or an individual may be dominated by one gland at one period of his life and by another at a later period. One of the glands, the thyroid, for example, will show, by the traces it has left upon the earliest developing features, that it was in control at the very earliest dates of his history, while other signs will disclose the more recent influence of the adrenal or of the pitui- tary. The combination becomes classifiable as the thyroid- pituitary type, or as the thyroid-adrenal type. That the external features as well as the chronic diseases of human beings are controlled by some common factor has long been suspected. Inquiries into morbid phenomena with a heredi- tary trend yielded information that has paved the way for the HOW GLANDS INFLUENCE THE NORMAL BODY 115 internal secretion theory. It has long been known that certain diseases effect only certain individuals of a definite constitution. Apoplexy, diabetes, arteriosclerosis, Bright's disease, are met with almost exclusively in what the older clinicians talked about as the apopleptic type. On the other hand, they said, anemias, tuberculosis, hemophilias, scrofulas occurred more among the lymphatic type. But they had no idea whatever of the true func- tional basis of the two different types. The truth as we of today view it is that these two types represent different textures of human beings, fabricated of different internal secretions. They are really two different breeds of the species Homo Sapiens. The materials being different, the color and feel of them is different, and the resistance to wear and tear is different. Endocrine Analysis The modes of classification glimpsed at are certainly exceed- ingly broad and sweeping. It is well enough to establish types and classes. But beneath them are sheltered the infinite possi- bilities of permutations and combinations, which explain the countless variety and complexity of form and function. Every individual born among the vertebrates, for example, must have a certain definite amount and percentage of pituitary gland, anterior and posterior, pineal, thyroid, parathyroid, thymus, adrenal, pancreas, interstitial and so on. Now if, to state it in terms of percentages, for the sake of argument, the pituitary is 25, the pineal 10, the thyroid 36, the parathyroids 15, the thymus 29, the adrenals 60, the pancreas 49, the interstitials 72 (the gland when acting maximally to be graded as 100), we see at once how different such an individual must be from one who has, say, pituitary 84, pineal 39, thyroid 26, parathyroid 42, adrenals 96, pancreas 22 and interstitials 89. One obtains at once from the contrasts of such figures some idea of the possibilities. As each point plus or minus must count to produce some difference in the individual, the results are manifest. Varying within the numerical limits imposed by genus, species, variety and family (which limits are probably responsible for the persistence of the particular genus, species, variety, or family) the individual be- comes an individual because of the relative values of the per- centages in his blood and tissues of these different internal secre- tions. We thus begin to gain an insight into the patterns accord- ing to which men, women and animals are woven. 116 THE GLANDS REGULATING PERSONALITY Wo are, as yet, far from an exact endocrine analysis of the individual. But we know that the endocrines rule over growth and nutrition, a vast dominion which incorporates every organ and every tissue. By enhancing or retarding the nutritional changes, the growth of the organ or tissue is favored or re- stricted. The size and shape of an individual, as a whole, as well as of the specialized cell masses composing him, as hands and feet, the nose and ears, and so on, are therefore controlled by them. Whether an organism is to be tall or short, lean or corpu- lent, graceful or awkward, is decided by their interactions. These, like human covenants, vary with the different reactions of the parties to the contract. And so a great deal depends upon whether they work harmoniously or discordantly, and upon which does the most work and which the least. Undersecretion and Oversecretion It is when a gland, either in the course of development, or be- cause of the influence of starvation, shock, injury, poisoning or infection, begins to undersecrete or oversecrete that its effects upon growth and nutrition become grossly manifest. A veritable transfiguration of the individual may occur, the black magic of which may perplex him for a lifetime. A man, made eunuchoid by an accident or by mumps, will observe in himself astonishing changes in his constitutional make-up, mentality and sexuality. He would be more astounded to learn that beneath the appear- ances, the changes, so alarming him, there are profound altera- tions in the rate at which he is taking in oxygen, burning up sugar, accumulating carbon dioxide and excreting waste by- products through the kidneys, which are responsible for them. The differences between the normal and abnormal are only a matter of degree. And so, to be sure, are differences between types. But it is hard to realize that the striking distinctions between the thyroid type and the pituitary, comparable, as said, to the differences between a greyhound and a bull-dog, are de- pendent solely upon quantitative variations in the general and local speeds of metabolism, among the cells. Division of Labor Besides the antagonisms and co-operations between them, there are certain lines along which the glands, in their effects, special- HOW GLANDS INFLUENCE THE NORMAL BODY 117 ize. The thyroid, for instance, is concerned specially with the regulation of the shape, form and finish of an organ. The pitui- tary shines at the periods of developmental crises, determining them and modifying them. It exerts the greatest influence upon the time of eruption of the teeth, both the temporary and the permanent, the onset of puberty, the recurrence of menstruation in women, and the time of occurrence of labor. The interstitial glands distribute the basis of the powers and limitations of mas- culinity and femininity. Abnormalities of these glands also affect the individual all along the line, in all of his aspects. So affected he may apparently change into a wholly different being. He may change in size, in the shape of his head, feet and hands, as well as in his habits, aptitudes and dispositions. So he may find it necessary to purchase an entirely different size of hat, more commodious clothes, and newly fitting gloves and shoes. At the same time, his family, relatives and friends, discover that the erstwhile generous, frank, neat and punctual and liked, has become stingy and suspicious and slovenly and hated. And all because a gland has begun to undersecrete or to oversecrete. The transformation will be slight or marked, depending entirely upon the extent of impairment, positive or negative, of the gland involved. But it is not only in the shaping of the normal individual's architecture that the internal secretions dominate. Over that subtle something known in all languages as vitality, expressive of the intensity of feeling, thought and reactions in cells, they rule supreme. Gay vivacity and grim determination, the tem- perament of a Louis XIV, and the soul of a Cromwell, are the crystallizations of these chemical substances acting upon the brain. Internal Secretion Varieties There is no better way of illustrating the influence of the internal secretions upon the normal than the analysis of the variation of traits with variations in glandular predominances. The general build of an individual, his skeletal type, the pro- portion between the size of his arms and that of his legs, as well as that between his trunk and his lower extremities, whether he is to be tall, lanky and loutish, or short, squat and dumpy, are to be considered. Different facial types are the expressions of underlying endocrine differences. The head and skull offer a 118 THE GLANDS REGULATING PERSONALITY number of clues to the controlling secretions in the blood and tissues. Whether the forehead is to be broad or narrow, the distance between the eyes, the character of the eyebrows, the shape and size and appearance of the eyes themselves, the mould of the nose and jaws and the peculiarities of the teeth, are all so determined. The skin, in its color, texture, the quantity and dis- tribution of its fatty and other constituents, eruptions and weather reactions, is influenced. Also the mucous membranes, the color and lustre and structure of the hair, as well as its general distribution and development, are hieroglyphics of the endocrine processes below the surface. Whether the muscles are massive or sparse, atrophied or hypertrophied, soft or hard, easily fatigable or not, bespeak conditions in the glandular chain. In short, we must regard the individual as an immensely compli- cated pattern of designs traced by the hormones as the primary etchers of his development. Though it must be admitted that the number of unknown and unsolved relations in the pattern are still enormously great, enough has been established to make possible a rough working analysis of the particular, unique organism placed before us for examination as Mr. Smith, Mrs. Jones, or Miss Smith-Jones. What Is the Normal? Anthropologists, from the beginning of anthropology, have battled in vain for a satisfactory inclusive definition, or, at least, description of the normal. With the introduction of the biometric method, the goal at last appeared within sight. A cocked hat curve expressing the distribution and range of the normal looks formidable. The attainable turned out a mirage, for the curves construe table by the measurement of traits of a population only proved the truth of the old axiom that all transitions and varia- tions between extremes exist. The Problem of the Normal seemed more elusive than ever. And the best that could be done for the elucidation of its mystery, was to apply and observe the law of averages. From the endocrine standpoint, the reason for this becomes clear. The biometric method concerned itself with externals, with, as it were, symptoms. Since these external signs are but manifestations of the inner chemical reactions, of which the internal secretions are the determining reagents, or factors, with permutations and combinations possible in all directions, the HOW GLANDS INFLUENCE THE NORMAL BODY 119 diversity and variability of each individual and his traits stands explained and understandable. The normal, as the perfect or nearly perfect balance of forces in the organism, at any given moment, emerges as a more definite and real concept than that which would abstract it from a curve of variations. Moreover, since the directive forces within the organism are pre-eminently the internal secretions, the normal becomes definable as their harmonious balancing or equilibrium, a state which tends not to undo (as the abnormal does) but to prolong itself. The potential combinations and compensations, antagonisms and counteractions, attainable within the endocrine glands as an interlocking directorate, point the cause for the elusive quality of the normal. Tall men and short men, blonde women and dumpy women, lanky hatchet-faced people, stout moon-faced people, Falstaff and Queen Elizabeth, George Washington and Abraham Lincoln, Disraeli and Walt Whitman, Caesar and Alexander, as well as Mr. Smith and Miss Jones come within the range of the normal. There are all kinds and conditions and sorts of men and women, and all kinds and sorts and con- ditions of the normal, because an incalculable number of har- monious relations and interactions between the endocrines are possible, and do actually occur. The standard of the normal must obviously not be a single standard, but a series of stand- ards, depending upon which glands predominate, and how the others adapt themselves to its predominance. Adrenal-centered types, thyroid-centered types, pituitary-centered types, thymus- centered types, as well as hyphenated compounds of these, such as the pituitary-adrenal types, exist as normals. They can be conceived of as normal types because they exist as normal types. The Skeletal Types Now men, for as long as we have any knowledge of their thoughts and classifications and attitudes, have been accustomed to first think of one another, to classify and size one another as tall or short, slender or broad, thin or corpulent. The bio- logical necessity, indeed, instinct of the one animal to relate the other animal to aggressive or harmless agencies in his sur- roundings, accounts for this. Relatively, of course, for all these modes of description imply offensive or defensive possibilities of the stimulus for the recorder in relation to himself. The interest in stature is fundamental, and has persisted in the most civilized 120 THE GLANDS REGULATING PERSONALITY nations. The relationship of height and weight, as well as of length and breadth, to other physical traits, have formed the subject of scientific study. There is, for instance, the classifi- cation of Bean, who divided mankind generally into two types, those of a medium size, stocky long legs and arms, large hands and feet, short trunk, and face large in comparison to the head (the meso-onto-morphs) and those who were either tall and slender, or small and delicate, with the smaller face, eyes close together, long, high, narrow nose, and trunk longer as compared with the extremities (the hyper-onto-morphs) . Bean showed, too, that the hypers (to use a short word to contrast with the mesos) were present to the extent of almost a hundred per cent in a series of tuberculosis, and about ninety per cent in a series of central nervous system disease. All of which is exceedingly interesting and suggestive, but throws no light upon the under- lying mechanisms of statures. Stature and Growth Stature is essentially determined by the growth of the long bones. They are the pace-makers, and the muscles and soft tissues follow the pace they set. Now ithe primary determinant, catalyst or sensitizer of the growth of the long bones is the anterior pituitary. All statures should therefore be first scruti- nized from the point of view of the pituitary. Individuals over six feet tall or under five feet five inches should be looked upon as having a pituitary trend. This pituitary trend may be pri- mary, due to its own undergrowth or overgrowth, or it may be due to lack of inhibition from the sex glands such as occurs in eunuchs and eunuchoids, or excessive or premature inhibition from them as happens in certain salacious dwarfs. The long bones grow at a point of junction between the bone proper and an overlying layer of gristle or cartilage, known as the zone of ossification. It is upon this zone of ossification that the various growth influences appear to focus and concentrate their efforts, among them the internal secretions. After growth has been finished, that is, after adolescence, these zones of ossifi- cation close, so that growth is no longer possible unless they become reactivated. Upon the zone of ossification must act the pituitary, and indirectly the thyroid, the interstitial cells, the thymus and the adrenals. Individuals oversized or undersized either belong to the pituitary type, or if hyphenated, have the HOW GLANDS INFLUENCE THE NORMAL BODY 121 pituitary as one of the dominants in their composition. The necessities of child-bearing determine a greater angle between trunk and lower extremities in the female. Underactivity of the pituitary, for instance, will prevent the development of the normal angle. The ratio in length of the upper limbs to the lower is a fairly constant relationship for each sex normally. Deviations occur with a break somewhere in the chain of co- operation of the internal secretions controlling the growth of bone. Hands, Fingers and Toes The size and shape and general configuration of the hands, fingers and toes are details that tell an endocrine tale. Students of hands naturally have grouped them as the long slender and the short, broad, the bony and the well-filled out, the tapering fingers and the stumpy. The character of a hand is determined anatomically by the length and breadth of the bones, the amount and distribution of fat, and the thickness and elasticity of the skin. Over these, the essential control lies in the pituitary and the thyroid. So we find that pituitary types have, when there is overseer etion, large bony, gross hands, spade-shaped, or when there is undersecretion, hands that are plump, with peculiarly tapering fleshy fingers. The hyperthyroid has long slender fingers, the subthyroid pudgy, coarse, ugly foreshortened hands, often cold, and bluish. Facial Types An artist will see in a face the past history of generations, a narrative of the adventures of the blood, a record of tears and smiles, wrinkles and dimples, the victories and defeats of buried drudgery and romance. These signatures which the Faculty of Life have scribbled or engraved over it as upon a diploma, be- speak for him spiritual moments. To the student of the internal secretions the lines, expressions, attitudes are important for they tell of the state of tensions and strains in the vegetative appa- ratus with which they are inseparably connected. It is when one comes to the consideration of the face as a complex of brows, eyes, nose, lips and jaws that he becomes most interested. For in the modeling and tone of every one of the features each of the endocrine glands has something to say. In consequence there 122 THE GLANDS REGULATING PERSONALITY has been discribed the hyperpituitary face, and the hyperthyroid face, the subthyroid face and the subpituitary face, the adrenal face, the eunuchoid face and the ovarian face and also the thymic. To bring to mind an immediate complete image of the hyper- thyroid face, one should think of Shelley. The oval shape of it, with the delicate modeling of all the features, the wide, high brow, the large, vivacious, prominent eyes with the glint of a divine fire in them and the sensitive lips all belong to the classi- cal picture. Generally flushed over the cheek-bones, there is undoubtedly a certain effeminate effect associated with it. At least, it is the least animal and brutish of the faces of man. On the other hand, the subthyroid face is that of the cretin and cretinoid idiot, in a mild degree. So characteristic that we recognize the portrait in the descriptions of Pliny in early Roman times and of Marco Polo in his Asiatic travels. Coarseness, dull- ness, pudginess are its keynotes. Irregular features, tendency to wide separation of the eyes and pug nose, sallow, puffy com- plexion, waxy thickened nose and eyelids, deep-set, listless, lack- lustre eyebrows, and thick prominent lips comprise the catalogue of the physiognomy. On the whole, the sort of face one passes in the street as stupid and common. But there are a number of fascinating and marvelous varieties of the stupid and common. The adrenal face is most often dark or freckled. It tends to be irregularly broadish. It is hairy, one is struck forcibly. There is a low hair line, which makes the brow appear rather low, and there is a good deal of hair over the cheek bones. The adrenal type is round headed. The face of the hyperpituitary is striking and pretty sharply defined. It is long and narrow, with a tendency to prominence of the bony parts. Square, protruding jaw, high, thin, straight nose, emphasized eyebrows, and marked cheek-bones, comprise the leading points in its composition. On the other hand, the subpituitary is more rounded and trends toward the full moon effect, the chin recedes, the cheek-bones are buried under fat, the nose spreads more and is flatter. In its general expression, there is a complacence and tranquillity which is often mistaken for sleepiness, and often actually is dullness. The eunuchoid face is usually fat with puffy eyelids. The skin is smooth and cool, marble-like often, poor in pigment and color. Sometimes it is sallow, wrinkled and senile in a man in his early twenties. At others, it is distinctly feminine in its hair- HOW GLANDS INFLUENCE THE NORMAL BODY 123 lessness, and the delicate texture of the skin, as well as in the clean-cut patterning of the features. Every gradient between premature senility and sex inversion is encountered. The thymic face frequently stamps its possessor at sight. Its owner has a smooth, soft skin, with little or no hair, and a dead white or "peaches-and-cream" complexion. One wonders, when unacquainted with the type, who the man's barber is, or where he learned to shave himself so well. It may be curiously velvety to the touch and swept by a faint sheen. Among children occur the most exquisite samples of the kind designated as the angelic child. The face is finely moulded and beautifully proportioned, features artistically chiselled, eyes blue or brown with long lashes, cheeks transparent with rapid, fleeting variations in color- ing, thin lips, and oval chin. In the adult, the chin is receding, and the mouth seems underdeveloped in one variety. The Teeth As closely connected with the internal secretions as are the bones of the face and the skull are the teeth. Tooth formation is essentially a modified bone formation. And as the bones of the face are influenced, so are the teeth influenced. But as each tooth is a miniature organ, inspectable by the eye as a unit, the action of the ductless glands is more obviously reflected for the observer to read. By their teeth shall ye know them. Upon the whole history of the evolution of each tooth, in the growth of the dental follicle and its walls, the fruition of the dentinal germ, the making of the enamel organ, the dental pulp, the cementum and the peridental membrane, the endocrines leave their mark. There are certain general statements about the teeth and the internal secretions that can be made. The teeth of the thyroid types are pearly, glistening, small and regular; in other words, the teeth to which poets have devoted sonnets. The pituitary types have teeth that are large and square and irregular, with prominence of the middle incisors, and a marked separation or crowding of them. The interstitial types have small irregular upper teeth, with turned, stumpy or missing lateral incisors. The thymus types have youthful, milky white teeth that are thin and translucent, and scalloped or crescentic at the grinding edge. The teeth of the adrenal type are all well-developed, tend to have a yellowish color, with a reddish tinge to the grinding surfaces. 124 THE GLANDS REGULATING PERSONALITY The degree and regularity of development of the middle upper cutting, biting teeth, as distinguished from the grinding molars, the middle and lateral incisors, and the canines offer further guides to the endocrine constitution analysis. The size of the central incisors seems to be directly proportional to the degree of pituitary predominance. On the other hand, the size and regularity of the lateral incisors seem proportional to the influence of the interstitial cells. When these are inferior in the make-up of an individual, the lateral incisors are nearly always distorted. The size of the canines appears to be a measure of adrenal activity. Long sharply pointed canines mean well- functioning adrenal gland equipment to start in with, inherited from a bellicose progenitor. No individual peculiarities of the teeth are accidental. Just as the absence of hair on the face in a man or a moustache effect in a woman stand for some definite stress or strain in the mechanics of interaction of the internal secretions, so likewise do variations in dentition, as to the time of eruption of the teeth, their position and quality, and their resistance to decay. Proper balance between the thymus and pituitary will permit the eruption of the teeth within the normal time limits, both the milk teeth and the permanent teeth. When there is equilibrium between the pituitary and the gonads, the teeth will be regular in shape and position. Carious teeth, in children and adults, some- times indicate endocrine imbalance. Thyroid and adrenal bal- ance determines the resistance to decay of the molars. Early decay of the molars in children is significant of insufficiency of the thyroid. When the first permanent molar, which should appear in the upper arch in its usual position between the sixth or eighth years, does not, there has been a prenatal disturbance of the pituitary, according to Chayes and others. Rapid decay of the teeth in childhood should always call attention to the parathyroids. In pregnancy, the teeth suffer particularly because of dis- turbances of the endocrines. The saying, "A tooth for every child," is said to have its equivalent in every language. The bicuspids and second permanent molars erupt around puberty, when profound readjustments are going on among the glands of internal secretion. They consequently suffer with their abnormali- ties or divergences from type. The teeth thus furnish a good deal of information concerning the distribution of the balance of power among the hormones. HOW GLANDS INFLUENCE THE NORMAL BODY 125 The Skin The skin is influenced in its color, moisture, hairiness, texture, fat content and disease vulnerability by the endocrines. The question of color is very interesting, for it is probably the ex- pression of the blending action of the different internal secre- tions. Davenport, the American student of heredity and eugenics, has shown that neither white nor black skins are either perfectly white or perfectly black, but are mixtures in various proportions of black, yellow, red and white. The exact per- centages of the pigments in each particular skin, can be deter- mined by means of a rotating disc. Thus a white person's skin may have the following composition: Black >t. . . 8% Red 50% Yellow sh. . . . 9% White 33% The composition of the skin of a very black negro may be: Black 68% Red 26% Yellow :._,. 2% White 7% Now the fact that in Addison's disease in which the adrenals are destroyed there occurs a coincident increase in the black in the skin, and other evidence pointing to adrenal implication in dark complexioned white people, as well as in those possessing pigmented spots, seems to indicate the adrenals as controllers of the black and white factors. Davenport has concluded that there are two double factors for black pigmentation in the full-blooded negro which are separately inheritable. The determinants of the red and yellow have still to be worked out. The moistness of the skin, as perspiration, depends upon the number and activity of the sweat glands. It varies with the water content of the body, the state of the vegetative nervous system, and the body temperature. Thus the skin of the hyper- thyroid and the subadrenal is soft and moist, because of their antagonistic effects upon the sympathetic system. The sub- thyroid and the hyperadrenal have dry and harsh skins for the same reason, if no other glands intervene. However, in both of the latter, if there is a persistent thymus, the skin will retain the bland quality of adolescence. There is a curious variation among the different internal secre- tion types in the reaction of the skin to stroking. When the skin, especially the skin over the shoulders, the breasts and the abdomen, is stroked with some blunt object, the blood vessels react either by a greater filling up or emptying of themselves. 126 THE GLANDS REGULATING PERSONALITY The latter occurs most regularly in the subadrenal types, the former in the hyperthyroid. Both forms of reaction run parallel to the different check or drive effects of the vegetative apparatus. With too much drive, that is, too much thyroid, there is the flushing reaction; with too little check, that is, with too little adrenal, there is the whitening. These differences probably ex- plain the emotional reactions of the face. In anger, for example, some people become a dead white, others a fiery red. Whether one will do one or the other may depend upon the relative pre- dominance of the thyroid or of adrenal in the individual. In the distribution of fat beneath and throughout the skin all of the endocrine glands appear to have a voice. The typically hyperthyroid and hyperpituitary individuals tend to be thin, as well also as those who have well-functioning or excessively functional interstitial cells. In all of these the administration of the respective internal secretions increases the burning up of material in the body, and all of them have a higher rate of tissue combustion than their confreres, with a subthyroid or sub- pituitary keynote in their cell chemistry, or with insufficient in- terstitial cell action. Generally the latter have a very dry skin, the former a moist skin. With delayed involution of the pineal, obesity results. The elasticity of the skin is another quality that varies with the concentration in the blood of the internal secretions. Elas- ticity of the skin, its recoil upon being stretched like a rubber band, may be taken as a measure of the activity of all the endocrine glands. For, as can be noticed especially upon the back of the hand, the older a man grows, the less elastic becomes the skin. In older people, raising the skin upon the back of the hand will cause it to stand up as a ridge for a few seconds and then slowly to return to the level of the surrounding skin. Whereas in a youthful person it will quickly snap back into place. This quality of elasticity of the skin is due to the presence in it of the so-called yellow elastic fibres, cell products, with a resilience greater than anything devised by man. The preservation of the resilience is a function of the internal secretions. Thus, after loss of the thyroid, the ridging effect characteristic of senility can be produced in one young as measured by his years. It has been said that a man is as old as his arteries, and also that as he is as old as his skin. It might better be said that he is as old as his elastic tissue, young when he is rich in it, old when poor and losing it. And as elastic tissue and internal secre- HOW GLANDS INFLUENCE THE NORMAL BODY 127 tions stand in the relation of created and creators, or at least preserved and preservers, a man may be said to be as old, that is as young, fresh and active as his ductless glands. The Hair There is no characteristic of the human body, except perhaps the teeth, more influenced in its quality, texture, amount and distribution than the hair. And again, each of the glands of internal secretion plays a part, but most importantly the thyroid, the suprarenal cortex and the interstitial sex glands. All con- tribute their specific effect, and the blend, the sum of the addi- tions and subtractions constituting their influences, appears as a specific trait of the individual, a trait so significant as to be used by the professionals absorbed in the study of man, the anthropologists, as a criterion of racial classifications. Some acquaintance with the history of the normal growth of hair is necessary to its understanding. There develops during the life of the fetus within the womb a curious sort of wooly hair everywhere over the entire body (excepting the palms and soles which remain hairless throughout life) , remarkably soft and flut- tery — the lanugo. At about the eighth month of intra-uterine existence, a good deal of this lanugo is lost, to be replaced on the head and eyebrows by a crop of thick, coarse, pigmented real hair. So it happens that at birth the infant's hair is a queerly irregular growth, a mixture of what is left of the general lanugo development, and the localized patches of the more human hair. Until puberty this children's hair remains the same, although at times, particularly after dentition, and after infectious diseases which undoubtedly alter the relations of the internal secretions, changes of color and texture occur. Then, with sexual ripening, there appear in males the so-called terminal hairs, over the cheeks and lips and chin, and, in both sexes, in the folds under the shoulders and over the lower abdomen, the hair which might be distinguished as the sex hair in contradistinction to the juve- nile hair of the head, the extremities and the back. Now the smoothness of the face in children is connected with the activity of the thymus and pineal glands. Among individuals in whom the juvenile thymus persists after puberty, no growth of hair occurs on the face, and in precocious involution or destruc- tion of the pineal, hair appears on the face and in other terminal regions in children of six or less, a symptom classical in the child 128 THE GLANDS REGULATING PERSONALITY who suffered from a tumor of the pineal, and discussed immor- tality with his physicians. It is probable that these thymus and pineal effects are indirect through their action upon the sex glands. For in the types with persistent juvenile thymus there occurs a maldevelopment of the sex glands, while in those with early pineal recession the sex glands bloom simultanously with the appearance of adolescent hair and mental traits. The hasten- ing of sexual hair by tumors of the adrenal gland may also be put down to a release from restraint of the interstitial sex cells. There are certain spheres in the hair geography of the body, over which particular glands may be said to rule or to possess a mandate. The hair of the head seems to be primarily under the control of the thyroid. Thus in cretins reconstructed by thy- roid feeding, the straight, rather animal hair becomes lustrous and fine, silken and curly. In the thyroid deficiency of adults, a prominent phenomenon often is the falling out of the hair in handfuls. Baldness is frequently associated with a progressive decrease of the concentration of thyroid in the blood. At the same time, there tends to be a thinning of the eyebrows, especially of the outer third. The hair of the face in males, and the other terminal hairs in both males and females, is regulated by the sex glands primarily. In the female, the ovary, that is to say, the interstitial cells of the ovary, inhibit the growth of hair upon the face. In destruc- tive disease of the ovaries, as well as in other affections of it, hair in the form of moustache, beard and whiskers may appear in female. That is why in women after the grand sex change of life, the menopause, hair often grows in the typically male regions because of loss of the inhibiting influence of the ovarian internal secretion upon them. After castration of the ovaries, the same may result. Removal of the male sex glands, or disturbances of them, will interfere with the proper development of the normal facial hair. Of the hair of the chest, the abdomen and the back, the adrenals seem to be the controllers. Adrenal types have hairy chests in males, and hair on the back in females. They have also a good deal of hair upon the abdomen. The hair on the extremities varies a good deal with the pituitary. People with hair upon hands, arms and legs, alone, are generally pituitary, or have a striking pituitary streak in their make-up. When the adrenals increase in size in childhood, a remarkable triad follows — general hairiness, adiposity and sexual precocity. One fact should be noted. When the adrenals evoke precocity HOW GLANDS INFLUENCE THE NORMAL BODY 129 and an early awakening of the secondary sex characteristics, it is a masculine precocity, and an approximation to the masculine even in females. There is a definite trend toward an increase of the male in the individual's composition at the expense of the female. We shall have to consider this in greater detail when we analyze the internal secretion basis of masculinity and fe- mininity. In general, the degree of general hairiness is an index to the amount of adrenal influence upon the organism. All the endocrines which affect the hair growth also act upon the seba- ceous glands which oil the skin. The Eyes Eyes present clues to internal secretion constitutions dependent upon influences of architecture and function. The thyroid eye is typical. It is large, brilliant and protruding. The individual is "pop-eyed." On the other hand, subthyroidized eyes tend to be sunken and lustreless. The eyes of a pituitary type are either set markedly apart, or close together, with the hair at the root of the nose so prominent as to constitute a separate bridge known as the nasal brow. The size of the pupil, and its humidity, which have so much to do with the expression of the eye, vary directly with the activities of the driving and checking divisions of the vegetative system, and are a pretty good index as to which, at the time of observation, is predominant. When the check system is in control, the pupils are large and dilated. When its antagonist and rival, the drive system, is on top, the pupils are small and contracted. The reactions of the pupils when charged by strong emotion, like fear or anger, likewise turn upon the status of check or drive internal secretions in the economy of the organism at the time the exciting agent presents itself. Muscles It would seem, at first sight, that organs like muscles, mechan- ical instruments for the manipulation of the organism in space, would be more or less independent of the subtler processes of inter- nal chemistry of the blood and tissues. But no assumption would be more beside the mark. Just as much as the bones and viscera, the teeth and the hair, they show grossly how they are being influenced by all the endocrine glands. So thyroid types generally have a skeleton sparsely covered with a muscular mantle. Pitui- 130 THE GLANDS REGULATING PERSONALITY tary types have large well-developed muscles. The pineal gland has some definite relation to muscle chemistry not yet probed. Thus, it has been shown that when the pineal has been completely destroyed prematurely by lime deposits in it, there is con- comitant a wasting of muscles in places. This waste is sometimes replaced by fat. Pictures and images in wood and stone of these muscle freaks dating from the fifteenth, sixteenth, and seventeenth century are in existence. Then there is the extra- ordinary fatigability of the muscles which occurs in the thymus types, who nevertheless have large well-rounded muscles, a paradox of contradiction between anatomy and physiology. Such a type, for instance, may be picked out by a football coach for an important position in a line-up, simply on the tremendous impressiveness of the muscle make-up, only to see him bowled over and out in the first scrimmage. The tone of muscles, the quality of resisting firmness or yielding softness, is essentially determined by the adrenal glands, especially in time of stress and strain. Brown-Sequard was the first to show that extracts of sex glands could increase the capacity for muscular work. Whether this was a direct effect upon the muscles, or indirect through the nerves or other endocrines, no one can say. Certainly the car- riage of an individual, outer symptom of the inner tonus among his muscles and tendons, may be said to be as distinctively an endocrine affair as the color of his skin. And like its variations, variations of their tone, development, reactivity, fatigability, and endurance may be traced to corresponding states of overac- tion, or underaction, and odd combinations of the different hor- mones. Much remains to be learned about them and the manner of their control. Such an affliction as flatfoot, dependent upon a laxity of the ligaments in one who seems perfectly healthy and strong, may lead the analyst back to a thymus-centered person- ality. That is but one example. Since, too, muscle attitudes, muscle tensions and muscle relaxa- tions play so large a part in the production of fundamental mental states: the attitudes, moods, memories and will reactions, the vegetative apparatus enters, to play its part as a determinant. Sex Over no domain of the body have the endocrines a more abso- lute mandatory than over that of the whole complex of sex. Both HOW GLANDS INFLUENCE THE NORMAL BODY 131 as regards the primary reproductive organs, their size and shape, and the character of their implantation, malformations and anom- alies, as well as the physical and mental traits lumped as the secondary sexual, puberty, maturity, and senility, voice changes and erotic trends, virility and femininity, the internal secretions are dictators at every step. So significant are these, that even a rough summary of the discoveries and the outlook in the field involves some consideration of the details. CHAPTER VI THE MECHANICS OF THE MASCULINE AND THE FEMININE It needs a poet to chant the epic of sex. The mystery of it puzzled the minds of the earliest Sumerian thinkers. As a source of deepest excitement, it generated the most revolting ceremonies, bizarre customs, astounding cruelties and incompre- hensible stupidities of the race. Men and women, as soon as they have done with their usual business of keeping themselves free of disagreeable sensations, hunger, cold, fear of enemies, betake themselves to it as a primary interest all over the world. The most advanced psychologists of the day link the sex impulse with the windings and twistings of all human activity. Yet the Homer of sex through the ages is still to come. But at all times the mystery evoked speculation and attempt at explanation. Acting upon their theories as to the nature and function of sex, men have, ever since the passing of the primeval matriarchates, segregated women, equalized them, worshipped them, or enslaved them. Opinions have varied from ancient national aphorisms to the effect that women have no souls to the most ultramodern utterances of biologist-publicists that the dif- ferences between men and women are the differences between two species. There are other epigrams, vast sweeping generalities, extant concerning the nature of sex, and women particularly. All partake of the complexity of truth and therefore own a certain validity. Still, since as a matter of fact, these items have been based upon superficial observations colored by the tradition and verbiage of the milieu, they are valuable more as human docu- ments, as material for the psychologist, than as scientifically obtained data, able to stand unblinking before the rays of the critical searchlights. Science vs. Art Not that all the vast accumulation needs to be thrown pell-mell, higgledy-piggledy into the discard. The love lyrics of the poet, 132 MECHANICS OF THE MASCULINE AND FEMININE 133 the magic of the emotions of Shelley and Poe, for instance, with their marvelous music and exquisite intonings of feeling, furnish us with important information. They are the facts of the sex life, as much as the song of the nightingale, or the mocking laughter of the cuckoo pursued by its mate. So Sappho and Elizabeth Browning, to take only two samples, have contributed some of the feminine reaction. The erotic motive in literature has but paralleled the erotic motive in life, with all of its vaga- ries, delusions, confusions, ecstasies and suffering. We have had concerning sex not knowledge, but a series of attitudes, the attitude of virtue, the attitude of pruriency, the attitude of good taste, the attitude of the theoretic libertine, the attitude of the satyr's vulgarity. All these poses, of course, have supplied not an iota to an understanding of the foundations of the problems of sex, biologically considered. Thus, a masculine master has coined that immortal phrase, the Eternal Feminine. And in a matriarchate we should undoubtedly hear of the Eternal Masculine. Each leaves one as unenlightened as the other. A rough and ready code of life attributes certain grossly charac- teristic qualities of mind and body to each sex. This is sup- posed to be enough for common sense. Beyond that the mystery has been wrapped in cotton wool. That perhaps explains the enormous popularity of contemporary pornographic and so-called sex literature. There are bound up with sex feeling and sex knowledge many customs, beliefs and habits, many legal statutes and social insti- tutions, in the complex that is called sentiment, to which science looms as the sacrilegious ogre who devours romance. Without spending space upon the ravages of the sentimental idealist, cer- tainly responsible for as much human disaster as the brutal real- ist, it is manifest that a revolution in sex standards and relations is inevitable as soon as the new doctrines filter down as matters of fact to the levels of the common intelligence. And surely, nothing else could be wished for in the world desired by all of us, the world ruled by intelligence, and intelligent good will. Sex Chemistry A few general statements may be put down outright as material to go upon before we proceed to details. 1. Femininity and masculinity have a definite chemical basis in the reactions of the internal secretions of which they are the 134 THE GLANDS REGULATING PERSONALITY expression. That is to say, that just as a precipitate of chalk is formed when one throws some carbonate of soda into lime water, so the masculine and the feminine are to be looked upon as precipitates and crystallizations of a long series of linked chemical reactions in the fluids of the body, in which the inter- nal secretions play a determining part. 2. Femininity and masculinity are expressions of the inter- play of all the internal secretions. It used to be said by smart cats and accepted by the tabby cats, that a woman was a woman because of her ovaries alone. It is being said by some great discoverers of the day that man is a man because of his testes alone. Neither of these dogmas is true. There are individuals with ovaries who show every deviation from the feminine and there are individuals with testes who exhibit every variation from the masculine. The other endocrine glands are of equal impor- tance. 3. There is no absolute masculine or absolute feminine. The ideals of the Manly Man and the Womanly Woman were erected by the blind ignorance of the nineteenth century illusionists, and a line drawn to cleave them. But indeed biologically there exists every transition between the masculine and the feminine. The explanation of these different sex types consists in the dif- ferent admixtures of the internal secretions possible and actual. When we speak of the feminine we really mean the pre- dominantly feminine. And when we speak of the masculine, we mean the mainly masculine. Between, all sorts of transitions are possible and occur. Man in relation to the internal secretions we have considered in reviewing the interstitial cells. To him, we shall return later. Let us turn now to that fascinating subject of the ages, Woman. What produces and maintains the Feminine? The Cause of Sex To all appearances, that inscrutable simplest of living things, the fertilized ovum, beginning of the human, starts bisexual, double sexed, both masculine and feminine, or perhaps neither masculine nor feminine. Then a form develops. Then within that form a patch of cells arise which the microscopist recog- nizes as the forerunners of the male or the female reproductive cells. Then some more development. And at birth, sex is definitely settled, as far as the reproductive organs are concerned. MECHANICS OF THE MASCULINE AND FEMININE 135 Our knowledge here, as everywhere, is still fragmentary. Sta- tistical reviews seem to show that in times of stress, war, famine, pestilence, more boys are born than girls. But that is neither here nor there. It sheds no further light on the subject. Mono- sexuality is a distinction of the human species: the sexes are pretty clearly differentiated. In some animals, such as some worms, there is a bisexuality of the individual. There are present the reproductive organs of both sexes, capable of impregnating other individuals as well as of being impregnated. In some of these, even self-impregnation may occur. This is the condition of hermaphroditism. But the higher up one goes in the scale of evolution, the greater becomes the distinction between the sexes. Anatomic hermaphro- ditism becomes a rare anomaly. Life appears to have perfected this trick of separate sexes, sex specialization, in short, for the sake of the efficiency which goes with specialization. When a germ cell divides, its nuclear material breaks up into segments known as chromosomes. Now it has been found, for example in the case of the common squash bug, anasa tristis, that there are 22 chromosomes in the female, and 21 in the male. In the female two of these are visibly different from the rest, while in the male there is one odd one, the remaining 20 being like the corresponding 20 of the female. Before the germ cell becomes fit to mix with a germ cell of opposite sex, in the process of fertilization, it must lose one half of these. So the number of chromosomes for the species is kept the same or constant. This is the process of maturation. In the process, when the chromo- some number is halved among the females, 11 go into each mature egg. But among the males, the odd chromosome, also known as the X-chromosome, can perforce go only into half of the sperm cells, leaving the others without it. So the sperm are formed in equal numbers of 10 and 11 chromosomes respectively. When fertilization occurs, and the sperm cell fuses with the egg, the following may take place: (1) a ten chromosome sperm may unite with the eleven chromosome egg, and produce a twenty-one chromosome individual or (2) an eleven chromosome sperm may unite with an eleven chromosome egg producing a twenty-two chromosome individual. It has been found that the twenty-two chromosome individual invariably develops into a female, and the twenty-one into a male. Therefore, femaleness is a positive qual- ity, dependent upon the action of the X-chromosome, and male- ness an absence of femaleness, due to lack of the extra, odd 136 THE GLANDS REGULATING PERSONALITY chromosome. In man, two X-chromosomes have been discovered, half the sperm containing 12, and the other half containing only 10 chromosomes. The number of chromosomes in human cells consequently is 22 in the male and 24 in the female. The X-chromosome is the bearer of sex destiny. There still remains the work to be done on the actual control of sex by man, apart from its natural determination. For the time being, let the feminists glory in the fact that they have two more chromosomes to each cell than their opponents. Certainly there can be no talk here of a natural inferiority of women. The Secondary or Endocrine Sex Traits Yet the matter is after all not so simple as this would make it out to be. All that can be safely laid down is that the character of the reproductive organs is determined by the extra chromo- somes. And though these reproductive organs have a good deal to do with the masculine or feminine quality of the organism as a whole, through their internal secretions, they are not alone. All the other internal secretions have their say in the final outcome, determining what may be called the dominant sex quality, but leaving inherent the latent soil of the other sex. This may become active and dominant in its turn, under certain conditions of stimulation, abnormality, or disease, dependent upon a re- arrangement of status and influence among the ductless glands. Bisexuality preceded monosexuality in the animal pedigree, and co-exists with it even at the highest points of the genealogical tree. While from the standpoint of the species, the criterion of the sex classification of its members will depend upon their capacity to fertilize or to be fertilized, a quality that may, therefore, be spoken of as the primary sex character, a number of other traits have been evolved by sexual selection, the secondary sex traits. They have come to be just as important, to the individual, as far as his or her consciousness of sex attitudes and reactions to it are concerned. The terms primary and secondary sex characteris- tics, though inapt, must be allowed to stand. These accessory sex-serving traits undoubtedly survived be- cause of their usefulness in external adornment for attracting attention in courtship, in the metabolic requirements of sex com- bat and the sex act, and in the necessities of caring for the young, until well-grown. The rooster's comb and spurs, the male MECHANICS OF THE MASCULINE AND FEMININE 137 frog's claspers, the stag's antlers, and so on, are familiarly and obviously so useful. Besides there are fundamental differences in inner physiology. The human male consumes more oxygen than the female per minute, since he has more red corpuscles in his blood. In some caterpillars the blood is yellow in the males and green in the females. W. I. Thomas has devoted an essay of some fifty pages to a review of the organic differences between man and woman. The ordinary criteria, employed every day by the man in the street to distinguish man from woman may be arranged as follows: Man Woman Hair on face Hairless face Skin coarse and lean Skin fine and plump Muscles powerful Relatively weak Bones heavy Bones light Aggressive — bass voice Reserved — treble voice The Role of the Ovaries While the primary sex characters, as such, are present and dis- tinguishable from birth, quite the opposite holds for the secondary sex traits. During childhood they are in abeyance or at least pretty sharply suppressed. Girls and boys who are permitted to dress alike, to play the same games and among whom no consciousness of sex is encouraged are often difficult to tell apart. The boys will be boys, and most of the girls tom-boys. With puberty comes a marked change of attitude toward the other sex. Puberty is the time of ripening of the specific germ cells. It is then the ovaries begin to secrete ova ripe for fertili- zation, and the testes begin to secrete sperm ready to fertilize, Before this can happen an event announced in the female by the onset of menstruation, two conditions must be fulfilled in the endocrine history of the individual. There must be a certain atrophy and retrogression of the thymus gland, and there must likewise be a similar atrophy and retirement of the pineal gland. Both of these involutions of the glands of childhood must occur before the normal hypertrophy and development of the sex glands and their secretions can start. Besides, there must be a mini- mum activity of the thyroid, adrenal and pituitary glands. Without them, below a certain minimum, the reproductive organs V 138 THE GLANDS REGULATING PERSONALITY and their secretions will remain infantile, causing a persistent infantilism or delay of puberty. Formerly there was ascribed to the ovaries, in a lump and without qualification, an absolute despotism over the specifically feminine functions of menstruation, gestation, parturition, and lactation. Nowadays, we see its domain as a limited monarchy, if not indeed as one sovereign state of a republic, a member equal but not superior to the others of a board of directors. Its true business comes down to two particular roles: first, the production of ova, and, second, the secretion of a hormone or hormones. Over the other functions once supposed its monopoly, all the ductless glands rule. What concerns us now is its internal secretion or secretions. One of them is known as lutein and it has never been chemically isolated in its pure form. The existence of lutein, like the exist- ence of electricity, is an inference, something we are sure is there because of its effects. It originates in a remarkable part of the ovary, the corpus luteum. Besides, there are the products of the interstitial cells, the creations of a special layer of cells around the ovum, the membrana granulosa. They produce a substance tonic to the uterus. When the ovaries are removed, there occurs an atrophy of the womb muscle, due to loss of this tonic substance. This atrophy, accompanied by an abolition of the normal periodic uterine con- traction, makes conditions unfavorable to pregnancy. It has been claimed that the secretion of the corpus luteum is necessary for the complete progress of a pregnancy. Cases are on record, how- ever, of ovaries taken out soon after the onset of pregnancy, without interference with the gestation. Castration is comparable in every way with the menopause or the time of cessation of sexual life, a process that might be called self-castration. It produces certain general constitutional effects. Adiposity often develops, undoubtedly associated with underfunction of the thyroid and pituitary glands. yThe woman breathes less oxygen per minute and burns up less f<$d and tissue. There is some disturbance of the lime balance with an increased excitability of the vegetative nervous system. Concomitant is the release of some brake upon the blood pressure mechanisms, so that a family tendency to high blood pressure will flare up. Some women are rendered unstable by the process, others are completely transformed, and still others adapt themselves, with little or no discomfort, to the new situation. The response to the revolution MECHANICS OF THE MASCULINE AND FEMININE 139 in the cell-republic of the castrate by the other endocrines, the thyroid, the pituitary, and the adrenals, determines which 'it is to be. For normally, with feminine puberty, there is an increased activity of the thyroid, the posterior pituitary and the adrenal medulla. These changes indeed constitute the formula of normal feminization. In the male, the ripening of the testes is accom- panied or perhaps preceded by augmented function of the adrenal cortex and the anterior pituitary. This difference in bio- chemistry accounts for the contrast between the sexes in the skin, hair, fat, cartilage (voice) and bone changes. Ovary and adrenal medulla and posterior pituitary and thyroid predominance con- stitute the feminine formula, Testis and adrenal cortex and anterior pituitary predominance comprise the masculine endocrine directorate. The Reactions of the Other Glands As in so many other aspects, the facts about the various influences exerted by the endocrine glands upon the reproductive system are complicated and disjointed. A chink of light has been let in upon a dark cave, and slowly the chink will widen. But the gross effects are clear. Around the ovary and the uterus, the endocrines gyrate as the planets around the sun. The ovary is the organ for the preservation and maturation of the germ plasm, that treasure which the body is built but to cherish and hand on as a sacred heirloom. The ova, the female egg cells, are the fundamental concern of the ovary. Secondarily, it secretes its messengers to keep the rest of the body, and particularly the other endocrines, in touch with the necessities of the adventures of these ova. It is thus enabled to bend every force and power at its command to the service of the reproductive instinct. In learning their role so well in the course of evolution, the thyroid, the pituitary and the suprarenal have become indispen- sable stimulants (in various degrees peculiar to the individual), to the primary function of the ovary. As a consequence, to hold the sex stimulating glands in check, there had to appear others, restraining them and so preventing sex precocity. These are the thymus and pineal. So closely are they all related that insuffi- cient action of the thyroid, pituitary or adrenals may cause atrophy of the ovaries and uterus, with abolition of genital 140 THE GLANDS REGULATING PERSONALITY function. If the sex glands themselves fail, as occurs usually in most women sometime in the forties, the thyroid-pituitary-adrenal association must readjust itself to the new development. The adaptation evokes the phenomena of the transition to a new life, the climacteric. The Significance of Puberty Tracing the development of sex life there is a certain order of events in a normal history. Before puberty, the ova have lain asleep, as it were, in a cocoon state. Now with puberty they awaken. And with them all those profound mechanisms and in- ventions that have to do with their nutrition up to ripening. Then revolve the cycles that are translated as menstruation, the propulsion, fertilization and implantation of the ova in the uterus, — the full development of the fetus, — its birth, and feeding after birth — all of which are ductless gland controlled. Samuel Butler once noted that: "All our limbs and sensual organs, in fact, our whole body and life, are but an accretion round and a fostering of the sperma- tozoa. They are the real "He." A man's eyes, ears, tongue, nose, legs and arms are but so many organs and tools that minister to the protection, education, increased intelligence and multiplication of the spermatozoa, so that our whole life is in reality a series of complex efforts in respect of these, conscious or unconscious according to their comparative commonness. They are the central fact in our existence, the point towards which all effort is directed." Nothing could be said more truly of Woman, and the ova she carries. All that transpires during pubescence is symptomatic of the underlying tidal stir in the cells. The uterus becomes gorged with blood periodically, to provide an enriched soil for the perhaps to be fertilized ovum to plant itself. The breasts grow, and fat is deposited in particular places as reserve material for the making of milk. The qualities which are to appeal to the eye and ear and even nostrils of the male appear. Instincts dawn, an inde- pendence of spirit germinates, emulsified with a curious shyness and coyness and a desperate loneliness and secrecy. And all be- cause there have been let loose in the blood from the glands of internal secretion the chemical substances that set going the clockwork of sequential incidents elaborated and repeated through countless aeons of time. MECHANICS OF THE MASCULINE AND FEMININE 141 Feminine Precocity Ordinarily, in the north temperate climate, puberty begins about the fourteenth year, but may begin anywhere from the tenth to the sixteenth. Feeding and environment indirectly, the state of the internal secretions as a whole directly, determine this. In girls, those definite signs, menstruation and the growth of the breasts, before the age of ten, mean premature awakening of the ovaries and a concomitant co-reaction of the other endo- crines, creating the ensemble of maturity. In females, the primary stimulus, the initial spark of femininity, must originate in the ovary. There are other forms of precocity in the female, dependent upon stimulations of other glands, but these forms are masculinisms, a masculinization of the person- ality, and not a true awakening of the feminine constitution. So one must distinguish sharply between a precocity by masculiniza- tion and precocity of premature feminization. The latter always implies the touch of the fairy's wand upon the sleeping ovaries. Sexual precocity in boys may be produced by a premature over- activity not only of the specific reproductive organs: the testes, but also by an early excess of secretion on the part of the cortex of the adrenal gland or the pituitary gland, or by a too early involution of the pineal or thymus. When such abnormalities of adrenal, pituitary, thymus or pineal occur in girls, it is the mas- culine streak in the hastening of growth that is made manifest. All this emphasizes the relative bisexuality of every normal, no matter how pronounced, when superficially viewed, his or her form of predominating sex may be. Under the right conditions recession of the most marked virility or femininity becomes conceivable, and occurs. The Secret of the Masculine Masculinization having entered upon the scene, one may well ask: what truly (which means chemically) lies behind all these differences and divergences between male and female? What is the secret of the variable internal secretion admixtures? You can tell us that the recipes are different, the ingredients different, the results different as a Nesselrode pudding is from, say, a rice pudding. But what is the inner mechanism of the process? Since the masculine and the feminine are but expressions of certain 142 THE GLANDS REGULATING PERSONALITY relative capacities and potentialities, some single principle must run through the making of both. Recognizing of course the qualifications inherent in so broad a statement the answer is: the handling of the lime salts. Life or- iginated, or at least lived and worked for long ages in sea water. During these eras the salts of the sea have come to play a dominant role in its being. The lime salts, because of their peculiar properties of dissolving or precipitating themselves ac- cording to electrical conditions in their medium, have come to occupy a central position in all the processes of growth, metabo- lism and sex differentiation. So it is that masculinity may be described as a stable, constant state in the organism of lime salts, and the feminine as an unstable, variable state of lime salts. The male skeleton contrasts with the female as the stronger, larger, heavier and straighter because it is an expression of a greater capacity to utilize, store and keep lime in the system. Women throughout their reproductive period are liable to rapid and pendulum-like fluctuations of their lime content. Menstruation, pregnancy, lactation, all draw upon the stores of lime, sometimes depleting them to the point of softening of the bones and wrecking the whole skeleton. The endocrines control the transport, and course, combinations and permutations in the history of lime's progress among the cells, and are in turn themselves affected by it. Man is relatively free of these liabili- ties, and so remains man by his freedom from the recurrent crises involving the lime salt reserve which constitute the essence of the life story of woman. The Sex Index It follows from these considerations that when it becomes nec- essary to size the sex composition of a man or woman, a meas- urement becomes establishable which may be spoken of as the sex index. To be able to say of Mr. Llewylln Jones that he is sixty per cent masculine and forty per cent feminine, or of Mrs. Worth- ington that she is seventy per cent feminine and thirty per cent masculine would be of the utmost value under all kinds of cir- cumstances. Unfortunately, lacking as we do the exact figures of an advanced blood chemistry (yet in its most infantile in- fancy) a direct indexing of the sort is impossible. But it is cer- tainly conceivable, along the lines of measurement suggested by the Binet tests and others, that a scale of evaluation of the MECHANICS OF THE MASCULINE AND FEMININE 143 secondary sex traits may be elaborated, which would turn out as valuable in understanding the frictions of the individual, and more concretely, that aspect of it to which pathologists of the mind are tracing so much needless misery and suffering: malad- justed sexuality, expressed and suppressed. Nothing will con- tribute more to harmonious adjustment for these sufferers than recognition of the fact that we are all, more or less, partial hermaphrodites. The Functional Hermaphrodite The complete or total hermaphrodite we define as the indivi- dual who possesses the reproductive organs of the male and the female, both testes and ovaries. So rare is such a combination in man that for a long time its occurrence was doubted, descrip- tions of it regarded as myth. However, undoubted cases are on record, examined by the most careful of observers, of ovo- testis or mixed reproductive organs. Strangely enough, the his- tory of these cases, shows that at one time the masculine set, and at another the feminine set, will hold sway over the sex traits and functions. Blending does not happen. Rare though the true hermaphrodite may be, the partial her- maphrodite is relatively frequent. The mixed ensemble of the directly contrasting type, such as the concomitance of testes with feminine secondary sex traits, or of ovaries with masculine sex traits, have been described from time immemorial as freaks. Occurring even more frequently is the mixed sex ensemble, in which the type of reproductive organs and of secondary sex traits run roughly parallel, emulsified with certain traits of the opposite sex. Physical features of one sex, instincts and mental attitudes of the other co-exist in the same individual by reason of an excess in one direction or a deficiency in another of the internal secretions. The degree of masculine trend in a woman is a crude measure of adrenal domination, the degree of feminine deviation in a man is roughly proportional to the amount of pituitary influences in his make-up. Whether one or the other sex tendency will dominate depends upon the quantity of sex hormone divergence from the ideal normal. But also determinant are the environment stimuli provoking excessive or deficient secretory reactions from the other endocrines involved, through the vegetative nervous system. Such especially are the associates of the mixed sex individual. Or- 144 THE GLANDS REGULATING PERSONALITY dinarily the combative male and the submissive female are differ- entiated by contrasts of skin and hair, fat and bone structure. The combative male is built as a fighting machine, the submissive female as an organism of attractive grace and beauty for impreg- nation and parturition. When one sees the fragile woman aggres- sive, the masculinoid woman submissive, one may infer an educa- tion of experience that has brought the usually recessive glands into the foreground, and by their hyperactivity imposed a bisex- uality of function upon a unisexual anatomic structure. A man apparently as formidable as a tyrannosaurus, may be ruled by his wife for the same reason. These combinations of a single organic sexuality with a functional bisexuality, based upon internal secretion disturbances, are frequent, and merit the name of functional hermaphrodites or mixed sex types. Mixed Sex and the Family The psychology of the family in its relation to the endocrine traits of its members is something that still remains to be thor- oughly worked out as a problem of tremendous importance. Par- ticularly are the reactions of the mixed sex types to be carefully considered. For, since the family is fundamentally a sex institu- tion, devised to satisfy the sex needs, all the way from compan- ionship to parenthood, it is apparent that the mixed sex types will be tried the hardest by its inexorable conditions. It is in relation to the mother (or nurse) first, the father next, and other associates in proportion to their proximity, that the primary endocrine-vegetative mechanisms, the germs of the growing soul, become established. These are superimposed upon the hereditary instinct apparatus. Fear, rage and love reactions develop first in association with the suckling reflex, and the accompaniments, the mother's smile and voice, the color of her hair, eyes and skin, her breasts and odors. Each time the babe reacts to a pleasant or unpleasant stimulus, there is an outpouring of certain internal secretions, a cessation of others, a tingling of certain vegetative nerves and organs, a hushing of others. The ensemble of reactions tends to be repeated around the same stimulus, until the whole becomes automatic. One may observe the same process in the lower animals. Offer a piece of meat to a dog and his mouth waters. Ring a bell before offering the meat. Repeat this a number of times, and after a while the mere ringing of the bell, without the MECHANICS OF THE MASCULINE AND FEMININE 145 presence of the meat, will cause his mouth to water. This asso- ciated vegetative secretion reflex is the most fundamental to grasp in an understanding of the deepest strata of personality. Now there are, besides the associated vegetative-endocrine reactions, certain inborn automatic processes in the vegetative system and in the internal secretion system, which work automatically to produce increased intravisceral pressures. The reduction of these pressures below the point of their intrusion upon consciousness, their relief, as we say, also form the centers of constellations around feelings of satisfaction or love. Such, for example, are the voiding of excretions. Sooner or later, these automatic reactions, and the associated reflexes formed around the mother, father and other associates, come into conflict. In- hibitions or prohibitions of the automatic act at certain times or moments are imposed by somebody. And so there occurs a pitting of the automatic mechanism against the associated reflex. Con- flict with adjustment by suppression must occur. Thus a sense of self as active wisher (for the automatically pleasant expe- rience), and punishable suppressor (of the same in favor of the acquired associated reflex) develops. So far, so good. Compromise by regulation from above, from the brain, of the automatic reactions follows, as training. No absolute repression is forced, no absolute encouragement is in- dorsed. Harmonious equilibrium, or normality, continues. But now there come upon the scene the unconscious fears. In the paleontology of character, these fears are the deepest strata, the eocene era, so to speak, of the soul. They are the hardest to get at and the most silent, as well as the most dominant of the influences which guide conduct. In Sir Walter Raleigh's words: P "Passions are best likened to streams and floods. The shallows murmur, the deeps are dumb." During the first period of childhood, up to five or six, the pri- mary fears group themselves around the taboos and secrets of its life. Though we have every reason for believing that the sex glands are acting in some way upon the organism during this time, nothing definite is known. Yet, as the numerous studies of the subconscious recently made prove, sex curiosity like the other curiosities, flowers. More than about the 146 THE GLANDS REGULATING PERSONALITY automatic visceral reactions, these curiosities evoke the repressive imperatives of the associates, the mother and father es- pecially. These repressive influences may be and often are the effects of ignorance, prudishness, vulgarity, or homosexu- ality, or the sex perversions that are known as sadism and masochism. But by the necessities of the case, the sex wishes become overlayed by reflexes associated with the mother and father and close associates as love. This might be termed the oligocene. As the circle of acquaintance widens, other loved objects usher in the miocene phases of the development. With these become interspersed various hates and detestations, deliber- ately cultivated and accepted by the consciousness. So we have a cross-slice of the personality in the first five or six years of childhood. But now, with the onset of the second dentition, a subtle change begins in the endocrine equations of the body. The second dentition itself is an expression of a certain internal secre- tion wave passing through the cells; an increase of action of some hormones, a decrease of others. And a consciousness of physical sexuality appears, while the outlines of character, hitherto mere tracings, become firmer, heavier, quasi-indelible lines. That there is some activity on the part of the internal secretions of the sex glands, the ovaries and testes, can be demonstrated by accurately charting the behaviour of a boy or girl after this time. It will be found that there is a cyclic variation of health and conduct, more or less marked of course in each case. A cold may appear periodically at the end of each month, an increase of irritability and waywardness may be observed, or, on the con- trary, a decrease of the regular restless playfulness. The ghost of sex begins to haunt the sceneQ Now all kinds of possibilities of conflict emerge. The child is still a bisexual, growing into a mixed sex type, depending upon the nature and amount of its internal secretions. The influencing adult of the family, the most important of the external factors encouraging or depressing the tendencies of the child, possesses a fairly fixed ideal of monosexuality which he or she, generally quite unconsciously, seeks to impose upon it. A doting feminine mother will make her son as much as possible like her husband: if she dislikes her husband, as much as possible like her father or grandfather. A masculinized mother will tend to make a sex ob- ject out of the son, however, which means his feminization. But, on the internal secretion side, the boy may be definitely masculine. MECHANICS OF THE MASCULINE AND FEMININE 147 That is, after adolescence he would be strongly masculine, if the vegetative-endocrine mechanisms created by the mother's person- ality had not slipped into the inside track, so to speak. As a con- sequence, continual subconscious conflict between the two sets of sex reaction will, sooner or later, disturb, perhaps disrupt and ruin his life. So an infant may start life with a fairly balanced endocrine equipment, with its wake of a normal life (barring accidents and infections) , and yet he may end as an inferior, insane, crim- inal, or failure directly because of establishment of conflict be- tween himself as one sort of sex type, and his obligatory associates of another sort of mixed sex type. This applies also to the mother-daughter, the father-son, and the father-daughter rela- tionship. Male and female created He them, is a bald misstatement of the facts. Male and female emerge as final by-products of endocrine heredity, environmental treatment and adaptation. Often the male-female, the female-male, persist anatomically, or are forced to persist functionally. Society, constructed upon the Biblical dogmas of man as a fallen angel, and absolute sex, is re- sponsible for much misery and suffering meted out to the func- tional hermaphrodite, as we shall see later in an analysis of the endocrine character of Oscar Wilde. The privileges and powers of sex relationship, marriage and parenthood, should be safeguarded for the mixed sex type, the man or woman with the variable sex index. For there are no tragedies in life more pitiful than those in which an aggressive masculinely built type is forced to assume a submissive, receptive, passive, feminine role and vice versa, the tragedy of compelled homosexuality, because of wrong associates. Masochism and Sadism The functional hermaphrodite enables us, too, to understand the phenomena of masochism and sadism, to a certain extent, on the chemical side. The masculine personality, the combination of masculine, e.g., adrenal cortex and gonad internal secretion predominance, is built for aggression. The feminine personality, the union of feminine, e.g. thyroid and ovarian superiority, is con- structed for submission. Reverse the possibilities, or confuse them, as occurs in the functional hermaphrodite, and the attitudes be- come reversed or perverted. So a masculinoid personality in woman will make for sadism, a feminoid personality in a man 148 THE GLANDS REGULATING PERSONALITY for masochism. Variants and refinements of these perversions will often be found in the functional hermaphrodite who must satisfy two doubly flowing streams of visceral pressure within himself. Persistence of the thymus or pineal gland tends to a prolongation of the infantile and child types, that will be taken advantage of. CHAPTER VII THE RHYTHMS OF SEX If one permits a drop of ink to fall into a glass of water, amazing figures and shapes, bizarre and chameleon, are born as the blue swirls and whirls through the resisting medium. Unseen forces and currents, tides and pressures, set up a seething and flowing, pulling and twisting of the drop of ink until it becomes a strange wraith created out of the molecules, A temporary individuality lives in the water. So likewise the forces of sex, essentially the forces of the inter- nal secretions, mould and sculpt and mould again the woman out of the flesh and blood. Adolescence — puberty — menstruation: the maid, — pregnancy — labor — lactation: the matron, thirty years of ups and downs of these processes around the idea of love or suppressed love, against an aesthetic background of some sort — and finally the loss of the stress and strain of sex, the menopause. All the landmarks of the life of woman, in their entirety, are erected and dominated by the tides and currents, the phases of concentration and dilution, of the different internal secretions in the endocrine mixture which is the blood. Marvelous are all the manifestations of the reproductive neces- sity. Considering that reproduction was at first merely a form of growth, a discontinuous kind of growth, that seized upon sex as a splendid means to escape death, the chemical methods evolved arouse a sense of awe. A baby is born with her or his glands practically as fixed for her or him as the color of the eyes. Thymus and pineal keep him a child, keep him unsexed. Then at puberty, a new current is added to the calmly flowing river, and behold! a turmoil. Ovaries or testes actively functioning erupt upon the calm spectacle, and the girl is transfigured into the maid, the boy into the youth. After the ovaries, the corpus luteum: after the corpus luteum, the placenta: after the pla- centa, the mammary glands: after that the cycle begins again until the ovaries are exhausted and the chain is broken. Besides, all the other glands of internal secretion beat in rhythm, fluc- 149 150 THE GLANDS REGULATING PERSONALITY tuate in their activities, may divide prematurely the tides or dam them completely. Innumerable varieties and combinations of interglandular ac- tion supply us with the limitless types of adolescent girls. Some endocrine cooperatives that make one girl stable and settled, will make others unstable and unsettled. Alicia may be hyperthy- roid, and so excitable, nervous, restless, and subject to palpitation of heart and sleeplessness. Bettina may have too much post- pituitary, and so will menstruate early, tend to be short, blush easily, be sentimentally suggestive and sexually accessible. Christina may be adrenal cortex centred and so masculinoid: courageous, sporty, mannish in her tastes, aggressive toward her companions. Dorothea may have a balanced thyroid and pituitary and so lead the class as good-looking, studious, bright, serene and mature. Florence, who has rather more thyroid than her pituitary can balance, will be bright but flighty, gay but moody, energetic, but not as persevering. And so on and so on. Environment, habit-formation, training, education serve only to bring out the internal secretion make-up of the girl, or to suppress and distort and so spoil her. Adolescence will be peace- ful, calm, semi-conscious, or disturbing, revolutionary and obses- sive according to the reaction of the other endocrines to the rise of the ovaries. Harmony, and so continued happiness of the mind and body, means that they have been welcomed into the fold. Disharmony, ailments, unhappiness, difficulties, mean that they are being treated as intruders, or are acting as marauders. The after life, sexually the period of maturity, barring accidents, diseases, and shocks, will bear the same character. The kind of adolescence provides the clue to the kind of maturity, for both are effects of the same endocrine factors. The Sex Gland Chain Furthermore, the activities of a normal woman involve a series of sex glands. Since there function, in addition to the ovaries, the glands of the uterus, the breasts or mammary glands, and the placental gland (the secreting cells of the tissue which comes out as the after-birth). Each of these contributes directly to the reproductive life of the individual. To call the ova the sex glands is to confer upon them a name which really belongs to a chain of glands. All of the members of the sex chain, including those of the THE RHYTHMS OF SEX 151 thyroid, the adrenal and the pituitary, are necessary to the func- tions of menstruation, impregnation, settlement of fertilized ovum in the wall of the uterus, labor and lactation. A disturbance of one of them will set up disturbances all along the line, and a resonance of distress or compensation upon the part of all of them. As an interlocking directorate over the sexual functions of the female, they are members one of the other. So what helps or hurts one, helps or hurts all. The Cycle of Menstruation Essentially, the ovary is a collection of follicles, nests of cells, acting as safe deposit vaults for the ova that are to become can- didates for fertilization. At birth, there are some 30,000 to 200,000 of these, of which a good many atrophy during child- hood so that there are no more than about 30,000 left at puberty. Of the 30,000, only an elite 400 actually mature between the ages of fifteen and forty-five. About every twenty-eight days, one of the follicles swells, becomes filled with liquid, pushes or is pushed to the surface of the ovary, there to rupture and expel into the abdominal cavity the tiny ripe ovum. The rest of the torn follicle makes itself over into a peculiar yellowish body, the true corpus luteum, should pregnancy occur. If pregnancy and the consequent placenta do not occur, it shrinks and turns into a scar, the false corpus luteum. The true corpus luteum resembles closely the adrenal cortex in make-up and staining reactions. It seems as if, once successful impregnation has been achieved, the feminine organism adrenalizes itself, makes itself more masculine and less feminine, inhibiting the posterior pitui« tary and the adrenal medulla, as well as the ovaries. Besides, the corpus luteum stimulates the thyroid to prepare for the heavy demands to be made upon it during pregnancy. Before menstruation, there is a stage of preparation, a stir and twittering of the endocrines, the premenstrual state. Cur- rents of communication flow between the different glands, mes- sages and replies pass to and fro. When these are properly balanced, so that all goes well, the consciousness of the woman will be disturbed by no knowledge of them. In some women abnormal sensations appear, a sense of fullness in the breasts, or of weight in the back or pelvis, or pain in the head. The last is probably due to swelling of the pituitary beyond the capacity of its bony container. In a good many women, nervous 152 THE GLANDS REGULATING PERSONALITY and mental phenomena herald the expected menstruation because of a complete upset of the balance between the internal secre- tions, with resulting disturbance of the nervous system. Irrita- bility, depression, excitability, melancholia, exaltations, restless- ness, hysteria, loss of self-control, or even more marked mental aberrations may appear. Following them, and roughly parallel- ing them, may come various abnormalities of menstruation it- self. The character, extent and duration of these furnish us the best clues to the endocrine stability or instability of the particu- lar feminine organism. Menstruation is simply the uterus saying: well, not this time. As the destined ovum within its nest, the follicle, grows, its fluid affects the interstitial cells to send their specific stuff into the blood. There it circulates, hits this gland and that, makes some more active, others less, transforms the chemistry of the cells, and engorges the mucous membranes, most of all those of the nose and of the uterus. It is all to welcome the mature ovum and its possible impregnation, to prepare a site for its landing and settlement, blood and food for its nutrition, safety for its development. But it is not to be. No sperm at hand, or effective enough to penetrate that wandering ovum. Love's labour's lost. All must return to the so-called normal, really the intermenstrual state. The womb must surrender some of that blood, the glands return to their routine, and a sex diastole of the whole organism succeeds. Until again, another follicle swells, another ovum ma- tures, and the premenstrual state of sex high tide cycles back. Seven to ten days before menstruation we know that sex high tide is beginning for that is when the blood pressure goes up. As this rise of blood pressure is probably controlled by the poste- rior pituitary, we have a clue to the reason for the rhythmic variations in the rate of production of its secretion by the ovary. For, since menstruation is so closely connected with the phases of the moon and the tides, the rhythmicity of the posterior pituitary may be traced to the days when the pineal was an eye at the top of the head, and in direct relation with the pituitary. Menstruation has been said to be a miniature labor. It is not that as much as it is a miniature abortion. It is an effort of nature still-born. But nature is quite used to its disappoint- ments and returns placidly to the daily grind. The four phases of a woman's twenty-eight day cycle succeed each other as the premenstrual, the menstrual, the postmenstrual and the inter- THE RHYTHMS OF SEX 153 menstrual, with the precision of pistons moving in a motor, when no interfering factor as disease, profound emotion or climate disturbances are present, affecting the endocrines. The sequence of events appears to be about as follows: The amount of post-pituitary secretion reaches a certain concentra- tion. This in turn stimulates the thyroid and adrenal medulla. They in turn activate the ovarian cells, which congest the uterine glands and lining membrane. The follicle bursts, the ovum is discharged and wanders, the uterus waits and wonders. Nothing happens, the curtain is lowered, the scenery is removed, the actors revert to civilian clothes. That is the story of menstrua- tion, the central phenomenon of woman's pre-pregnancy life. One sees it clearly as a play of an internal secretion syndicate. The Premenstrual Molimina The premenstrual molimina is the traditional title accorded symptoms, sensations, feelings, observations of women in the premenstrual phase. In the light of endocrine analysis, they become exceedingly important indicators of the underlying consti- tution of the individual concerned. Indeed, the premenstrual period furnishes a direct clue to the dominating internal secretion in a woman. Moreover, these premenstrual phenomena are the shadows cast by coming events. For they mimic and prophesy the events of the last crisis of feminine sex life, the cessation of ovulation which goes by the name of menopause, gonadopause, or change of sex life. The premenstrual phenomena provide a positive film, so to speak, of the latent negative picture of the endocrine system of the girl or woman. Thus, there is the sub-pituitary or pituitary insufficient type, in whom the excessive swelling of the gland causes headache, and a dull, heavy, tired feeling, a definite depression. Drowsi- ness, sleepishness, indifference to surroundings, general sluggish- ness of thought, feeling and reaction, a phlegmatic frilosity, all go with it. It is due to an overweighing of the pituitary, con- troller of good brain tone, and alive wakefulness, by the demands of the organism. On the other hand, the hyperthyroid type of woman re- acts with an exaggeration of her tendency. When the posterior pituitary begins to secrete more in her its stimulation of the thyroid is enough to tip it over the normal line. Such a woman in the premenstrual phase becomes irritable and restless, 154 THE GLANDS REGULATING PERSONALITY does not know what to do with herself, cannot concentrate on conversation, occupation or any single activity, may become d to the point of mania. Hot, tremulous, sleepless, or sleeping badly, she has a much harder time of it than her pituitary sistt These samples of premenstrual internal secretion reaction are the extremes of a vast number and variety of types. There are women in an unstable quasi-premenstrual state for the greater part of their lives. Sometimes an infectious disease or a psychic blow will put a woman into this class. The significance of these cyclic changes has been tremendously increased by the recent formal admission of women to participation in public activities on a plane of equality with men.r Evidence exists that in man, too, there is some cyclic rhythmicity of his endocrines, which sets np a fluctuation in his physical and mental efficiency. The curves of these variations have still to be plotted, and will doubtless contribute no little to our knowledge of the control of human nature. One unex- purgated fact stands out: the reproductive mechanism of woman has rendered her whole internal secretion system, and so her nervous system, all her organs, her mind, definitely and sharply more tidal in their currents, more zigzag in their phases, more angular in their ups and downs of function, and so less predictable, reliable and dependable. The Masculinoid Woman The masculinoid woman, as a functional hermaphrodite, I first as a congenital entity, with an inborn distribution of en- ne predominances that make for m BCUlinity. There are also numerous acquired forms. The in: of childhood, measles, scarlet fever, diphtheria, and U mump damage the hormone syst an inversion of lows. H< ive and depr ronni- d more significant. The effect* of environment odtiemg changes in an I iogist mstam responsive re: glands of int made npi . by chi *. So a cold clima' a more voluminous bail og for an animal, will evoke i Secondarily other effects app< of the ad THE RHYTHMS OF SEX 155 tion. The adrenal cortex makes for pugnacity, temper, animal courage, irritability and anger reactions. So a hairy animal will, in general (unless other endocrines come in to defeat the primary effect) , be more pugnacious, courageous, irritable and combative. The same applies to woman. An environment which tends to encourage the masculine traits in her, to arouse repeatedly her pugnacity and combative decisions in the more rapid give and take of the masculine world, will rouse the adrenal cortex to greater activity, and so make her face hirsute, her attitudes aggressive, and perhaps render her sterile. Concomitantly there may be a disturbance of menstruation. The presence or absence of sterility, natural or enforced, always present, or say appearing after the birth of one child, must all be donated a prominent place in studying the endocrine make-up of a woman. When there is not enough ovarian secretion, the ovum may not be able to burst through the ovary, a necessity before it may begin its travels to the uterus. Next, the propul- sive action of the genital ducts may be insufficient because of defective corpus luteum. Or the uterus may not have received enough posterior pituitary or thyroid to make it fit soil for the ovum to plant itself in. Or there may be too much of these, which cause the uterus to massage itself daily by gentle contrac- tions and so keep it well-toned. Excessive massage will throw the ovum out. All these are factors in the sterility problem, with its psychic resonances affecting the maternal instinct. The Maternal Instinct There have been created high odes to an unknown god, sensuous lyrics of love, apostrophes and addresses to every human passion. But no poet, to my knowledge, has risen to the heights of the maternal instinct. Some contemporary clap-trap about senti- mentalism will perhaps decry and ridicule the demand for an apotheosis of it. There are some who deny its existence, and assert that maternity is forced upon every woman. • Reduced to its elements, such nonsense turns out the absurd pose of the theorist desperate to epater le bourgeois or to cover up hidden defects in his or her make-up. Without the maternal instinct, without the hope of immortality through somatic or spiritual posterity, we should all, who were sane enough, have to condemn ourselves to the futilities of hedon- ism. So that the criminal who was condemned to roll a huge 156 THE GLANDS REGULATING PERSONALITY boulder up a hill, only to see it roll down again, would have to thank his lucky stars for his lighter punishment The future, tomorrow, the Kingdom of Heaven on Earth, or if you will, the public of Supermen, means to all of us what the child means to the madonna. The cynical epicurean careerists and careerist- inas, and the depraved degenerates of a comfort-lusting civiliza- tion may have suffered an absolute atrophy and castration of that instinct. But they are pathologic specimens, and we are not for moment concerned with them. The Freudians have set up a great hullaballoo about creative m sublimations of the sex instinct, or as they would have it, the libido. That is their obsession, the confusion of the sex instinct, the instinct for sex life and satisfaction in the relation of the male to the female, with the maternal instinct. The 1 instinct bears the same relation to the maternal, as the breasts of the male do to those of the female, i.e., a functional hermaphrodite trait. The maternal instinct is the instinct to be, provide and care for offspring. The mother expresses the deep craving of protoplasm for im- mortality. What drives her is the instinct of Life to preserve If unto eternity in infinite space and time. That separates it sharply from the temporary needs of the sex instinct. The artist, the man of science or letters, the statesman, craftsman of every sort is instigated by the maternal instinct. He creates for his own pleasure, to be sure. But it is in its essence of the bird making its nest. It is necessary, therefore, to distinguish between the sex in- I instinct. For different glands of internal set tion have been found responsible for them. A distinct difference in the quality and amount of the two instiii* in tfafl lame penon. A strong maternal instinct may he l in and again to dominate a woman With but little or no sex -ion. Numerous phj id women h d succej- ried liv< m< n. with normal or I ■ ': i i life, m : e no \ "ill tea th Kndiffi i These nd det* While tl .. :d mcdull.-i, is the cl if pituit; be DTI d chief hormone of the maternal instinct. The interactions of tht THE RHYTHMS OF SEX 157 two glands, the ovary and the posterior pituitary, modified by accessory influences, determine the relative intensity of the two instincts. In a sense, the two glands may be said to be anta- gonistic and yet one stimulates and complements the other. The Transfigurations of Child-Bearing Though what happens at puberty, what happens all through life through the agencies of the endocrines is amazing enough, what occurs during the period of child-bearing is pernaps the most amazing of all. As emphasized, pregnancy is the time, among the internal secretions, of a great uprooting and stirring, of fundamental and cataclysmic changes in the most intimate chemistry of the cells. It is as if a dictator, inspired by his country's danger, its enemies at the gates of its capitol, were to draft and mobilize everyone, man woman and child from every- day activities to the necessities of defense. Or rather it is as if there appeared within the heart of our civilization a common purpose and intelligence, now so palpably lacking, which magne- tized and drew to itself all the streams of individual self-aggran- dizing effort. Imagine that possibility and how it would change the face of the earth and the entire basic constitution of human life and society. So do the profound tides of the hormones, centering around the new creature being made in the womb, transfigure the face and constitution of the child-bearing woman. During pregnancy, in consequence, the integrity of every struc- ture of the body is tested. A stern, relentless accountant goes over the cells, counts up their reserves, establishes a balance, credits and debits according to the demands of the growing parasite within them. Follow changes in the skin, the bones, the nervous system and the mind. That is, all the glands, subtle recorders, transmitters, producers of the vibrations of change are influenced. But the most influential are the most affected, as the most dominant personalities in a community are most disturbed by a revolution. In Sinclair Lewis' "Main Street," the best novel ever made about America as a nation of villagers, the heroine, Carol Kenni- cott, has this to say to someone sentimentalizing about maternity. "I do not look lovely, Mrs. Bogar. My complexion is rotten, and my hair is coming out, and I look like a potato bag, and I think my arches are falling, .... and the whole business is a confounded nuisance of a biological process." The exploration of the internal secretions has brought us an 158 THE GLANDS REGULATING PERSONALITY explanation and an understanding of why child-bearing is a nuisance. We know now that if C anicott's complexion became rotten and her hair fell out, it was because her thyroid was not ad< o the demands of pregnancy, and that if her arches were falling, and her figure acquiring a potato bag dumpi- her pituitary was insufficient. In all proba- bility she was a thymus-centercd type, which accounts for much of the material that goes to make up the novel. Different endocrine types react characteristically toward the situations of pregnancy. The adrenal type may not be able to respond with the necessary enlargement of its cortex which is normal for the needs of gestation. So pigmentations, darkenings and decolorations of the skin, especially of the face, the tradi- tional chloasma develops. The hyperthyroid type may become rply exaggerated, almost to the point of mania and psychosis. The subthyroid will suffer an emphasis of her defect, and pass on, because of pregnancy, to the truly diseased state of myxedema, the state of dull, slow, stupid, semi-animal semi-idiocy. The pituitary type becomes more masculinized. The face becomes more triangular and coarser, the chin and cheek-bones mor© pro- nounced, and there is a growth of all the bones, so that she is seen to grow visibly in height and breadth, and in the size of the hands and feet. Concomitantly, there is a changed, a more matured and steadier outlook upon life, all due to stimulation of the I terior pituitary, controller of growth, physical and mental. In general, the major endocrines, the pituitary, the adn and the thyroid should hypertrophy and hyperf unction during ■.rnancy. Should they not, should adverse mechanical circum- stances or chemical malfunction prevent, dir< A woman with the closed-in type of pituitary, shut up in a sm Ua turcica, will suffer the will become fat, will frequently abort an- rise to t ! (like typhoid or measles) which injured her thyroid i may be poisoned by i 1 by the growing fetus, a xoellenci to render innocuous these poisons. Of adrenal insuffii lil- of the ad v sufficiently in j y, little i- kDOWn. Po ibly the corpus lutcuin, the endocrine formed of in this respect. F« remabl l>le between I the corpus luteum, some THE RHYTHMS OF SEX 159 The Placental Gland The placenta, an organ and gland of internal secretion newly formed in the uterus, when the fertilized ovum successfully im- beds itself within it, must be considered in any analysis of the transfigurations of child-bearing. Born with the pregnancy, its life is terminated with the pregnancy, for it is expelled in labor as the after-birth. Its importance and function as a gland of internal secretion has become known only recently. Many still doubt and question the accordance of that rank to it. But feed- ing experiments with it, in various endocrine disturbances in human beings, have proved its right to the title. The placenta is created by the fusion of the topmost enlarged cells of the uterine surface and the most advanced cells con- stituting the vanguard of the growing and multiplying ovum. These front line invaders interact with the cells in contact with them to make a new organ which serves as lung, stomach and kidney for the embryo, since it is the medium of exchange of oxygen, foodstuffs and waste products between the blood of the mother and the blood of the embryo. Ultimately it acts, too, as a gland of internal secretion, influencing the internal secretions of the mother, and also those of the embryo. Settlement of the fertilized ovum in the womb introduces into the system new secretions, new substances which are partly male in origin, since the ovum contains within it the substance of the male sperm which has penetrated it. This masculine element causes a rearrangement of the balance of power between the en- docrines towards the side of masculinity. They push down the pan of the scale to inhibit the post-pituitary. So menstrua- tion, the menstrual wave which follows the increasing tide of post-pituitary secretion, is postponed. For ten lunar months, not another ovum breaks through the covering of the ovary, and the uterus is left undisturbed. The placental secretion plays a most important role as brake upon the post-pituitary, the most active of the feminizing uterus-disturbing endocrines. Until at last something happens that puts the placenta out of commis- sion in this function of restraint, and the long bottled up post- pituitary secretion explodes the crisis apparent as the process of labor. A condition of self-poisoning often occurs in pregnancy, with symptoms orchestrating from mild notes like nausea and vom- iting to the high keys of convulsions and insanities. They rep- resent what happens when an unbalanced endocrine system is 160 THE GLANDS REGULATING PERSONALITY ked by the placenta. Depending upon where in the internal •ion chain the weak point, the Achilles1 bed spot, will be found, the nature of the reaction will vary. And even after labor, after the explosive crisis, so much of the endocrine consumed, that an actual mania or a chronic B may come in its wake, the placental secretion must not be looked upon as some- thing wholly evil in its potentialities. Without enough of it to hold the uterus stimulating endocrines, particularly the post- pituitary, in check, still-birth results. If there is enough, and not too much of it, the woman will not feel ill at all, or perhaps only transiently, but will be possessed of a curious feeling of drowsy content and passive, relaxed happiness. Let there be relatively too much of it, too little of the other glands, and the grosser transfigurations and ailments of the child-bearing period follow. The Mammary Glands Once pregnancy is terminated by labor, the placenta is expelled from the body as the after-birth. The placenta remo\ arrangement of the balance of power among the endocrines be- comes necessary. But a new-comer appears upon the up the function left vacant by the absent placenta. This new-comer is the secretion of the activated breasts, the inam- glands. They make for a persistence of the state of equilibrium among the endocrim 1 during pregnan The I ry glandfl arc typical glandfl of external They I ie milk and pour it out of the breasts through little the mouth of the suckling. Yet evid to conclude thai bl i glands of inter! bion, that r the loss of that of the placenta but not qu What Beams to happen in fact, is this; pus hit* u rmani cells of the mammary gland daring puberty, but latent until t; We lutcum will I <>phy of the hrcasts. '1 roduced regularly during the mens* , >f the breasts. with the tivity THE RHYTHMS OF SEX 161 of the breasts parallels indeed more or less the activity of the corpus luteum. With the prolonged activity of the corpus luteum during preg- nancy, prolonged stimulation of the breasts occurs. The secre- tion of the post-pituitary would now cause the change from the internal cell secretion to milk. But it is inhibited from so doing by the placenta. When the placenta is removed, after labor, the post-pituitary can act, and a free flow of milk is established. However, to counterbalance this, and to prevent the post- pituitary from overacting, the breasts secrete a hormone with an action like that of placenta, but not so strong, which tends to inhibit the ovary. So is put off the imposition of a pregnancy upon a period of lactation, obviously bad for mother, infant, and embryo. We have here an exquisite sample of the checks and compensations which make for a self-balancing of the whole en- docrine system. Critical Ages The Dangerous Age is a phrase coined by a Scandinavian writer as a more dramatic euphemism for the time of life when sex function ceases, the climacteric. As a matter of fact, the age of adolescence is just as much of a dangerous age as the age of deliquescence. The only difference between them is that the dangers of the one have been hushed up, the dangers of the other well boomed and advertised. Both are dangerous to the individual, because both are periods of instability and read- justment of the cells, particularly the brain cells, to a deranged endocrine system and blood chemistry. Moral attitudes differ at the two ages, not so much as an effect of experience, as expressions of different visceral pressures produced by newly dominant internal secretions. So in Eugene O'Neil's play, "Diff'rent," we see the woman Emma Crosby as she is in her youth, when her ovaries have budded and bloomed for only a few years, and her other endocrine influences are still dormant. She breaks off her engagement to Captain Caleb Williams on the eve of her wedding because she is informed of the episodes of a sex affair he was involved in on his last voy- age, under circumstances not discreditable to him. The next act shows her thirty years later when, as an elderly spinster, she is passing through the climacteric, and is in the state of sexual 162 THE GLANDS REGULATING PERSONALITY esthesia some women are afflicted with before the meno- It is as if the ovaries and the accessory sex internal secretions erupt into a sort of final geyser before they are ex- So the captain, ever faithful, finds her, and dis< to his horror that she is a thousand times more like other women been like other men. Because of his ignorance of the underlying chemical basis for the transfiguration, tragedy follows. Critics may cackle about a sex starved woman, who pressed her natural desires, and hail the play as a contri- bution to the Freudian clinics. As a matter of fact, it is a study of libido variation, with endocrine variation, at two stages of the inner chemical life of a woman. The chain of events at the menopause, the acme and then ebb of the sex tide, may be summed up something like this: The ovaries cease producing their eggs and so shrivel as a storage battery atrophies when it dries up. An important mem- ber of the endocrine board of directors thus drops out, and so a ngement of gland activities, a new regime, becomes neces- sary. If a balance of power is established quickly and equitably, very little happens. Quickly the woman passes on to the next plane of her existence. But if some endocrine proves recalcitrant, and takes advantage of the situation to make itself dominant, trouble and maladjustment, and their psychic echoes, come. An- terior pituitary control will mean a relative masculinization, with hair on the face and aggressive attitudes. Post-pituitary most i refuses to settle down, and expressing its ambition as 1 , obesity and hysteria, may cause extreme m and unhappiness to its possessor. Sooner or later, if the har- monious equilibrium of the normal life is to be revived, all the thyroid, pituitary .Is. h the waning of the ovarian function, the thyroid type will particular flare. If there is thyroid excess the woman will be excitable and irritable, the thyroid dv\] be depressed and dull, the thyroid tween excess i will ha- ind down alternation of will have a big)) blood pres masrulinoid trail inferior will have a low blood pn • and f ID to • is individually itninfttfag .• ion o! the woman. w ben the Pfomfa hai atrophied, and the breasts have shrunk, the typical THE RHYTHMS OF SEX 163 tan complexion, and the angular masculinoid figure, face and psyche follow, and the transfiguration has been completed. Man has his critical age of sex cell deterioration as well as woman. The age period swings between forty-five and fifty-five. Here enters upon the scene that organ of external and internal secretion, the prostate, the most important of the accessory sex glands in the male. Experiments with its extract upon growing tadpoles have demonstrated it to have the same differentiating effects as thyroid, but without the poisoning effects. Further- more, the microscope reveals cyclic changes in its cells compar- able to the menstrual phenomena of the uterus. Indeed it is accepted as the homologue or male representative of the uterus. Small and undeveloped during childhood, its growth at puberty parallels that of the other reproductive organs. Its secretion has been shown to be necessary to the vitality of the sperm cells. The regression of the prostate, its retirement from the field of sex competition, is the central episode of the male climacteric. Ac- companying its shrinking are prominent an irritable weakness, despondency, and melancholia, which may emerge at any time if there is disease or disturbance of it. The influence of the prostate upon man's mental condition, and its contribution to the sex index, still remains to be investigated in detail. Sex Crises At the periods of interstitial cell hyperactivity, when a wave of radicalism in the blood sweeps through the tissues, the other endocrines are tested, and their latent stability or instability is made manifest. Even before puberty, cyclic variations of health and conduct may be observed in boys and girls which undoubtedly depend upon currents among the internal secretions. Children, who, in the best of circumstances, habitually are attacked by a wanderlust and run away from home, or suffer from fits of naughtiness, are samples of such endocrine lability. Children specialists have found that at about the end of the second year their charges begin to individuate. In a certain percentage, sex traits appear pretty early. But the fact of the matter is that it is rather the minority of girls who spontaneously exhibit the tra- ditional stigmata of the natural girl. The doll-cherishing, house- keeping imitator of mother is another story. At puberty arise the most exquisite cases of life crisis de- pendent upon hormonic crisis. The boy becomes restless, irritable 164 III I : GLANDS REGULATING PERSONALITY and quick-tempered when his thyroid and adrenals respond to the call of the interstitial cells. If they do not, he will become dull, heavy, lazy and listless. The girl correspondingly is trans- formed into a vivacious, gay, nervous and apprehensive butterfly, or a sedate, dreamy, bashful, or even morose moth. It is in' esting to note that poise, mental equilibrium, is not established until physical growth ceases, marked by a cessation of growth of the long bones known as ossification of the epiphyses. Poise seems to be controlled by the ante-pituitary. The growth of the long bones is also dominated by the ante-pituitary. It would seem as if, its secretion dedicated to the one function, could not be available for the other. So it happens that those in whom growth ceases early (probably because of an earlier and more >rous invasion of the internal secretion system by the inter- nal cell product), develop mental maturity more rapidly and possess more of it than those in whom growth continues. 1 acumen and salacity of certain dwarfs is proverbial. The puberty phenomena teach that sex crises of every sort are dependent fundamentally upon fluctuations, periodic or aperiodic, of the sex index, as we have defined it. The Determining Factors of Sex Life The material summarized in the preceding paragraphs fui some slight inkling of the vast dominion of Sex, in all r tions, somatic and spiritual, over which the glands of internal secretions rule. The founder of modern pathology, Yirehow, said that woman is woman because of her ovaries. H that woman is a woman, the sort of woman she specifically :iuse of tor internal secretions. But no divine dec; laid down • line of cleavage between man and woman. Ti are fundamental constitutional difierci. D man | woman. But it is just as true that man is man because of internal secretions. have seen that the < of Man and W N the end-points of a curve Including variations of construction of a sex in I Ithough well fr rtl ! day, year to ye. the influences thai brought to bear upon H /lirce planes of orine, thi M©« THE RHYTHMS OF SEX 165 The endocrine is concerned with the fundamental chemistry of sex, the internal secretions, which determine the chemical reac- tions that provide the free energy for the sex process. Upon the vegetative plane occur those transformations, tensions, and re- laxations, in the viscera, which are controlled in part by the endocrines and in part by the experiences of the individual as registered in his subconscious. Upon the psychic, conscious planes appear the echoes and reflections of the occurrences upon the other two planes, as well as reactions arising in the brain from the necessity of the organism reacting as a whole to isolated episodes. Accompanying is a self-awareness of the organism as a unit. The three planes are not like separate plates of glass one raised above the other, the usual idea picture of planes. They are nebulae, swirling into each other, influencing and being influ- enced continually. The reactions among these three complexes of sex create the milieu for the variations and aberrations of tendency, character and conduct which stamp his unique quality upon the individual. Sex morale is likewise so influenced. The fundamentals of sex ethics will, in due time, be revised in accord- ance with these conceptions. CHAPTER VIII HOW THE GLANDS INFLUENCE THE MIND It is impossible to review here in detail all the facts accumu- lated concerning the influence of the internal secretions upon all the processes of mind, intellectual and emotional. A volume would not suffice for their adequate consideration. Reflexes, in- ts, habits, tendencies and emotions are involved in machinery. The development and normal functioning of the intellect, the pure reason as Kant called it, are controlled by them. Brain, without them in solution, without enough of them in that wonderful solution, the blood, sleeps or remains dormant like the butterfly in the cocoon. The cretin, who has not enough thyroid or no thyroid, is an imbecile because of his deficiency. Supply him with thyroid from outside sources, feed him animal thyroid, be it of the sheep, the pig, or the goat, and behold a miracle! he is restored to the level of at least the relatively nor- intelli<:cnce. Acuteness of perception, memory, logical thought, imagination, ption, emotional expression or inhibition and the entire con- tent of consciousness are influenced by the ii. ions. most nit r bivities of the molecul !ls and nen dominated The speed of their chemistry and th sndthust Of tie Iodine I shown to in ity of the brain that trons will fly through it. The thyroid may tin n as ma' the amount of Iodine brought to | d the << Us at a particular moo* Adrenalin Kncrea* ductivity of the brain. N . flow more