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Full text of "Stamering And Cognate Defects Of Speech Vol - Ii"

238     SYSTEMS OF TREATING STAMMERING

emotions undergo a series of abnormal changes. In part
they are preserved as a lasting charge and as a source of con-
stant disturbance in psychical life; in part they undergo a
change into unusual bodily innervations and inhibitions, which
present themselves as the physical symptoms of the case. We
have coined the name 'hysterical conversion' for the latter
process." l

When there is little or no " conversion," the symp-
toms are directly related to the cause:

"To take the most commonplace example: a painful emo-
tion occurs while one is eating, but is repressed; this results
in nausea and vomiting, which may then continue for months
as an hysterical disturbance. A girl is watching with painful
anxiety by the sick-bed. She falls into a dreamy and absent-
minded state, and in this condition experiences a terrifying
hallucination, while her right arm, which is hanging over the
back of the chair, tfalls asleep.' There results a paralysis of
this arm, with contracture and anaesthesia. She wishes to
pray, but finds no words. Finally she succeeds in uttering a
child's prayer in English. , When later there develops a severe
and highly complicated hysteria, she speaks, writes, and under-
stands only English, while for. a year and a half her mother-
tongue remains untelligible to her.  A mother is watching by
a sick child that has at last gone to sleep. The mother con-
centrates the entire force of her will upon the task of remaining
quiet, so that the child may not be disturbed. But, as the direct
result of this effort, she produces a clicking sound with the
tongue ('hysterical counter-will'). This happens again on
another occasion when she wishes to remain perfectly still.
This leads to a tic, manifesting itself through several years as

1 Freud, loc. dt.} p. 8.