R Z 400 ,H3 Book , H 3, GopightN?.- copyright DEPosrr. /y?^ THE QUEST FOR HEALTH AND HAPPINESS THE QUEST FOR HEALTH AND HAPPINESS BY CHAUNCEY J. HAWKINS AUTHOR OF "THE MIND OF WHITTIER," "WILL THE HOME SURVIVE?' 1 Happiness and success in life do not depend on circumstances, but on ourselves. Sib John Lubbock THE PILGRIM PRESS BOSTON NEW YORK CHICAGO £ 1 K0 V USRARYof COWGRESS Two Copies Received DEC 24 1 908 k Copyrignt £ n try - CLASS 0~ XXc No, COPY B. Copyright, 1908 By Luther H. Cary THE UNIVERSITY PRESS, CAMBRIDGE, U.S.A. THE QUEST FOR HEALTH AND HAPPINESS SOME GUIDING BASAL PRINCIPLES VV HAT was yesterday an abstract science in the college classroom is to-day a science of su- preme interest to the general public. The quest for health and happiness has converted the sci- ence of psychology into the most popular of the modern sciences. Great movements like the Em- manuel Church Movement of Boston, the work under Bishop Fallows of Chicago, and similar movements in some of the larger churches in New York and Brooklyn, numerous mental heal- ing and metaphysical clubs, as well as hundreds of smaller clubs and classes for the study of psychic phenomena, have come into existence within a few months. Many of these movements are within the Christian Church. Their leaders have assumed that the work of healing functional disorders, as well as moral and spiritual weaknesses, be- longs to the Christian minister and as such ought to be made a part of the work of the Church. At first these movements received the hearty endorsement of many leading neurologists and clergymen, but a large number who at first sym- [6] pathized with this movement are beginning to feel that the treatment of nervous disorders, even under the constant guidance of a physician, is altogether too complicated to be undertaken by the clergy; that while many cures might be obtained, much harm might also result even under the best trained psychologists, and espe- cially is the feeling growing that the clergy should not commit the Church to this movement since the medical profession is awake to this great question and is introducing into the medical school the study of psychology in its relation to disease. No man can be a specialist in more than one subject, and any work the minister may do in the treatment of functional disorders must in the end suffer in comparison with the work done by the trained physician who combines with his knowledge of psychology his knowledge of medicine. If, however, it is not wise to commit the Church to such a large movement as the one outlined by Dr. Worcester or Bishop Fallows, the very chaotic condition of the American mind makes it imperative that the leaders of thought should take some decisive action. Nothing could be more striking to the student of this question than the marked contrast between the attitude of the general public of Paris or Berlin toward psychotherapy and that of the American pub- lic. Here in America the attitude is either one of wonder over what seem such unaccountable cures or one of unqualified and almost fanatical devotion to some new and startling creed or philosophy. In Europe people regard the ques- [7] tion with a calm and judicial mind, considering it simply as one of the forces to be used by the physician. Our public has been educated by Mrs. Eddy and Dowie, both as far removed from the scientific spirit as could be imagined. There the public has been led by Libeault, Bram- well, Bernheim, and hosts of thoroughly trained psychologists and physicians. The pathos is not in the fact that thousands of our people have followed the healing cults but that they do not know that what they accomplish by a partic- ular religious dogma is being accomplished more satisfactorily in the quiet, unostentatious way of science. If all the ardent followers of the heal- ing cults could spend a few months going through certain clinics in London, Paris, Berlin, Moscow, or St. Petersburg, where psychology is used in the treatment of disease they would be amazed to see cures wrought without the aid of medicine which they thought could only be wrought by their particular philosophy or reli- gion. If these ardent followers of the cults could sit for a few days in the public clinics of Dr. Berillon, of Paris, and see hundreds throng- ing there, or in the private office of Dr. Bram- well, of London, as men go here to the healers, and see the sick undergo treatment divested of all mysticism and religious jingoism, but in the most scientific temper known to the modern psy- chologist, and see a larger percentage healed than can be legitimately claimed by any cult, it would be impossible for these people to return in their blind devotion to any particular healing art. This end can be accomplished by a proc- ess of education and unless the physician and the public educator, including the minister, are [8] to assume that the American people are by nature faddish and inherently gullible it is time that they began such an educational campaign to bring some order out of the present chaos, to save men and women from the exaggerations of the healing cults, and to promote conditions of greater health and happiness. If two facts concerning disease could be estab- lished in the minds of all men much of the vague- ness concerning the healing of disease through moral and spiritual forces would disappear. First, people should know that there is no such thing as an imaginary disease. It is time that men ceased to declare that no diseases are healed by moral or spiritual forces ; that wherever such cures are reported they are on people who are weak, only imagining that they are sick. There is no such thing as an imaginary dis- ease. No man ever suffered from a disease which had no existence. There is, however, such a thing as a disease of the imagination, and it is as real as any other disease. Our infirmaries are filled with these sufferers, and thousands of men and women are dragging themselves about homes where abuse often meets them instead of sympathy, because their friends do not realize the nature of their trouble. When we can teach men that a disease of the imagination is as real as a cancer of the stomach, indeed may be the source of more actual suffering, then, instead of wasting our energy in abusing a blindly groping cult for curing occasionally one of the demon possessed, we shall be prepared to treat these sufferers as they should be treated and to take them to physicians who know the art of healing the mind as well as the body. [9] In the second place, people must learn to make a distinction between the symptom and the cause of a disease. The failure to make this distinc- tion has given rise to most of the error and fanaticism concerning the relation of mind to disease. The common assertion of the adherent of the healing cult is that he knows that organic disease, such as paralysis, has been healed by faith. What he actually means is, that he knows some person who could not walk who has been healed. In other words, he fails to make any distinction between the cause and the symptom of a disease. What he does not know is, that a person may not be able to walk, use the arms, talk, hear, or see; may have symptoms in the stomach which make him think he has a tumor or cancer, or symptoms about the heart which suggest organic heart trouble, and yet the causes of these diseases may be mental, moral, or spiritual. These are facts with which every student of the psychology of disease is familiar. Here is the record of a woman who had been paralyzed for a long time. She was a familiar sight in her town. She had lost the use of her limbs and every one supposed that she was hopelessly par- alyzed. It was necessary to push her about in a wheel-chair. No clearer case of paralysis could certainly be produced. She was taken to M. Des- pine, a celebrated hypnotist in France. No sooner did he place her in the hypnotic state than she jumped and ran about as though noth- ing was the matter with her. During these hyp- notic states, M. Despine says, she " even became one of our best swimmers. She could dive, swim on her back, and do all the other tricks of dex- [10] terity in that kind of exercise." When she was aroused from this state she was as helpless as ever. She could neither walk nor move her limbs. It is perfectly evident that it was a case of func- tional paralysis having its cause in a condition of the mental life. In the State of Massachusetts there was a woman who had not spoken above a whisper for years. Physician after physician had failed to help her. One day a physician who had been treating her without success was called to treat her for another trouble. The woman could not make herself heard this day, her whisper was so feeble. The physician asked her to whisper louder that he might hear her. She did so. Then it flashed through the mind of the physi- cian, though this was before the time that men thought of the relation of mind to disease, If you can whisper louder what prevents you from talking? He thought a moment and then with great confidence he assured the woman that he had finally discovered the cause of her loss of voice, and as confidently he affirmed that in a few minutes he would cure her. Placing his thumbs firmly on her throat he gave it a quick jerk. " There," he said, " did you hear it crack?" "Yes," replied the woman in aston- ishment. " Now you can talk," he confidently affirmed, and she did talk. From the point of view of medicine that was quackery; from the point of view of psychology it was good practise. For years she had thought and her friends had believed that she was suffering from some ter- rible organic disease. The thing from which she had been suffering was a terrible mental disease. Probably the largest number of cures wrought [11] by the healing cults are associated with the dis- orders of the stomach. People lose their ap- petites, are unable to retain their food after eating, suffer from dyspepsia, are tormented by terrible pains in the stomach and are amazed to find themselves healed in a day by some healer or after some course of religious or moral in- struction. There is nothing to cause surprise in the fact that men think that they have been re- lieved from some stubborn organic trouble, and that they should regard these cures as marvel- ous. The pity is that they do not know that a large percentage of dyspeptic troubles have a mental cause, that all of these conditions of the stomach may grow out of a condition of the mind. Sometimes the most skilled phy- sician is not able to detect whether the cause of the trouble is in a condition of the mind or in a disease of the organ. If all men could be made to understand this fact, most of the talk about the marvelous cures of organic disease by mental and spiritual forces would disappear. People have called every disease organic which has had certain symptoms, and the cure of these diseases by other than medical means has seemed miraculous. The people are not to be blamed. The censure must rest first upon physicians, then upon teachers and ministers for not making clear to the people that all these symptoms may arise from mental or moral forces. When they do understand this fact they will be able reason- ably to account for the occasional cure of dis- ease outside of the regular medical means, and the fanaticism which would make mind a cure for all disease will gradually dissolve before a rea- sonable science. [12] Again, before people can think sanely on this question it must be made clear that the cure of certain diseases by moral and spirit- ual forces is independent of any philosophy of life or creed of religion. Cures are wrought by Christian Science healers, faith and men- tal healers, Roman Catholic relics, Buddhist and Mohammedan priests, Lutheran and Episco- palian clergymen. No one of these creeds has any advantage over another in the curing of disease. They all cure disease and they all fail to cure. Sometimes people who have tried the faith and mental healers and have found no re- lief will be cured by the Christian Science healer and vice versa. If these cures depended upon any particular creed of religion one would be more successful than another, but this is not true. In those classes of diseases where cures are wrought there are the same percentage of cures by all the methods. Indeed, those who have no religion are successful in curing disease. Dr. DuBois is a materialist in his philosophy of life, yet only a few days are required in his clinics to enable one to see that he accomplishes by psychological methods results quite as mar- velous as those wrought by the most fervent Christian Science healer. Drs. Jenet and Beril- lon, of Paris, and Dr. Tuckey, of London, make no use of religion in their practise, yet they are all successful in the healing of the sick by mental forces. These facts force us to the conclusion that these cures are independent of any particular philosophy or religion. Some men are cured by one religious faith while others are cured of the same disease by no faith. It must be self- [13] evident to the person who faces these facts with unprejudiced mind that these cures are accom- plished by forces which reside in the mind and that the religious creed or philosophy of life is only a means to bring these forces into action. Not until men understand this fundamental prin- ciple will they be able to consider this entire sub- ject of psychotherapy in a scientific temper of mind, freeing themselves from all mysticism and exaggeration. We do not marvel that the popular mind, under present conditions, should see something supernatural in the healing cults. When we re- call how public quacks will hypnotize men and leave them exposed for days to the public gaze, as has often happened at our sea resorts, and the absurd actions which public performers com- pel hypnotized people to execute, we need not wonder that those unacquainted with the laws of psychology should associate these things with magic and even the miraculous. If it is difficult to dispel an illusion from the popular mind con- cerning such a simple thing as hypnotism, it is even more difficult to dissociate the phenomena of the healing cults from the supernatural and the miraculous. Many of the healing cults claim to work their wonders of healing through miraculous agencies, and when men see disease cured without the aid of medicine it is easy for them to believe that some divine force interferes with the working of natural law and performs a miracle. Men will not be freed from this superstitious thought until they can first see that the cure of disease without medical aid has been practised in all ages, by priests and kings, by men of reli- [14] gion and men with no religion, and that at the present time cures are wrought by believers and unbelievers, by the skeptic, the materialist, the agnostic, the orthodox, and the heterodox. When men once understand this simple fact, then one healing cult will have no more value than another, and men will go for the healing of their diseases not only to those who can stimu- late their minds and call into activity all of their mental powers but also to those who know as much about the body as they do about the mind. The American has often been accused of lack- ing entirely the historical sense, and never has he manifested that mental deficiency more clearly than in labeling the healing cults " new." When Christianity was introduced into Rome it met a healing cult that had not only won the admira- tion of the Romans but had spread all over the West. People traveled from all parts of the Roman world to the famous sanatoriums of iEsculapius as they travel to-day to Lourdes or to the Mother Church of the Christian Scientists in Boston. They came bringing their costly gifts and dedicating their lives to this new cult that they might be healed of the diseases of body and mind. That Christianity might meet successfully this pagan healing cult which was exerting such a wide influence throughout the civilized world, Origen, with his characteristic shrewd- ness, pointed out that, while JEsculapius might have the power to heal diseases, " such curative power is of itself neither good nor bad, but within reach of godless as well as of honest folk. . . . The power of healing diseases is no evi- dence of anything specially divine." [15] There is no hope that people will think sanely upon this great question until something shall quicken their historical sense, until they can see that there is nothing new in this movement, that the healer has been associated with every reli- gion from the most primitive type to the most advanced, that kings of all nations down to comparatively recent times have healed as well as priests, and that scarcely a century in the Christian period has been without several types of healing cults. When men begin to see that the healing of certain diseases through mental forces is independent of any religion and is as wide in its history as the history of the race, then will they be in a position to think sanely on this question. THE MENTAL CAUSES OF SUFFERING 1 HERE is a vague idea throughout our com- munities that mind has some remote relation to disease, but just what this relation is remains a mystery. It is this atmosphere of mystery which invites all kinds of exaggerated notions and vague theories concerning the relation of mind to health and happiness, and not until the physi- cian and the minister can make clear to men the relation of the mental and moral life to the cause of disease can people escape from this atmosphere of mystery and think sanely upon the connection of mind with the cure of disease. While in our last chapter we tried to show that it is not the function of the clergy to undertake the treatment of disease after the example of the Emmanuel Movement, that such an attempt would be both a calamity to the people and to the churches, we do believe that the church can- not be true to its mission without incorporating into its teaching function some of those prin- ciples which will enable people to understand better why they suffer and how they may have both better health and greater happiness. First, it should be made clear that men suffer because they sin. It was humiliating to stand in some of the large clinics of Europe and hear physicians of international reputation de- liver homilies to men on the relation of their sinful living to the state of their health and happiness, and then recall how little that theme [17] had found place in our Christian pulpits. The simple fact is that the world to-day is being filled with nervous wrecks, with sufferers not only in body but also in mind, because the world is being filled with sinners, because men behave themselves disorderly toward God and their fel- low beings, and because they live irrationally. While men are forgetting God in their haste to build huge barns, God is crying to our age through overflowing nervines and rapidly in- creasing nervous disorders, " Ye fools, this very day your souls are being required of you for your sinful greed," and while men are busy talking of the " new disease " which they proudly term "Americanitis," nervousness, they are for- getting that one of the chief causes behind neu- rasthenia, melancholia, and other nervous types is private and domestic sin. Certainly it is time that the Church had a more definite message concerning the relation of mind to disease, — a message which will re- veal to men the relation of an intemperate and godless home to degenerate and nervous chil- dren, of alcoholism to babeless mothers and bottle babies, of the relation of sin of many types to the host hastening to infirmaries and hospitals and the larger host suffering in their own homes from demons. A day spent in infirmaries crowded with young men and old, with women of all ages, and an inquiry into the cause which led them there, would throw a flood of light upon the threadbare theme of the rela- tion of sin to the holiness of God and result in more holiness and health among men. If multitudes suffer because they sin, others suffer because they are abnormally susceptible [18] to suggestion. If the amount of money paid each year to doctors by those who have per- mitted their minds to become diseased by the constant suggestion of disease could be gath- ered it would solve the entire question of for- eign missions. We all become tired, but we know that in a little while we will be rested. In our normal condition this does not disturb us. But it is far different with the person who is highly suggestible. She sees grave consequences as a result of that feeling. She knows that she is going to succumb. She goes to bed, or she weeps and goes into hysterics. The tired feeling was enough to suggest to her a whole train of terrible diseases. Slight pains frequently dart through the body of the strongest man, but the man in normal conditions will think nothing of them. Some- times there is a gastric trouble, or a slight pain about the heart, or a transient neuralgia. But, confident in our health, we keep right on. Not so with the hypochondriac. Each slight pain of the heart tells her that she has a heart trouble. A slight gastric trouble is enough to foretell tumors or cancers. She has such an exagger- ated capability for suggestion that the slightest pain near the heart will convince her that she has an organic disease of that organ. The mere thought of this possibility is ludicrous to the average person, and it would be an insult to the sufferer to tell her the real cause of her suffer- ing, but every physician acquainted with psy- chology knows the awful power of suggestion, and the physician and the minister ought to hasten to instruct men in the relation of sug- gestion to health, happiness, and conduct. [19] The desire of the American to take some " cure " is being utilized for commercial pur- poses by the keen European. One village in Switzerland has recently voted a million francs to build a large hydropathic establishment for Americans. Their argument was that eighty- five per cent of their visitors were Americans and " the fad of taking some ' cure ' during the summer had been growing with them during the last few years. They frequently can spare only two or three days for Interlaken because they must pass three or four weeks of their summer wherever they take the ' cure.' We want them to stop here for those three or four weeks." The fact is that few of us know how sugges- tible we are, and the constant talk of disease for the past few years has suggested to hundreds that they were sick, that there was something wrong with their minds or bodies, until we have become a nation of faddists on " cures." Con- tradictory as it may seem, the best psycho- therapy for many people at the present hour would be no psychotherapy at all. What we need more than anything else at this time is a critical attitude of mind and a normal mental poise which will enable us to preserve our good sense and to assure our mental and physical health. Scores of people have come to us after lec- tures on the subject of psychotherapy who have revealed an abnormal attitude of mind which is not only pathetic but alarming. They are peo- ple who have been perfectly well in body and mind and who only need to live a normal life of faith and hope to maintain their health and sanity. But there has been so much talk about [20] mind and disease that they have come to think that they are victims of some mental defect or that there are possibilities of peace and strength which might be attained by some mysterious secret if they could only discover it, and their minds have been unsettled by this popular and morbid delusion. By the power of suggestion, which they absorb unconsciously from the mental atmosphere of our time, they have become sick souls madly in pursuit of a spiritual mirage. Unless they can brace themselves against these suggestions by a reasonable and somewhat crit- cal attitude of mind, they are destined to find themselves victims of misery rather than hap- piness and a morbid weakness rather than strength. The psychology of the emotions and the rela- tion of the emotions to health and happiness is a field almost untouched except in the most general way by the teaching of the Church. The phenomena of blushing, the effect of shame upon the circulation of the blood, of fear upon the beating of the heart, are only familiar outward signs which should lead to the deeper study of the relation of strained conditions between hus- band and wife to their health, of the relation of unbelief to the condition of the body, and of pessimism not only to happiness but to the cir- culation and digestion. A thorough study of the emotions would give the Church some message for the constant theatergoer or novel reader, for the religious fanatic or social fop who contribute such a large class of sufferers to the world, sufferers so easily detected after a few moments of conversation by their exaggerated impressionability, their ab- [21] normal mentality, a lack of logic where feelings dominate the reason and the will, and who are characterized by sleepless nights or divers pains or general weakness. The terrible consequences of emotional shocks, which result in the disor- ganization of consciousness and the unbalancing of mind — shocks which result not only from fright, but also from fits of anger and jealousy — are themes not only for the technical treat- ment given to them by Prince and Jenet, but also b} r the minister who touches closely those who suffer from these conditions. If it is true, as the psychologists are telling us, that every emotional state produces some corresponding change in the body, then not only is it true that bad stomachs cause bad tempers, but also that nothing troubles the functioning of the stomach like moody dispositions. It is as impossible to live in an atmosphere where there are strained relations between husband and wife, where there is jealousy, constant bursts of anger, or violent tempers as it is to live in a house where every window is sealed and no air can enter. If domestic troubles stand first in the list of mental causes of sickness and suffering, worry probably stands second. Properly regulated brain-work no more leads to nervous disease than hard manual labor leads to a disease of the muscles. Indeed, it is so far from injuring the nerves that it is one of their greatest sources of strength and one of their best safeguards against neurasthenia. The increase of nervous suffering is not dependent upon the rush of modern business life nor is it a trouble peculiar to America. The greatest number of cases of [ 22 ] nervousness in proportion to the population come from the provincial parts of Sweden, where life is very simple and tranquil, and it is found as much in London or Paris as in New York or Boston. It is not due to hard work, that is, under the proper conditions and with proper nourishment, but to the unmitigated evil of worry, together with causes which we have already mentioned. Even more important for the teaching of the Church is the necessity of showing the value of a vital religious life for health and happiness. If men could lead a simple, childlike, religious life, rid of all morbid feeling and desires, they would need no better psychotherapy. Religion is nothing if it is not the act by which the soul of man tries to purify and heal itself by seek- ing fellowship with the Spirit from which it draws its existence. Where this vital act of the soul which we call prayer is lacking there is no religion; wherever it is found, though in the lowest and most ignorant man, there is a genu- ine religion. It is because of this fact that many of the ethical clubs and esthetic move- ments are not properly religious. They do not include the principle of prayer. Much of the so-called orthodox religion of the present day, and of the so-called liberal religion, are not religions at all. They are only elaborate philos- ophies of religion. Born in the spirit of con- troversy or in the critical atmosphere, they were never anything but abstractions, artificial and dead creations. They leave God and man apart, with no vital attitude of the soul toward God, and no real communion of the soul with the source of life and health. [23] Wherever a genuine religious life is found there are found the best conditions for the healthy mind and body. When a little child wakes at night and sees a strange man standing by the bed perspiration stands on its brow, its mouth becomes dry, muscles tense, the heart beats faster, and the appetite is lost. If it wakes and sees the mother with good food, the pulse and appetite are normal and the muscles are natural. Fear throws the machinery out of gear, while faith makes it act to its best advantage. It would make no difference whether the strange man was a straw man or a real man. Not the object of fright but the fright disarranges the normal action of the body. This is only a parable of the function of religion for health. Fear, from whatever source it comes, affects the circulation, the digestion, and the nerv- ous system. The life of faith creates the only atmosphere in which man can live at his best. In a time when so much is being made of suggestion and auto-suggestion, is it not op- portune for the Church to declare that whatever else prayer may be it is auto-suggestion under the most favorable circumstances? The man in prayer is quiet, calm, absent-minded to all that can disturb because he is in communion with his God. In other words, he is in an attitude which every successful practitioner of psychotherapy regards as absolutely necessary before sugges- tion can become effective. When man is in this attitude, every petition is an unconscious auto- suggestion, and the more faith behind the peti- tion, the more childlike it is, the more powerful it is as auto-suggestion. Furthermore, prayer creates an attitude of [24] mind and condition of spirit in which alone cer- tain diseases can be overcome and harmony of body and mind restored. The recognition of these facts doubtless led Professor James to say, " If any medical fact can be considered to stand firm, it is that in certain environments prayer may contribute to recovery and should be en- couraged as a therapeutic measure." THE ENRICHMENT OF PASTORAL WORK 1 ASTORAL work does not occupy the con- spicuous place in the life of the ministry that it formerly did. The minister often complains that it is the most uninteresting part of his occupa- tion, and we need not wonder at this when we recall how much of it consists in ringing door- bells and talking about the baby and the weather — a business which is enough to turn the entire ministry into neurasthenics. On the other hand, many people are not anxious for the pastoral call because they feel that the minister has noth- ing to offer that cannot be given by some friend or neighbor more intimately connected with the family than is the pastor. This situation has not arisen because the minister has no desire to help men or because men do not want his help, but because in the loss of the older motives for pastoral work, when the minister regularly called upon his people, read the Bible, and prayed with each one, no new point of contact has been found by which the minister can make religion a thing of vital interest and supreme importance to those upon whom he calls. It would be as fallacious to believe that psy- chotherapy would give such a point of contact for every person as it is to believe that mind is a cure for all diseases to which man is subject, but we do believe that it will furnish a point [26] of contact with many sufferers and men and women with burdened souls, and hence enable the pastor to be a veritable priest who will bring God near to those who need the comforts of religion. Many men are going about our communities to-day telling how God wrought a miracle and healed them. All this means is that they were awakened out of their sluggish, morbid, fearful, anxious manner of living, which kept their whole mental and physical life in disorder, by a faith in God which was vital, bringing to them joy and peace, and these in turn gave their physical functions, such as circulation and digestion, an opportunity to work as they should. In one sense God healed them; in another sense they healed themselves. It was their faith which en- abled them to live naturally and normally and hence made possible the normal action of their physical functions. Nothing is clearer in modern psychology than the fact that fear, jealousy, anger, worry, have a disordering effect upon body and mind, and that faith, love, and hope afford the only atmos- phere in which we can live at our best. The man who enters the faith-state, which casts out all worry and fear and bad temper, which cre- ates courage, hopefulness, and cheerfulness, which gives a sense of the new and beautiful cleanness of the world, creates an atmosphere where the unconscious activities of the body work to their best advantage. This is the best preventive against disease. Under such condi- tions disease once contracted can most easily be driven away. When these simple facts are understood by [27] both pastor and people many a weary hour of pastoral gossiping may be turned into an hour of genuine religious conversation and earnest prayer. Our parishes contain many people bom with causes which predispose them to nervous disorders, people with high nervous tension al- ways on the verge of breaking in health and passing over into the world of sufferers. So long as they can control themselves they are men of great activity and usefulness, but the moment they lose self-control they suffer beyond all others. If they could be taught the secret of quiet prayer, of restful meditation, of com- muning with the Good and the Beautiful and the Reasonable until they felt themselves at one with God, no better medicine could be given to them. Other men are suffering because they have not learned the secret of losing life to find it, be- cause they are selfish, constantly thinking of themselves, brooding over their miserable state. They need some one to stimulate their benevo- lent and altruistic feelings and practical efforts. Still other men can only be led to a normal and healthy life by the remaking of their characters. This is not only true of those who have destroyed their health and happiness through alcoholic drinks, opium, or immoral practises, but of many victims of an unbalanced emotional life, exaggerated suggestibility, and fixed ideas. The task of making them healthy and happy is nothing less than the task of regenerating their lives. When the minister in his pastoral visit can bring his Christian faith into vital connec- tion with these people he has not only found a point of contact by which religion can be made [28] real to men, but has made himself an indispen- sable factor in the life of the community. It has been exceedingly unfortunate that there has been such a wide separation in many communities between the work of the minister and that of the physician. The minister who has been the companion of the sick room and who in the past has often taken medicine to the soul which was quite as effective as the drug administered to the body, has in these latter days too often been excluded from the chamber of suffering by the physician. At the very hour when men have needed most peace of mind and comfort of soul, when good medicine would have been hope and faith and prayer, the minister has been denied the privilege of giving this medicine or, too often, if admitted to the pres- ence of the sufferer, it has been grudgingly. The physician ought to be not only the ad- viser, but the leader in the treatment of all dis- ease. We cannot emphasize too often that it will be a calamity to the Church if the clergy undertake the complicated task of treating any type of physical disorder, even under the con- stant guidance of the physician. But we must declare that it is an equal calamity when the physician ignores the important work which the minister may contribute to the sick and suffer- ing. If prayer without any medicine is the foolishness of a misdirected faith, medicine with- out any prayer is the blunder of a blind mate- rialism. Not until the man of physical science can unite with the minister of spiritual religion can we hope for the best results to mind and body. A knowledge of psychology in relation to [29] health and happiness may also augment the work of the pastor in other directions. As we sat in one of the large clinics in Paris and saw scores of degenerate types of children treated in an effective manner, we could not refrain from reflecting upon the many fathers and mothers who had come to us as pastors of Christian churches to solicit our aid in the treatment of similar children, and how with a feeling of utter helplessness we had gone about those delicate tasks in the most ineffective and bungling way ; and as we saw these physicians who had no in- terest in the Church, no religious experience, and who would classify themselves as freethinkers, curing children of the habit of lying, stealing, and immoral practises, awakening in boys and girls a new interest in their school work and in life, we were compelled to say, Here are men who are doing what Christian pastors should have been doing long ago. The most interesting discovery in the realm of psychology during the last generation has been the power of suggestion in the education of the child. Men skilful in this science are not only able almost invariably to cure children with moral perversity of different kinds, but also chil- dren contrary, sullen, disobedient, and abnor- mally ungovernable. With children who are so self-conscious that the mind becomes a blank under the least embarrassment, who cannot con- centrate thought or attention, unnaturally slug- gish or stupid, easily confused, suggestion may be employed to awaken the intellect, give more self-reliance, or arouse mental alertness. This is not an exaggerated claim that idiots may be converted into sages or imbeciles into [30] poets. Suggestion cannot surmount what has been given to the organism by heredity nor prove effective beyond the intelligence of the child. It does not create any new faculties, but only calls into activity what already lies dor- mant. But within the limits where suggestion can be made effective it is no longer a theory. It has been reduced to a science, and as such has put at the disposal of the minister in his pas- toral work a new force which may enable him to do well what he has previously done imper- fectly and to save children whom he has too many times seen slip from his grasp in spite of all his efforts for them. But even more valuable is the important work of the pastor in teaching men how to apply a few principles of psychology to their own lives. An earnest pastor who is speaking on these prin- ciples has the following statement in an an- nouncement of the lectures he is giving to his people : " These talks will be a plain study of the religious life in the light of modern psychol- ogy. They will seek to bring the latest facts to bear upon the problems of life. I have found in my own personal experience that this way of approach to spiritual truth has been of greatest help, bringing to my own life a strength and joy that I have often longed for but never before have had." There are many men to-day who could give similar testimonies. The application of the principles of suggestion and auto-sugges- tion, the use of good and wholesome thinking, of hopeful and cheerful living, of faith and prayer, have brought to their own lives a new strength and j oy. Many other men are searching for the light, and he who can first apply these principles [31] to himself and then go from home to home teach- ing men to live rationally and well would do a work for which every community to-day is waiting. This type of work is not without serious dangers. Already the criticism has been made, and justly, that this entire movement in the in- terest of the mental and spiritual treatment of disease is in danger of degenerating into a type of introspection which may be as harmful as was the self-examination under the old emotional evangelism. A molluscous faith that goes about serenely babbling that God is good and God is all, while the devil has his hold upon the greater part of our social and political and much of our domestic life, takes the virility out of religion. The faith that only sits in an easy chair holding sweet communion with its God makes man see life in a distorted way and weakens that strong aggressiveness which is the basis of all sane and healthy living. If we are not careful in our application of these principles to pastoral work we may have not only more sick men but also more useless men in the world than we had before this movement began. Furthermore, men who attempt to apply these principles to pastoral work will be confronted with the constant danger of defeating the very object which they desire to attain. In every community are nervous, hysterical people who have a delight in publicity, who have a morbid desire for sympathy, and who find their greatest delight in resting their burdens upon others. These symptoms are a part of their disease. They are sufferers who have lost their self-reli- ance, and if the minister is not extremely careful [ 32] not only will he permit them to consume his time and energy, but he will actually become a stum- bling-block in the way of their recovery. The constant aim of every minister who uses psy- chotherapy in his pastoral work must not be to carry the burdens of others, but to build the will and personality of every man to throw aside or to carry his own burdens. THE CURE OF THE DRUNKARD 1 HERE is scarcely a social evil which offers more perplexing problems to the ministry than intemperance, and there is scarcely a social or individual sin more stubborn in its resistance to all known redemptive forces employed by the minister than chronic alcoholism and dipso- mania. A deep and radical conversion of the type which comes from the intensely emotional revival or from the Salvation Army meeting often results in a temporary and sometimes in a permanent cure of this moral disease, but these are ineffective unless accompanied by a total change of environment and association, and even under the best conditions the drunkard fre- quently returns to his former habits. The Keeley Cure, while it has done some good, has not proven effective against this strongest of demons. Confinement in retreats for a year or more is probably the most effective of present methods in popular use, yet this method is not without its serious objections aside from the limitations of success of the treatment. It is an exceedingly serious thing to take the average man from his work and subject him to a year of idleness. The cure of intemperance may be ac- companied by evils no less disastrous than the disease cured. If the results achieved by the religious conversion could be supplemented by some other force, or if some method could be dis- covered to make the force of religion continuous, [34] it would seem that the most effective method of treatment might be obtained. In the belief that this may be obtained by the use of suggestion in the treatment of alcoholism, this chapter is offered to serious inquirers into this problem. The writer does not give merely his own opinions, but the conclusions which have been reached and for several years practised by many physi- cians in England, France, Germany, Russia, and elsewhere. The dipsomaniac may be easily distinguished from the ordinary drunkard. The latter usu- ally drinks continuously and with no desire to stop. The dipsomaniac drinks only at intervals and because he cannot help it. After a long period of abstinence he begins to be haunted with the desire for drink. At first he fights heroically against this desire, and then it be- comes irresistible. The torture of the craving is so great that it must be satisfied at any cost. But his conscience and his will do not cease to struggle, and he determines to take only one drink and not give way to one of his much- dreaded drunken bouts. As soon, however, as he takes the first glass the desire increases, and in despair he abandons all struggle. He then drinks in excess for a period varying from one day to weeks, when the craving disappears. This spree is followed not only by physical ill- ness, but also by mental anguish and remorse. These conditions in turn disappear and the patient enjoys a period of health and happiness until a new attack begins, which follows the course of its predecessors. We may call the conduct of an ordinary drunkard a sin, but the action of this dispo- [35] maniac is the result of a disease, — a disease of the will which renders him incapable of overcom- ing the desire to drink. We call him a victim of habit. This means that his constant indulgence in a habit leads inevitably to its accomplishment when the first of a train of events ordinarily pre- ceding it occurs. A feeling of mental inertia, of sinking in the stomach, or of dryness of the mouth have so often led him to drink that we can predict his line of conduct when opportunity for indulgence is offered, as truly as we can predict the physical and mental conditions that are to follow as the result of the germs of typhoid. His freedom of will has been de- stroyed, and his conduct, which follows certain stimuli, is the inevitable result of certain causes. Now a genuine conversion becomes an effect- ive cure for this man by opening new fields of interest of sufficient emotional intensity to over- come or to counterbalance the causes of the desire to indulgence, and so long as these new fields of interest maintain sufficient intensity the desire for drink may be defeated. Unfortu- nately, however, in only a comparatively small number of cases can this be accomplished, while with multitudes the purely religious impulse from its emotional side makes no appeal. It is with these classes that suggestion used under proper conditions, supplemented by moral and religious instruction, may accomplish all and even more than may be realized by the violent conversion. The mind in the waking state has been com- pared by Tarchanoff to a room into which rays of light are entering from all sides. The re- sult is a general illumination, without promi- [36] nence being given to any one ray. If the room is darkened and through a small opening a single ray is allowed to pass, it shines with exagger- ated force and brilliancy. The mind in its normal state is like the room receiving rays from every direction. It is busy receiving, weighing, and registering all ideas and sensa- tions which come to it from many sources. If, however, the mind is made calm, passive, vacant, and then one idea is permitted to enter it, it comes with greater force and brilliancy. It not only works its way into consciousness, but comes to dominate consciousness. There is in this state no weighing of evidence, no balancing of one idea against another, the result being that the idea which enters the mind becomes an uncon- trollable and irresistible impulse. Tell a drunk- ard in his normal state that he will be able to overcome the desire to drink and all his past experiences will rise in his mind to combat your suggestion and render it of no value. Tell the same man in a state where he is especially sus- ceptible to suggestion that whisky is a strong emetic and, though it may be his favorite glass, he will instantly reject it with disgust. We have already seen how men become sick by permitting an idea of sickness to enter their minds unchallenged, without any critical analy- sis, until that idea comes to dominate their consciousness, becomes a fixed idea which they cannot reject, and brings with it a whole train of diseases. On the same principle a diseased mind ruled by an uncontrolled desire for drink may, through suggestion, be put under the con- trol of a good idea, until that good idea casts out everything bad and rules life, enabling man [37] to do what he would and to turn from what he hates as did Paul after the re-creation of his consciousness by the mighty passion of love for Christ. This alone, however, is not enough to account for all that has been accomplished by sugges- tion. It must be supplemented by the theory of which Frederick Myers was one of the first and clearest exponents. According to him the re- sults of suggestion are achieved by the action of the secondary or subliminal self. Every man is in possession of forces of which he is seldom conscious, because they do not emerge into what we call consciousness, that is, the realm of our awareness, yet they are forces which are deter- mining to a large degree our health and happi- ness, and may be used to supplement our struggles and enforce our desires. These forces are reached through the avenue of suggestion and are utilized in a man's fight with the desire for drink. To be sure, this process is not so simple as is made to appear by this concise statement of the theory. All treatment must be preceded by an intense desire and willingness on the part of the patient to be cured. Suggestion is not a process by which one mind is made to dominate another. Rather, it is only a means of en- abling a man to control himself by educating his will and by calling into being the better ele- ments of his nature. If a man is thoroughly degenerate, it is very doubtful whether anything can be done for him. This being time, the first condition of all success is in the active coopera- tion of the patient, and this is by no means easy to secure. This is the reason why the cure of [38] the ordinary drunkard is so difficult. He does not want to be cured. In dipsomania the treatment ought to begin just after a drunken bout and aim at preventing or at least weakening another attack. The greatest care should be taken in the management of the patient, especially during the early part of the treatment. If possible, he should not be left alone, but have near him some trustworthy person to whom he can speak of his temptations and turn to him for assistance to overcome them. The operator must have infinite patience and not be easily discouraged. Many patients will relapse more than once during treatment. Even when the treatment seems to be very successful and the desire for drink quickly disappears, the patient should be treated regularly for a month or more. If he can be seen from time to time for six months so much the better. The dis- taste for alcohol ought to be suggested as well as the disappearance of the craving for it. The patient ought to be made to understand that he can never be a moderate drinker. He must make his choice between total abstinence and the gutter. Furthermore, he must turn from his old associations so far as possible, as they are a constant suggestion for the return of the disease. Even under these conditions, we can- not hope for cure in every case. The cure will depend partly upon the degree of susceptibility to suggestion and, even under the best condi- tions, no authority will make the exaggerated claims for it that were made for the Keeley Cure. Dr. Lloyd Tuckey, of London, thinks that fifty per cent of the cases may be cured. Dr. M. Bramwell does not commit himself to any fig- [39] ures, but believes that suggestion offers the best method of treatment for this disease. He records cases which have refrained from all in- toxicating drinks for twenty years. Dr. Bush- nell records the results of his treatment of twenty-three patients, of whom eight were cured, eight continued their habits, while seven were lost from his knowledge, having removed elsewhere. In Russia, where drunkenness is a national peril, clinics have been established for the treatment of alcoholism by suggestion in Moscow, Kiev, St. Petersburg, and a number of other large cities both in the north and south of Russia. During a period of six months 600 persons were treated by Dr. Oscar Orlitzky, of Moscow, and he reports success in fifty per cent of the cases. In the city of Ekaterinoslaff Dr. Jaon- sailoff treated in six months 387 patients, and reports enthusiastically on the results achieved, though he gives no exact figures. Dr. Tokar- sky, of Moscow, treated during a period of thir- teen years 700 cases, and reports the cure of eighty per cent of those who came to him with the desire to be cured. It must be noted that these men used sugges- tion without any appeal to the religious motives. For the most part they are not distinctly reli- gious men. When this treatment is combined with all that religion has to offer it seems rea- sonable to believe that we could hope for a cure of a very large percentage of the cases. We do not mean to imply by what we have written that this treatment of alcoholism should be undertaken by the minister apart from the co- operation of the physician. Indeed, many cases would result in failure unless accompanied by a [40] careful course of physical treatment. Where indulgence has resulted in organic changes in the heart, kidneys, or liver, the physical is quite as important as the mental treatment, and in many cases where a precarious state of health has been induced it is necessary to keep up the strength of the patient and to supply a sub- stitute for the alcohol upon which the system has fed. The minister and the physician are both necessary to assure success, and even with their combined efforts failure must result in some cases. Neither do we imply that every minister should equip himself for this work. All we argue is that this is a legitimate work for the Church because it is in the realm of the moral and spiritual, that the Church cannot be excused if it fails to use every means science has placed at its disposal for the removal of this awful dis- ease. Possibly one minister for each town, or one for each district in a city, could supply the need. Certainly whoever undertakes such work should be well equipped not only by the reading of a few books recommended by some one at the close of his lecture, but by the most thor- ough course of study and training under the best psychologists. If a few men would under- take such a task the work and usefulness of the Church would be greatly augmented in every community. LIBRARY OF CONGRKS oooasTafc.Bfc.fc. mm®