Chapter XVII: Some Character Types (2)

L. obtained a hospital place in a small city and did very good work, and though his peculiarities were noticed they excited only a hidden current of amused criticism, while his abilities aroused a good deal of praise. Stimulated by this, he started practice in the same city as a surgeon and quickly rose to the leading position. His indefatigable industry, his absolute self- confidence and his skill gave him prestige almost at once. His conceit rose to the highest degree, and his mannerisms commenced to become offensive to others. He came into collision with the local medical society because he openly criticized the older men in practice as "ignoramuses, asses, charlatans, etc.," and indeed was sued by one of them in the courts. The suit was won by the plaintiff, the award was five thousand dollars and L. entered an appeal.

From this on his career turned. In order to contest the case, and because he began to believe that the courts and lawyers were in league against him, he studied law and was admitted to the bar. He had meanwhile married a rich woman who was wholly taken in by his keen logical exposition of his "wrongs," his imposing manner of speech and action; and perhaps she really fell in love with the able, aggressive and handsome man. She financed his law school studies, for it was necessary for him to give up most of his practice meanwhile.

As soon as he could appear before the Bar he did so in his own behalf, for this case had now reached the proportions where it had spread out into half a dozen cases. He refused to pay his lawyers, and they sued. One of them dropped the statement that L. was "crazy," and he brought a suit against the lawyer. Moreover, he began to believe, because of the adverse judgments, that the courts were against him, and he wrote article after article in the radical journals on the corruptness of the courts and entered a strenuous campaign to provide for the public election and recall of judges.

These activities brought him in close relations with a group of unbalanced people operating under the high-sounding name League of Freedom. These people, led by a man, J., eagerly welcomed L., largely because his wife was still financing his ventures. Here comes a curious fact, and one prominent in the history of man, for this group, led by two unbalanced men, actually engineered a real reform, for they brought about a codification of the laws of their State, a simple codification that made it possible to know what the laws on any matter really are. This may be stated: the average balanced person is apt to weigh consequences to himself, but the paranoid does not; and so, when accident or circumstances[1] enlist him in a good cause, he is a fighter without fear and is enormously valuable.

[1] See Lombroso's "Man of Genius" for many such cases.

This success brought L.'s paranoia to the pinnacle of unreason. He attacked the courts boldly, openly and publicly accused the judges of corruption, said they were in conspiracy with the Bar and the medical societies to do him up, added to this list of his enemies the Irish and the Catholic Church, because the prosecuting attorney in one county and the judge in that court were Irish and Catholic, and then turned against his wife because she now began to doubt his sanity. He brought suits in every superior court in the State, and at the time he was committed to an Insane Hospital he had forty trials on, had innumerable manuscripts of his contemplated reforms, in which were included the doing away with Insane Hospitals, the examination of all persons in the State for venereal disease and their cure by a new remedy of his own, the reform of the judiciary, etc., etc. He accused his wife of infidelity, felt that he was being followed by spies and police, claimed that dictagraphs were installed everywhere to spy on him and had a classical delusional state. He was committed, but later he escaped from the hospital and is now at large. The State officials are making no effort to find him, mainly because they are glad to get rid of him.

While the cases like L. are not common, the "mildly" paranoid personality is common. Everywhere one finds the man or woman whose abilities are not recognized, who is discriminated against, who finds an enemy in every one who does not kotow and who interprets as hostile every action not directly conciliating or friendly. In every group of people there is one whose paranoid temperament must be reckoned with, who is distrustful, conceited and disruptive. Often they are high-minded, perhaps devoted to an ideal, and if they convince others of their wrongs they increase the social disharmonies by creating new social wars, large or small according to their influence, intelligence and other circumstances.

The type of the trusting need not be here illustrated by any case history. Dickens has given us an immortal figure in the genial, generous and impulsive Mr. Pickwick, and Cervantes satirized knighthood by depicting the trusting, credulous Don Quixote. We laugh at these figures, but we love them; they preserve for us the sweetness of childhood and hurt only themselves and their own. Trust in one's fellows is not common, because the world is organized on egoism more than on fellowship. Where fellowship becomes a code, as in the relations of men associated together for some great purpose, then a noble trust appears.

So I pass over those whose mood runs all one way the hopeful, the despondent, the pessimist and the optimist--to other types. We shall then consider the two great directions of interest, introspection and extrospection, and those whose lives are characterized by one or the other direction.

1. The introspective personality is no more of a unit than any other type. Intelligence, energy and a host of other matters play their part in the sum total of the character here as elsewhere.

H. I. is what might be called the intellectual introspective personality. From the very earliest days he became interested in himself as a thinker. "How do my words mean anything?" he asked of his perplexed father at the investigative age of five. "Where do my thoughts go to when I do not think them?" was the problem he floored a learned uncle with a year later. This type of curiosity is not uncommon in children; in fact, it is the conventionality and laziness of the elders that stops children in their study of the fundamentals. H. was not stopped, for the zeal of his interest was heightened as time went on.

He played with other boys but early found their conclusions and discussions primitive. He became an ardent bookworm, reading incessantly or rather at such times when his parents permitted, for they were simple folk who were rather alarmed at their boy's interests and zeal. No noticeable difference from other boys was noted aside from precocity in study, yet even at the age of ten life was running in two great currents for this boy. The one current was the outer world with its ever varied happenings, the other was the inner world of thoughts and moods, deeply, fascinatingly interesting. It seemed to H. I. that there were "two I's, one of which sat just over my head and looking down on the other I, watching its strivings, its emotions, its thoughts with a detached and yet palpitating interest. When I watched the other boys at play I wondered whether they too had this dual existence, whether they chewed the cud of life over and over again as I did."

Came puberty with the great sex passions. The vibrating life within him suddenly became tinged with new interests. One day at a party a vixen of a girl threw herself boldly in his arms and tried to push him into a chair. The bodily contact and the swift bodily reaction threw him into a panic, for the passion that was aroused was so powerful that he seemed to himself stripped of all thought and reflection and impelled to actions against which he rebelled. For he was fully acquainted, at second hand, with sex; he knew boys and girls who had made excursions into its most intimate practices and despised them.

This episode gave his introspective trends a new direction. From now on sex was the theme his fancy embroidered. Curiously enough, he became more austere than ever, shunned girls and especially the heroine of his adventure, and even avoided the company of boys who spoke habitually and "vulgarly" of sex. His mind built up sex phantasies, sex adventures in which he was the hero and in which girls he knew and those he imagined were the heroines, but at the same time, standing aloof as it were, another part of him seemed to watch his own reactions until "I nearly went crazy." He became obsessed by a feeling of unreality and adopted a Berkleyan philosophy of idealism: nothing seemed to exist except his own consciousness, and that seemed of doubtful existence. He took long walks by himself, read philosophy and science with avidity, yet turned by preference to these dreams of sex adventure, palpitating, alluring, and yet so unreal to his critical self. To others he was merely a bit moody and detached, though friendly and kind.

He went to college, and his interest in sex became secondary almost immediately. His student days were passed at Harvard at a time when Royce, Palmer, Santayanna, and James ruled in its philosophy, and H. I. became fascinated by these men and their subject. His mind was again drawn into introspection, but in an organized manner. He asked himself continually, "What are the purposes of life; why do we love; does man will or is he an automaton who watches the hands go around and thinks he moves them?" Where before his feeling of unreality was largely emotional, now it received an intellectual sanction, and he swung from hither to yon in a never-ending cycle. He became wearied beyond measure by his thoughts; he envied the beasts of the field, the laborer in the ditch and all to whom life and living were realities not in the least to be examined and questioned. Deliberately he decided to shift his interests,--to buy an automobile and learn about it; to play cards; to have his love affair; to taste emotion and pleasure and to seek no intellectual sanction for them.

He disappeared from college for a year and came back tanned, ruddy and at rest. He had found a capacity for interest and emotion outside of himself. He had experienced phases of life about which he would not talk at first, but in later years he admitted that he had been a "man of the world." He regretted much that had happened, but on the whole he rejoiced in an equanimity, in a capacity for objective interest, that he had never had before. His introspective trend was still very strong, but it lent subtlety and wisdom to his life, rather than weakness. Now and then he became harassed by a feeling of unreality, by a questioning skepticism that nullified happiness, and he felt himself divided by his intellect. These he shook off by dropping his work, by hunting, fishing and accepting simple goals of activity. Later on he married, and became a scholar of some note. I think he now relishes life as well as any really thoughtful man of middle life can.

There is a personality type, the emotional introspective, whose interest in life is directed toward their own sensations and emotions. They do not view people or things as having a value in themselves and for themselves; they deliberately view them as sources of a personal pleasurable sensation. I do not mean the crude egoist who asks of anything or anybody, "What good is it (or he) for me?" but I mean that connoisseur in emotions, casually blase and bored, who seeks new sensations. This is an introspective deviation of a serious kind, for the connoisseur in emotions rarely is happy and usually is most deeply miserable. Bourget in his remarkable psychological novel, "A Love Crime," has admirably drawn one of these characters. The exquisite Armand, seeking pleasure constantly, is divided into the sensualist who seduces and ruins and the introspectionist who watches the proceeding with disgust and disillusion. It is not an outraged conscience that is at work but the inability to feel without analyzing the feeling "Ah, for a single passion that might apply my entire sensibility to another being, like wet paper against a window pane." This is the eternal tragedy of sophistication,--that there results an anhedonia in large part manifested by a restless introspection. The mind is drawn away from the outside world, and everything is seen out of proportion.

The hypochondriac directs his attention to his health and is in part a monothymic of the fear type. Moliere's "Le Malade Imaginaire" is a classical study of this person, and I do not, presume to better it. Modern popularizing of disease has distinctly increased the numbers of the hypochondriacs, or at any rate has made their fears more scientific. Brain tumor, gastric ulcer, appendicitis, tuberculosis, heart disease, cancer, syphilis,--often have I seen a hypochondriac run the gamut of all these deadly diseases and still retain his health. The faddy habits they form are the sustenance of those who start the varied forms of vegetarianism, chewing cults, fresh-air fiends, wet-grass fanatics, back-to-nature societies, and the mild lunacies of our (and every) age.

One such hypochondriac, J., after suffering from every disease in the advertising pages of the daily newspapers, developed a system of habits that finally became a disease in itself. He rose at 6.30 each morning, stood naked in the middle of the room, took six deep breaths, rolled around on the floor and kicked his arms and legs about for fifteen minutes, took a drink of cold water, had a shower bath and a rub-down, shaved, attended to "certain bodily functions" (his term, not mine), ate a breakfast consisting of gluten bread, two slices, one and one-half glasses of milk, a soft-boiled egg (three and one-half minutes) and an orange; walked to work, taking exactly twenty minutes to do it; opened the windows wide in his office (fighting with the other clerks who preferred comfort to fresh air), ate a health luncheon at noon consisting of Postum, nuts, health bread, and two squares of milk chocolate; walked home at six, taking exactly 20 minutes to do it; washed, lay on the couch fifteen minutes with mind fixed on infinity (a Hindoo trick, so he heard), ate dinner, which never varied much from rice, cream, potatoes, milk and, heritage of saner days, a small piece of pie! All the day he watched each pain and ache, noted whether he belched or spit more than usual, and at night went to sleep at 10.30. Needless to say he had no friends, was known as "that nut" and really broke down from too arduous an introspective existence.

The term self-denial has been used from earliest times to indicate what we have called inhibition. But self-denial is fundamentally a wrong term, since it implies that the self is that which lusts and shirks, and that which controls desire and holds the individual to a consistent and ethical line of conduct is not the self. In fact, the self is based on inhibition and control, and when there is failure in these regards there is self-failure.

Interesting is the under-inhibited person. I mean by this term the one who consistently and in most relationship shows an inability to control the primitive instincts, impulses and desires. J. F. may stand as a type that becomes the "black sheep" and in many cases the "criminal." He comes of what is known as a "good family," which in his case means that the parents are well-to-do, of good reputation and rather above the average in intelligence. The brothers and sisters have all done well, are settled in their ways and are not to be distinguished from the people of their social set in manners or morals.

It was impossible to discipline J. As a very young child he resisted his mother's efforts to train him into tidiness or restraint. He stole whatever he desired, and though he was alternately punished and pleaded with, though he seemed to desire to please his parents, he continued to steal whenever there was opportunity. At six he entered a neighbor's house, and while there took a purse that was lying on a table, rifled it of its contents and disappeared for nearly a day, when he was found in a down-town district, having gorged himself with candy and cake. From then on his peculations increased, and his conduct became the scandal of his family, for he stole even from the maids employed in the house, as well as from guests. In each case the stealing was apparently motivated to give a good time to himself and also to certain chums he made here and there in the city. He would lie to evade punishment, but finally would yield, confess his guilt, express deepest repentance and accept his punishment with the sincerity of one fully conscious of deserving it.

In school he did poorly. He was bright enough. In fact, he was somewhat above the average in memory and comprehension and may be described as keen, but it was difficult for him to keep his attention consistently on any subject, and the discipline of school irked him. He ran away several times to avoid school, and each time, until he was about fourteen, came back after a few days,--bedraggled, hungry and repentant. The freedom of the streets appealed to him as offering a life varied enough to suit his nature, and with excitement and adventure always in the air. So he mingled with all kinds of boys and men and at the age of fourteen shocked his parents by being arrested as one of a gang that was engaged in robbing drunken men in the slum quarters of the city. It took all kinds of influence to get him released on probation, but this was accomplished and then the boy disappeared from home.

He was gone three years and despite all search had completely disappeared. His people had given up all hope of seeing him again (although certain members of his family were not at all saddened by the prospect) when they received a communication from the police of a distant city with a photograph of the boy, asking if it was true that he was their son. It seems that J. had drifted from place to place, now working as newsboy, stable hand, errand boy, messenger, theater-usher, until he had reached this city. There he was wandering on the streets, hungry and ragged, when a philanthropic old gentleman noticed him. J. has the good fortune to be very innocent looking, and no matter what his crimes, his face might belong to a cherub. A friend once stated that if J. appeared at Heaven's gate, St. Peter would surely take him to be an angel come back from a stroll and let him in. The philanthropist stopped, the boy and inquired into his history. J. told him a very affecting story of being an orphan whom a cruel guardian had robbed of his heritage and exaggerated his sufferings until the indignant old fellow threatened to have the police prosecute his betrayer. With a show of great magnanimity, J. refused to disclose his real name, and the philanthropist took him home. He had him clothed and fed, and then, taken by the boy's engaging manners and bright ways, decided to educate and adopt him. He was dissuaded from the latter by a friend, but he sent J. to a private school of good grade. To the surprise of the old man, J. was continually getting into mischief, and finally he was accused of stealing. Unable to believe the school authorities, the old gentleman took the boy home and quizzed him. He gave an unsatisfactory account of himself and that night disappeared with a considerable sum of money. The police were notified, and a week later he was found in a house of the type--so euphemistically called--of "ill fame." There he was spending the money lavishly on the inmates and was indulging his every desire. One of the women, a police stool-pigeon, identified him as the boy who was wanted by the law, and he was arrested.

Despite the efforts of the parents and the philanthropist, the boy was given a prison sentence and is still serving it. Characteristic of this group of personalities are these traits: (1) an impatience with the arduous, an incapacity or unwillingness to wait for results in the ordinary way; (2) a decided dread of monotony, a longing for excitement; (3) an inability to form permanent purposes and to inhibit the distracting desires; (4) a desire to win others' good opinion and sympathy,--therefore he always lavished his money on those whom that kind of "good fellowship" wins and told pathetic stories to those whose sentimentality made them easy victims; (5) a weak kind of egoism, seeking easy ways to pleasure and position, restless under discipline, always repentant after wrong-doing, fluent in speech but lacking the courage to face the difficulties of life.

This under-inhibited type may suddenly reform and apparently entirely emerge from difficulties. I have in mind a conspicuous case, a young woman now happily married and the mother of fine children. When she was thirteen or fourteen the petty pilferings of her childhood took on a serious character. She began to steal from the person of strangers and from the homes of friends. She romanced in the most convincing fashion, told strangers the most remarkable stories, usually of such a nature as to make her interesting and an object of sympathy, but which tended to blacken the reputation of her family. She lost place after place at work, was sent to a hospital to become a nurse and demoralized her associates by her lies and her thefts. She was a very sweet girl in every other way, kindly, generous, self-sacrificing, studious even, and her character-contradiction made people reluctant to believe she was not insane. She was discharged from the hospital, stayed at home for a few months,--and then came the miracle. She obtained a place in a large business house and worked there for seven years or up till the time of her marriage. She was steadily promoted and was accounted the most reliable and honest employee of the establishment. She handled money and goods, was absolutely truthful and her earnest efficiency was noteworthy. Her private life was in complete harmony with this business career. She helped her parents, who are poor, dressed modestly, studied nights and yet showed the same fondness for dancing and good times that the normal girl does. She met a promising young business man who fell immediately in love with this demure looking young woman, and they were later married. Once I asked her how the reform came about. "I don't know myself," she answered frankly. "I never was happy--when I was the other way. I always vowed reform, but when there was money around I'd think and think about it until it was mine. Then I'd spend it in a silly way to get rid of it fast. I craved good things, and you know how poor we were. Then I lied just to have people like me and pity me, even though I called myself a fool while doing it. Often, often I tried to reform and for a week or two would be real good. Then perhaps I'd see some money, and I'd try to think of something else. But that money would come to my mind, and I'd get hot and dizzy thinking about it. Perhaps I'd say, 'I'll just look at it,' and finally I'd go and take it--and feel so relieved and spend it. After I left the hospital it seemed to me that I could never smile again. I cried all night long; I wanted to die. I could see one girl who thought I was so good and nice, and her face as she looked at me when I left! Her eyes were wide open, and her mouth was so stern, and she looked as if she wanted to speak but she turned around and walked away. One day I woke up after a restless night at home, and it seemed to me that I had strength, that something had turned around in my nature, and since that day I have never even wanted to steal. I haven't had to try to be good; it came as natural as eating and sleeping."

The sexually under-inhibited are those whose sex control is deficient. This may be either from over-passionate nature, bad example, deficient mentality, vanity and desire for good times, as in certain girls, etc. To discuss these types would be to write another book, and so I forbear. But this I wish to emphasize: that neither age, sex protestation of indifference and control, occupation or social status, alters the fact that the history of the sex feelings, impulses and struggles is essential to a knowledge of character. Without detailing sex types, these are some that are important.

1. The uninhibited impulsive, passionate (the bulk of the prostitutes).

2. The controlled, passionate. Very common.

3. The frigid. Not so rare as believed.

4. The extremely passionate (nymphomania, satyriasis). Rare. Always in trouble.

5. The sensualist, a deliberate seeker of sex pleasure, often indulging in perversion. Common type.

6. The perverted types,--autoerotic (masturbator), homosexual, masochists, sadists, fetishist, etc. More common than the ordinary person dreams.

7. The periodic, to whom sex life is incidental to certain periods and situations. Common among women, less common among men.

8. The sublimators, whose sexual activity has somehow been harnessed to other great activities. Fairly frequent among these who either through choice or necessity are to remain continent.

9. The anhedonic or exhausted. Found in the sensualists and often reacted to by the formation of religious and ethical codes, which eliminate sex,--Tolstoy, the hermits, certain Russian sects, etc.

There is under-inhibition of a good kind. There are generous-hearted people always ready to give of themselves to anything or anybody that needs help. Often "fooled" by the unworthy, they resolve to be calm, judicial and selfish, and then,--their generous social natures over-ride caution, and again they plunge into kindness and philanthropy.

F. L. is one of these. As child, boy and young man he was free-hearted to an extraordinary degree. Ragamuffin, stray dog or cat, tramp, down and outer of every kind or description, these enlisted his sympathy and help despite the expostulation and remonstrance of a series of conventional good people, his mother and father, his best friends and his outraged wife. The latter never knew, she used to say, what he would bring home for dinner. "He always forgot to bring home the steak, but he never forgot to lug along some derelict." More than once he was robbed, often he was imposed upon. Once he met an interesting vagabond who spoke several languages, quoted the Bible with ease and accuracy, and so fired the heart of our simple man that he bought him clothes and brought him home to stay. His wife threw up her hands in despair. "But, my dear," said F. L., "he's a scholar who has fallen on evil days." "Ah," she answered, "I fear it will be an evil day for us when you took him home." She had a good chance to say, "I told you so," when the rogue eloped with the best of their silver.

Not only is F. L. impulsive and uninhibited in his generosity, but his "pitch in and help" quality is about as well manifested in other matters. If he sees a man or boy struggling with a load, he immediately forgets that he is over fifty and well dressed and steps right in to help. He saw an ash and garbage man--this is his wife's star story--struggling to lift a much befouled can into his wagon. F. L. left his wife and some friends without a word and with a cheery word threw the can into the wagon. Unfortunately some of the contents splashed, and F. L. suffered both in dignity and appearance as a consequence. He had to go home by back alleys and had to endure the mirth of his friends for a long time. But it did not change his reactions in the least, although he was really vexed with himself and endeavored to be conventional and self-controlled for a while. The point is that F. L. attempts inhibition of generous impulses and fails as ignominiously as a drunkard struggling with the desire to drink.

Of course he is of the salt of the earth. Upon such uninhibited fellowship feeling as his rests the ethical progress of the world. A dozen inventors contribute less to their fellow men than does he. For their contributions may be used to destroy or enslave their fellows, and it is a commonplace that science has outstripped morals. But his contributions spread kindly feeling and the notion of the brotherhood of man.

The over-inhibited, those whose every impulse and desire is subjected to a scrutiny and a blocking, often come to the attention of the neuropsychiatrist. But there are many "normal" people who fall into this group, and whose conduct throughout life is marked by a scrupulosity that is painful to behold. The over-inhibition may take specific directions, as in the thrifty who check their desires in the wish to save money, or the industrious who hold up their pleasures and recreations in the fear that they are wasting time. A sub-group of the over-inhibited I call the over-conscientious, and it is one of these whose history is epitomized here.

K. has always had "ingrowing scruples," as his exasperated mother once said. As a small child he never obeyed the impulse to take a piece of cake without looking around to see if his mother and father approved. He would not play unreservedly, in the whole-hearted impulsive way of children, but always held back in his enjoyment as if he feared that perhaps he was not doing just right. When he started to go to school his fear of doing the wrong thing made him appear rather slow, though in reality he was bright. The other children called him a "sissy," mistaking his conscientiousness for cowardice. This grieved him very much, and his father undertook to educate him in "rough" ways, in fighting and wrestling. He succeeded in this to the extent that K. learned to fight when he believed that he was being wronged, but he never seemed to learn the aggressiveness necessary to get even a fair share of his rights. His mother, a similar type, rather encouraged him in this virtue, much to the disgust of the father.

Not to spend too long a time over K.'s history, we may pass quickly over his school years until he entered college. He was a "grind" if there ever was one, studying day and night. He had developed well physically and because of his hard work stood near the top of his class. He took no "pleasures" of any kind,--that is, he played no cards, went to no dances, never took in a show and of course was strictly moral. It seems that the main factor that held him back was the notion he had imbibed early in his career that pleasure itself was somehow not worthy, that an ideal of work made a sort of sin of wasting time. Whenever he indulged himself by rest or relaxation, even in so innocent a way as to go to a ball game, there was in the back of his mind the idea, "I might have been studying this or that, or working on such a subject; I am wasting time," and the pleasure would go. By nature K. was sociable and friendly and was well liked, but he avoided friendships and social life because of the unpleasant reproaches of his work conscience and the rigor of his work inhibitions. He grew tired, developed a neurasthenic set of symptoms, and thus I first came in contact with him. Once he understood the nature of his trouble, which I labeled for him as a "hypertrophied work conscience," he set himself the task of learning to enjoy, of throwing off inhibition, of innocent self-indulgence, and my strong point that he would work the better for pleasure took his fancy at once. He succeeded in part in his efforts, but of course will always debate over the right and wrong of each step in his life.

This one example of a high type of the over-inhibited must do for the group. There is a related type who in ordinary speech find it "difficult to make up their minds,"--in other words, are unable to choose. Bleuler has used the term ambivalent, thus comparing these individuals to a chemical element having two bonds and impelled to unite with two substances. The ambivalent personalities are always brought to a place where they yearn for two opposing kinds of action or they fear to choose one affinity of action as against the other. They are in the position of the unfortunate swain who sang, "How happy I could be with either, were t'other dear charmer away."

M. is one of these helpless ambivalent folk, always running to others for advice and perplexed to a frenzy by the choices of life. "What shall I do?" is his prime question, largely because he fears to commit himself to any line of action. Once a man chooses, he shuts a great many doors of opportunity and gambles with Fate that he has chosen right. M. knows this and lacks self- confidence, i.e., the belief that he will choose for the best or be able to carry it through. He lacks the gambling spirit, the willingness to put his destiny to fortune. Often M. deliberates or rather oscillates for so long a time that the matter is taken from his hands. Thus, when he fell in love, the fear of being refused, of making a mistake, prevented him from action, and the young woman accepted another, less ambivalent suitor.

M. is in business with his father and is entirely a subordinate, because he cannot choose. He carries out orders well, is very amiable and gentle, is liked and at the same time held in a mild contempt. He has physical courage but has not the hardihood of soul to take on responsibility for choosing. Sometimes he gets good ideas, but never dares to put them into execution and shifts that to others.

He hates himself for this weakness in an essential phase of personality but is gradually accepting himself as an inferior person, despite intelligence, training and social connection.

Yet his sister is exactly the opposite type. She makes decisions with great promptness, never hesitates, is "cocksure" and aggressive. If M. is ambivalent, his sister B. M. is univalent. Choice is an easy matter to her, though she is not impulsive. She rapidly deliberates. She never has made any serious errors in judgment, but if she makes a mistake she shrugs her shoulders and says, "It's all in the game." Thus she is a leader in her set, for if some difficulty is encountered, her mind is quickly at work and prompt with a solution. If she is not brilliant, and she is not, she collects the plans of her associates and chooses and modifies until she is ready with her own plan. Her father sighs as he watches her and regrets that she is not a man. It does not occur to him or any of his family, including herself, that she might do a man's work in the business world.

In pathological cases the inability to choose becomes so marked as to make it impossible for the patient to choose any line of conduct. "To do or not to do" extends into every relationship and every situation. The patient cannot choose as to his dress or his meals; cannot decide whether to stay in or go out, finds it difficult to choose to cross the street or to open a door; is thrown into a pendulum of yea and nay about speaking, etc. This psychasthenic state, the folie du doute of the French, is accompanied by fear, restlessness and an oppressive feeling of unreality. The records of every neurologist contain many such cases, most of whom recover, but a few go on to severe incurable mental disease.

I pass on, without regard for logic or completeness, to a personality type that we may call the anhedonic or simpler a restless, not easily satisfied, easily disgusted group. Some of these are cyclothymic, over-emotional, often monothymic but I am discussing them from the standpoint of their satisfaction with life and its experiences. The ordinary label of "finicky" well expresses the type, but of course it neglects the basic psychology. This I have discussed elsewhere in this book and will here describe two cases, one a congenital type and the other acquired.

T. was born dissatisfied, so his mother avers. As a baby he was "a difficult feeding case" because the very slightest cause, the least change in the milk, upset him, a fact attested to by vigorous crying. Babies have a variability in desire and satisfaction quite as much as their elders.

Apparently T. thrived, despite his start, for as a child he was sturdy looking. Nevertheless, in toys, games, treats, etc., he was hard to please and easy to displease. He turned up his nose if a toy were not perfection, and he had to have his food prepared according to specification or his appetite vanished. Moreover, he had a very limited range of things he liked, and as time went on he extended that list but little. He was very choice in his clothes--not at all a regular boy--and quite disgusted with dirt and disorder. "A little old maid" somebody called him, having in mind of course the traditional maiden lady.

As T. grew his capacity for pleasure-feeling did not increase. On the contrary his attention to the details necessary for his pleasure made of him one of those finicky connoisseurs who, though never really pleased with anything, get a sort of pleasure in pointing out the crudity of other people's tastes and pleasures. This attitude of superiority is the one compensation the finicky have, and since they are often fluent of speech and tend to write and lecture, they impose their notions of good and bad upon others, who seek to escape being "common." In T.'s case his attitude toward food, clothes, companions, sports and work created a tense disharmony in his family, and one of his brothers labeled him "The Kill-joy." Secretly envious of other people's simple enjoyment, T. made strenuous efforts at times to overcome his repugnances and to enlarge the scope of his pleasures, but because this forfeited for him the superiority he had reached as a very "refined" person, he never persisted in this process.

When he was twenty he found himself the theater of many conflicts. He was weary of life, yet lusted for experiences that his hyperestheticism would not permit him to take. Sex seemed too crude, and the girls of his age were "silly." Yet their lure and his own internal tensions dragged him to one place after another, hoping that he would find the perfect woman, able to understand him. At last he did find her, so he thought, in the person of a young woman of twenty-five, a consummate mistress of the arts of femininity. She sized him up at once, played on his vanity, extolled his fine tastes and never exposed a single crudity of her own, until she brought him to the point where his passion for her, his conviction that he had found "the perfect woman," led him to propose marriage. Then came the blow: she laughed at him, called him a silly boy, gave him a lecture as to what constituted a fine man, extolling crudity, vigor and virility as the prime virtues.

His world was shattered, and its shadowy pleasures gone. At first his parents were inclined to believe that this was a good lesson, that T. would learn from this adventure and become a more hardy young man. Instead he became sleepless, restless and without desire for food or drink; he shunned men and women alike; he stared hollow-eyed at a world full of noise and motion but without meaning or joy. Deep was this anhedonia, and all exhortations to "brace up and be a man" failed. Diversion, travel and all the usual medical consultations and attentions did no good.

One day he announced to his family that he was all right, that soon he would be well. He seemed cheerful, talked with some animation and dressed himself with unusual care. His parents rejoiced, but one of his brothers did not like what he called a "gleam" in T.'s eyes. So he followed him, in a skillful manner. T. walked around for a while, then found his way to a bridge crossing a swift deep river. He took off his coat, but before he could mount the rail his watchful brother was upon him. He made no struggle and consented to come back home. In his coat was a letter stating that he saw no use in living, that he was not taking his life because of disappointment in love but because he felt that he never could enjoy what others found pleasurable, and that he was an anomaly, a curse to himself and others.

He was sent away to a sanatorium but left it and came home. He began to eat and drink again, found he could sleep at night (the sleepless night had filled him with despair) and soon swung back into his "normal" state. He passes throughout life a spectator of the joys of others, wondering why his grip on content and desire is so slender, but also he thinks himself of a finer clay than his fellows.

As a complement to this case let me cite that of the ex-soldier S. He reached the age of twenty-two with a very creditable history. Born of middle-class parents he went through high school and ranked in the upper third of his class for scholarship. His physique was good; he was a joyous, popular young fellow; and wherever he went was pointed out as the clean young American so representative of our country. That means he worked hard as assistant executive in a production plant, was ambitious to get ahead, took special courses to fit himself, read a good deal about "success" and how to reach it, dressed well, liked his fellow men and more than liked women, enjoyed sports, a good time, the theaters, slept well, ate well and surged with the passions and longings of his youth. Had any one said to him, "What is there to live for?" he would have had no answer ready merely because it would have never occurred to him that any one could really ask so foolish a question.

Came the war. Full of the ardor of patriotism and the longing for the great experience, he enlisted. He took the "hardships" of camp life, the long hikes, the daily drills, the food dished out in tins, as a lark, and his hearty fellowship identified him with the army, with its profanity, its rough friendliness, its grumbling but quick obedience and its intense purpose to "show 'em what the American can do." He went overseas and learned that French patriotism, like the American brand, did not prevent profiteering, and that enlistment in a common cause does not allay or abate racial prejudices and antagonisms. This, however, did not prey on his mind, for he took his Americanism as superior without argument and was not especially disappointed because of French customs and morals. He took part in several battles, made night attacks, bayonetted his first man with a horror that however disappeared under the glory of victory.

One day as he and a few comrades were in a front line trench, "Jerry" placed a high explosive "plump in the middle of it." When S. recovered consciousness, he found himself half covered with dirt and debris of all kinds, and when he crawled out and brushed himself off, he saw that of all his comrades he alone survived, and that they were mangled and mutilated in a most gruesome way. "Pieces of my friends everywhere," is his terse account. He lay in the trench, not daring to move for hours, the bitterest thoughts assailing him,--anger, hatred and disgust for war, the Germans, his own countrymen; and he even cursed God. When he did this he shuddered at his blasphemy, became remorseful and prayed for forgiveness. A little later he crawled out of the trench and back to where he was picked up by the medical corps and taken to a hospital. He was examined, nothing wrong was found and he was sent back to duty.

From that episode dates as typical an anhedonia as I have ever seen. Gradually he became sleepless and woke each day more tired than he went to bed. The food displeased him, and he grumbled over what were formerly trifles. He wearied easily, and nothing seemed to move him to enthusiasm or desire. He gave up friendship after friendship, because the friends annoyed him by their noise and boisterousness. He dreaded the roar of the guns and the shriek of shells with what amounted to physical agony. He brooded alone, and though not melancholy in the positive insane sense, was melancholy in the disappearance of desire, joy, energy, interest and enthusiasm.

Fortunately the armistice came at this time. S. was examined and discharged as well because he made no complaints, for he was anxious to get home. This was his one great desire. At home, with a nice bed to sleep in, good food to eat and the pleasant faces of his own people, his "nerves" would yield, he had no doubt. But he was mistaken; this was not the case. He became no better, and though he tried his old "job," he found that he could not find the energy, enthusiasm or concentration necessary for success. He was then referred to the United States Public Health Service, where I saw him, and he became my patient.

My first problem was to restore the power of sleeping. This I succeeded in doing by means that were entirely "physical." With that accomplished, the man became hopeful of further results, and this enabled one to bring about a desire for food, again by physical means, medicine, in short. The problem of awaking S.'s interest simmered down to that of finding an outlet for his ambition. The Federal Vocational Board granted him the right to take up a business course in a college. Though he found the study hard at first, he was encouraged to keep on and told to expect little of himself at first. This is an important point, for if a man holds himself to a high standard under conditions such as those of S., then failure brings a discouragement that upsets the treatment. At any rate this method of readjustment, with its reliance on medicines to bring sleep and appetite and on training to bring hope and relief from introspection, worked splendidly.

The fact is that no abstruse complicated psychological analysis was necessary here or in most cases. A man is "jarred" from light-hearted health to a grim discouraged state. This discouragement brings with it sleeplessness and loss of appetite, and there gradually develops a series of habits which lower endurance and energy. The habit elements in this condition are not enough recognized, and also the fact that most of the disability is physical in its development though psychological at the start. That is, A. had a severe emotional reaction to a horrible experience; this brought about insomnia and disordered nutrition, and these, by lowering the endurance and ability, brought to being a vicious circle of fatigue and depression, in which fatigue caused depression and depression increased fatigue. The treatment must be directed at first to the physical factors, and with these conquered the acquired forms of anhedonia usually yield readily.

It would be interesting to consider other types related to the anhedonic personality. The complainer, the whiner, the nag, all these are basically people who are hard to satisfy. The artistic temperament (found rather frequently in the non-artistic) is hyperesthetic, uncontrolled, irritably egoistic and demands homage and service from others which exceeds the merit of the individual; in other words, there is added to the anhedonic element an unreasonableness that is peculiarly exasperating. I pass these interesting people by and turn to the opposite of the anhedonic group, the group that is hearty in tastes and appetites, easily pleased as a rule and often crude in their relish of life. There are two main divisions of these hearty simple people,--those who are untrained and relatively uneducated, and whose simplicity may disappear under cultivation, and another type--cultivated, educated, wise--who still retain unspoiled appetite and hearty enjoyment.

Briefly let me introduce Dr. O., an athlete in his youth and always a lover of the great outdoors.

O. is Homeric in the simplicity of his tastes. A house is a place in which to sleep, clothes are to keep one warm, food is to eat and the manner of its service is an indifferent matter. He enjoys with almost huge pleasure good things to eat and good things to drink, but as he puts it, "I am as much at home with corned beef and cabbage as I am with any epicurean chef d'oeuvre. I like the feel of silk next my body, but cotton pleases me as much." He is clean and bathes regularly, but has no repulsion against dirt and disorder. At home, among the utmost refinements of our present-day life, he prefers the rough bare essentials of existence. To him beauty is not exotic, but everywhere present, and he sees it in a workman clad in overalls and breaking stone quite as much as in a carefully harmonized landscape. He has no pose about the beauty of nature as against the beauty of man's creations, and he thinks that a puffing freight engine, dragging a load of cars up a grade, is as much a thing to enthuse about as a graceful deer sniffing the scent of the hunter in some pine grove.

Imbued with a zeal for living and a desire for experience, O. has not been as successful as one more cautious and less impetuous might have been. He loves his profession so well that he would rather spend a day on an interesting case in the ward of some hospital than to treat half a dozen rich patients in his consulting room. His purpose is indeed unified; he seeks to learn and to impart, but the making of money seems to him a necessary irrelevance, almost an impertinent intrusion upon the real purposes of life. He is eager to know people, he shows a naive curiosity about them, an interest that flatters and charms. All the phenomena of life--esoteric, commonplace, queer and conventional--are grist to his mill.

His sexual life has not differed greatly from that of other men. In his early youth his passions outran his inhibitions, and he tasted of this type of experience with the same gusto with which he delved into books. As he reached early manhood he fell in love and pledged himself to chastity. Though he fell out of love soon his pledge remained in full force, and though he cursed himself as a fool he held himself aloof from sex adventure. When he was twenty-seven he again fell in love, had an impetuous and charming courtship and married. He loves his wife, and there is in their intimacy a buoyant yet controlled passion which values love for its own sake. He enters into his duties as father with the same zeal and appetite that characterizes his every activity.

O. is no mystic, proclaiming his unity with all existence, in the fashion of Walt Whitman. Rather he is a man with a huge capacity for pleasure, not easily disgusted or annoyed, with desires that reach in every direction yet with controlled purpose to guide his life. As he passes into middle age he finds his pleasures narrowing, as all men do, and he finds his appetites and tastes are becoming more restricted. This is because his purpose becomes more dominant, his habits are more imperious, his energy less exuberant. In thought O. is almost a pessimist because his knowledge of life, his intelligence and his sympathy make it difficult to understand the need of suffering, of disease and of conflict. But in emotion he still remains an optimist, glad to be alive at any price and rejoicing in the life of all things.

Apropos of this contradiction between thought and mood, it is sometimes found reversed. There are those whose philosophy is optimistic, who will not see aught but good in the world, yet whose facial expression and actions exhibit an essential melancholy.