DOCTOR WATSON AND NERVOUS MALADIES

“... the shock of the night’s adventures had shattered his nerves.”

_The Hound of the Baskervilles_

The harrowing adventures experienced by some of the characters in the

stories of Sherlock Holmes, and the great shocks they sustained, often

induced in them a state of high nervous tension. References to such

individuals are numerous.

Sherlock Holmes himself possessed an iron constitution, and was favored

with an especially well-balanced mind. His biographer, John H. Watson,

M.D., writes, “All emotions ... were abhorrent to his cold, precise but

admirably balanced mind” (_A Scandal in Bohemia_). But even Holmes,

on one occasion at least, was on the verge of a serious nervous

breakdown. In the spring of 1897, Dr. Watson became concerned about

the health of his distinguished friend: “... I found him a prey to the

blackest depression ... [even his realization of his worldly fame] was

insufficient to rouse him from his nervous prostration” (_The Reigate

Puzzle_).

Watson felt that Holmes needed a complete rest in a quiet and soothing

atmosphere, and finally persuaded the great detective to take a holiday

in the country. Arrangements were made to stay at the home of one of

Dr. Watson’s old friends. On the evening of their arrival, their host,

Colonel Hayter, in the course of a conversation following dinner, told

them of an unusual burglary which had occurred a few nights before

in the neighborhood. When Holmes manifested too warm an interest in

this event, Watson became alarmed and cautioned him: “You are here

for a rest, my dear fellow. For Heaven’s sake don’t get started on

a new problem when your nerves are all in shreds” (_The Reigate

Puzzle_). Watson’s admonition proved of no avail. The next morning,

while at breakfast, they were informed that a dastardly murder had

been committed at the home of a nearby neighbor. Inspector Forrester,

knowing that Sherlock Holmes was in the vicinity, asked for his help.

Holmes answered the call, and after a rather painful experience, solved

the mystery brilliantly in the course of a few hours.

The neat solution of this case, together with the concomitant

excitement which it afforded, apparently caused Holmes to recover

quickly from his “blackest depression,” for that afternoon he remarked

to his faithful friend, “Watson, I think our quiet rest in the country

has been a distinct success, and I shall certainly return much

invigorated to Baker Street tomorrow” (_The Reigate Puzzle_). This

episode demonstrates the man’s superb constitution. Most people would

have required several weeks, or even months, to recover their normal

health following a severe nervous breakdown. But not Holmes.

In several instances, the characters described by Dr. Watson showed

clear-cut signs of hysteria. When the well-known banker Alexander

Holden found that the “Beryl Coronet,” which had been intrusted to his

care, had been mutilated and three of its jewels stolen, he became

greatly agitated and called on Sherlock Holmes:

For a while he could not get his words out, but swayed his body and

plucked at his hair like one who has been driven to the extreme limits

of his reason. Then suddenly springing to his feet, he beat his head

against the wall with such force that we both rushed upon him and tore

him away to the centre of the room.

_The Adventure of the Beryl Coronet_

This highly respected citizen must have been an emotionally unstable

person. One wonders how he could have been a successful banker, with

such a sensitive nervous system. The poor man must have lain awake

many a weary night worrying about his investments. We do not know

his subsequent history, but I suspect that he eventually developed

hypertension or suffered from gastric ulcers.

When Rachel Howells was questioned by the master of the house about the

disappearance of her perfidious lover Brunton, she showed pronounced

signs of hysteria:

She looked at me with so strange an expression that I began to suspect

that her brain was affected.... She fell back against the wall with

shriek after shriek of laughter, while I, horrified at this sudden

hysterical attack, rushed to the bell to summon help. The girl was

taken to her room still screaming and sobbing....

_The Musgrave Ritual_

There was a real reason for the girl’s behavior; she had been directly

responsible for her lover’s horrible death. It is small wonder that she

suffered a violent hysterical attack.

Once Dr. Watson was asked to see the wife of his boyhood friend Robert

Ferguson. It was a tragic situation. She had been observed on several

occasions sucking blood from her infant son. The sympathetic doctor

stated that she appeared only half conscious, and had a frightened

expression. Her pulse and temperature were both high, but he felt

that this was due to her highly emotional state (_The Adventure of

the Sussex Vampire_). Mrs. Ferguson was probably suffering from

hysteria. The attack cleared up promptly when Sherlock Holmes sat down

at the patient’s bedside and, in the presence of her husband, analyzed

the situation, explaining why it was necessary for Mrs. Ferguson to

suck the baby’s wounds. They had been made by arrows dipped in curare.

The baby’s insanely jealous half-brother had committed this atrocious

deed. Truly, a shocking episode!

In _The Greek Interpreter_, reference is made to a man who showed

symptoms of St. Vitus’ dance. Mr. Melas described his unpleasant

companion: “... his lips and eyelids were continually twitching like a

man with St. Vitus’ dance. I could not help thinking that his strange,

catchy little laugh was also a symptom of some nervous malady.”

The term “St. Vitus’ dance” is seldom used nowadays; it is presently

called “acute chorea.” This condition is characterized by irregular

involuntary contractions of the muscles and is associated with a

variable amount of psychic disturbance. The name (St. Vitus’ dance)

has been handed down from the Middle Ages. Epidemics characterized

by excitement, gesticulations, and dancing brought about mainly by

religious fervor were in those days not uncommon. Whenever these

symptoms became excessive, the people in the Rhenish province

frequently made pilgrimages to the Chapel of St. Vitus in Zebern.

Another reference to twitching muscles may be cited. Sherlock Holmes

called on Mr. Sidney Johnson, senior clerk and draughtsman, in an

office from which extremely important secret papers had disappeared.

Watson writes that the clerk had haggard cheeks, and that his hands

were twitching from the nervous strain he had undergone (_The Adventure

of the Bruce-Partington Plans_).

In the tales, other references may be found to shattered nerves and

states of nervous exhaustion. In describing the condition of her

father, Alice Turner tells Sherlock Holmes: “... Dr. Willow says

that he is a wreck and that his nervous system is shattered” (_The

Boscombe Valley Mystery_). The real reason for his pitiful state,

which his daughter did not know, was that he had recently murdered an

old acquaintance.

When Don Murillo, Tiger of San Pedro, tried to kidnap Miss Burnett, she

broke away from him, and with the help of a friend got into a cab. Here

Holmes saw her, and observed that she was in a state of collapse from

nervous exhaustion (_The Adventure of Wisteria Lodge_). This brave

lady had been locked in a room for a number of days with insufficient

food, and had undergone other traumatic experiences. It is no wonder

that Holmes found her in such a pitiful state.

After Sir Henry Baskerville had narrowly escaped death on the moor from

the savage hound, he suffered a nervous collapse, “... the shock of

the night’s adventure had shattered his nerves.” Sir Henry assuredly

was not a weak man, but the victim of a concatenation of unfortunate

circumstances. The family history of the hound, Sir Henry’s love for a

married woman, his isolation and loneliness, and the somber landscape

of the bleak moor doubtless all preyed on his mind. When the hound

actually sprang upon him, his nervous system finally reached the

breaking point. Stronger men than he would have quailed.

Mr. Marlow Bates, the manager of the estates of the wealthy “Gold King”

Mr. Gibson (whose wife had been found dead), called on Sherlock Holmes.

Watson describes him as a small, thin, fidgety man, who appeared to be

on the brink of a serious nervous breakdown. Although in great fear of

his vicious employer, Bates detested him so heartily that he hurried

to Baker Street and told Holmes that Gibson was an “infernal villain.”

In view of the circumstances, this was indeed a grave accusation. The

reader will recall that the “Gold King” had not murdered his wife; she

had died by her own hand (_The Problem of Thor Bridge_).

The eyes often show a characteristic expression under emotional strain.

Referring to Colonel Valentine Walther, whose brother had suddenly

died, Watson observes that he had wild eyes and presented a worried

and disheveled appearance (_The Adventure of the Bruce-Partington

Plans_). It was discovered that it was the colonel who had stolen

an extremely important state document. His older brother, Sir James,

suspected Valentine’s guilt. The shock was too much for the older

man and caused his death; there was a question as to whether he took

his own life. Be that as it may, his younger brother was responsible

for the tragedy. We are not surprised to learn that the eyes of the

colonel had a wild expression.

People under great emotional strain often break out in a cold sweat.

Nearly everyone has, at one time or another, experienced this

phenomenon. It is caused by violent stimulation of the sympathetic

nervous system. When John Openshaw’s uncle Elias received a letter

containing five orange pips, a great change came over him. At times he

acted like a madman. His nephew told Holmes, “At such times I have seen

his face, even on a cold day, glisten with moisture, as though it were

new raised from a basin” (_The Five Orange Pips_).

A cold sweat is more apt to manifest itself on the forehead, but it

is not necessarily limited to the face, for any portion, or all,

of the body may be involved. The cold, clammy sweat produced under

conditions of intense mental stress is different, of course, from the

normal healthy sweat brought about by a warm environment or by physical

exertion, or by both. The physiologic explanation of a cold sweat is

that it is a condition brought about by pain or fear as a reaction

anticipatory of the strenuous muscle movements that may ensue.

Victor Trevor’s father was also the recipient of a letter which led to

tragedy:

My father read it, clapped both hands to his head and began running

round the room in little circles like a man who has been driven out of

his senses.... I saw that he had a stroke.

_The “Gloria Scott”_

Apparently, this individual became so agitated, and his blood pressure

rose so high, that he was stricken with a fatal cerebral hemorrhage.

It is well known that emotions may produce a pronounced rise in blood

pressure even in healthy people.

Most of the nervous maladies described by Dr. Watson were in the

nature of acute episodes, and more or less transient in character. The

individuals he depicted were high-strung, nervous people, overwhelmed

by the traumatic experiences to which they had been subjected. Some

of these were unable to suppress their emotions and either became

hysterical or suffered a nervous collapse.

As a rule, we do not think of the English people as giving way to

their feelings, but as governing them strictly. It is the Latins who

are supposed to manifest hysterical reactions. However, it would

take extraordinarily strong men, regardless of their nationality,

to maintain normal mental equilibrium under some of the situations

described in the spine-tingling tales; even the stolid Britishers

cracked under the mental strain. The nervous system of man can

withstand just so much and no more. It is given to but few to possess

nerves of steel, and even such rare individuals finally reach a

breaking point. Man is not a machine, but a human being.

If Dr. Watson were writing his adventurous stories today, he probably

would stress the fact that long-continued nervous strain is likely

to produce ulcers of the stomach or of the duodenum. The modern view

is that mental worry may lead to hypertension and to diseases of the

arteries, especially those which supply the heart muscles, namely, the

coronaries--although it is true, as previously mentioned, that most

of the characters depicted in the tales suffered mental strain for a

substantial length of time.

It is noteworthy that both Sherlock Holmes and Dr. Watson maintained a

nice mental balance even during periods of tremendous excitement and

danger. A striking characteristic about both was their extraordinary

fearlessness and mental poise. Although people around them often

manifested signs of abject fear, or were given to hysterical outbursts,

our heroes never faltered, but maintained a calm demeanor and

dispatched neatly and efficiently the task before them.

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