THE PSYCHOLOGY OF SELF-RESPECT IN SURGEONS

The surgeon, though often more unscrupulous than the general

practitioner, retains his self-respect more easily. The human conscience

can subsist on very questionable food. No man who is occupied in doing

a very difficult thing, and doing it very well, ever loses his

self-respect. The shirk, the duffer, the malingerer, the coward, the

weakling, may be put out of countenance by his own failures and frauds;

but the man who does evil skilfully, energetically, masterfully, grows

prouder and bolder at every crime. The common man may have to found his

self-respect on sobriety, honesty and industry; but a Napoleon needs no

such props for his sense of dignity. If Nelson's conscience whispered to

him at all in the silent watches of the night, you may depend on it it

whispered about the Baltic and the Nile and Cape St. Vincent, and not

about his unfaithfulness to his wife. A man who robs little children

when no one is looking can hardly have much self-respect or even

self-esteem; but an accomplished burglar must be proud of himself. In

the play to which I am at present preluding I have represented an artist

who is so entirely satisfied with his artistic conscience, even to the

point of dying like a saint with its support, that he is utterly selfish

and unscrupulous in every other relation without feeling at the smallest

disadvantage. The same thing may be observed in women who have a genius

for personal attractiveness: they expend more thought, labor, skill,

inventiveness, taste and endurance on making themselves lovely than

would suffice to keep a dozen ugly women honest; and this enables them

to maintain a high opinion of themselves, and an angry contempt for

unattractive and personally careless women, whilst they lie and cheat

and slander and sell themselves without a blush. The truth is, hardly

any of us have ethical energy enough for more than one really inflexible

point of honor. Andrea del Sarto, like Louis Dubedat in my play, must

have expended on the attainment of his great mastery of design and his

originality in fresco painting more conscientiousness and industry

than go to the making of the reputations of a dozen ordinary mayors and

churchwardens; but (if Vasari is to be believed) when the King of France

entrusted him with money to buy pictures for him, he stole it to

spend on his wife. Such cases are not confined to eminent artists.

Unsuccessful, unskilful men are often much more scrupulous than

successful ones. In the ranks of ordinary skilled labor many men are to

be found who earn good wages and are never out of a job because they are

strong, indefatigable, and skilful, and who therefore are bold in a high

opinion of themselves; but they are selfish and tyrannical, gluttonous

and drunken, as their wives and children know to their cost.

Not only do these talented energetic people retain their self-respect

through shameful misconduct: they do not even lose the respect of

others, because their talents benefit and interest everybody, whilst

their vices affect only a few. An actor, a painter, a composer, an

author, may be as selfish as he likes without reproach from the public

if only his art is superb; and he cannot fulfil his condition without

sufficient effort and sacrifice to make him feel noble and martyred in

spite of his selfishness. It may even happen that the selfishness of

an artist may be a benefit to the public by enabling him to concentrate

himself on their gratification with a recklessness of every other

consideration that makes him highly dangerous to those about him. In

sacrificing others to himself he is sacrificing them to the public he

gratifies; and the public is quite content with that arrangement. The

public actually has an interest in the artist's vices.

It has no such interest in the surgeon's vices. The surgeon's art is

exercised at its expense, not for its gratification. We do not go to the

operating table as we go to the theatre, to the picture gallery, to the

concert room, to be entertained and delighted: we go to be tormented and

maimed, lest a worse thing should befall us. It is of the most extreme

importance to us that the experts on whose assurance we face this horror

and suffer this mutilation should leave no interests but our own to

think of; should judge our cases scientifically; and should feel about

them kindly. Let us see what guarantees we have: first for the science,

and then for the kindness.

The Doctor's Dilemma: Preface on Doctors · 第 13 / 52 题