CHAPTER VI

THE NORMAL MIND (Continued)

INSTINCT

We have found that the mind's chief end is action, of itself, or of its

body. But what are its incentives to action?

We see the very young baby giving evidences of an emotional life, living

in an affective, or feeling environment, leading a pleasure-pain

existence, from the first. He acts as desire indicates. But from the

very moment of his birth he performs actions with which he cannot as yet

have a sense-memory connection, because he is doing them for the first

time. How can he know how to respond to stimuli from the very beginning?

No other possible explanation offers itself than that he is born with

certain tendencies to definite action. These we call instincts--man's

provision to keep him going, as it were, till reason develops. Instincts

are handed down from all the past. Definite tendencies, they are, to

certain specific reflex actions in response to certain sensations. These

responses, from the very beginning of animal life, have been toward

avoiding pain, and toward receiving pleasure. It is as though the

stimulus presses the trigger--instinct--and the muscle responds

instantly with reflex action. This mechanism is the means of protection

and advancement, and takes largely the place of intelligence in all

animal life. It is what makes the baby suck and cry, clutch and pull,

until a sense memory is established. So instinct is really race memory.

We call instinctive those immediate, unthought reactions which are the

same with all mankind.

The pugnacious instinct--the desire to fight--is the natural reaction of

every human being of sane mind to attack. The inner necessity of

avenging is so strong in the child or man of untrained mind or soul that

he acts before he thinks. He strikes back, or shoots, or plots against

his enemies. Only rare development of spirit or the cautious warning of

reason which foresees ill consequences, or a will trained to force

control, can later make the instinct inactive.

Where instinct ends and sense memory, imitation, and desire step in is

difficult to determine. Later in life probably most of what we consider

instinctive action is simply so-called reflex action, depending on sense

memory, action learned so young that it is difficult to distinguish it

from the true reflex action, which is due only to race memory.

James, in his _Talk to Teachers_, gives us a partial list of the

instincts. Thus:

Fear Ownership Shyness

Love Constructiveness Secretiveness

Curiosity Love of approbation The ambitious impulses:

Imitation,

Emulation,

Pride,

Ambition,

Pugnacity

To this partial list we would add self-preservation, reproduction, etc.

But instincts conflict with each other, and man carries about with him

in babyhood many of them which may have been very useful to his

prehistoric ancestors, but which only complicate things for him. Fear

and curiosity urge opposite lines of conduct. Love of approbation and

shyness are opposed. Love and pugnacity are apt to be at odds. So,

gradually, as intelligence increases, the child refuses to allow such

impulses to lead him to action. When fear-instinct and love-instinct are

at war, reason is provided to come to the rescue.

_Instincts_ are racial tendencies of sensational or emotional states to

determine action.

Instincts are the germs of habit, and when instinct would give rise to a

reaction no longer useful, reason, abetted by new habit formation, in

the normal mind, weakens instinct's force; and the habit is discarded

and the instinct gradually declines.

In prehistoric times when food was scarce, and man had not learned the

art of tilling the soil, hunger forced him to fight for what he got to

eat. As there was often not enough to go around, he maimed or killed

his fellow-man that he might have all he wanted, obeying the instinct to

survive. So, now, the baby instinctively clutches for all that appeals

to him. But an abundance of food for all, or the intelligent realization

that co-operation brings more to the individual than does fighting, and

a developed sense of responsibility toward others; or merely the fear of

the scorn of fellow beings, or the desire to be protected by the love of

his kind; perhaps a genuine love of people, acquired by spiritual

development, puts the primitive habit of food-grabbing into the discard.

Finally, the very instinct of self-preservation may be transformed into

desire to serve others. No better illustration of this can ever be

offered than the sacrifices of the World War.

MEMORY

No mind retains consciously everything that has ever impressed it. It is

necessary that it put aside what ceases to be of importance or value and

make way for new impressions. We found early in our study that the

subconscious never forgets, but harbors the apparently forgotten

throughout the years, allowing it to modify our thinking, our reactions.

But the conscious mind cannot be cluttered with the things of little

importance when the more essential is clamoring. So there is a

forgetting that is very normal. We forget numberless incidents of our

childhood and youth; we may forget the details of much that we have

learned to do automatically; but the subconscious mind is attending to

them for us.

Do you know how to skate? and if so, do you remember just how you did it

the first time? Probably all you recall is that you fell again and again

because your feet would slip away from where you meant them to be. When

you glide over the ice now it is as natural as walking, and as easy. You

cannot remember in detail at all how you first "struck out," nor the

position of your feet and arms and legs, which you felt forced to

assume. At the time there was very real difficulty with every

stroke--each one was an accomplishment to be attempted circumspectly, in

a certain definite way. All you remember now is, vaguely, a tumble or

two, soreness, and lots of fun.

We forget details we have intrusted to others as not a part of our

responsibility. We forget the things which in no way concern us, in

which we have no interest and about which we have no curiosity. And it

is well that we do so. If it were not for the ability to forget, our

minds would be like a room in which we have lived a lifetime, where we

have left everything that has been brought into it since our birth. It

would be piled ceiling high, with no room for us, and with difficulty

only could we find what we want. As we grow from babyhood to childhood,

from childhood to youth, from youth to maturity the room changes with

us. We put off childish things. They are stored away somewhere, in an

attic or basement, or destroyed. And day after day something new is

added, displacing something else. In the case of the mind all these

things are stored and cataloged in the subconscious, and forgotten,

until some need causes us to look into our catalog-index and see the

experience again, or some association calls it back, relating it to

something new. So our discussion of the subconscious involved also a

discussion of memory.

But what of the things we must use frequently and cannot find in our

minds? What of absent-mindedness and faulty memory? In such cases our

minds might be compared to a cluttered room full of things we need and

want to use every day, but in confusion. We know where many of them are,

the ones we care most about; but we have to rummage wildly to find the

rest. We have no proper system of arrangement of our belongings. You

laid down that book somewhere, absent-mindedly, and now you cannot tell

where. You were thinking of something else at the time, and inattention

proves a most common cause of poor memory. Perhaps you simply have more

books than the room can hold in an orderly way, and so you crowded that

one in some corner, and now have no recollection of where you put it.

Poor memory is the result of lack of attention, or divided attention at

the time the particular attention-stimulus knocked. You asked me to buy

a ribbon of a certain shade and a certain width when I went to town. I

was thinking of my dentist appointment. However, I heard your request,

answered it graciously, took the money you offered, still wondering if

the dentist would have to draw that tooth. And the chances are that I

forgot your ribbon. I was giving you only a passive and divided

attention.

Or I have more to do than I can possibly accomplish in the next six

hours. You ask me to buy the ribbon. I attend accurately for the moment,

think distractedly, "How can I do it all?--but I will"--and crowd the

intention into an already overburdened corner of my mind, fail to

associate it with the other thoughts already there, and return six hours

later without the ribbon. My sense of hurry, of stress, of the more

important thing to be done, or a reaction of impatience at the request,

forced back the ribbon thought and allowed it to be hidden by others. I

was really giving you only partial attention, or an emotion interfered

with attention; and I forgot.

Hence we find that a faulty memory may exist in an otherwise normal mind

when poor attention, or divided attention due to emotional stress or to

an overcrowded mind, which makes it impossible to properly assort its

material, interferes.

Again, we forget many things because they are unpleasant to remember. We

have no desire, no emotional stimulus to make us remember; or because

some of the associations with the forgotten incident are undesirable.

We forget many things because if we remembered them we would feel called

upon to do some unpleasant duty. You forgot your tennis engagement with

B, perhaps, because you were so engrossed in a pleasure at hand, or in

your work, that anything which interrupted was, under the circumstances,

undesirable. You may have wanted very much to play with him, but some

more pressing desire--to care well for your patient, or to continue the

present amusement--was stronger. Or you forgot because you did not want

to play with him and had no excuse to offer at the time. You wished to

forget. Perhaps he does not play a good game, or you do not like him, or

at least you like some one else much more, and he happened along; so you

forgot B. The unconscious mind saw to it that something else was kept so

prominently before your attention that it could not return to the less

desired.

Thus a forgetting may be purely the result of an emotional interference

which makes it, all in all, more pleasant to forget than to remember. If

we would help ourselves or our patients whose memories are faulty, and

who make them worse by their continual fretting over their disability,

we must train ourselves to be willing to forget all that does not in the

least concern our interests or those of the people about us, and does

not add anything desirable to our knowledge. Thus we may avoid

overcrowding the mind. But when we would remember let us give our whole

active attention at the moment of presentation of the new stimulus, and

immediately tie it up with something in past experience; let us

recognize what it is that we should remember, and call the reinforcement

of will, which demands that we remember whether we want to or not.

Sincere desire to remember will inspire early and frequent recalling,

with various associations, or hooks, until the impression becomes

permanent. The average patient's poor memory is made worse by his

agitation and attention to it, and his conviction that he cannot

remember. The fear of forgetting often wastes mental energy which might

otherwise provide keenness of memory. If the nurse ties up some pleasant

association with the things she wants the sick man to remember, and

disregards his painful effort to recall other things, then--unless the

mind is disordered--he will often find normal memory reasserting itself.

We shall consider this question of memory in more detail in a later

chapter of practical suggestions for the nurse.

THE PLACE OF EMOTION

_Feeling Cannot Be Separated from Thinking._--Emotion we found the

constant accompaniment of every other mental activity. It is first on

the stage of consciousness and, in the normal mind, last to withdraw.

When I am working at a problem in doses or solutions, trying to learn my

_materia medica_, or wrestling with the causes of disease in my

_medical nursing_, or thinking how I can eke out my last ten dollars

till I get some more, I am pursued with some vague or well-defined

feeling of annoyance or satisfaction, of displeasure or pleasure. If all

goes well, the latter; if not, the former.

_Feeling Cannot Be Separated from Will._--I cannot _will_ without a

feeling accompaniment, pleasant or unpleasant. I may be using my will

only in carrying out what intellect advises. But we found that

intellect's operations are always affective, _i. e._, have some feeling

of pleasure or pain. And the very act of will itself is a pleasant one

and much easier if it is making me do what I want to do; it is a vaguely

or actively unpleasant one if it is making me act against desire. In the

end, however, if I act against desire in pursuance of reason or a sense

of duty, the feeling of pleasure in the victory of my better self is

asserted. And feeling cannot be separated from will.

_Feeling Cannot Be Separated from Action._--I cannot do anything without

a feeling of comfort or discomfort, happiness or unhappiness. Try it for

yourself when you are feeding a patient, making a bed, giving a bath or

massage, preparing a hypodermic. Other things being normal, if you are

performing the task perfectly, the feeling of satisfaction, of pleasure,

of the very ability to work effectively, with speed and accuracy and

nicety, comes with the doing. If you are bungling, there is a pervading

sense of dissatisfaction, of unpleasantness. In the automatic or

semi-automatic action a great economy of nature has conservatively put

feeling at the absolute minimum; but it has not eradicated it. As you

walk across the ward, though your predominating thought and feeling may

be elsewhere, there is a sense of pleasure or displeasure in the very

movement. If your body is fresh and you are of an energetic type and in

happy frame of mind, a pervasive feeling of satisfaction is experienced.

If tired or discouraged or sore from unaccustomed exercise, every step

registers protest.

Thus we find by experiment that there is no thought we have, no single

conscious movement or action, nor any expression of the will, but is

accompanied with what the psychologist broadly terms _pleasure_ or

_pain_. So _emotion_, the first expression of mentality, is never absent

from any mental or physical act. It permeates all we do, as well as all

we think and will, with the partial exception of automatic action, above

indicated.

THE BEGINNING OF REASON

We found feeling by far the strongest factor in producing action in

babyhood and childhood. Our instinctive doing, we learned, is the result

of a race impulse. Will acts chiefly at emotion's bidding. But very

early the baby's experience operates as a partial check to feeling's

exclusive sway. It keeps him from touching the fire, no matter how its

brightness attracts. It may be merely the sense memory of _hurt_ when

fingers and that bright thing came together; and one such impression

will probably prevent him from ever again touching it. Or it may be the

brain-cell's retention of the painful feeling of slapped hands when the

fingers reaching out to the flame had not yet quite touched. These

punishment experiences are only effective in many children after more or

less repetition has set up an automatic prohibition from brain to motor

nerves; but right here intellect begins to assert itself in the form of

sense memory. The baby does not reason about the matter. His nerve-cells

simply remember pain, and that particular brightness and glow, and

finger touch--or that reaching out to the glow--and slapped hands, as

occurring together. In the same way he early connects pleasure with the

taste of certain forbidden things. He does not know they are sweet. He

only knows "I want." Even here his desire to taste may be checked in

action by a vivid memory of what happened when he tasted that other

time, and was spanked or put in his little room all alone with only milk

and bread to eat for a long time.

Later on the child may think, from cause to effect, thus: "Sweet, good,

want, taste, spank, hurt (or no dinner, all by self, lonely), spank hurt

more than sweets good. Not taste." But long before he can work this out,

consciously, two distinct memories, one of pleasure and one of pain, are

aroused by the sight of the sweet. And what he will do with it depends

upon which memory is stronger. In other words, his action is governed

altogether by his feeling, though memory, which is an intellectual

factor, supplies the material for feeling.

DEVELOPMENT OF REASON AND WILL

Later still, when the child is older, we may have somewhat the following

mechanism: "Sweets, good, want, taste; spank, hurt; don't care, spank

not hurt much, maybe never found put, sweets very good."

Now the child is reasoning and choosing between two courses of action,

_don't_ and _do_. His decision will depend upon whether immediate

satisfaction of desire is stronger than the deferred satisfaction of

being good, and the fear of punishment. He probably prefers to take a

chance, and even if the worst comes, weighs it with the other worst, not

having the sweet--and takes the "bird in the hand." He has reasoned, and

has chosen between two emotions the one which his judgment says is the

more desirable; and his will carries out the decision of his reasoning.

His chief end in life is still to get the most immediate pleasure. Still

later in child-life, much later, perhaps, his decision about the jam is

based on neither love of it nor fear of punishment, but--despite his

still sweet tooth--on a reasoned conclusion that if he eats jam now he

may be sick, or he may spoil his appetite for dinner; or on a

consideration that sweets between meals are not best on dietetic

principles; and _will_ very readily backs up the result of his

reasoning. Though his determination is largely based upon feeling,

reason has chosen between feelings, between immediate desire to have,

and desire to avoid future discomfort. Reason is triumphant over present

desire.

JUDGMENT

The conclusion or decision that reason has reached we call a judgment.

The youth who decides against the sweet between meals, we say, has good

judgment. And we base our commendation on the proved fact that sweets

are real fuel, giving abundantly of heat and energy, and are not to be

eaten as mere pastime when the body is already fully supplied with

high calorie food not yet burned up; that if sweets are eaten at

irregular intervals and at the call of appetite, and not earned by an

adequate output of physical work, the digestive apparatus may become

clogged, and an overacid condition of the entire intestinal tract

threaten. We call judgment good, then, when it is the result of

reasoning with correct or logical premises which correspond with the

facts of life. We call it bad when it is the conclusion of incorrect or

partial or illogic premises.

A _premise_ "is a proposition laid down, proved, supposed, or assumed,

that serves as a ground for argument or for a conclusion; a judgment

leading to another judgment as a conclusion" (Standard Dictionary).

Let us illustrate good and bad judgment by following out two lines of

reasoning, each quite accurate as such.

I want sweets. Sweets are good for people. They give heat and energy,

and I need that, for I am chilly and tired. People say "Don't eat sweets

between meals." But why? They contain just what I need and the sooner I

get them the better.

So I have sweets when I want them. The judgment to take the sweets as

desire indicates is entirely logical if we accept all the premises as

correct. And they are, so far as they go; but they are partial; and so

cannot altogether correspond with the facts of life. Sweets are good for

people who expend much physical energy. They prove injurious in more

than limited amounts to the bed-ridden, the inactive, or the sluggish.

Hence this premise is partial and so far incorrect. Sweets do give heat

and energy, true. I am chilly and tired, also true. But why? Because I

am already toxic from the sweets and meats I have had throughout my

sedentary years. The question is, Do I need any more energy-producing

food when I am not burning up what I have? So again the premise is

partial. I do need heat and energy, but I already have the material for

it, and my mode of life has disorganized my system's capacity to utilize

these foods normally. So now sweets have become a detriment to my

well-being. The judgment which determines me to the habit of eating

sweets between meals is the result of logic, but of logic spent on tying

up premises which do not fit the facts of the case.

One of the most prevalent defects of judgment is illustrated in this

common disability to select premises which fit the facts. Ignorance,

emotional reasoning, and a defective critical sense probably explain

most poor judgments.

The other judgment illustrates the logic of correct, provable premises.

"No, I shall wait until dinner-time. I have no need of so rich a food,

for I had an adequate meal at the usual time and have not worked hard

enough to justify adding this burden to my digestive apparatus; besides

only hard workers with their muscles can afford to eat many sweets. They

cause an overacid condition when taken in excess; and any except at

mealtimes would be excess for me, with my moderate physical exercise."

This judgment we call good. Its premises correspond to scientific facts.

But much reasoning must always be done with probable premises, ones

which seem to correspond to the facts, but which have yet to be proved.

And our judgment from such suppositions cannot be final until we see if

it works.

Some few centuries ago supposedly wise men called Christopher Columbus a

fool. Of course the world was flat. If it were round man would fall off.

It was all spread out and the oceans were its limits. If it should be

round, like a ball, as that mad man claimed, then the waters must reach

from Europe 'round the sphere and touch Asia; or there might be land

out there beyond the ocean's curve. But it wasn't round, and the idea of

finding a new way to Asia by sailing in the opposite direction was a

fool's delusion.

Their logic was perfect. If the earth was flat, and Asia lay east of

Europe, it was madness to sail west to reach it. But they argued from a

wrong premise, so their judgment was imperfect--for they did not yet

know the facts.

The result of all reasoning is judgment. And judgment is good as the

materials of the reasoning process correspond to facts, or are in line

with the most probable of the yet unknown. It is poor as the reasoning

material fails to meet the facts, or is out of harmony with the most

probable of the yet unproved.

It is of no avail, then, to attempt to improve our final judgments as

such. We must examine the materials we reason with, then learn to group

and compare them logically. And in the very separating of true premises

from false, we use and train the judgment we would improve. And this the

normal mind can do.

REACTION PROPORTIONED TO STIMULI

In the normal mind the emotional or feeling accompaniment of thought and

action is proportionate and adequate to the circumstances, _i. e._,

there is a certain feeling, of a certain strength, natural to every

thought and act; and when only that strength, not more or less,

accompanies the thought or the act, we say, "That man is emotionally

stable. His mind is normally balanced."

Joy naturally follows some stimuli; sorrow others. Disappointment or

loss, shock, failure, death of loved ones, illness in ourselves or

others, do not normally bring joy. A keen sense of suffering,

temporarily, perhaps, of numbness; the inability to grasp the calamity;

or flowing tears, an aching heart, or the stress of willed endurance,

are natural, and normal reactions to such stimuli.

A developed will may refuse indulgence in the outward expression of the

normal feeling of shock, grief, and loss; and this may be normal. But

normal volition does not force us to laugh and dance and be wildly merry

in the face of grief and loss and pain. It only suggests the adequate,

reasonable acceptance of the facts that cannot be changed--the

acceptance of love, faith, and hope that sees in present suffering a

means of consecration to service; it does not convert the emotion of

sorrow and loss into a pleasurable one. Normal reason does not suggest

that _will_ force the reactions to loss and suffering that belong by

nature to attainment and success.

Nor does reason suggest the long face, the bitter tears, a storm of

anger, in response to comedy and farce, in the face of a good joke, or

to meet success; and normal will puts reason's counsel into effect.

NORMAL EMOTIONAL REACTIONS

Some emotions, that seem exaggerated at first thought, may be normal

under the circumstances. For no one can know the whole background for

emotional response in the life of another. After being long shut up in a

darkened room, with bandaged eyes and aching head and sick body, the

first visit to the bit of woods back of the house--when all the pains

have gone--may bring almost delirious joy. The green of the foliage, the

blue of the sky, the arousing tang of the air, the birds, the sense of

freedom--all go to the head like new wine. The abandon of joy is a

normal response under the circumstances, now. It would hardly be normal

to one whose habit it is to visit this same bit of woods every day, to

one who loved it, but for whom it had lost the force of newness.

To the child, who has never in all his little life had a wish not

gratified, the denial of a desired stick of candy is as great a calamity

as is the loss of a fortune to the grown man. And the child reacts to

feeling equally intense. These are normal reactions to stimuli--normal,

under the circumstances.

THE NORMAL MIND

The normal mind reasons clearly with the best data at hand to results

that will stand the test of conformity to reality; the normal mind uses

reason and feeling, guided by reasonable attitude; in the normal mind

_reason_ advises action and _will_ brings it about; in the normal mind

_feeling_ proportionate to the circumstances accompanies every thought

and every action. And in the well-balanced man or woman every function

of the mind leads to action as its final end.

But man only approximates the normal. The perfectly balanced man or

woman is so rare as to be a marked person. The average intelligent

individual only in general approximates this standard. He goes beyond it

in spurts of untrammeled genius, to wrench lightning from the heavens,

and to send his trains through the air; or he allows his feelings to

dictate to his reason, and much of the time so exaggerates or

depreciates the simple facts of life that the results of his reasoning

no longer conform sufficiently to reality as to be thoroughly

dependable.

Applied Psychology for Nurses · 第 6 / 14 章