The habits of life of a father or a grandfather may so weaken the

physical constitution of his descendants as to make them less capable

of resisting infections in the physical order, or in the moral order

of withstanding trials and temptations, and the allurement to abuse of

nervous excitement to which they may be subjected. That some acquired

pathological condition, however, as stomach trouble, or heart {123}

trouble, or affection of the liver or of the brain, should be directly

transmitted, is quite as nonsensical as that the loss of an arm should

be a subject for hereditary transmission. On investigation it will be

found that the pathological conditions of immediate ancestors are

themselves only a manifestation of family traits that have existed for

many generations. The possibility of inheritance must therefore always

be borne in mind. We are utterly unable as yet to understand how such

family traits are originally developed, since, in ordinary experience,

at least, acquired characteristics are not the subject of inheritance

or transmission, and consequently it becomes difficult to understand

how they ever became impressed upon the family constitution.

Notwithstanding this general principle with regard to heredity, there

are a number of striking observations which show that even unimportant

peculiarities may occur from generation to generation, though it is

not always easy to decide where the peculiarity originated. The

well-known example of the occurrence of six toes has already been

mentioned, and is an oft-quoted bit of evidence as regards hereditary

transmission. An extra finger on the hand, or some portion of an extra

finger, at least, comes in the same category. Not long since it was

pointed out that harelip is another of these peculiarities that

readily lends itself to hereditary transmission. Recently there was

the report of a family into which there were born four girls with

harelip and cleft palate, and three boys not showing any trace of

these deformities.

Often when in such cases there is no definite history of harelip, it

is found that in either one of the parents there is a very high arched

palate and a thin upper lip, showing that the normal occlusion of the

cleft which exists here during foetal development is not quite

perfect, and this peculiarity may be traced for several generations

back, with an occasional occurrence of harelip as an exaggerated

example of the faulty tendency not to produce sufficient tissue in

this neighbourhood for the proper closure of the embryonic cleft.

An even more striking manifestation of a physical anomaly, as a family

trait, is the condition known as hemophilia. This {124} tendency to

bleed easily, so that a slight scratch, or the pulling of a tooth, may

give rise to fatal hemorrhage, occurs, as a rule, only in males, but

is transmitted through the female line. It is in the mother's male

relatives that the history of its previous occurrence is found, and

the tendency usually can be traced through several generations, until

it is lost in vague tradition. It is no wonder, with such examples

before them as six-toedness, harelip, and hemophilia, that physicians

have been ready to accept heredity of qualities in the moral order,

traits of character and disposition, and pathological tendencies to

crime or passion or indulgence.

One of the most frequently discussed conditions of supposed

pathological inheritance of this order is dipsomania. Everyone has

heard it said, "Poor fellow, how can he help it; his father was a

drunkard before him." As we have already said, in such direct cases

inheritance is absolutely unproven. An alcoholic father may transmit a

very weak physical constitution to his children, and this may prove

inadequate to enable them to withstand the emotional strain and worry

of modern great city life, and, as a consequence, they may take to

alcohol for consolation until the habit is formed, and then the

craving for stimulants supplies the place of any hereditary influence

that may be supposed to be needed.

Of course there are cases of the drink habit in which, after a number

of generations of family history of alcoholism, an individual seems to

have the craving for stimulants born in him. In such cases it is not

unusual to find that the patient, for such he must be considered, is

able to avoid indulgence in liquor entirely, except at certain times.

Every physician of any large experience has had under his care

dipsomaniacs who had no difficulty in keeping away from liquor for

weeks, or even months, but who had regularly recurring periods,

sometimes as far apart as every three months, when they had an

irresistible craving for stimulants come over them. The regularity of

the interval in these cases is often very remarkable. Here, of course,

we may be in the presence of some as yet not well-understood

periodical law of cell life, with consequent depression, and then the

irresistible craving for stimulation. {125} As a rule, however, it

would seem that in most of these cases suggestion has great influence.

As we have said elsewhere, with regard to suicide, when a man has

constantly before his mind's eye the fact that a father, perhaps a

grandfather, or other members of the family, have committed suicide,

he is likely to be much more easily led to the thought of this way of

escaping hard conditions in life than are other individuals. The man

who knows that the fact that his father indulged too freely in

stimulants will be looked upon by many as an excuse for his deviations

in this matter is likely to be more easily led to take an occasional

drink at moments of depression, or for friendship's sake, though he

realises that it so weakens his will power over himself that he is

likely to take too much before he stops.

The passage in _Julius Caesar_ (Act. I. sc. 2) in which Cassius says:

"The fault, dear Brutus, is not in our stars, but in ourselves,"

illustrates one phase of the subject. There are, of course, many other

things besides the drink habit, with regard to which men are prone to

find excuses in heredity, and to consider that somehow their ancestral

tendencies make them not quite responsible for actions commonly

considered the result of malice or passion, rather than hereditary

influence, and our great English poet, knowing men so well, has stated

the truth forcibly.

In _King Lear_ there is an often quoted passage which properly

stigmatises the opinion in this matter held by those who would find

excuses for wrong-doing in hereditary qualities:

"This is the excellent foppery of the world, that, when we are sick

in fortune,--often the surfeit of our own behaviour,--we make guilty

of our disasters the sun, the moon, and the stars; as if we were

villains by necessity; fools by heavenly compulsion; knaves,

thieves, and treachers by spherical predominance; drunkards, liars,

and adulterers by an enforced obedience of planetary influence; and

all that we are evil in, by a divine thrusting on; an admirable

evasion of whore-master man, to lay his goatish disposition to the

charge of a star!"

{126}

One phase of the question of hereditary tendencies to inebriety is

extremely interesting from a physiological and sociological point of

view. As the result of carefully gathered statistics, there seems to

be no doubt now that when children are conceived while the parents, or

either of them, is in a state of drunkenness, the offspring is very

likely to be of low-grade physical constitution and often of very

neurotic tendencies. In France, particularly in the case of a number

of insane children and idiots, histories of this nature have been

obtained in confirmation of this unfortunate factor as an element in

degeneracy. In general it may be said that about one-third of the

admissions to homes for children of low intelligence, as well as to

insane asylums, are due to this cause.

There is in this, of course, an added motive for temperance, and it

would seem that parents should be warned of the danger to which they

are subjecting their offspring by excessive indulgence in alcohol,

when it may be followed by such serious and lasting results to the

beings on whom their love and affection will be expended in the

future. This phase of alcoholic excess has never been taught as

insistently as its importance would demand, perhaps because of the

delicacy of the subjects which it involves; but it is too significant

a factor in making or marring progress in the development of the race

to allow any pusillanimous motives to prevent the spread of precious

knowledge. [Footnote 3]

[Footnote 3: The present conditions that obtain with regard to the

celebration of marriages are very prone to have a certain amount of

intoxication as their result. Perhaps, then, it is a fortunate

thing, as has often been said, that the first child is not born

until some considerable time after it might normally be expected. It

has been said more than once, however, that first children are a

little more likely to have certain degenerative defects than are

others, and a connection has been found between certain abuses of

stimulants and incidental exhaustion to account for this. One of the

most amusing things to Li Hung Chang, on his travels through our

country, was the curious publicity we give to everything connected

with marriage, while presumably our Christian ideas should rather

counsel a veiling of the mysteries, religious and physical,

connected with it. Certain it is that the present tendency towards

farewell dinners at clubs, and other festivities of various kinds,

are not at all likely to result in benefit to the presumably

hoped-for offspring.]

The only real light that has been thrown on the puzzling details of

heredity has come from work in the same field in which Mendel made his

ground-breaking observations. {127} De Vries, the professor of botany

at the University of Amsterdam, has succeeded in showing that new

species of plants may be made to arise by careful attention to certain

anomalous plants which occur from generation to generation. These

plants breed true, that is, maintain their own peculiarities. To begin

with, they are quite different from the parent plants, and the

difference is perpetuated by inbreeding.

So far the problem of the origin of species has been supposed to

depend upon the normal variation that is noticed in plants and

animals. All living things differ from one another, even though they

may belong to the same species, and differ sometimes in remarkable

degrees. This continuous variation was supposed to account for the

origin of new species when it became excessive. It has become well

recognised now, however, that such differences gradually disappear in

the course of the normal multiplication of plants and animals. The

tendency is much more towards the disappearance than the maintenance

of peculiarities.

There are certain discontinuous variations, however--sports, as they

are called--in plants which differ very markedly in some quality from

others, and these have the tendency to perpetuate themselves. Just why

these sports occur is not known, nor how. They occur in a certain

small percentage of all normal plants, but may die out, though it

takes but little encouragement to succeed in helping them to maintain

themselves. It is this that De Vries has done, and thus has succeeded

in raising what would be called new species of plants.

This same thing would seem to occur in human beings. Some definite

variation occurs as a consequence of a peculiar embryologic process.

This becomes stamped upon the genital material and appears in the

subsequent generations. It does not occur as a consequence of

pathological changes nor of mere embryonic faults; it is almost as if

it were something introduced from without. Once having found an

entrance, however, it affects the germinal material and thus

perpetuates itself.

With regard to plants, it has been suggested that the only explanation

available for the occurrence of sports is that there is a purposeful

introduction of them as the result of the laws of nature, and that it

is thus that evolution is intentionally {128} brought about. This is,

of course, a scientific reversion to teleology once more, but the

question of teleological influences has been discussed more seriously

in the last few years in biological circles than ever before.

Unfortunately for the coincident evolution argument involved in human

beings, the peculiarities introduced, which become the subject of

inheritance, do not make for the development, but rather for the

degeneracy, of the race. Even such peculiarities as six toes can

scarcely be said to add any special feature of advantage to man in his

struggle against his environment.

It is agreed by many of our best authorities in biology, zoology, and

botany, by such men as Professor Wilson of Columbia University,

Professor Thomas Hunt Morgan of Bryn Mawr, Professor Castle of Harvard

University, Professor Bailly of Cornell University, Professor Michael

Guyer of the University of Cincinnati, Professor Spillmann, who is the

Agrostologtst of the United States Government, and Professor Bateson

of the University of Cambridge, England, that these principles of

heredity enunciated by Father Mendel will undoubtedly revolutionise

the modern knowledge of the subject. In the meantime, however, all the

old theories are in abeyance. Darwin's work and Weissmann's brilliant

theories and observations must give way, while the application of

these new laws is being worked out to their fullest extent. While the

influence of heredity can not be denied, there is undoubtedly a

tendency to overestimate the influence on the physical being of the

power of hereditary transmission, and, on the other hand, to

underestimate the influence of this same force as regards disposition

and character. There is no doubt now that the physical basis

influences the exercise of the will, and that consequently

responsibility is not infrequently modified by the hampering influence

of unfortunate physical qualities. This truth makes for that larger

charity in the judgment of the actions of others which enables

physicians to realise how much men are to be pitied, while its failure

of recognition by the "unco guid" not only causes suffering, but in

the end adds to the amount of evil.

JAMES J. WALSH.

{129}

X

HYPNOTISM, SUGGESTION, AND CRIME

In recent years a quasi-unconscious state, induced by suggestion and

called the hypnotic trance, has come to occupy a very important place

in the popular mind. Hypnotism, as the general consideration of this

state is known, has attracted not a little attention, as well from

physicians as from those interested in psychology. The hypnotic

(Greek, [Greek text], sleep) trance is a condition in which voluntary

brain activity is almost completely in abeyance, though the mind is

able passively to receive many impressions from the external world.

There are very curious limitations in the effect of the hypnotic state

upon the various senses. While visual sensations, and, as a rule also,

impressions from the tactile sense, lose their significance, or are

translated according to the will of the person active in producing the

hypnotic state, or of some person present making suggestions, auditory

sensations are quite normally perceived. The patient has all the

appearance of being asleep, though motions, and even locomotion, are

often possible, and are performed as if the patient were walking in

sleep.

The hypnotic state is a partial sleep, then, of the motor side of the

nervous system and of portions of the sensory nervous system. Certain

of the higher intellectual powers, however, are entirely awake, and

capable of being impressed through the hearing, and thus hypnotic

suggestion has a place. For a time, under the influence of Charcot and

his disciples, there was a very generally accepted opinion that the

hypnotic trance was a pathological condition, somewhat allied to the

cataleptic phase of major hysteria. It is well known that persons

suffering from severe attacks of hysteria {130} may, while apparently

unconscious, yet receive suggestions through the hearing. On the other

hand, the production of cataleptic and other strained attitudes, in

the maintenance of which fatigue seems to play no part, is possible by

means of hypnotic suggestion in susceptible individuals.

Further investigation, however, seems to have shown that the hypnotic

state is rather to be considered as a quasi-physiological condition,

somewhat related to sleep, all the mystery of which is not as yet

understood. This is not surprising when we realise that such a normal

and absolutely physiological condition as healthy sleep is yet without

a satisfactory explanation on the part of physiologists. Hypnotism is

recognised now as having a certain limited power for good, though the

benefit derived from it is apt to be temporary, and the operator loses

his power after a time,--not so much failing to produce the hypnotic

condition, as failing to have his suggestions favourably accepted by

the subject While the Nancy school of hypnotism insisted that most

people were susceptible to the hypnotic trance, it is now generally

considered that something less than 40 per centum of ordinary

individuals can be brought under its influence.

Much has been said of the dangers of hypnotism. There seems no doubt

that very nervous persons are likely to be hurt by repeated recourse

to the hypnotic condition. After a time they are likely to live most

of their lives in a half-dreamy condition, in which initiative and

spontaneous activity becomes more difficult than before. Where persons

have been hypnotised by means of the flash of a bright object, or by

some other special means, it sometimes happens that accidentally some

similar object may send them into hypnotic trance. After a time, too,

auto-hypnotism becomes possible, and much of the individual's waking

time is occupied with efforts to keep himself from going into the

hypnotic trance. These are, however, very extreme cases, likely to

occur only in those who are not of strong mentality in the beginning.

Unfortunately these are the individuals who are most likely to be made

the subjects of repeated and prolonged hypnotic experimentation on the

part of unscrupulous charlatans.

For the great majority of those that are susceptible to the {131}

hypnotic condition, there is very little danger. We now have on record

the experiences of men who have seriously devoted many years to the

study of hypnotic phenomena. There is entire agreement among these men

that the possible dangers of hypnotism have been exaggerated. Indeed,

it may be as well to say at once that most of what has been written

with regard to the dangers of hypnotism has come from those who have

least practical experience with the condition. Dr. Milne Bramwell,

who, for a quarter of a century, has had a very extensive experience

with hypnotism in its many phases, in his recent book on hypnotism,

deliberately speaks of the "so-called dangers" of hypnotism. He has

never seen any evil effects, though he has been practising hypnotism

very freely on all kinds of patients for over twenty years.

It is on the experience of such serious, disinterested observers that

we must rely for our ultimate conclusions as to hypnotism, rather than

on the claims of pseudo-experts who like to magnify their own powers,

or on popular magazine articles, or still less the Sunday newspapers,

the writers for which are mainly interested in producing a sensation.

It seems probable that in the next few years hypnotism will occupy a

less prominent place in popular interest than it has in the recent

past. Interest in hypnotism runs in cycles, reaching a maximum about

once a generation, and we are on the downward swing of the last wave

of popular attention to this subject.

A subject that has attracted much attention, whenever hypnotism has

been under discussion, has been the possibility of crime being

committed under the influence of hypnotic suggestion. The best

authorities in hypnotism seem to be agreed that subjects can not be

brought by hypnotic influence to perform actions that are directly

contrary to their own feeling of right and wrong. The supposed

exceptions to this rule are rather newspaper sensations than real

compelled crimes. There is no doubt, however, that a tendency to the

performance of certain wrong actions, so that the normal

disinclination to their performance becomes much less than before, may

be cultivated by a series of hypnotic as well as by waking

suggestions. Where the individual influenced is {132} already

characterised by weakness of will in certain directions, the added

weight of the motives furnished by hypnotic suggestion may prove

sufficient to turn the scale of responsibility. It is probably because

of such influence that a recent case in France has attracted

world-wide attention.

In general, however, it may be said that normal individuals can not be

brought to the commission of crime by hypnotic suggestion, and the

plea of irresponsibility, for this reason, is not worthy of

consideration. There are phases of this important problem, however,

which require further careful study. Undoubtedly some of the so-called

inherited tendencies to the commission of crime are really instances

of the influence of auto-suggestion that has kept the possibility of

some criminal act constantly before the mind. Some of the cases of

hereditary dipsomania are almost surely of this character. Persons

whose parents have been the subject of inebriety lose something of

their own will power to keep away from intoxicating drink by the

reflection that it is hopeless for them to struggle against an

inherited tendency.

A series of cases have been reported in which suicide has occurred in

successive generations in the same family at about the same time of

life. There seems no doubt that suggestion must have great influence

in such cases. In one well-authenticated report, mentioned in the

chapter on suicides, the members of the family were officers in the

German army, and the eldest son, the family representative, committed

suicide within the same five years of life, in four successive

generations. The last member of the family had refused to marry,

because of this doom hanging over the house, and had often referred to

the possibility of suicide in his own case. In his early years he

seemed to have the idea that he might escape the family fate, but

after middle life he settled down irretrievably to the persuasion that

he would inevitably go like the others.

Here, in America, a rather striking example of this has recently been

the subject of sensational newspaper reports. A notorious gambler,

whose career had seen many ups and downs, finally found himself in a

condition where, strange as it may seem, legal restriction made it

impossible for him to {133} continue his usually lucrative profession.

Three members of his immediate family, two brothers and his mother,

had committed suicide. To friends he had sometimes spoken of this sad

history of family self-murder, but always with a calm rationality

which seemed to indicate that he hoped to avoid any such fate. When

well on in years, however, with his means of livelihood taken from

him, he, too, took the family path out of difficulties and shot

himself at the door of the man who had been most instrumental in

taking away from him his occupation. It seems not unlikely, from the

circumstances of the case, that a double crime, homicide, as well as

suicide would have been reported, only for the fortuitous circumstance

that the other man was not in at a time when usually he was to be

found at his office.

In such cases as these it seems reasonably clear that long-continued

familiarity with a given idea produces an auto-suggestion which

finally overcomes the natural abhorrence even of suicide. Something

can be done for such unfortunates by suggestion in the opposite

direction, and by taking care that as far as possible they are not

allowed to brood over the fate they consider impending. At times of

stress and emotional strain, relatives and friends must be

particularly careful in their watch over them. It is never advisable

that they should take up such professions as those of broker or

politician, or speculator, since the emotional states connected with

such occupations are likely to prove too much for their mental

equilibrium.

Essays In Pastoral Medicine · 第 11 / 31 段