Part 12 (1/2)

Naturally she did not of her own accord speak of her unfaithfulness,--largely because no one knew of it. Her husband did not in the least suspect her; he thought she needed a rest, a change, little realizing how ”change” had broken her down. (For after all, the most of infidelity is based on a sort of curiosity, a seeking of a new stimulus, rather than true pa.s.sion.) The truth was forced out of her when it was evident to me that something was obsessing her.

When she had confessed her difficulty the question arose as to her husband. She was no longer dissatisfied, no longer eager for romance; but could she live with him if she had been unfaithful? Ought she not to tell him; and yet she feared to do this, feared the result to him, for she felt sure he would forgive her. In reality the conflict in her mind arose first from self-depreciation and second from indecision as to confession.

As to the self-accusation, I told her that though she had been very foolish she had punished herself severely enough; that her reaction was that of an _essentially moral_ person; that an essentially immoral woman would have continued in her career, and at least would not have been so remorseful. As to confessing, I told her that I believed that if she came to peace without such a confession wisdom would dictate not to make it, and that perhaps a little romanticism was still present in the quixotic idea of confession. Discretion is sometimes the better part of veracity, and I felt sure that she would not find it difficult to forget her pain.

It may be questioned whether such advice was ethical. I am sure no two professors of ethics could agree on the matter, and where they would disagree I chose the policy of expediency. Moreover, I felt certain that Mrs. R.'s remorse did not need the purge of confession to her husband, that she was not of that deeply fixed nature which requires heroic measures. Her confession to me was sufficient, and since it was apparent that she would not repeat her folly it was not necessary to go to extremes.

The last two cases make pertinent some further remarks on s.e.x. It has previously been stated that the s.e.x field is the one in which arise many of the difficulties which breed the psychoneuroses. It would not be the place here to give details of cases, though every neurologist of experience is well aware of the neuroses that arise in marriage, among both men and women. Some day society will reach the plane where matters relating to the great function by which the world is perpetuated can be discussed with the freedom allowed to the discussion of the details of nutrition.

No one seriously doubts that women are breaking away from traditional ideas in these matters. There was a time (the Victorian Age) in the United States and England when prudery ruled supreme in the manners and dress of women. That this has largely disappeared is a good thing, but whether there is a tendency to another extreme is a matter where division of opinion will occur. A transition from long skirts to dress that will permit complete freedom of movement and resembling in a feminine way the garments of men would be unqualifiedly good. It would remove undue emphasis of s.e.x and accentuate the essential human-ness of woman. But a transition from long skirts to short tight ones, impeding movement, is the transition from prudery to pruriency and is by no means a clear gain. Plenty of scope for art and beauty might be found in a costume of which pantalettes of some kind are the basis. I doubt if women will ever be regarded quite as human beings so long as they paint, wear fantastic coiffures, hobble along on foolish heels, and are clad in over tight short skirts.

Similarly with the literature of the period. The so-called s.e.x story, the s.e.x problem, obsesses the writers. Nor are these frank, free discussions of the essential difficulties in the relation between man and woman. Usually the stories deal with the difficulties of the idle rich woman without children, or concern themselves with trivial triangles. In the type of interminable continued stories that every newspaper now carries, the woman's difficulties range around the most absurd petty jealousies, and she never seems to cook or sew or have any responsibility, and they always end so ”sweetly.” On the stage the epidemic of girl and music shows has quite displaced the drama. Here s.e.x is exploited to the point of the risque and sometimes beyond it.

s.e.x is overemphasized by our civilization on its distracting side, its spicy and condimental values, and underemphasized so far as its realities go. The aim seems to be to t.i.tillate s.e.x feeling constantly, and a precocious acquaintance with this form of stimulation is the lot of most city children. Such things would have no serious results to the housewife if they did not arouse expectations that marriage does not fulfill at all. This is the great harm of prurient clothes, literature, art, and stage,--it unfits people for s.e.x reality.

In how far the delayed marriages of men and women are good or bad it is almost impossible to decide. That unchast.i.ty increases with delay is a certainty, that fewer children are born is without doubt. Whether the fixation of habit makes it harder for the wife to settle down to the household, and the man less domestic, cannot be answered with yes or no. There seems to be no greater wisdom of choice shown in mature than in early marriages, though this would be best answered by an a.n.a.lysis of divorce records.

That contraceptive measures have come to stay; that they are increasing in use, the declining birth rate absolutely evidences. I take no stock in the belief that education reduces fertility through some biological effect; where it reduces fertility it does so through a knowledge of cause, effect, and prevention. Some day it will come to pa.s.s that contraceptive measures will be legal, in view of the fact that our jurists and law makers are showing a decline in the size of their own families. When that time comes the discussion of means of this kind consistent with nervous health will be frank, and some part of the neurasthenia of our modern times will disappear. The vaster racial problems that will arise are not material for discussion in this book.

Though not perhaps completely relevant to the nervousness of the housewife, it is not without some point to touch on the ”neurosis of the engaged.” The freedom of the engaged couple is part of the emanc.i.p.ation of youth in our time. Frankly, a love-making ensues that stops just short of the ultimate relations.h.i.+p, an excitement and a tension are aroused and perpetuated through the frequent and protracted meetings.

Sweet as this period of life is, in many cases it brings about a mild exhaustion, and in other cases, relatively few, a severe neurosis. On the whole the engagement period of the average American couple is not a good preparation for matrimony. How to bring about restraint without interfering with normal love-making is not an easy decision to make. But it would be possible to introduce into the teaching of hygiene the necessity of moderation in the engaged period; it would be especially of service to those whose engagement must be prolonged to be advised concerning the matter. Here is a place for the parents, the family friend, or the family physician.

Men and women as they enter matrimony are only occasionally equipped with real knowledge as to the physiology and psychology of the s.e.x life.

That a great deal of domestic dissatisfaction and unhappiness could be obviated if wisdom and experience instructed the husband and wife in the matter I have not the slightest doubt. The first rift in the domestic lute often dates from difficulties in the intimate life of the pair, difficulties that need not exist if there were knowledge. That reason and love may coexist, that the beauty of life is not dependent on a sentimentalized ignorance are cardinal in my code of beliefs. He who believes that sentiment disappears with enlightenment is the true cynic, the true pessimist. He who believes that intelligence and knowledge should guide instinct and that happiness is thus more certain is better than an optimist; he is a rationalist, a realist.

CHAPTER XII

TREATMENT OF THE INDIVIDUAL CASES

It is obvious that what is largely a problem of the times cannot be wholly considered as an individual problem. Yet individual cases do yield to treatment (to use the slang of medicine) or at least a large proportion do. The minor cases in point of symptoms are very frequently the most stubborn, since neither the patient nor the family are willing to concede that to alter the life situation is as important as the taking of medicine.

Most housewives are nervous, both in their own eyes and in those of their husbands, yet rightly they are not regarded as sick. They are uncomfortable, even unhappy, and the way out seems impossible to find. I believe that even with things as they are, adjustments are possible that can help the average woman. It is conceded that where the life situation involves an unalterable factor, relief or help may be un.o.btainable.

It is necessary first of all to rule out physical disease. To do this means a thorough physical study. By doing this a considerable number of women will be immensely helped. Flat feet, varicose veins, injuries to the organs of generation, eye strain, relaxed gastro-intestinal tract, and the major diseases,--these must be remembered as factors that may determine nervousness.

With this question settled, let us a.s.sume that there is no such difficulty or it has been remedied, and we have next to consider the life situation of the patient. Here we enter into a difficult place, where knowledge of life and understanding of men and women, as well as tact, are the essentials.

It is necessary to remedy whatever bad hygienic habits exist. A rich woman may have settled down to a deenergizing life, with too much time in bed, too many matinees, too many late nights, too many bonbons, etc.

Aside from the psychical injuries that such a life produces, it is bad for ”the nerves” in its effects upon digestion, bodily tone, and the sources of mood. On some simple detail of life, some unfortunate habit, the whole structure of misery may rest.

I always keep in mind an incident of some years ago when I lived in a small town in Ma.s.sachusetts. For some reason our furnace threw coal gas into the house in such a way as nearly to poison us. The landlord sent several plumbers down, and one after the other suggested drastic remedies,--a new chimney, a new furnace, etc. Finally the landlord and I investigated for ourselves. At the bottom of the chimney we found an inconspicuous loose brick which allowed air to enter the chimney beneath the entrance of the pipe from the stove. We got ten cents' worth of lime and fastened the brick in firmly. A complete cure, where the specialists had failed.

So there often exists some drain on the energy and strength of the woman which may be simple and easily changed, and yet is critical in its significance and importance.

An overdomestic woman may stick too closely to the house; an underdomestic one may go too often to movies and suffer the fatigue of mind and body that comes from over-indulgence in this most popular indoor sport. Carelessness about the eating and the care of the bowel functions may have started a vicious chain of things leading through irritability and fatigue into neurasthenia. We say human beings are all the same, but the range of individual susceptibility to trouble is such that a difficulty not important to most people will raise havoc with others who are in most ways perfectly normal.

Look then for the bad hygiene! Look for the evils of the sedentary life Look for the root of the trouble in lack of exercise, poor habits of eating, insufficient air, disturbed sleep! Search for physical difficulties before inquiring into the psychical life.