The term psychotherapy (Gk. Psych, "soul," and therapeltein, "to heal"), taken largely, denotes the treatment of disease through the influence of mental, moral, and spiritual states upon the body. An exhaustive discussion of the subject would involve an examination of many crude and fantastic theories, partly theological, partly metaphysical or psychological, with which the fundamental ideas of psychotherapy have been connected. The purpose of this article is to sketch briefly the history of psychotherapy, and to state the main principles which underlie it in the scientific form that it has assumed to-day.
In one fashion or another, psychotherapy has been practised, consciously or unconsciously, not only by all medical men, but also by those who in premedical times played the part both of priest and of physician. It rests upon what has become the fundamental dogma of modern physiological psychology-the idea that mind and body constitute a unity, that for every thought and feeling, however alight, there is a corresponding nervous event, and that the smallest physical process awakens an echo in the psychical realm. The charms and incantations both of savage and of civilized man are simply forms of self-suggestion, which has, in certain types of disease, curative power. The earliest historical notices of healing, through mental influence are to be found in the magical texts of ancient Egypt (cf. G. Ebers, Papyros Ebers, das hermetische Buch über die Arzneimittel der alten Aegyptern, 2 vols., Leipsic, 1875). As early as about 1600 B.C. It was the custom in Egypt to heal
The inscriptions dug up in our own time at Epidauros, the site of the famous shrine of Æsculapius, the patron divinity of the healing art, show what a great part the mind played in the cures effected. For example, a sufferer from dyspepsia, one Marcus Julius Apellas, who had been cured in the temple, set up an inscription in gratitude to the god. After mentioning some physical remedies which the god prescribed, Apellas continues:
"When I called upon the god to cure me more quickly I thought it was as if I had anointed my whole body with mustard and salt and had come out of the secret hall and gone in the direction of the bath-house, while a small child was going before, holding a smoking censer. The priest said to me, `Now you are cured; but you must pay up the fees for your treatment.' I acted according to the vision, and when I rubbed myself with salt and mustard I felt the pains still, but when I had bathed I suffered no longer. These events took place in the first nine days after I had come to the temple. The god also touched my right hand and my breast" (Mary Hamilton, Incubation, p. 41, London, 1906; [Epidauros and its cures are treated in pp. 8-43 of Miss Hamilton's work]). This inscription probably belongs to the second century of our era. Speaking of the same period S. Dill remarks (Roman Society from Nero to Marcus Aurelius, p. 459, London, 1904): "The temples of Æsculapius arose in every land where Greek or Roman culture prevailed. Patients came from all parts of the GrecoRoman world. The temples had dormitories; retreats often contained beds for 200 or 300 persons."
During the Middle Ages the science of therapeutics was in bondage to superstition. The church was Supposed to have a monopoly of the healing power. Fragments of the cross, the team of the Virgin Mary and of St. Peter, the hair of martyrs, iron filings from the chains that had bound Peter and Paul, were regarde&as miraculously efficacious in the cure of disease. Great personalities, such as the founders of cloisters, or persons of great sanctity, such as Francis of Assisi, Catherine of Siena, and Bernard of Clairvaux (qq.v.), it was claimed, healed multitudes by the power of their touch. In France from medieval times down to the age of Charles X. the kings claimed the gift of "touching for the evil" (scrofula,). In the Anglican prayer-book there was printed down to the year 1719, "The Office for Touching." The actual ceremony is described by Evelyn in his Diary (ed. W. Bray, in Memoirs, London, 1818-19; by Upcott, 1827; by H. B. Wheatley, 4 vols., 1879) under date July 6, 1660. Among the famous persons touched for the evil was Samuel Johnson, in the reign of Queen Anne.
The short and easy way of dealing with these stories was to reject them as superstitious legends. Modern investigation, however, has shown that this method is quite too drastic, and that thus to deal with human testimony is to make the search for historical truth almost futile. The generally received view to-day is that the principle by which these phenomena were brought about is what is called "Suggestion," or expectant attention; and it may be said that in all modern mental healing systems these psychological influences play a dominating rôle. It was only in the eighteenth century that the foundations for a scientific understanding of the subject were laid. Just as chemistry arose out of alchemy, and astronomy out of astrology, and the science of internal medicine out of the tentative therapeutic efforts of the medicine man, so modern scientific psychotherapy takes its origin in mesmerism.
Friedrich (or Franz) Anton Mesmer (b. at Iznang, 11 m. n.w. of Constants, May 23, 1733; graduated at Vienna in medicine, taking for his thesis, "On the Influence of the Planets on the Human Body," published in 1766; d. at Meersburg, 5 m. e. of Constants, Mar. 5, 1815) first came into notice in 1773 by his novel method of curing disease through the application of magnetized plates to the human body. He was an ardent student of the medieval mystics, Paracelsus and the Rosicrucians (q.v.), from whom he obtained the idea that there existed in nature a mysterious and subtle force which he called "animal magnetism." This he conceived to bean invisible fluid, which by a skilled hand could be so manipulated as to heal all manner of diseases. Some of the methods by which he applied his theory he owed probably to Father Gassner, a German priest who cured sufferers by means of exorcism, his theory being that the given disease was due to demon possession. In short, it may be said that Mesmer found all the elements of mesmerism already in existence. He simply deprived them of their mystical setting, reduced them to terms of matter and force, and thus commended them to the age of reason. Mesmer appeared in Paris in 1778, and in a short time created a sensation by his wonderful cures in all classes of society. He believed that magnetism could be imparted to wood glass, iron, and other physical objects, and that these in turn could communicate the magnetism to the sick person. Hence he constructed his famous baquet, an
About ten years later, Alexandre Jacques Frangois Bertrand gave a really scientific explanation of the mesmeric phenomena (Du magnetisme animal en France, Paris, 1826). He did not deny the genuineness of the alleged cures, but he maintained that the patients were and healed not by virtue of a magnetic fluid, but because of their own suggestibility, their capacity for being influenced by the imposing procedures of Mesmer. This explanation, which is accepted to-day, was regarded with incredulity by the medical profession at that time. The truth is, that Mesmer's success had brought into the field a regiment of mysterious, spectacular showmen, who traveled all over Europe and brought discredit upon the whole subject by their fantastic tricks and absurd pretensions. Up till 1837 this state of matters continued. In that year Dr. John Elliotson (b. in London is 1791; studied at the University of Edinburgh, and at Jesus College, Cambridge; d. in London July 29, 1868) began original researches at University College, London. He soon achieved wonderful therapeutic results, though so much to the scandal of his colleagues that the authorities of the college hospital in 1838 forbade him to practise animal magnetism. Elliotson immediately resigned, much mortified at the insult. In 1846 he chose mesmerism for his subject as the Harveian orator. In the course of his address he showed how magnetism could prevent pain during surgical operations, produce sleep and ease in sickness, and cure many diseases which were not relieved by the ordinary methods (Numerous Cases of Surgical Operations in the Mesmeric State Without Pain, London, 1843). Although he shared some of the erroneous ideas of his time, there can be no doubt that he was devoted to truth and to the interests of humanity, and that he suffered persecution at the hands of prejudice and bigotry.
But the most important figure in the history of the subject is James Braid (b. at Rylaw House, Fifeshire, Scotland, c. 1795; was educated at the University of Edinburgh; d. at Manchester Mar. 25, 1860), who, in 1841, began his investigations into the nature of mesmeric phenomena. Until his time it is to be noted that the theories usually accepted in explanation of these phenomena were either that they were owing to a mysterious force or fluid, or to self-deception, or to wilful trickery. Braid attended his first mesmeric exhibitions under the influence of the last of these theories: he was anxious to discover how the trick was done. But he became convinced that the phenomena were real, and he determined to find out their physiological cause. In 1841 he gave to the public his view that mesmeric phenomena were purely subjective in character. He found that he could induce the mesmeric state by causing his patients to gaze steadily at some object and at the same time think of the object upon which they gazed. Thus he discovered that expectant attention was a necessary factor in mesmerism, or, as he now called it, hypnotism (Neurypnology; or, the Rationale of Nervous Sleep, London, 1843). He was, however, before his time. He was violently assailed by the old-school mesmerists and was regarded with suspicion by his medical brethren. Hugh MacNeile, an Evangelical divine of Liverpool and later dean of Ripon, charged him with producing his hypnotic effects through Satanic agency, and thereby much theological prejudice was excited against his work. After Braid's death i4 1860, the subject, as far as Great Britain was concerned, fell into neglect. But in France a struggling physician, A. A. Liébault, published a book (Du sommeil et des états analogues, Nancy, 1866) in which he showed that hypnotism was a powerful curative agent, and once more demonstrated that the essence of it was suggestion. It is said that only a single copy of his book was sold. In 1882 Hippolyte Bemheim, a distinguished physician of- Nancy, became interested in Lidbault's work, and published his famous work on suggestive therapeutics (Hypnotisme, suggestion et psychotherapie, France, 1890). Meantime, at Paris, at the Salpdtridre, Dr. Jean Martin Charcot experimented in hypnotism, and founded a school of which Janet, Binet, and Féré are brilliant representatives. Down to this time in England and in America, the movement which attracted so much
In the course of time it has come to be recognized that hypnotism is only one weapon, and by no means the chief weapon, in the psychotherapeutist'a armory. Indeed, except in a small group of deep-rooted perversions, hypnotism is falling more and more into the background.. The great psychotherapeutic classical methods to-day are ordinary or waking suggestion, explanation, encouragement, education and reeducation, psycho-analysis, rest, and work. We owe this development to such neurologists as Weir Mitchell; J. P. Möbius, Forel, Freud, and the layman, Grohmalin.
At this point logically occurs consideration of mental healing or irregular and unscientific psychotherapy. The various forms of mind cure or faith cure in the United States may be traced back to Phineas Parkhurst Quimby (see SCIENCE, CHRISTIAN), the son of a New England'blacksmith. He was a self-educated man, with much natural shrewdness and power. When he, arrived at manhood he became interested in mesmerism and occult phenomena, which at that time were much discussed among the semieducated classes of the country. Quimby was discontented with the current theology and the popular notions of mind and body. He determined to create a philosophy, a theology, and a medical science for himself. Gradually the conviction dawned on him that disease was not real, but only an ancient delusion handed down from generation to generation. In the strength of this conviction he set up as an unconventional practitioner in Portland, Me., and there treated such sufferers as came to him. He published no books, nor did he found a school, but he committed to paper his ideas, and ten volumes of his manuscripts are in existence. His memory, however, probably would have perished, had it not been for the visit paid to him in 1862 by one Mrs. Patterson, suffering from some nervous trouble. He was able to cure her. This Mrs. Patterson achieved world-wide fame as the founder of a new religion, the writer of a sacred book, and the creator of a growing church. The name by which she is known is Mrs. Mary Baker Eddy (q.v.; see also SCIENCE, CHRISTIAN). Christian Science may not unjustly be described as an almost equally "grotesque mixture of crude pantheism, misunderstood psychological or philosophical truths, and truly Christian beliefs and conceptions" (G. T. Ladd, Philosophy of Religion, i. 167, 2 vols., New York, 1905). The fundamental idea of Christian Science is the unreality of sickness, of matter, of evil, and of the human mind, usually called by Christian Science writers "mortal mind." Its philosophic postulates, as stated by Mrs. Eddy, are as follows: (1) God is All; (2) God is Good; (3) God is Mind; (4) God is Spirit, being All. Nothing is Matter; (5) Life, God, Omnipotent good, deny death, evil, sin, disease. Christian Science is at once a philosophy, a theology, a religion, and a therapeutic system. Many of the therapeutic results set down to the credit of Christian Science may be accepted as undoubted facts; but unless a break is made with the main stream of right reason in the world and with the Christian religion, the metaphysics, the theology, the Biblical exegesis, and the psychology of Mrs. Eddy must be rejected.
Other movements, notably the Mind Cure Movement, inaugurated by W. F. Evans (Primitive Mind Cure; Nature and Power of Faith, Boston, 1885; Mental Medicine; 15th thousand, ib. 1885; Esoteric Christianity and Mental Therapeutics, ib. 1886), and the New Thought movement (see NEW THOUGHT), represented by such writers as Horatio W. Dresser, Ralph Waldo Trine, Charles Brodie Patterson, the Christian and. Missionary Alliance, under the leadership of the Rev. Albert B. Simpson, may be traced to the inspiration of Quimby's teaching. The influence of Swedenborg and Emerson on New Thought is especially marked. Up till recently the churches have looked with disfavor upon these movements, and have, for the most part, sought not so much to understand them as to criticize and to ridicule.
Recently, however, an effort has been made to utilize the genuine elements in these healing cults, to free them from the notions with which they have been bound up, and to make them available for the help and uplift of suffering humanity. This effort is popularly called "The Emmanuel Movement" from the name of the church in Boston where it originated under the leadership of Rev. Drs. Elwood Worcester and Samuel McComb. The fundamental aim of the work is to ally, in friendly cooperation, the physician, the clergyman, and the trained social worker in the alleviation and cure of a certain class of disorders which may be
BIBLIOGRAPHY: For early practise consult the literature on magic under COMPARATIVE RELIGION, and under MAGIC; the work of Miss Hamilton cited in the text is masterly. On Mesmer consult: J. Kerner, Franz Anton Mesmer, Frankfort, 1856; W. B. Carpenter, Mesmerism and Spiritualism Considered, London, 1877; M. Bersot, Le Magnétisme animal, 4th ed., Paris, 1879; C. Kiesewetter, F. A. Mesmers Leben and Lehre, Leipsic, 1893. On Christian Science consult the literature under EDDY, MARY BAKER GLOVER; and under SCIENCE, CHRISTIAN. On the general subject of psychotherapy read: A. Moll, Hypnotism, New York, 1890; P. Dubois, Psychic Treatment of Nervous Disorders, New York, 1905; idem, Influence of the Mind an the Body, ib. 1906; A. H. Forel, Hygiene of Nerves and Mind in Health and Disease, New York, 1907; P. Dearmer, Body and Soul. An Inquiry into the Effects of Religion upon Health, with a Description of Christian Works of Healing from the New Testament to the Present Day, London, 1909; M. Price and others, Psychotherapeutica: a Symposium, Boston, 1910; Mrs. E. G. H. White, The Ministry of Healing, Mountain View, California, 1910. On the Emmanuel Movement consult: E. Worcester, S. McComb, and I. H. Coriat, Religion and Medicine; the mental Control of Nervous Disorders, New York, 1908; E. Worcester and S. McComb, The Christian Religion as a Healing Power, ib. 1909; C. R.. Brown, Faith and Health, ib. 1910 (favorable to the Emmanuel Movement, antagonistic to Christian Science).
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