Epilepsy, Hysteria, and Neurasthenia Part 15

Neuropaths develop very early s.e.xually, and contract bad habits in the endeavour to still their unruly pa.s.sions; with them, the future is darker than with the normal child, and the parent who neglects his duty may justly be held accountable for what happens to his child or his child's children.

p.u.b.erty is always a critical period in epilepsy, many cases commencing at this time, while in a number, fits commence in infancy, cease during childhood, and recommence at p.u.b.erty, the baneful stimulus of masturbation being undoubtedly a factor in many of these cases.

CHAPTER XXIII

WORK AND PLAY

Although most people would a.s.sume that epileptics are unable to follow a trade, there is hardly an occupation from medicine to mining, from agriculture to acting, that does not include epileptics among its votaries.

Outdoor occupations involving but little mental work or responsibility are best, but unfortunately just those which promise excitement and change are those which appeal to the neuropath.

A light, clean, manual trade should be chosen, and those that mean work in stuffy factories, amid whirring wheels and harmful fumes, using dangerous tools, or climbing ladders, must be avoided.

For the fairly robust, gardening or farming are good occupations, such workers getting pure air, continuous exercise, and little brain-work.

Wood-working trades are good, if dangerous tools like circular saws are left to others.

For the frail neuropath with a fair education, drawing, modelling, book-keeping, and similar semi-sedentary work may do. Other patients might be suited as shoemakers, stonemasons, painters, plumbers or domestic servants, so long as they always work on the ground.

Some work is essential; better an unsuitable occupation than none at all, for the downward tendency of the complaint is sufficiently marked without the victim becoming an idler. Work gives stability.

Epilepsy limits patients to a humble sphere, and though this is hard to a man of talent, it is but one of many hard lessons, the hardest being to realize clearly his own limitations.

If seizures be frequent, the ignorant often refuse to work with a victim, who can only procure odd jobs, in which case he should strive to find home-work, at which he can work slowly and go to bed when he feels ill. A card in the window, a few handbills distributed in the district, judicious canva.s.sing, and perhaps the patronage of the local doctor and clergy may procure enough work to pay expenses and leave a little over, for the essential thing is to occupy the mind and exercise the body, not to make money.

Very few trades can be plied at home and many swindlers obtain money under the pretence of finding such employment, charging an excessive price for an "outfit", and then refusing to buy the output, usually on the pretext that it is inferior. Envelope-addressing, postcard-painting and machine-knitting have all been abused to this end.

An auto-knitter seems to offer possibilities, but victims must investigate offers carefully.

Photography is easy. A cheap outfit will make excellent postcards, modern methods having got rid of the dark room and much of the mess, and postcard-size prints can be pasted on various attractive mounts.

If the work is done slowly, and in a good light, and the patient has an apt.i.tude for it, ticket-writing is pleasant. Among small shopkeepers there is a constant demand for good, plainly printed tickets at a reasonable price.

On an allotment near home vegetables and poultry might be raised, an important contribution to the household, and one which removes the stigma of being a non-earner.

The mental discipline furnished by this home-work is invaluable, Neuropaths, especially if untrained, are unable to concentrate their attention on any matter for long, and do their work hastily to get it finished. When they find that to sell the work it must be done slowly and perfectly they have made a great advance towards training their minds to concentrate. Their weak inhibitory power is thus strengthened with happy results all round.

When the work and the weather permit, work should be done outdoors, and when done indoors windows should be opened, and, if possible, an empty or spa.r.s.ely-furnished bedroom chosen for the work.

Recreations. These offer a freer choice, but those causing fatigue or excitement must be avoided, for patients who have no energy to waste need only fresh air and quiet exercise.

Manual are better than mental relaxations. Dancing is unsuitable, swimming dangerous, athletics too tiring and exciting. Bowls, croquet, golf, walking, quoits, billiards, parlour games and quiet gymnastics without apparatus are good, if played in moderation and much more gently than normal people play them. Play is recreation only so long as a pastime is not turned into a business. When a player is annoyed at losing, though he loses naught save his own temper, any game has ceased to be recreative.

CHAPTER XXIV

HEREDITY

"Man is composed of characters derived from pre-existing germ-cells, over which he has no control. Be they good, bad, or indifferent, these factors are his from his ancestry; the possession of them is to him a matter of neither blame nor praise, but of necessity. They are inevitable."--Leighton.

The body is composed of myriads of cells of _protoplasm_, in each of which, is a _nucleus_ which contains the factors of the hereditary nature of the cell. In growth, the nucleus splits in half, a wall grows between and each new cell has half the original factors,

Female _ovum_ and male _sperm_ (the cells concerned with reproduction) divide, thus losing half their factors, and when brought together by s.e.xual intercourse form a _germ-cell_ having an equal number of factors from mother and father.

How these factors are mingled--whether shuffled like two packs of cards, or mixed like two paints--we do not know. If two opposite factors are brought together, one must lie dormant. The offspring may be male or female, tall or short; it cannot be both, nor will there be a mixture. _This rule only applies to clearly defined factors._

We are _made by_ the _germ-plasm_ handed down to us by our ancestors; in turn we pa.s.s it on to our children, _unaltered_, but mixed with our partner's plasm.

"The Dead dominate the Living" for our physical and mental inheritance is a mosaic made by our ancestors.

Variations which may or may not be inheritable do arise spontaneously, we know not how, and by variations all living things evolve.

A child resembles his parents more than strangers, not because they made cells "after their own image" but because both he and they got their factors from the same source.

Man's physical and mental, and the _basis_ of his moral, qualities depend entirely on the types of ancestral plasm combined in marriage. Man may control his environment; his heritage is immutable. To suppress an undesirable trait the germ-cell must unite with one that has never shown it--one from a sound stock. An unsuitable mating in a later generation, however, may bring it out again (for factors are indestructible), and the individual showing it will have "reverted to ancestral type".

To give an instance: Does the son of a drunkard inherit a tendency to drink? No! The father is alcoholic because he lacks control, consequent upon the factors which make for control having been absent from his germ-plasm. He pa.s.ses on this lack; if the mother does the same, the defect occurs--in a worse form--in the son. If the mother gives a control factor, the son may be unstable or _apparently_ stable, this depending entirely on chance, but if the mother's plasm contains a _strong_ control-factor, the defect will lie dormant in her son, who will have self-control, though if he marries the wrong woman he will have weak-willed children.

If the son becomes a toper, therefore, it is because he, like his father before him, was born with a defect--weak control--which might have made of him a drug-fiend, a tobacco-slave, a rake, or a criminal; in his home drink would naturally be the temptation nearest to hand, and he would show his lack of control in drunkenness.

The way a lily-seed is treated makes a vast difference to the plant which arises. If sown in poor soil, and neglected, a dwarf, sickly plant will result; if sown in rich soil, and given every care that enthusiasm, money and skill can suggest or procure, the result will be magnificent.

So with man. A well-nourished mother, free from care and disease, may have a finer child than a half-starved woman, crushed by worry and work, but neither starvation nor nourishment alter the inborn character of the child.

The _body-cells_ are greatly changed by disease, poison, injury, and overwork, but these changes are not pa.s.sed on, and despite the influence of disease from time immemorial, the _germ-cell_ produces the same man as in ancient days. Without this fixity of character, this "continuity of the germ-plasm", "man" would cease to be, for the descendants of changeable cells would be of infinite variety, having fixity of neither form nor character.

Epilepsy, hysteria and neurasthenia are all outward signs of defect in the germ-plasm, and so they (or a predisposition to them) can be pa.s.sed on, and inherited.

If a man shows a certain character, his plasm, had, and has, the causative factor. He may have received it from _both_ his parents, when it will be _strong_, or from one only, when it will be _normal_. If he have it not, it is absent. The same applies to the plasm of the woman he mates, so there are six possible combinations, with results according to "Mendel's Law."

_All_ the children will not inherit a taint unless _both_ parents possess it, but, however strong one parent be, if the other is tainted, _none_ of the children can be absolutely clean, but will show the taint, weak, strong, or dormant. This means that neuropathy will recur--and that it has previously occurred--in the same family, unless there be continual mating into sound stocks. If there is continual mating into bad stocks, it will recur frequently and in severe forms. All intermediate stages may occur, depending entirely on the qualities of the combining stocks.

From this we shall expect, in the same stock, signs of neuropathic taint other than the three diseases dealt with here, and these we get; for alcoholism, criminality, ch.o.r.ea, deformities, insanity and other brain diseases, are not infrequent among the relatives of a neuropath, showing that the family germ-plasm is unsound.

Epilepsy, one symptom of taint, is more or less interchangeable with other defects; the taint, as a whole, is an inheritable unit whose inheritance will appear as any one of many defects. This is shown by the fact that very few epileptics have an epileptic parent. Starr's a.n.a.lysis of 700 cases of epilepsy emphasizes this point.

Epilepsy in a parent 6 Epilepsy in a near relative 136 Alcoholism in a parent 120 Nervous Diseases in family 118 Rheumatism and Tuberculosis 184 Combinations of above diseases 142

As medicine and surgery cannot add or delete plasmic factors, the only way to stamp out neuropathy in severe forms would be to sterilize victims by X-rays. This would be painless, would protect the race and not interfere with personal or even with s.e.xual liberty. In fifty years such diseases would be almost extinct, and those arising from accident or the chance union of dormant factors in apparently normal people could easily be dealt with.

There are 100,000 epileptics in Great Britain, and as _all_ their children carry a taint which tends to reappear as epilepsy in a later generation _the number of epileptics doubles every forty years_. We protect these unfortunates against others; why not posterity against them?

Neuropaths must pa.s.s on _some_ defect; therefore, though victims may marry, _no neuropath has a right to have children_.