A Broad Perspective on Mental Healing

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He attributes the relatively greater frequency of chorea in girls to a greater inherent emotional instability. The nervous symptoms in joint and heart rheumatism are not very much more frequent than in debilitated or tuberculous children.163 A high incidence of nervous symptoms occurs in the cases of chorea, and of children who suffer from ' pains' without objective signs of rheumatism. The nervous symptoms which occur frequently are restless sleep and nightmares, timidity, emotional instability, and moods swinging between depression and excitement. ' Neurotic ' symptoms that is to say, making use of the illness as was illustrated in the case of asthma and behaviour problems are very infrequent in rheumatic children, and are no more often present than in any other children. This is interesting, as it suggests that the first group of nervous symptoms mentioned may be symptoms which are related to physiological processes, whereas the latter have a true psychological causation. In the words of an observation made some years ago by Professor H. A. Harris, ' The rheumatic child is highly-strung, but is not neurotic \
One interesting problem concerning rheumatism is the persistence of tics, and how far these may be psychologically determined. Dr. Neustatter cites a case of a girl of thirteen, who two years previously had had chorea, which had completely disappeared apart from facial tics. At the time she was brought for treatment these tics had increased considerably. They were multiple and complex, and strongly resembled choreic movements, but there was nothing else to support the diagnosis. There was no increased pulse-rate, no temperature, no cardiac symptoms. The mother was in bad health, apt to be cantankerous, worried about her daughter's tics, and generally found her tiresome. The girl was irritated by