PSYCHOTHERAPY SCIENTIFIC AND RELIGIOUS

A Broad Perspective on Mental Healing

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VII
THE SCOPE OF PSYCHOTHERAPY
299
form of a feeling of constriction, of pressure, of a band across the head, and at times only of pain. ' In my experience ', states Groddeck, s headaches, even those elaborated by severe organic diseases, only come on when an unbearable thought, which at some time has been very important, is repressed and not allowed to come into consciousness '88 (p. 149). They are sometimes amenable to treatment by suggestion.
Before the work of Sir Thomas Lewis a great deal of cardiac neurosis was caused by faulty diagnosis, heart disease being diagnosed through complaints alone, and patients being treated as ill in consequence. Nowadays, diagnosis of ' functional ' capacity of the heart, and the electrocar diagram, have prevented such mistakes. But once the diagnosis has been made there are important psychological considerations to be taken into account. Correct handling in children with heart disease may make the difference between the production of an invalid, or a child with a damaged heart but otherwise quite healthy. Quite obviously every precaution must be taken after a severe illness causing cardiac damage, but once a child is fit, it should at the earliest possible opportunity be allowed to return to a normal life. On no account must anxiety be expressed in front of it. If there is cardiac damage, it should be simply and unemotionally explained to the child that for a time it has to take things easily. Where there is doubt, the child should be assured that everything is all right, the parents alone being advised that it may be necessary to watch the heart, as anxious children will manufacture cardiac symptoms.
At a clinic which the eminent cardiologist, the late Sir James Mackenzie, once gave in Edinburgh, the amphitheatre was filled with students, members of the faculty and outside physicians, many of whom were