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All Heal. A Medical and Social Miscellany by R. M. Shaw, R. A. Bowen, G. E. Paget

By R. M. Shaw, R. A. Bowen, G. E. Paget

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Sample text

Fear is undoubtedly the most potent cause of the delay in seeking treatment. It is a common observation, that doctors, doctors' wives, nurses and midwives frequently delay seeking advice and surround themselves by walls of illusions, often quite irrational. Doctors and dentists have been known to observe for months their own cancer of the tongue in a mirror and call it 'lichen planus', although they may have never seen a case, and probably have not even remembered this term since their student days.

That is, in what countries? I have given voice this afternoon to some chastening thoughts. Of course, I do not expect them all to be received with enthusiastic approval. I have done this of set purpose, for to have given this lecture on a medical theme with which everyone could whole-heartedly agree would have been pointless, for it could have been no more than a sequence of glimpses of the obvious, and to offer this would not have been a compliment to this audience. Therefore, I must leave you with my chastening thoughts, to accept, to select or to reject as you will, and thank you for the patience with which you have listened to me.

Moutier's (1908) patient could not speak four words on end without the exclamation 'Ah merde ! ' The Drift and Dissolution of Language 53 'no', though not flatly contradicting the views of Freud, Jackson and Gowers, is rather more difficult to explain. While remaining the sole item of communication, the recurrent utterance later loses much of its tic-like nature. The patient now becomes able to inhibit the upsurge of stereotypy, and he may remain silent for longer periods. At this stage additional speech automatisms may develop so that the vocabulary will now comprise a handful of recurrent utterances.

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