Histories of Some Severe Cases : Part 4

The Nervous Housewife
by Abraham Myerson, M.D.

(Page 13 of 18)

Case IV. A case presenting bad hygiene as the essential factor.

Bad hygiene is something more than exposure to bad air, poor food, contaminated water, etc. It includes habits and times of eating, attention to the bowels, outdoor exercise, sleep, and in the marital state it includes the sexual indulgence.

The housewife under consideration, Mrs. T.F., aged twenty-eight, married five years, two children, complained mainly of headache, occasional dizziness, great irritability, and fatigue, so that quarrels with her husband were very common, though there seemed nothing to quarrel about. The family was not rich, but lived in a comfortable apartment; there were no serious financial burdens, the children were reasonably healthy and good, and the closest questioning revealed the husband as a kindly man who never took the initiative in quarrels but who was never able to keep silent under provocation. The couple was still in love and there seemed to be no essential incompatibility.

Questioned as to her habits, Mrs. F. said she did all her own housework except the washing and ironing and scrubbing. She had a little girl three times a week to take the baby out. Before marriage she had been a stenographer, but never earned high pay and had no love for her work. In fact she gave it up with relief and found housework with its disagreeable features much more to her taste than business. She had been of a placid, pleasant temperament and could not understand the change in her.

Since all this did not explain her symptoms, closer inquiry was made into her habits. She arose with her husband at seven-thirty, prepared his breakfast, sent the oldest child off to kindergarten and then had her own breakfast, which usually consisted of toast and coffee. At noon she had a very small piece of meat or an egg and a few potatoes with tea. At night she ate sparingly of the dinner, which usually was meat, potatoes, another vegetable, and a dessert. Her husband here stated that she ate at this meal less than the boy of four and a half.

Comparing her buxom figure with the diet a discrepancy was at once apparent. She then confessed with shame that she was a constant nibbler, eating a bit of this or that every half hour or so, and consequently never had an appetite. The food thus nibbled usually was either spicy or sweet, and she consumed quite a bit of candy. Her bowels moved infrequently and she always needed laxatives. In her spare time she felt rather "logy", rarely went out, except now and then at night with her husband, and spent her leisure hours on the couch reading or nibbling.

This in itself would have quite explained much of her trouble. It has been pointed out that body and mind are not separable; that mental functions are based on the bodily functions, and that mood may rest on no more exalted cause then the condition of the bowels. But a more intimate questioning revealed sexual habits which are easily drifted into by people of an amorous turn of character and who are really fond of one another. These both husband and wife frankly said they had not meant to speak of, but with their disclosure it was evident that a good deal of importance was to be attached to them.

The correction of the life habits was of course the fundamental need. The young woman was instructed in detail as to diet, the care of the bowels and outdoor exercise. Since she was in perfect condition except for stoutness she could easily look for recovery, and as an added incentive the restoration of youthful good looks was held out as certain.

The sexual life was frankly discussed, and necessary restrictions were imposed. Both the husband and wife agreed willingly to the changes ordered and promised faithfully to carry out instructions.

The patient made a splendid recovery and very rapidly. Here was a deënergization dependent solely upon the sedentary life of the housewife and upon ignorance of sex hygiene. Here were quarreling and impending marital disaster removed by attention to details in living. Here was a complete proof that not only does a sound mind need a sound body, but that a sound marriage needs one as well.

Case V. The hyperæsthetic woman.

Mrs. J.F. is twenty-seven years of age. She was born in the United States, of middling well-to-do people. Her father was a gruff, hearty man, not in the least bit finicky, who really despised manners and the like, though he was conventional enough in his own way. Her mother was an old-fashioned housewife, fond of her home and family, in fact perhaps more attached to the former than the latter. She hated servants and got along without them (except for a day woman) until she became rather too old to do the work.

J.'s sister and two brothers were duplicates of the parents, - hearty, stolid, and remarkably plain looking. J., the younger sister, though not the youngest in the family, was as different from her family as if she had sprung from another stock. She was slender, very pretty, with a quick, alert mind which jumped at conclusions, because labored analysis fatigued it. Above all, from the very start of life she was sensitive to a degree that perplexed her family, who were however intensely sympathetic because they adored her. This adoration arose from the fact that J. was brighter and prettier than most of her friends, and that her cleverness in many directions - music, writing, talking, handiwork - was the talk of their little group.

This sensitiveness arose from two main factors. First, an egoism fostered by the worship of her friends and the leadership of her group, - an egoism which led her to regard as a sort of insult anything disagreeable. Accustomed to praise, the least criticism implied or outspoken cut like a knife; accustomed to being waited upon, she resented physical discomfort of the slightest kind. Second, there must also have been an actual physical sensitiveness to sights, sounds, smells, tastes, etc. that made her perceive what others failed to notice. This led to an artistry manifested by her nice work in music and decoration and also by an excessive displeasure at the inartistic.

Boston
Little, Brown, And Company
1920