Other Typical Cases : Part 3

The Nervous Housewife
by Abraham Myerson, M.D.

(Page 13 of 17)

The other woman suffered in much the same way except that she was fortunate enough finally to be deserted by her husband. This ended her doubts and fears, broke her down for a short while, and then she went back to industry. In this I have no doubt she found only an incomplete satisfaction for her yearnings and desires, but she had something to take up her time, and built up contacts with others in a way that was impossible in her lonely home.

Case IX. The will to power through weakness; a case of hysteria in the home.

This case is classic in the outspoken value of the symptoms to the woman. It is not of course typical, except as the extreme is typical, and that is what is usually meant, Roosevelt, we say, was a typical American, meaning that he represented in extreme development a certain type of man. So this case shows very clearly what is not so clear at first in many cases of conflict between man and wife.

The woman in question was twenty-seven, of French-Canadian origin, but thoroughly American in appearance and speech. She was of a middle-class rural family and had married a farmer who finally had given up his farm and was a mechanic in a small city.

The young woman had always been irritable, egoistic, and sensitive. As a girl if anything happened to "shock her nerves", i.e. to displease her, she fainted, vomited, or went into "hysterics." As a result her family treated her with great caution and probably were well pleased when she married off their hands and left the home.

Married life soon provided her with sufficient to displease her. Her husband drank but not sufficiently to be classed as a heavy drinker. He was a quiet, rather taciturn man, utterly averse to the pleasures for which his wife longed. She wanted to go to dances, to take in the theaters, to live in more expensive rooms, and especially she became greatly attached to a group of people of a sporty type whom her husband tersely called "tinhorn bluffs" and whom he refused to visit.

They quarreled vigorously and the quarrels always ended one way, - she became sick in one way or other. This usually brought her husband around to her way of thinking, at least for a time, and much against his will he would go with her to her friends.

Finally, however, she set her heart on living with these people, and he set his will firmly against hers. She then developed such an alarming set of symptoms that after a while the physician who asked my opinion had made up his mind that she had a brain tumor. She was paralyzed, speechless, did not eat and seemed desperately ill.

The diagnosis of hysteria was established by the absence of any evidence of organic disease and by the history of the case. The relief of symptoms was brought about by means which I need not detail here, but which essentially consisted in proving to the patient that no true paralysis existed and in tricking her into movement and speech.

When she was well enough to be up and about and to talk freely, she and her husband were both informed that the symptoms arose because her will was thwarted, and that part of their function was to bring the man to his knees. He agreed to this, but she took offense and refused to come any more to see me, - a not unnatural reaction.

The outlook in such a case is that the couple will live like cats and dogs. Such a temperament as this woman's is inborn. She is essentially, in the complete meaning of the word, unreasonable. Her nature demands a sympathetic attention and consideration that her character does not warrant. Throughout life she demands to receive but has no desire to give. Nor is she powerful enough to take, so there arise emotional crises with marked disturbance in bodily energy, and especially symptoms that frighten the onlooker, such as paralyses, blindness, deafness, fainting spells, etc. Whatever is the source of these symptoms, they are frequently used to gain some end or purpose through the sympathy and discomfort of others.

Not all hysteria, either in men or women, is united with such a character as this woman's. Sufficient stress and strain may bring about hysterical symptoms in a relatively normal person and short hysterical reactions are common in the normal woman. The height of cynicism may be found in the discovery that war causes hysteria in some men in much the same way that matrimony causes hysteria in some women. A humorous review of a paper on the domestic neuroses was entitled "Kitchen Shell Shock." But severe hysteria, when it arises in the housewife, springs mainly from her disposition and not from the kitchen.

Case X. The unfaithful husband.

Monogamous marriage is based upon the assumption that loyalty to a single male is moral and possible. It is probable that in no age has this agreement been loyally carried out by the husbands; it is probable that in our own time the single standard of morals has first been strongly emphasized. With the rise of women into equality one of the important demands they have made is that men remain as loyal as themselves. Therefore the reaction to unchastity or unfaithfulness on the part of the man is apt to be more severe than in the past, on the theory that where more is demanded failure in performance is felt the keener.

The housewife, Mrs. F.C., aged thirty-five, is a prepossessing woman, the mother of two children, and has been married for nine years. Her health has always been fairly good, though in the last four years she has been somewhat irritable. She attributed this to struggle to make both ends meet, her husband being a workman with wages just over the border line of sufficiency. They quarreled "no more than other couples do", were as much in love "as other couples are", to use her phrases. She was above her class in education, read what are usually called advanced books, was "strong for suffrage", etc. However she was a good housekeeper, devoted to her children and faithful to her husband. Their sexual relations were normal and up till six months before I saw her she thought herself a well-mated, rather fortunate woman.

Out of a clear sky came proof of long-continued unfaithfulness on the part of her "domestic" husband: a chance bill for women's clothes fluttered out of his pocket and under the bed, so that next morning she found it; an unbelieving moment and then a visit to the address on the bill, and proof plenty that he had been disloyal, not only to her but to the children, who had been obliged to scrimp along while he helped maintain another woman. Humiliated beyond measure by her disaster, unable to endure her past memories of happiness and faith, with an unstable world rocking before her, through the revelation that a quiet, contented, loving man could be completely false, she found no adequate reason for living and became a helpless prey to her troubled mind. "A temporary unfaithfulness, a yielding to sudden temptation" she could understand, but a determined plan of duplicity shattered her whole scheme of values. A very severe psychoneurosis followed, and her children and she were taken over by her parents and cared for.

Boston
Little, Brown, And Company
1920