Mental medicine and nursing : for use in training-schools for nurses and in medical classes and a ready reference for the general practitioner . Manifested fear. DISTURBANCES OF EMOTIONS 85 2. Anxious tension is manifested in the patientby trying to present to threatening danger thefewest possible points of attack, by crouching down,shutting the eyes, and clinching the teeth. Anx-ious tension shows remissions, especially at night. Sensibility to Pain.âWhile the feelingof physical painmay be increased,it is most frequent-ly decreased orabolished (Fig. 32).Insensibility to painmay arise by indif
Mental medicine and nursing : for use in training-schools for nurses and in medical classes and a ready reference for the general practitioner . Manifested fear. DISTURBANCES OF EMOTIONS 85 2. Anxious tension is manifested in the patientby trying to present to threatening danger thefewest possible points of attack, by crouching down,shutting the eyes, and clinching the teeth. Anx-ious tension shows remissions, especially at night. Sensibility to Pain.âWhile the feelingof physical painmay be increased,it is most frequent-ly decreased orabolished (Fig. 32).Insensibility to painmay arise by indif-ference throughwant of attention,or through somedelusion. Religiousdelusions in partic-ular enable the pa-tient to bear incred-ible suffering insilence. In thisway self-mutilationof severe type mayoccur. The amount of pain endured by these pa-tients seems incredible; or, on the contrary, the feel-ing of pleasure and pain by them seems reversed. Change of Appetite.âIn some cases there is aninsatiable desire for food, and large amounts evenof indigestible articles are swallowed ravenously(bulimia). In this connection may be mentioned. Fig. 32.âInsensibility to pain. Inthis case the prick of a pin made noimpression on him. 86 MENTAL MEDICINE AND NURSING the changed sense of taste or profound disturb-ance of consciousness that enables the taking offilth and other disgusting articles. In other cases there is a prolonged absence ofthe feeling of hunger. The Sexual Feelings.âThe sexual feelings maybe increased, diminished, or perverted. CHAPTER XIII D. DISTURBANCE OF VOLITION AND ACTION The tendency of the psychic life is to findexpression in volition and action. The idea of a definite aim (some change eitherin ourselves or our environment) forms thestarting point of a volitional act. This idea isaccompanied by feelings which are convertedinto impulses for the attainment of that direction of any action is determined, there-fore, by an idea, while its performance is deter-
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