Nervous and mental diseases . ed improvement in the spasmodic tendency to recurrence and to extension has already been noted. Itis rare for a patient, even after years of rest, to be able to return towriting occupations without a reappearance of the neurosis. Treatment.—Recognizing the fatigue element in the production ofwriters cramp, rest becomes the principal note of treatment. Allphysical failings and conditions which tend to make fatigue of readyappearance must be scrupulously sought and carefully managed. Abso- NEURASTHENIA. 567 lute cessation of writing is of the first imp
Nervous and mental diseases . ed improvement in the spasmodic tendency to recurrence and to extension has already been noted. Itis rare for a patient, even after years of rest, to be able to return towriting occupations without a reappearance of the neurosis. Treatment.—Recognizing the fatigue element in the production ofwriters cramp, rest becomes the principal note of treatment. Allphysical failings and conditions which tend to make fatigue of readyappearance must be scrupulously sought and carefully managed. Abso- NEURASTHENIA. 567 lute cessation of writing is of the first importance. Unfortunately,patients whose living depends upon clerical work will not or can notconform to these requirements until the neurosis completely disablesthem. Exercises to develop the strength of the arms, hands, andfingers should be employed, and massage, baths, and electricity, for theirgeneral tonic effect, are of some service. When writing is again takenup, it must be by the proper full-arm movement. A typewriting.
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