Every thought of the physician moves in a world the structure of which is determined by the thought forms of cause and effect. He knows the effect which he wants to produce; it is the restitution of the organic equilibrium. He studies the causes which can secure that end. And again, the disturbance of the equilibrium itself, the disease, is for him an effect which he seeks to understand by an analysis of the preceding causes. The means which he applies can therefore be valued only in reference to their efficiency; no other point of view belongs to his world. The religiously valuable may be indifferent or even undesirable in the interplay of causes, and the morally indifferent may be most important for the physician’s interests. The religious emotion accordingly has to stand in line with any other mental excitement or with a hundred physical means which the laboratory and the drug store supply. The physician will welcome the methods of treatment without reference to metaphysical systems or to religious beliefs. To him it is an empirical fact that many disturbances of mind and body which interfere with the equilibrium of life can be repaired by influences on certain psychophysical organs. A part of these repairing influences he finds in the sense stimuli, for instance, of spoken or written words which reach the brain and awaken associative and reactive processes. He finds further that these influences can be reinforced in their effectiveness by certain general conditions of the nervous system and again finds that these can be secured partly by sense impressions, and once more especially by words.
It is a matter of course to the physician that application of any sense influence on the brain demands a most subtle analysis of the psychophysical situation. Therefore, he gives no less attention to the disentangling of the whole history of the individual brain, to its stored-up energies and to its mental possibilities. If he knows the psychophysical status, and finally if he knows the means of influencing those psychophysical organs which stimulate or inhibit the disturbed central parts, he can foresee the psychophysical effects with a certain definiteness. Thus everything depends upon the sharpest possible, almost microscopic, mental analysis, together with a most thorough examination of the whole nervous system and the most careful calculation of the mental influences applied.
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