ie Reco BRUCE Y AQ 466 bss i 4 Gornell University Library Sthaca, Nem York € 2 at ROM at &+- . Preserved. Smit oe AG nell Univ - ui Ap B™ °36 mans mA 2 aoe My 17 “88 7 Ap 22 °39 RRA 8 My ~ 6 “8 hUG 2: acy EC 31 1945 wR 7 197 HANDICAPS OF CHILDHOOD By H. ADDINGTON BRUCE Author of ‘‘ Psychology and Parenthood,’’ ‘‘ The Riddle of Personality,’’ etc. NEW YORK DODD, MEAD AND COMPANY 1917 Na A. S48e24 Coprrieut, 1917, BY DODD, MEAD AND COMPANY, INC. TO MY FATHER JOHN BRUCE IN LOVING REMEMBRANCE OF BOYHOOD JOYS AND ADVANTAGES PREFACE Ir is my hope that this book will be read as a com- panion-volume to “ Psychology and Parenthood,” it being designed to amplify and supplement that earlier work. Its general aim, accordingly, is to present additional evidence in support of the central doctrine of “Psychology and Parenthood,”— namely, that, in view of the discoveries of modern psychology with regard to individual development, the mental and moral training of children by their parents ought to be begun earlier, and be carried on more intensively, than is the rule at present. But whereas in “ Psychology and Parenthood ” the em- phasis was chiefly on the importance of early mental training, the chief concern of the present book is to demonstrate the importance of early training in the moral sphere. . - tv] PREFACE Everybody, of course, is more or less aware that lifelong character defects may result from parental neglect to develop in children such qualities as unsel- fishness, self-confidence, and self-control. But few really appreciate that, by this neglect, children are burdened with handicaps which, persisting into adult life, may imperil not alone the winning of success and happiness, but health itself. And, among par- ents, comparatively few are sufficiently alert to the danger signals giving warning that such handicaps of perhaps catastrophic significance are being need- lessly imposed on their children. Eccentricities of behaviour in children—such as jealousy and sulki- ness—are too often ignored as being of no particular account, or are sadly misinterpreted by parents, with perhaps dire consequences to the children’s whole careers. These eccentricities and their possible conse- quences, these danger signals and handicaps, form in the main the subject-matter of the pages that follow. Desiring the book to be helpful to as many [vi] PREFACE people as possible, I have been careful to avoid writ- ing in any technical scientific way, and have tried to be simple and concrete. For this reason many illus- trative cases from real life are given, my belief being that I could thus present most convincingly the truly remarkable facts with which the successive chapters have to deal. The result, I sincerely trust, will be to contribute in some degree to save children from the handicaps in question, and to assist adults now afflicted with any of these handicaps to overcome them. In large part, this book has already appeared in the columns of several magazines. To the editors of these magazines—The Century Magazine, Good Housekeeping Magazine, McClure’s Magazine, Har- pers Bazar, Every Week, and The Mother's Maga- zine—I owe grateful acknowledgment for the oppor- tunity to acquaint their readers with the discoveries and theories herein set forth. I am also under a debt of gratitude to numerous psychological and medical friends for advice and information. And, [ vii] PREFACE as in the case of all my previous books, I am particu- larly indebted to my wife for inspiration, encourage- ment, and innumerable helpful suggestions. H. Appincron Bruce. Cambridge, Massachusetts, July, 1917. [ viii ] VII VIII Ix CONTENTS PREFACE .. . Menta BackwakDNEss Tue Onty CuiLp Tue Carty WuHo Surxs JEALOUSY SELFISHNESS . BasHFuLNEss AND INDECISION STAMMERING . Farmy Tares Toat Hanpicar . “Nicut Terrors ” In Conciusion InpEx PaGE 37 63 99 131 165 207 243 271 303 307 MENTAL BACKWARDNESS I MENTAL BACKWARDNESS NCE upon a time, not many years ago, a distinguished French psychologist paid a visit to a Parisian public school. It was accounted an excellent school, and its principal beamed with pardonable pride when the visiting psychologist, Doctor Alfred Binet, explained that he would like to see the pupils at work. Forthwith his desire was granted, and for a time he attentively fol- lowed the exercises of a class of forty children. He said little by way of comment, until, toward the close of the lesson-hour, he abruptly inquired: “ Which of these pupils do you consider the most intelligent? ” “That boy yonder,” the master answered, nod- [3] HANDICAPS OF CHILDHOOD ding toward a pleasant-faced youngster who was diligently reading his book. “ And, pray, how old is he? ” * He is twelve.” “That, I suppose, is the average age for the class? ” “Well, no. I should say that they are on the average ten years old.” “What, then, is this twelve-year-old boy doing among them? If he is so bright, why is he lingering among these little ones? My dear sir,” the psychol- ogist continued, while the principal stood in abashed silence, “ would it not be nearer the mark to call him a backward instead of a bright child? And would it not be well to search for the cause of his backward- ness and try to remedy it? Assuredly, this boy should constitute for you a delicate problem that insistently demands solution.” This, I say, happened not many years ago. For that matter, incidents quite like it occasionally hap- pen even to-day, testifying to the inability of some [4] MENTAL BACKWARDNESS teachers to appreciate the presence, let alone the significance, of the laggard in the schoolroom. But in the brief period that has elapsed since Alfred Binet began his epoch-making investigations in the schools of Paris, there has undoubtedly been a genu- ine and widespread awakening in respect to the tremendously important problem raised by the back- ward child. Especially is this true of our own land. Nowhere else, perhaps, have more diligent efforts been made to ascertain the extent and causes of backwardness among the school-going population, and nowhere else is greater activity being displayed in the beneficent task of transforming the backward child, as far as possible, into the normal one. Certainly, too, it must regretfully be added that there is abundant reason for this activity. Re- searches conducted during the past ten years by American school authorities and by independent in- vestigators, have revealed an appalling state of affairs. Doctor Oliver P. Cornman, a district super- intendent of the Philadelphia schools, making a sta- [5] HANDICAPS OF CHILDHOOD tistical survey of five city school systems, found 21.6 per cent. of Boston school children a year or more behind the normal grade for their age; 30 per cent. behind grade in New York; 37.1 per cent. behind grade in Philadelphia; 47.5 per cent. behind grade in Camden, New Jersey; and 49.6 per cent. behind grade in Kansas City. Doctor Leonard P. Ayres, acting in behalf of the Russell Sage Foundation, investigated fifteen New York City public schools, having twenty thousand pupils, and found a degree of retardation ranging from 10.9 per cent. to 36.6 per cent. Scrutiny of the school reports of more than thirty other cities revealed an average retarda- tion of 33.7 per cent. Taking this as a fair average , for the whole country, we have a total of between six and seven million American school children who are a year and more behind grade. To be sure, this does not mean that all these chil- dren are intellectually deficient, for the term “ re- tarded ” is by no means synonymous with “ dullards.” Irregular attendance owing to illness or truancy [6] MENTAL BACKWARDNESS accounts for not a little retardation. The education of a good many children is deliberately postponed by their parents, and as a result they are necessarily behind grade for some time after they cnter school. In the case of many others, especially in cities like New York and Boston, where there is a large foreign- born population, ignorance of the English language is a sufficient cause for temporary retardation. Thus, I have received a letter from Doctor William H. Maxwell, superintendent of schools, New York City, in which he points out that many New York school children are recently arrived immigrants, com- ing from a foreign country, considerably above the age at which school-going usually begins. The per- sonal inefficiency of teachers is also a factor to be reckoned with. Many a child becomes a “ repeater ” simply because he has had a poor teacher. Nevertheless, when every possible allowance is made, the results of the investigations by Doctor Ayres, Superintendent Cornman, and their co-work- ers sum up to a deplorable showing. It is a show- [7] HANDICAPS OF CHILDHOOD ing, however, with one distinctly redeeming feature. Readers of my previous book, “Psychology and Parenthood,” will remember it was there pointed out that the proportion of juvenile delinquents who are “born bad,” and for whom no remedial measures will avail, is exceedingly small. There is reason for saying precisely the same thing with regard to the retarded child. He may be dull, stupid, to all appearance hope- lessly defective, but the researches of the past decade, the fruits of the mind-developing experiments that have gone apace with the discovery of the extent to which backwardness prevails, leave no doubt that in most cases the child who is a true dullard may be brought almost, if not fully, to normal intellectual activity, provided he is taken in hand at an early day. In fact, even the most pessimistically inclined investigators admit that, at an outside estimate, not more than 2 per cent. of backward children are back- ward because of incurable defects of the brain. Many present-day authorities put the figure as low [8] MENTAL BACKWARDNESS as 1 per cent., and my own belief is that even this is too high a proportion. Undoubtedly—and especially since the invention of psychological tests to determine the mental state of dullards—many children have been erroneously pronounced feeble-minded when their backwardness is in reality due to remediable causes. The trouble is not with the tests so much as with the inexperience of those who apply them, some of the tests being seemingly so easy of application that in many in- stances they have been utilised by teachers and others having little or no training in clinical psychology. This is particularly true concerning the application of the much-talked-about Binet-Simon method of mental diagnosis, devised by Doctor Alfred Binet and his colleague in scientific child study, Professor Simon. The Binet-Simon method is certainly simple enough, and, rightly used, is of great value. It was formulated by putting to hundreds of children, rang- ing in age from three to thirteen, a series of ques- [9] HANDICAPS OF CHILDHOOD tions and commands of increasing difficulty, noting the results obtained, and selecting as “ norms” for each age the questions and commands to which the majority of the children of that age were able to respond correctly. Thus it furnishes a convenient means for determining with considerable accuracy the degree of mental retardation of any particular child. Experience has shown, though, that its fixed standard, by which children are pronounced “ men- tally defective” if they fall three years behind the norm for their age, is not always an infallible guide. When the method is applied by the untrained inves- tigator the result is sometimes absurd. _ For instance, in one American city 49.7 per cent. of six hundred retarded children tested by the Binet- Simon method were reported as being “ feeble- minded,” while 80 per cent. of three hundred children in the special classes of another city school system were similarly stigmatised. On such a basis we should have, among the six million retarded children in our schools, from three to nearly five million who [10] MENTAL BACKWARDNESS are feeble-minded. Even if the Binet-Simon testing is done by an expert, there is always the danger of incorrect diagnosis, with resultant serious injustice to the child tested, unless the indications drawn from the testing are verified by careful clinical and lab- oratory investigation. A few cases from the experi- ence of a well-known clinical psychologist, Doctor J. E. Wallace Wallin, director of the Psycho-Educa- tional Clinic, Board of Education, St. Louis, may well be cited to illustrate and emphasise this im- portant truth. There was once brought to Doctor Wallin a pupil in a private school, an attractive girl of seventeen, who was studying—or, rather, attempting to study— Latin, history, algebra, and English. Her teacher complained that she could remember little or nothing of what was taught her, that her attention flagged easily, and that in other ways she did not seem to be of normal mentality. And, in fact, tested by the Binet-Simon method she graded only eleven and a half years old. [11] HANDICAPS OF CHILDHOOD Had the psychological inquiry into her condition stopped there, she would have been declared a fit subject for institutional care, according to the Binet- Simon rating. But Doctor Wallin insisted on addi- tional and different testings, and presently made the significant discovery that her trouble lay, not in any structural brain defect, but in a functional weak- ness of the nervous system that caused her to become fatigued at slight mental exertion. She was, in short, a “psychasthenic,” and needed only proper treat- ment by a skilled neurologist to be put into condi- tion to profit from her lessons as her schoolmates did. So, too, with a man of twenty-eight, who, tested by the Binet-Simon system, displayed the mentality of a boy of twelve. Had he been in the hands of an investigator who knew no more of the technic of psychological examination than the Binet-Simon scale, he would unhesitatingly been classified as feeble-minded. But, as Doctor Wallin said, in dis- cussing the case: “He did not impress me at all as being feeble- [12] MENTAL BACKWARDNESS minded. His appearance, speech, and conduct sug- gested the polished and cultivated gentleman. I put him through approximately thirty sets of mental tests [other than twenty-five individual Binet tests ] and thirty moral tests. These tests demonstrated that there was a considerable difference in the strength of his different mental traits. Some traits were on the twelve-year plane, some on the fifteen-year, and some on the adult plane. In some mental tests he did as well as college men. He passed correctly practically all of the moral tests. “ His was indeed a case showing more or less defi- ciency in respect to various mental traits. But, con- trary to the Binet rating, the man was not feeble- minded. It eventually developed that a sexual complex was at the root of his trouble.” Again, with the express purpose of determining the reliability or unreliability of the Binet-Simon tests as sufficient indicators of the mental status, Doctor Wallin applied these tests to several success- [13] HANDICAPS OF CHILDHOOD ful farmers and business men. ‘The results were surprising and amusing. He tells us: “The 1908 scale was administered according to my own Guide,” and the 1911 according to Goddard’s version, which is usually used in this country for diagnosing feeble-mindedness. The subjects were generously rated in the tests; ie., full credit was given for some responses that did not quite meet the technical passing requirements. Measured by the standards of one of the best rural communities of the country, socially and industrially considered, and by my own intimate knowledge of the subjects tested during the greater part of my life, not a single one of these persons could by any stretch of the imagination be considered feeble-minded. Not a single one has any record of delinquency, or crime, petty or major, or indulges in alcoholic beverages. All are law-abiding citizens, eminently successful in their several occupations, all except one (who is unmarried) being parents of intelligent, respectable 1 As given in J. E. Wallace Wallin’s “ Experimental Studies of Mental Defectives,” 1912, p. 116 et seq. [14] MENTAL BACKWARDNESS children. The heredity is entirely negative, except for a few cases of minor nervous troubles and alco- holic addiction. No relative in the first or second generation, so far as it was possible to get the facts by inquiry, was ever committed to a penal institu- tion or an institution for the mentally defective or disordered.” Yet, given the Binet-Simon tests, every member of this group, if judged by the tests alone, would have to be rated as feeble-minded. Here is Doctor Wallin’s account of one of these most illuminating cases : “Mr. A., sixty-five years old, faculties well pre- served, attended school only about three years in the aggregate; a successful farmer and later a suc- cessful business man, now partly retired on a compe- tency of $30,000 (after considerable financial re- verses from a fire); for ten years president of the board of education in a town of seven hundred; superintendent or assistant superintendent of a Sun- day school for about thirty years; bank director; [15] HANDICAPS OF CHILDHOOD raised and educated a family of nine children, all normal; one engaged in scientific research (Ph.D.), one assistant professor in a state agricultural school, “ one assistant professor in a medical school (now completing thesis for Sc.D.), one a former music teacher and organist, a graduate of a musical con- servatory, now an invalid; one a graduate of the nor- mal department of a college, one a graduate nurse, two engaged in a large retail business, one holds a clerical position, all high-school graduates, and all, except one, one-time students in colleges and uni- versities. “ Failed on all the new 1911 tests except six digits and suggestion lines (almost passed the central- thought test). In the 1908 scale, passed all the ten-year tests and some higher tests. Binet-Simon age, 1908, 10.8; retardation, fifty-four years; intel- ligence quotient, .17. According to the 1912 scale, 10.6 years.” Doctor Wallin fittingly comments: “ This man, measured by the automatic standards [ 16 ] MENTAL BACKWARDNESS now in common use, would be hopelessly feeble- minded (an imbecile by the intelligence quotient) and should have been committed to an institution for the feeble-minded long ago. But is there any one who has the temerity, in spite of the Binet ‘ proof,’ to maintain, in view of this man’s personal, social, and commercial record, and the record of his family, that he has been a social and mental misfit and an unde- sirable citizen, and should, therefore, have been re- strained from propagation because of mental defi- ciency (his wife is still less intelligent). No doubt, if a Binet tester had diagnosed this man forty or fifty years ago, he would have had him colonised as a ‘mental defective.’ r Tt is a safe guess that there are hundreds of thousands like him throughout the country, no more intelligent and equally successful and prudent in the management of their affairs. Had he been a criminal when he was tested, the Binet testers who implicitly follow these standards would have offered ‘ expert testimony ’ under oath that he was feeble-minded and unable to distinguish between [17] HANDICAPS OF CHILDHOOD right and wrong, or unable to choose the right and avoid the wrong.” Truly, feeble-mindedness in an adult or child is not safely to be determined by relying merely on the results of a set of stereotyped mental tests. On the other hand, in deciding as to a child’s actual mental state it is far more misleading to depend on unaided observation as a guide. Yet, since the beginning of scientific investigation into the causes of backward- ness, cases have continually been coming to light in which teachers and even parents have mistakenly identified curable dullness with incurable feeble-mind- edness, and have abandoned all effort at intellectual development. Sometimes, consequently, a condition closely resembling outright idiocy results from sheer neglect, as in one particularly striking case, for knowledge of which I am indebted to Doctor Arthur Holmes of Pennsylvania State College, well known for his work in clinical psychology. In this case the daughter of a well-to-do profes- sional man failed to show normal growth in infancy [18 ] MENTAL BACKWARDNESS and was supposed by her sorrowing father to be weak-minded. Left to her own devices, on the theory that it would be useless to try to mend the work of Providence, she remained until the age of eight in a state of seeming imbecility. She could not read or write, could not speak more than three words, and spent most of her time gibbering in a corner. Then, as good fortune would have it, she came under the observation of an expert investigator of mental con- ditions and was subjected for a year to careful train- ing. At the end of that time she “could speak in simple sentences, answer ordinary questions intelli- gently, read in a primer, write a few words, and conduct herself in the manner of a little lady.” In other words, she had been taken in hand in time to save her from a life of incompetency, misery, and mental darkness. Is it not reasonable to infer, in the light of this and similar cases on record, that our institutions for the feeble-minded would be far less crowded than they are to-day had regenerative meas- ures been likewise applied to their inmates in early [19 ] HANDICAPS OF CHILDHOOD childhood? Indeed, with Professor Lightner Witmer, dean of American clinical psychologists, I am pre- pared to affirm: “I believe that a child may be feeble-minded in one environment—for example, in his own home—and may cease to exhibit feeble-mindedness when placed in a different environment. I also agree with those modern students of insanity who assert that the de- velopment of some forms of insanity may be averted by a proper course of discipline and training. Anal- ogously, I contend that because a child of sixteen or twenty presents a hopeless case of feeble-mindedness, this is no evidence that proper treatment instituted at an earlier age might not have determined an en- tirely different course of development.” Also, as in the case of the criminal alleged to have been “born bad,” mental backwardness has again and again been found to depend on comparatively slight physical defects—defects of eye, ear, mouth, nose, throat, teeth—the correction of which often results in a spontaneous and remarkable intellectual [ 20 ] MENTAL BACKWARDNESS awakening.. Or the dullness mistaken for feeble- mindedness may be due to a generally weakened physical condition, the result of unhygienic home sur- roundings, lack of outdoor exercise, poor food, and _so forth. Here is a case in point, reported by Pro- fessor Witmer. It is the case of a little Philadelphia girl, Fannie, the eight-year-old daughter of Russian- Jewish parents, whose two-room home is thus de- scribed by Professor Witmer: “ The living-room had one window, and contained a table, a few chairs, a stove, a lounge, dirty clothes piled in one corner, a barking cur, and many flies. The table was covered with a piece of black oilcloth, and on this were usually to be found pieces of brown bread and glasses of tea. No meals were prepared and the family never sat down to table. Their diet consisted chiefly of bread, tea, and sometimes fish. The bread was always on the table for the flies to crawl over and the children to eat when their hunger drove them to it. +¥For some illustrative cases see “ Psychology and Parent- hood,” especially pp. 174-178. [21] HANDICAPS OF CHILDHOOD “The front of the house looked out on a board fence which divided a double alley. In the rear was a small back yard. One hydrant at the entrance sufficed for the different families. There was under- ground drainage, but an offensive odour came from the closets. This was the soil in which Fannie had struggled to grow for eight years. When the school nurse visited the house, Fannie sat crouched in a corner, her eyes sullen and dead, her mouth hanging open, her skin showing the poorly nour- ished condition. Her eyes were crossed, her teeth irregular, the whole face devoid of life or in- terest. “ Fannie had been two years in the first grade of a Philadelphia school, and had made in that time so little progress that there was no possibility of pro- moting her to the next grade at the end of that school year. During the first year her attendance had been somewhat irregular, but despite the regular attendance of the second year she had profited little, and had come to be overlooked because she was [ 22 ] . MENTAL BACKWARDNESS thought to be too feeble-minded to progress in a school for normal children.” Taken to the psychological clinic, she was given a thorough physical and mental examination. She was found to he afflicted both with adenoid growths and enlarged tonsils, and was sent to a hospital to be operated on for these. Later she was entered in the hospital school connected with Professor Wit- mer’s clinic at the University of Pennsylvania. Here she remained a year, part of that time attending also one of the city’s public schools. Both mentally and morally she made satisfactory progress. Her sullenness rapidly disappeared under sympathetic handling. Though “ at first she did not seem to un- derstand affection,” by the end of six weeks “ she was the most demonstratively affectionate child in the school.” Professor Witmer adds: * During the first summer she appeared extremely sluggish. She showed very little tendency to play, and preferred to sit more or less motionless. As good food, better air, sunlight, and kindly treatment [ 23 ] HANDICAPS OF CHILDHOOD began to take effect, she burst forth with such exces- sive vitality, such exuberant spirits, that once when I had her before the psychological clinic one of the teachers asked if the lively movements were not the result of St. Vitus’s Dance. This first outburst of vitality gradually subsided, leaving her a normally active child.” Undeniably, of course, even though a vicious household environment was chiefly responsible for this girl’s backwardness, the adenoids and enlarged _tonsils were also responsible for it in some degree. Parents cannot too keenly appreciate the hurtful effect bodily defects like these may have on mental development. Doctor Ayres, who has made an ex- haustive study of this factor in retardation, esti- mates that it alone accounts for about 9 per cent. of the laggards in our schools, and clinical psycholo- gists are disposed to put the percentage still higher. On the other hand, their experience with retarded children has led them to the important conclusion that, helpful as spectacles, the ear syringe, and the [ 24 ] MENTAL BACKWARDNESS surgeon’s knife may be, “ after-treatment” in the form of careful individual training usually is indis- pensable, if only for the reason that while handi- capped by the bodily defect the child may have ac- quired faulty mental habits which need to be cor- rected before education by ordinary schoolroom methods can count for much. This means, manifestly, that many agencies must co-operate in the regeneration of the curable dullard. How many are sometimes involved may perhaps be sufficiently indicated by detailing another case from Professor Witmer’s extensive experience, the case of an eleven-year-old boy who was brought to the Uni- versity of Pennsylvania’s psychological clinic with a history of five wasted years in school. Any suspicion that this boy might belong to the ranks of the truly feeble-minded was dissipated by the results of the exhaustive mental testing through which Profdéssor Witmer put him. This showed not only that he was naturally intelligent, but also that he was of an dffectionate, generous, and thoughtful [25 ] HANDICAPS OF CHILDHOOD disposition. When, however, a physical examination was made, ample reason for his dullness was discov- ered, for it was found that he was suffering from adenoids, enlarged tonsils, weakness of vision, and dental trouble, his teeth being decayed and unclean, with tartar pushing back the gums, which were in- flamed and swollen. In addition, he was stoop-shoul- dered, had an irregular heart action, and showed signs of being poorly nourished. “Before anything can be done to improve your boy’s mental state,” it was explained to his mother, “his physical condition will have to be improved. He should be put under treatment without delay.” Then began a distressful period for the hapless youngster. First of all, a throat specialist operated on him for the removal of the adenoids and the hyper- trophied tonsils. After this he was sent to the eye clinic, where he was fitted with glasses. Next, he was taken to the dental clinic, where his teeth were cleaned and filled. All the while a trained social worker kept in touch with his parents to make sure [ 26 ] MENTAL BACKWARDNESS that he would receive the hygienic care which had hitherto been wanting. In the meantime, he was allowed to return to school, from which, after the beginning of the summer vacation, he was transferred to a special school for backward boys. Here he remained most of the summer, being given individual attention with regard to his mental and physical needs. It was noticed at first he was inclined to be quick- tempered and disorderly; but under the tactful handling he received he soon settled down. From being puny and delicate, he became an active, vigour- ous boy, excelling in the swimming-pool and the gym- nasium. At his books he also made such progress that, on returning to regular school in the autumn, he was promoted through two grades in less than six months, being then only one grade behind normal and giving every promise of catching up with the boys of his own age in another six months. Altogether, the services of half a dozen specialists in psychology, medicine, and education, and the ex- [27 ] HANDICAPS OF CHILDHOOD penditure of much time, effort, and money had been required to get this boy straightened out. Nor is his by any means an uncommon case. Moreover, like the case of the gibbering girl of eight, it illustrates another point in connection with the problem of re- tardation which should indeed be emphasised—the part played by parental ignorance and thoughtless- ness in swelling the army of the retarded. Had the parents of this boy appreciated the close relationship between bodily health and the health of the mind, had they taken alarm at the first signs of malnutrition and sought the advice of a competent physician, instituting developmental measures in ac- cordance with his counsel, their son might not have become an educational “lame duck,” and all the tedious and costly restorative work of later years would then have been avoided. To be sure, it must immediately be added that maintenance of his physi- cal health would not of itself have unfailingly oper- ated as a guarantee against retardation. For, quite conceivably, he might have been sur- [28] MENTAL BACKWARDNESS rounded by an intellectually deadening home environ- ment, receiving from his parents neither proper dis- ciplining nor encouragement and stimulus to mental activity, with the result that when the time came for him to go to school he would display little capability for, or interest in, the tasks of the classroom. So frequently is this actually the case that students of retardation are inclining more and more to rate faulty home training as perhaps the chief cause of mental backwardness. Thus we find one keen ob- server, Professor P. E. Davidson, declaring in an address at an educational convention in California: “Parental neglect as a cause, resulting in emo- tional and volitional disorder, is emphasised in our cases. Learning in school is conditioned largely by what Witmer calls ‘ pedagogical rapport,’ wherein a deference to the prestige of the teacher and the school and a sensitiveness to its rewards and punish- ments are such as rapidly to produce a habit of voluntary effort or active attention. Confirmed wil- fulness at home and undisciplined impulsiveness must [ 29 ] HANDICAPS OF CHILDHOOD undoubtedly figure in the matter of learning. If the child’s organic habit, after five or six years of poor home training, makes avoidance of the painfulness of effort the usual thing, we may be sure the teacher in the first grade will have unusual difficulty in in- ducing a disciplined attention, and a bad beginning on this account may establish a backwardness which later may not be overcome without the individual attention that is impossible in the teaching of large classes.” Professor G. W. A. Luckey, of the University of Nebraska, listing the causes of retardation, puts at the foot of his list “bad inheritance, unredeemable defects, physical and mental,” and at the very top, “ignorance and indifference on the part of parents.” Most investigators would evaluate these contrasting causes in precisely the same way. The inference, needless to say, is that we need never hope to bring about an appreciable diminution in the number of retarded children until parents are more fully en- lightened as to their duties and responsibilities. It [ 30] MENTAL BACKWARDNESS is therefore good to find that a nation-wide cam- paign of enlightenment is well under way, together with an ever-increasing extension of agencies for the work of rescuing the retarded and fitting them to achieve success in the school and in the world. Eight years ago there were in all the United States rT7 only three “ clearing-houses for retarded children.” These were the psychological clinic of the University of Pennsylvania, established by Professor Witmer in 1896; a civic psychological clinic, opened in 1909, in connection with the schools of Los Angeles; and the psychological clinic of Clark University, at Worcester, Massachusetts, established in the same year as a department of that university’s splendid Children’s Institute. To-day, as part of the regular activities of uni- versities and normal schools, there are psychological clinics in more than a dozen States, including Cali- fornia, Colorado, Connecticut, Iowa, Kansas, Louisi- ana, Massachusetts, Michigan, Minnesota, New York, Ohio, Pennsylvania, and Washington. At least four [ 31 ] HANDICAPS OF CHILDHOOD States—Indiana, Massachusetts, New York, and Pennsylvania—have psychological clinics in opera- tion as adjuncts of hospitals. California, Illinois, Missouri, New York, and Pennsylvania have similar clinics in direct connection with the public school system. Ohio has one connected with a vocational- guidance bureau. And in some States—such as Con- necticut, Illinois, and Massachusetts—psychological clinics are also in operation for the special purpose of aiding in the proper disposition of cases brought before the juvenile courts. Even more rapid has been the development of ear, eye, throat, and dental clinics for the needs of school children. As an outgrowth, too, of the discoveries of the past few years, there has been a widespread movement in the direction of establishing special schools and classes in which the retarded may receive the care necessary to enable them to make up for lost time, or, when this is out of the question, to equip them for as happy and useful a life as is possible under their exceptional mental limitations. Unques- [ 82 ] MENTAL BACKWARDNESS tionably a splendid beginning has been made in the warfare against retardation—a beginning not sur- passed by similar effort in any foreign land, and certain to prove of great value to the American nation. But, if it is to prove of the utmost possible value, there must be active co-operation by the public gen- erally and by parents in particular. Society must insist on every child being given hygienically decent surroundings, and parents in the mass must become increasingly alive to their responsibilities and oppor- tunities in developing the mentality of their young. To reiterate: It may be considered as definitely established to- day that the vast majority of cases of mental back- wardness are the result, not of organic brain defects, ; not of true feeble-mindedness, but of remediable physi- cal conditions or faulty training in the home. It may be considered as established that even seem- ingly incurable cases will often yield to expert treat- * ment, [ 33 ] HANDICAPS OF CHILDHOOD And it may be considered as established that, of the cases which cannot be successfully handled, a large proportion are cases which could have been successfully handled had they been recognised and given expert treatment during early childhood. Let every parent of a dull child act, and act promptly, to ascertain from some expert just why his child is dull, and what can and should be done to overcome the dulness. Let every parent of every child make it his business to learn and heed the laws — of physical and mental hygiene as applicable to his child, with a view to insuring that the child shall not be afflicted with preventable mental backwardness. This is one of the prime duties of parenthood. [ 34 J THE ONLY CHILD II THE ONLY CHILD IFTEEN years ago a boy was born of pros- perous New York parents. His arrival was exceptionally welcome, for his father and mother had been living in dread that theirs might prove a childless marriage. They had fervently promised themselves that if their fondest hopes were realised and a child granted to them, nothing that loving devotion could accomplish would be left un- done to secure for the little one the best possible start in life. As a first step in the fulfilment of this promise, they decided soon after their son’s birth to remove from New York to a pleasant residential suburb, where fresh air abounded, and where the ad- verse environmental influences of the crowded city streets were utterly unknown. [ 87 ] HANDICAPS OF CHILDHOOD Seemingly, no decision could have been wiser; seemingly, no child could have been brought up amid more favourable surroundings than their boy en- joyed in the splendid home they provided for him on a beautiful slope crested with pines. Yet, despite all the love lavished on him, despite the prodigious efforts to keep him well and strong, he did not thrive. Before he was seven he displayed “nervous” symptoms that threw his parents into a panic. He suffered from “ night terrors,” he became excitable and irritable. The eminent physician to whom he was taken made the flattering diagnosis that the only trouble with the boy was an unusually sensitive nervous organisation; prescribed sedatives, advised outdoor exercise, warned against overstudy, and so forth. Unfortunately, he did not also emphasise the necessity for simplification of the child’s environ- ment as a preventive of nerve strain. Nor did he dwell on the supreme importance to physical, no less than moral, welfare of sedulously cultivating in the [ 38 ] THE ONLY CHILD little fellow the virtues of courage, self-control, and self-denial. Perhaps he did not think it needful to speak of these things to such evidently well-bred and well-intentioned parents; perhaps he did not think of these things at all. In any eveut, while acting on his advice as to stimulating animal activity and retarding brain func- tion, the father and mother continued to minister to their son’s every whim, and eternally busied them- selves devising amusements and distractions for him. . § In time the “night terrors” were no longer in evi- me 2 dence; but the excitability and irritability persisted, and presently other unpleasant traits appeared, notably a tendency to conceit and selfishness. Natu- rally, this did not make the poor youngster any too popular among the few playmates with whom his parents allowed him to associate, and naturally the parents blamed the playmates for not appreciating the “ sensitiveness ” of his disposition. Thus matters continued until his twelfth year, when his father suddenly awoke to the fact that, intellectually, the [ 39 ] HANDICAPS OF CHILDHOOD naughty playmates were considerably ahead of the good little boy. For the first time common sense scored a distinct triumph over excessive and indis- creet parental love; the governess who had been un- able to handle her self-willed pupil was dismissed, and the boy was sent to school. There he has been painfully gaining the disci- pline—the lessons in self-mastery—that should have been given him in the nursery. But he still is lament- ably arrogant and selfish; he still finds it difficult to get along with other boys. Whether his schoolmates will take the trouble to help him overcome the handi- cap of his early rearing is questionable; and however this may be, it is hardly likely that the character defects unnecessarily acquired during his childhood will be wholly rooted out. ——“Tt must regretfully be added that this boy’s case is not an exceptional one. Rather, it is typical of the plight of most “ only children,” who, no matter what their advantages of birth, too often reach man- hood and womanhood sadly handicapped and mark- [ 40 ] THE ONLY CHILD edly inferior to other children. In a vague way, to be sure, parents with only one child have long realised that they are confronted with special problems in child training; but there is abundant proof that in innumerable instances they signally fail to grasp these problems clearly and work them out satisfac- torily. Everyday observation supports this statement, and it is confirmed by the findings of modern medi- cal, psychological, and sociological investigation. Statistically, its most important corroboration is forthcoming from the results of a census of “ only children,” undertaken some years ago by the psycho- logical department of Clark University in conse- quence of certain suggestive indications noticed in the responses received to a questionnaire on peculiar and exceptional children. Of the thousand children described in these re- sponses it was observed that forty-six were specifi- cally mentioned as being “only children,” although none of the queries in the questionnaire asked directly [41] HANDICAPS OF CHILDHOOD or indirectly about such children. The presumption was that a number of the remaining children de- scribed in the responses were also of the only-child class. But even if such were not the case, the total of forty-six was surprisingly high, since, according to reliable vital statistics, the average progeny of fertile marriages is six, with an only-child average of one out of every thirteen fertile marriages; that is, a proportion of one only child to every seventy- eight children, as contrasted with the proportion of one in fewer than every twenty-two of the “ peculiar ” children described in the questionnaire reports. Moreover, on dividing these reports into three groups based on the “ advantageous,” “ neutral,” and “ disadvantageous ” character of the peculiari- ties mentioned, it was found that while considerably less than half of the total number of children fell into the disadvantageous group, two-thirds of the “only children ” had to be put into it. Naturally this suggested the desirability of a special investiga- tion with reference to the only child, and accordingly [ 42 ] THE ONLY CHILD a second questionnaire was issued, with queries relat- ing to age, sex, nationality, health, amusements, in- tellectual ability, moral traits, and so forth. In this way, from school teachers and other disinter- ested observers, definite information was obtained concerning nearly four hundred “ only children ”— information which, as finally tabulated and analysed by the director of the investigation, Doctor E. W. | Bohannon, is of great significance to the parents of every only child and to all interested in individual and racial improvement. The age average of those whose ages were given— nearly three hundred—was twelve years, including about sixty ranging in age from seventeen to thirty- five. About four-fifths were of American parentage, while the proportion with regard to sex was, roughly speaking, one-third male and two-thirds female, a disparity doubtless attributable in part to the cir- cumstances of the investigation. About one hundred were said not to be in good health, and another hun- dred to be in outright bad health. In one hundred [ 43 ] HANDICAPS OF CHILDHOOD and thirty-three out of two hundred and fifty-eight cases the temperament was described as “ nervous.” Precocity was another often-mentioned trait; but on the average the beginning of school life was from a year and a half to two years later than is usual, and in the performance of school work the ques- tionnaire responses also revealed a marked inferiority on the part of many “ only children.” In their social relations only eighty were reported as “ normal,” while one hundred and thirty-four out of a total of two hundred and sixty-nine got along badly with other children, usually because they were unwilling or did not know how to make concessions, or were stubbornly set on having their own way. On this important point Doctor Bohannon says, in detail : , “When they disagree with other children it is usually because of a desire to rule. If they fail in this desire they are likely to refuse to associate with the children who cause the failure, and in a measure succeed in the wish to have their own way, either [ 44 ] THE ONLY CHILD by choosing younger companions whom they can control, or older ones who are willing to indulge them. Many do not care for a large number of companions, and select one or two for friends, with whom they prefer to spend most of their time. . . . In numer- ous instances . . . a marked preference for the company of older people is manifest, even when op- portunity for younger company is present. But this is no doubt due less to a dislike of suitable compan- ionship than to their inability to understand and be ( onderstood by children of near their own age. It is plainly evident that they have as deep longings for society as the children of other families, but their isolated home life has failed to give them equal skill and ability in social matters. They do not so well understand how to make approaches, to concede this thing and that.” Of two hundred and forty-five in attendance at school, more than one hundred “only children ” were recorded as not being normally interested in active games, sixty-two of these scarcely playing at [45 ] HANDICAPS OF CHILDHOOD all. “If left to their own devices,” Doctor Bohannon infers from the reports which he received concerning the inactive sixty-two, “they are pretty sure to be found in the schoolroom with their teachers at inter- mission. A number of the boys prefer to play with the girls at strictly girls’ games, such as keeping house with dolls, and generally come to be called girl-boys.” Effeminacy, in fact, is an unpleasantly frequent characteristic of the male only child, and was noted in case after case described in the replies to the questionnaire. Selfishness was set down as the domi- nant trait in ninety-four “only children” of both sexes, and many others were described as being unusually bad-tempered, vain, naughty, or un- truthful.* These depressing findings have since been con- firmed by other investigators, some of whom have contributed specially to our knowledge of the state 1 Doctor Bohannon’s report ought to be carefully read by the parents of every “only child.” It is published in The Pedagogical Seminary, vol. v, p 475 et seq. ‘ [ 46 ] THE ONLY CHILD of the only child in adult life. For instance, the well- known English psychologist, Havelock Ellis, study- ing the life histories of four hundred eminent men and oe women, found the low percentage of 6.9 for “ only children,” indicating unmistakably the persistence of the intellectual inferiority brought out by the an- swers to the Bohannon questionnaire. There would also seem to be no doubt that egotism and social inadaptability characterise the adult only child no less than the immature one. “In later life,” affirms the American psychopath- ologist, A. A. Brill, who has made a special study of the only child from both a medical and psychologi- cal point of view, “ he is extremely conceited, jealous, and envious. He begrudges the happiness of friends and acquaintances, and he is therefore shunned and disliked.” Besides which, speaking from wide ex- perience as a practising specialist in New York City, Doctor Brill insists that the only child, at any age of life, is peculiarly liable to fall a victim to hysteria, neurasthenia, and other serious functional nervous [ 47 ] HANDICAPS OF CHILDHOOD and mental maladies; and his belief, as I happen to know from their personal statements to me, is shared by other observant neurologists and psychopathol- ogists, such as Doctors James J. Putnam and I. H. Coriat, of Boston. This is a point of special interest, for the reason that recent medical research has made it certain that the maladies in question are one and all rooted in faulty habits of thought, usually resultant from errors of training in childhood. Chief among these errors, according to all modern neurologists, is an upbringing which tends to develop excessive occupa- ‘tion with thoughts of self. But this is precisely the kind of upbringing given the majority of “ only chil- dren.” Here again the Bohannon investigation affords impressive evidence. One of the queries in- cluded in the questionnaire bore on the treatment accorded the only child when at home, and it is indeed significant that in about 75 per cent. of the replies received it was stated that the policy of the parents was one of extreme indulgence. [48 ] THE ONLY CHILD “Had her own way in everything,” “ Her parents gratify her every whim,” “She is surrounded by adults who indulge her too much,” “ Humoured,” “ Petted,” “ Coddled,” are some of the expressions frequently employed to describe the parental treat- ment. Many of the answers sent to Doctor Bohan- non also testify to an over-anxiety with respect to the child’s welfare that might easily give rise to undue feelings of self-importance or to an unhealthy habit of introspection. “ His mother was always unduly anxious about him when he was out of her sight,” “She is thought to be quite delicate, and great care is taken of her; she is kept in a warm room and seldom allowed to go out,” “His home treatment has made a baby of him,” may fairly be cited as typical statements returned by Doctor Bohannon’s respondents. Is it any wonder that the average only child grows up deficient in initiative and self-reliance? Is it any wonder that, under the stress of some sudden shock, he reacts badly, allowing himself to be overwhelmed [ 49 ] HANDICAPS OF CHILDHOOD by it, even to the extent of perhaps becoming a neu- rasthenic wreck? In short, can it be doubted that the handicap under which he too often has to struggle painfully through life is not a handicap imposed by Nature but is solely of his parents’ making? Sometimes this is all too clearly appreciated in later life by the child himself, and the parental error is bitterly resented; or, if the sense of filial piety be sufficiently strong, is splendidly excused. As in this fragment from an autobiographical statement by an only child: “Of the selfishness of which a frank woman ac- cused me, my parents were, up to that time, quite as unconscious as I. She had asked my mother to drive with her to the home of a friend in a neighbouring town, where the two were invited to spend the night. My mother declined, on the ground that I, at that time about nine, could not comb my hair and pin my collar properly for school in the morning; and as we then had no maid and my father could at best [ 50 } THE ONLY CHILD only have buttoned my frock, the objection seemed insurmountable. But the family friend called me by the ugly title of naughty, selfish little girl, and chided mother for allowing me to monopolise her time, contending that she was making me selfish and - dependent. “Perhaps she was. But I protest that it could hardly have been otherwise, considering that she had in full measure the world-old desire of mothers to spend themselves for their children, and only one child to spend herself on. It had not occurred to my mother, I am confident, that her habit of minis- tering to me constantly was pampering; nor had I, in going to her for services that I might easily have learned to perform for myself, made demands in the manner of the arrogant spoiled child.” * The compelling power of mother-love and father- love must, of a truth, be recognised in extenuation of the spoiling of the only child. But the fact of the spoiling remains, and the fact also that when the * Bverybody’s Magazine, vol. xv, p. 693. [51] HANDICAPS OF CHILDHOOD spoiling is achieved the parental pride and joy will be turned to grief and bitter lamentation. The pity of it is that the only child, simply because he is the only child, ought to be able to grow up healthier, wiser, and more efficient than other children. For, as psychologists are insisting more and more emphatically, the health, happiness, and efficiency of adult life depend preponderantly on the home influences of early childhood; and, obviously, in a home where the parental attention can be concen- trated on a single child, better results should be attained than when the work of training involves a division of the attention among several children. Unhappily, when it is a question of training an only child, too many parents seem to take it for granted that training is entirely unnecessary, that their child is innately so good that he will develop of his own accord into one of the best of men. In reality, as modern psychology has made very clear, every child at the outset of his life is much like every other child, a plastic, unmoral little crea- [ 52 ] THE ONLY CHILD ture, exceedingly impulsive and exceedingly recep- tive, readily impressed for good or evil by the influ- ences that surround him. Childhood, to repeat a truism hackneyed to psychologists, but seemingly unappreciated by most people, is pre-eminently the suggestible period of life. It is then, when the criti- cal faculty still is undeveloped, that whatever ideas are presented to the mind are most surely absorbed by it, to sink into its subconscious depths, and there form the nucleus for whole systems of thought after- ward manifesting as habits. Herein lurks the special peril to the only child afflicted with over-loving, over- anxious parents. Their perpetual solicitude for him, acting as a suggestion of irresistible force, tends to engender in him a mental attitude out of which may afterward spring, according to the subsequent circumstances of his life, a cold, heartless, calculating selfishness, or a morbid self-anxiety, perhaps eventuating in all sorts of neurotic symptoms. If, as a boy, he is too closely and constantly associated with his mother, [ 53 ] HANDICAPS OF CHILDHOOD the force of suggestion again, acting largely through the imitative instinct, may lead to a development of those feminine traits frequently characteristic of male only children, and often involving pathological conditions of dire social as well as individual signifi- cance. Further still, by restricting unduly the inter- course of only children with playmates of their own age, as is often done, one of the finest agencies in development through the power of suggestion is left unutilised. There is a world of truth in the lament of the only child from whose autobiography I have already quoted: “ All this carefulness kept me uncontaminated by the naughtiness of little street Arabs, but it also limited my opportunity to imitate where imitation is easiest—among those of my-own age; it stunted the initiativeness and inventiveness that might, in nor- mal conditions, have developed in me; and it left me lacking in adaptability. I sometimes disloyally won- der if my chances of being a tolerable citizen might not have been as good if I had been permitted to [ 54 ] THE ONLY CHILD ‘run wild,’ and thus secure for myself the companion- ship I could not have at home.” Of course, association with other children means at least an occasional hard knock, and hard knocks are, above all else, what the doting mother wishes to avoid for her darling boy. She forgets that they are certain to be experienced, soon or late, and that the earlier her boy is fitted to withstand them the better they will be withstood. She forgets, too, that if the suggestions emanating from playmates are not in- variably suggestions for good, they may easily be counteracted, without sacrificing the advantages to be gained from association with playmates, by proper training in the quiet of the home. Always, let me repeat, it is the home training that counts for most. If the only child turns out well, the credit must go to the parents; if, alas! he turns 7 out badly, if he becomes a monster of selfishness or a neurotic weakling, the blame must likewise be theirs. And now it becomes necessary to add that, if in less degree, the “favourite child” in a family is ex- [ 55 ] HANDICAPS OF CHILDHOOD posed to dangers similar to those menacing the un- wisely brought up “ only child.” That parent of sev- eral children is making a sad mistake if he singles out any one of his children for special affection and solicitude. The consequences of such favouritism are twofold, affecting adversely, perhaps disastrously, both the child unduly favoured and the child or chil- dren comparatively slighted. So far as the former is concerned, the outcome, when the favouritism in- volves really excessive love and anxiety, is pretty sure to be much like that in the case of the average only child. That is to say, there is always more than a possibility that the favourite child, no matter how ' good his inherited qualities, will grow up arrogant, self-centred, and neurotic. He is usually in less danger than the only child of growing up deficient in initiative and social adaptability. For, unless his parents constantly interfere in his behalf, daily intercourse with his brothers and sisters is bound to impress on him at an early age the necessity for developing self-reliance [ 56 ] THE ONLY CHILD and for making concessions to the rights and sus- ceptibilities of others. On the other hand, because he is the favourite child and because his brothers and sisters instinctively resent this, his intercourse with them is likely to be attended with more than the usual amount of friction. Thereby an additional stress will be put on a nervous system already more or less strained by the fussing and fretting of in- dulgent, unthinking parents. During childhood, it is true, he may not give marked evidence of neural enfeeblement. But, soon or late, if a kindly fortune does not rescue him at an early age from the harmful home environment—as, for example, by his removal to a good boarding-school—one may count on his displaying striking eccentricities of character and conduct, if not positively pathological conditions. Consequently, his whole prospects for adult life will be adversely affected. The selfishness fostered by his father’s, or mother’s, excessive devotion may become intensified rather than lessened by friction with envious brothers and sisters, with the result [57] HANDICAPS OF CHILDHOOD that the favourite child passes into manhood abnor- mally deficient in altruistic qualities, and even ab- normally misanthropic. “A favourite son, a bach- elor of sixty-two years, who was a wealthy retired merchant,” notes the psychopathologist Brill, “ told me that whenever there was a rise in the market he suffered from severe depression and fits of envy, simply because he knew that some of his friends would make money. He himself had no interest in the market.” And, speaking as an observer who has closely studied the subject, Doctor Brill unhesitat- ingly adds that, like so many “only children,” almost all favourite children are in later years “ sel- fish, unhappy, and morose.” It is true there are notable exceptions. Some favourite children are brought up so well that, aside perhaps from a tendency to nervous ailments, they display no peculiarities and pass through life credit- ably, possibly brilliantly. But such exceptions are conspicuous by their rarity, for the excellent reason that parents who are wise enough to rear favourite [ 58] THE ONLY CHILD children well are commonly wise enough not to show favouritism to any of their children. For, no matter how much the favourite child may benefit from the extra care bestowed on him, the mere fact that he is thus selected for special atten- tion is sure to work to the detriment of the other children in the family. When, as often happens, there is only one other child, the effect on that child may be catastrophic. When the favourite child has several brothers and sisters there is less danger that any of these will be really disastrously affected. At best, however, they will chafe under the injustice of the favouritism shown by the parent or parents; and, besides instinctively drawing together for mutual consolation and defence, they may develop a spirit of rebellion destructive to the peace and well-being of the entire family. [59] THE CHILD WHO SULKS III THE CHILD WHO SULKS OBODY likes a chronically sulky child. Even his own parents are apt to lose patience with him. In common with out- siders, though im less degree, they regard his sulki- ness as indicative of an unpleasant disposition, call- ing for stern disciplinary measures. Seldom do they see it for what it really is—the result of conditions for which the child is not to blame, and a danger- signal giving warning that unless a successful effort is made to ascertain and correct the sulk-producing conditions, the child will enter adult life under a tre- mendous handicap. As I write, there comes before my mind’s eye the weary face and form of an old acquaintance, with whose life history I am familiar. This man, though [ 63 ] HANDICAPS OF CHILDHOOD not yet in his forties, and with health unbroken by any serious disease, is nevertheless one of the unem- ployable. He is willing enough to work, he affirms, and in his time has had many positions. But he has been able to hold none of these. There has always developed friction between him and his employer or between him and fellow-employees. For a few days, perhaps a few weeks, after gaining a new position, things go smoothly with him. He is confident, even enthusiastic. Then, for no apparent reasons, he acquires a “ grouch.” He conceives the idea that his “* job ” is not sufficiently remunerative, or that he is not being treated with due respect. Sometimes he gives vent to his feelings in words that promptly effect his dismissal. More often, giving no explana- tion, he sullenly stops work of his own accord. Yet he began life with seemingly excellent pros- pects. His parents were well to do and could give him every educational advantage. And in early childhood he was both a bright boy and a well-be- haved boy. A little later, when he began to go to [ 64] THE CHILD WHO SULKS school, there was a noticeable change in his disposi- tion. Huis parents learned that he did not associate with other boys as readily as might be desired. They noticed that he developed a tendency to keep much by himself, to. be uncommunicative, to smile seldom— in fine, to sulk. But, though they noticed this, they fancied it was only a passing phase which he would in time outgrow. They failed to take his sulkiness seriously—failed, that is to say, to recognise in it a sign that something was amiss which should be seriously investigated. To-day, perhaps wholly be- cause no investigation was made and no corrective treatment attempted, this unfortunate man is find- ing life a heavy burden. With all the emphasis at my command I would say, When a child frequently sulks, it is always a sure indication of mental or nervous stress. If parents have a child who is sulky, they should neither ignore the sulkiness nor accuse him of wilful naughtiness and try to improve him by scoldings and punish- ments. They should recognise, in his habit of sulk= [ 65 ] HANDICAPS OF CHILDHOOD ing, evidence of one of two things: either that they are not bringing him up as they should, or that he is suffering from some unsuspected physical disability, of which his sullen, morose, peevish disposition is symptomatic. It may be that this disability is an irremediable one, such as organic weakness of the brain. But the chances are that it is caused by func- tional disturbances easily discovered and easily cured. The parent is neglecting his full duty to his child if he fail to inquire into the child’s physical condition. ~ One of the commonest causes of sulkiness is noth- ing more or less than indigestion. Everybody knows that if a baby’s food disagrees with him the baby is pretty sure to be fretful and irritable. But parents too often forget that, in the case of older children, mental and moral eccentricities may be traced to the same cause. When food is not properly digested, there is an impoverishing and poisoning of the blood. This means that the brain is poorly nourished, and a poorly nourished brain means a general weakening [ 66 ] THE CHILD WHO SULKS of the power to think and to will. It means, too, a heightening of nervous irritability, coupled with a tendency to take a gloomy view of life. Under these circumstances, it is not at all surprising to find sulki- ness becoming characteristic of a child of any age, as in a typical case reported by Doctor T. A. Wil- liams, of Washington, a specialist in the treatment of the nervous diseases of children. Doctor Williams’ patient was a ten-year-old girl, the daughter of a clergyman. She had been lovingly reared, and until the age of nine had been easy to manage, vivacious, and happy. Then there came a marked change in her behaviour. She became easily irritated, had frequent crying spells, and frequent fits of sulkiness. Besides this, she had difficulty in studying. Thinking that she had been overworking, her parents took her out of school, although her mother noticed that she was less inclined to sulk when kept busy. What Doctor Williams found, after a long and careful examination of the girl and questioning of [ 67 | HANDICAPS OF CHILDHOOD her parents, was unmistakable evidence of nerve defi- ciency, due chiefly to faulty diet, and aggravated by “ parental interference, well meant, but entirely inju- dicious.” She had been eating oatmeal and meat to excess, had been taking her principal meal at night, and had gone to bed soon after it. Doctor Williams ordered that her allowance of meat and oatmeal be cut down, that she eat her principal meal at noon, and that she stay up for at least an hour after her evening meal. Further, he gave these directions: “ On waking in the morning, the child must make a practice of getting up at once, instead of ruminating in bed. Parents must avoid criticising her about trifles, and her behaviour must be left to take care of itself at present. Her affections should be in- dulged and reciprocated. She must be given plenty to do and sent back to school in a few days.” Under this treatment the girl’s disposition began immediately to improve. Within two weeks her mother reported to Doctor Williams that she was as “happy and joyous ” as she had formerly been. No [ 68 ] THE CHILD WHO SULKS longer was her stomach being loaded with food it could not digest ; and with the removal of this source of toxic irritation, together with the suggested changes in her parents’ handling of her, she had be- come a different child. On the other hand, underfeeding may be, and often is, a cause of sulkiness, owing to the inadequate nourishment the underfed child’s brain receives and the general weakness of his system. Sulkiness, again, may be associated with an insufficiency of physical exercise, or with failure to make sure that the ‘child’s living and sleeping quarters are properly ventilated. Fresh air is as essential as digestible food to the maintenance of nervous balance. When, as some- times happens, children are obliged to spend their school hours in dusty, ill-ventilated classrooms, when they return to homes with few windows, and these seldom open, and when they sleep in a tainted, vitiated atmosphere, it is indeed hard for them to see life in bright colours. Besides which, to prevent or cure sulkiness in a child, it is not enough to keep [ 69 | HANDICAPS OF CHILDHOOD school and home well ventilated, and let the child play outdoors as much as possible. It is necessary also to see to it that the child is so conditioned that he will have no difficulty in adequately breathing the fresh outdoor air. To a physician in a Western city there was brought a boy, nine years old, with a face so flat, expressionless, and frog-like, that persons who knew him thought he was feeble-minded. His school teacher reported that his mind seemed a blank and that he was also hard of hearing. His parents com- plained that he was selfish and sullen. The boy seemed doomed to a life of misery. But, making a physical examination of him, the doctor found reason to think otherwise. -He discov- ered no real brain defect. In the cavity back of the boy’s nose he found an abnormal growth of adenoid- tissue that of itself might account for the boy’s stupidity and sulky disposition, as well as for his deafness. The diseased tissue acted as an irritant and a drag on his nervous energy; and, in addition, [70 ] THE CHILD WHO SULKS by interfering with the intake of oxygen it lowered the nutrition of the brain. The adenoid growth was removed. Gradually the appearance of the unfortunate boy’s face changed for the better. His hearing improved. He began to take an interest in school work, and studied to real advantage. Consideration for others took the place of his habitual selfishness, and he sulked no more. Adenoids, dulness, deafness, and sullenness often are intimately associated. The parents of a sulky child will therefore do well to ascertain whether adenoid trouble is present. Its presence is usually plainly indicated by the flat, insipid appearance of the victim’s face and by his habit of breathing through his mouth, particularly when asleep. If there is any reason to suspect adenoids, parents should take their children to a competent physician without delay. Further, and on general principles, they should have their children’s teeth thoroughly examined by a good dentist. A child whose teeth are decayed is a [71] HANDICAPS OF CHILDHOOD child suffering both from nerve irritation and from some degree of poisoning, due to his swallowing food that has become infected by its contact with the germs of dental caries. Such a child has abundant reason to feel uncomfortable, pessimistic, and sullen. So has a child whose teeth, if not decayed, are crowded together. Yet another common, and often unsuspected, phys- ical cause of sulkiness in children is eye-strain. v Most of us are under the impression that when a person is afflicted with eye-strain he is certain to have painful or, at least, unpleasant sensations in his eyes. This is by no means always the case. During childhood and youth there may be no telltale eye symptoms at all. But defective eyesight may give rise to various nervous conditions; sulkiness is one manifestation. An eight-year-old girl, previously in good health, and with no more nervousness than is displayed by the average child, began to show traits that worried her parents. She became difficult to control, queru- [72] THE CHILD WHO SULKS lous, and sullen to an extent that bordered on melan- cholia. In addition, she complained of indigestion and headache, symptoms which caused her parents to take her to a physician for treatment. His medicines and the course of diet he prescribed did her no good, and another physician was consulted. Then began for this unfortunate little girl a weary round of examinations by doctor after doctor. Every means of curing her headaches and indigestion seemed un- availing, and her nervousness and sullenness in- creased apace. Finally, one physician, in spite of the fact that the girl’s eyesight seemed normal, sug- gested that she be examined by an eye specialist. Then, for the first time, it was discovered that she had a serious ocular defect. According to Doctor Percy R. Wood, who reported the case for the bene- fit of the medical profession in general, within six months after she first put on spectacles the girl was entirely free from digestive disturbances, her head had ceased to ache, and her melancholy moroseness had given way to normal good nature. [73 | HANDICAPS OF CHILDHOOD Occasionally sulkiness results from some special form of nervous disease. It may be an initial symp- tom of that strange malady of childhood, chorea. A child affected with chorea is restless, uneasy, and weak in muscular control. Muscles of the face twitch, the child has difficulty in using his hands, and, in later stages of the disease, the arms and legs make random, involuntary movements. In addition, just before or about the time the muscular weakness be- gins, there are sometimes signs of mental disturb- ance, described as follows by an authority on nerv- ous diseases : “These symptoms consist of a slight loss of mem- ory and inability of the patients to apply themselves to their studies as well and continuously as formerly. Children who were previously of an obedient and mild disposition become irritable, obstinate, and perverse. They become insubordinate, lose their love of play, and are not as affectionate as was their wont. These phenomena are naturally looked upon as indubitable evidences of wilfulness, and are punished accordingly, [74 ] THE CHILD WHO SULKS thus frequently precipitating and aggravating the course of the disease.” Happily, sulkiness, as an early symptom of chorea, or of other grave nervous and mental disorders, is of comparatively infrequent occurrence. The things the parents of a sulky child need more particularly to inquire into are the amount and character of the food the child eats, the state of his digestion, his habits of exercise, the ventilation of the rooms in which he spends most of his time, the condition of his nose, mouth, and teeth, and his ability to see and hear distinctly. But it must be admitted that any or all of these common physical causes of sulkiness may be present, and the afflicted child nevertheless contrive to get along without sulking. And, on the opposite, | when a child thus afflicted does sulk, the correction of the physical trouble is not always followed by a cessation of the sulkiness. For, precisely as in the case of the child who remains mentally backward after the correction of bodily defects responsible for his backwardness, it may be that a habit of sulking L75 ] HANDICAPS OF CHILDHOOD has become established. What is much worse, it may also be that the sulky child has a home environ- ment that makes sulking almost inevitable. Here we come to the central fact in the whole problem of sulkiness, for, nine cases out of ten, it is the home environment—the training a child receives, the parents’ attitude towards him—that is primarily responsible for his sulking. The healthiest child in the world will sulk if his parents surround him with a sulk-breeding environment. He will sulk because it is child nature to react appropriately to the sug- gestions received from the environment. Every psy- chologist will bear out this statement. It also finds confirmation in the everyday experiences of all ob- servant persons who have an opportunity to study children. It is all very well to exhort a child to be cheerful, to speak of “developing his will-power.” But if the child’s home surroundings are such as to fill his mind with depressing, disturbing ideas, he is bound to be influenced in his behaviour by these ideas. Parents are prone to forget this. They blame the [76 ] THE CHILD WHO SULKS sulky child when, in all justice, they ought to blame themselves. Recently a veteran New England school teacher, talking with me on this question of sulkiness, said: “There are times when I am tempted to believe that the home influence is everything, and that con- ditions of physical ill health have virtually nothing to do with sulkiness. Of course, I know that in reality physical conditions have to be taken into account, but my experiences with sulky children have been such that now, whenever I find a sulky child, I ask myself the question, ‘ What is wrong in that child’s home?’ If I have opportunity to inves- tigate, I invariably find that something is wrong. “My pupils are girls, eight and nine years old. Among them last year was one bright, attractive- looking little girl, to whom I felt drawn when she first appeared in the class. But I soon discovered that she was a difficult child. She neglected her school work, did in a careless, indifferent manner whatever she was obliged to do, and sulked at slight [77 ] HANDICAPS OF CHILDHOOD provocation. She had been examined by the school physician, who gave her a clean bill of health. My suspicion deepened that the child was the victim of an unfavourable home influence, and one day I sug- gested this to the principal of the school. ““*T am sure you are wrong,’ said he. ‘I happen to know the family. They are first-rate people, in good circumstances.’ “ A little later, after I had again spoken to him of the girl’s misconduct and sullenness, he told me: “* You were right and I was wrong. Outwardly, everything seemed well with that family. But I now find that the parents have for some time been on the verge of seeking a divorce. They are bitter against each other and dispute over the child, giving her contrary orders. The mother will tell her to do something, the father will tell her not to do it. No wonder she is sullen and hard to deal with. She is to be taken from them and put in a good home.’ “This is an extreme instance, I have no doubt. But it is in line with what I am observing all the [78] THE CHILD WHO SULKS time. Therefore, I insist that sulkiness in children is, as a rule, a sure sign of unwise training in the - home.” Many parents, though wholly unappreciative of the fact, inspire sulkiness in their children by setting them an example of. sulkiness. A striking instance has lately come under my personal observation, in the experience of a mother who is continually being an- noyed by the whining, sulky ways of her four-year- old daughter. She scolds the girl, she spanks her, but all to no good. Not once does it seem to occur to the mother that possibly her own habit of sulking when things do not go right may be blamed for the sulkiness of her child. She is precisely the kind of woman to whom the learned Professor Paul Dubois addresses these scathing words: “You, madam, who complain of the irritability of your little girl, could you not suppress your own? . . Remember the proverb, ‘ The fruit does not fall far from the tree.’ ” This factor of example in the causing of sulkiness [79 ] HANDICAPS OF CHILDHOOD is something that parents frequently ignore. In a general way they realise that their children are likely to imitate them, but they do not appreciate the subtle force which imitation exercises in forming the mental states and moral attitudes of the young. Time and again we see parents talking and acting as though children had no eyes or ears or memories; as though, indeed, they were beings quite insensitive to the sights and sounds of their surroundings. Yet normal children are the most sensitive and the most “suggestible” of beings. Let father snarl and mother sulk, and little Johnny or Mary may be pretty confidently counted on to snarl and sulk likewise—unless by a happy chance Johnny and Mary have playmates or relatives whose lives radiate sufficiently strong suggestions of cheerfulness to offset the parents’ unhappy influence. Instruction is much, but example is more. Or, as wise Pastor Witte puts it, “ Instruction begins, example accom- plishes.” But, if the parental example is good, if the child’s [ 80 ] THE CHILD WHO SULKS physical condition is excellent, and if he nevertheless is a sulker—what then? Again, it must be insisted that the trouble rests with some fault in his upbring- ing, some error in the parental policy. If there is more than one child in the family, it may be that the sulkiness is a symptom of jealousy. The parents should ask themselves in all seriousness whether they have given this particular child any reason to sulk, by showing greater favour, or seeming to show greater favour, to his brothers and sisters. Or, pos- sibly, the sulkiness is indicative, not of jealousy, but of a feeling of inferiority due to the child’s fear that he is not quite so bright as other children. In that case the parents may be sure that in some way, how- ever unwittingly, they have failed to bring into their child’s life enough happiness and joy to prevent the feeling of inferiority from becoming dominant in his mind. Perhaps, for the matter of that, they have themselves been instrumental in forcing on the child recognition of his inferior mental status. There are parents whose behaviour when dealing [ 81 ] HANDICAPS OF CHILDHOOD with a mentally retarded child is—often quite un- consciously—that of a censorious judge upbraid- ing a criminal. They nag, they harass, they urge the child to greater effort, never questioning that he can of his own accord improve his ability to learn. Perhaps he is mentally deficient, perhaps he is suffer- ing from some remédiable physical cause of retarda- tion, perhaps the method by which he is being taught is not suited to his type of mind. To all these possi- bilities the parents do not give a moment’s thought. The child is stupid; it must be his fault ; he should be forced to mend his ways. So they pester the little unfortunate. And when to retardation he gradually adds sullenness, they are more incensed than before. But, in point of cold fact, whose is the fault? Not the child’s, surely. Perpetual nagging is a first-class means of producing sulkiness in any child, whether he be mentally retarded, unusually bright, or just a plain ‘ ‘average child. Another almost equally efficacious means is un- truthfulness on the part of parents in their relations [ 82] THE CHILD WHO SULKS with the child. There are some parents who think it not at all amiss to deceive their children. They make promises to them which they do not intend to keep. They threaten them with punishments that never materialise. They make untruthful replies to questions the children put to them. The children are not imbeciles. They note these broken promises, these empty threats, these untruthful replies. They lose faith in their parents, and sometimes it happens that their loss of faith manifests itself in a gloomy brooding, a sullen resentment against the parents. The parents, on their side, regard the sulky child as maliciously naughty and evil-minded. Not an ink- ling do they have of their own share in the making of the condition of which they complain. They blame only the child. Even the practice, common among parents, of telling their children “white lies” with regard to delicate matters is at times productive of sulkiness as a symptom of nervousness due to inner mental conflict. Almost every child is at an early age in- [ 83 ] HANDICAPS OF CHILDHOOD quisitive about his origin and the manner of his com- ing into the world. If his questions on these subjects are evaded or answered in a fantastic way, the child’s curiosity is likely to be increased rather than satisfied. In exceptional cases there may result an obsessional pondering of the evaded topic, intensi- fied when the child discovers that his parents have deceived him. Extreme nervousness, accompanied with sullenness, is then a likely result. But, apart altogether from the possibility that nervousness and sulkiness may be caused by parental deception of this sort, the danger of losing control over their chil- dren is itself serious enough to warn parents to be straightforward in answering their children’s queries regarding sex subjects. Havelock Ellis, the foremost authority on the psy- chology of sex, does not exaggerate when he as- sures us: ‘* Even if there were no other reasons against tell- ing children fairy tales of sex instead of the real facts, there is one reason which ought to be decisive [ 84 ] THE CHILD WHO SULKS with every mother who values her influence over her child. He will very quickly discover, either by in- formation from others or by his own natural intelli- gence, that the fairy tale that was told him in reply to a question about a simple matter of fact was a lie. With that discovery, his mother’s influence over him in all such matters vanishes forever, for not only has a child a horror of being duped, but he is ex- tremely sensitive about a rebuff of this kind, and never repeats what he has been made to feel was a mistake to be ashamed of. He will not trouble his mother with any more questions on this matter; he will not confide in her; he will himself learn the art of telling ‘fairy tales’ about sex matters. He had turned to his mother in trust, she had not responded with equal trust, and she must suffer-the punishment, as Henriette Fiirth puts it, of seeing ‘the love and trust of her son stolen from her by the first boy he makes friends with in the street.’ ”* Joy is a natural consequence of a child’s affection 1Further discussion of this important subject will be found in the chapter on ‘‘ Night Terrors.” [ 85 ] HANDICAPS OF CHILDHOOD for, and faith in, his parents. Resentfulness, bitter- ness, sullenness, are natural consequences of loss of affection and faith. The parents of a sullen child must always ask themselves if, through deception of any sort, they have forfeited the child’s esteem for them. They must further ask themselves if, by in- tentional or unintentional unkindness of a persistent sort, they have embittered the child. They must also put to themselves the question: “ Have I in some way erred so as to make my child sullen by the force of a bad example?” And, lastly, they must not forget to probe, through the aid of a skilled physician, for possible physical causes of mental and nervous stress. If they do not adopt this course, if they allow the child to go on sulking, or if they increase his sulki- ness by mishandling him, let me again warn them that they may be hopelessly limiting his chances for success and happiness in manhood. Character dis- tortions of some sort are certain to result; even his bodily health itself may be affected. For, just as [ 86 ] THE CHILD WHO SULKS sulkiness often is a product of some physical dis- order, so may it, in turn, become a cause of physical disorder. To sulk is essentially to be in a disturbed emotional state, and recent scientific research has ! established that such states, particularly if intense ; or long continued, have a highly unfavourable influ- | ence on the bodily organism. This has been most — clearly shown in the case of anger and worry, the former of which always is, while the latter often is, basic in sulkiness. All parents, indeed, ought to familiarise themselves with the physiology of anger and worry. Once really appreciative of the possible bodily effects of these emotional states, they would, on the one hand, be more careful to train their children early in emo- tional control, and, on the other, would be more chary about subjecting them to conditions involving emo- tional stress. Anger—and, equally, worry—is liable, for one thing, to derange profoundly the workings of the digestive organs. How profoundly it may de- range them has recently been demonstrated conclu- [87 ] HANDICAPS OF CHILDHOOD sively by some remarkable scientific observations on animals and human beings. A prime requisite to good digestion is a free flow of saliva and gastric juice when food is chewed. There must literally be a preparatory automatic “ watering ” of the mouth and stomach. Ordinarily, this begins as soon as food is taken into the mouth— if one is hungry, it begins at the mere sight of food. But it has been proved that, no matter how appetis- ing the food, the digestive flow stops almost alto- gether under the influence of anger. This was first demonstrated by a Russian physi- ologist, Pawlow, experimenting with dogs so condi- tioned that he could see into their throats and stomachs. When a dog was irritated—as by show- ing it a cat which it was prevented from attacking— the flow of saliva and gastric juice instantly stopped, and did not begin again for some time after the dog had been calmed. Even a slight degree of irrita- bility in the animal was sufficient to stop gastric secretion. [ 88 ] THE CHILD WHO SULKS The same result has been repeatedly recorded by other scientists experimenting with cats, rabbits, guinea pigs, children, and full-grown men and women. One observer, a medical man named Hornborg, had as a patient a small boy in whom disease had caused an external opening large enough to allow a view of the workings of the stomach. Doctor Hornborg found that if he gave this boy food, after first anger- ing him, his eating of the food was not accompanied by a flow of the gastric juice, which ordinarily flowed promptly and freely. And, besides stopping the secretory processes of the stomach, anger stops its muscular movements as well, and also the movements of almost all the alimen- tary tract. Hence, food eaten during or soon after an outburst of anger or petulance is not properly taken up by the alimentary canal for final digestion, absorption, and elimination. Which means, it need scarcely be pointed out, that every part of the body suffers in some degree through diminished nutrition. And certain specific discomforts are likely to be ex- [ 89 ] HANDICAPS OF CHILDHOOD perienced—sour stomach, gastric pains, headache, and so forth. Equally striking is the effect of anger on the liver. One most important function of the liver is to store glycogen, or “ animal starch,” which is a source of energy when liberated from the liver into the blood in the form of sugar. Under normal conditions, an exceedingly small amount of sugar—all the body re- quires—is liberated. The liberation of a greater amount is a waste; and, if long continued, its exces- sive liberation has a fatally weakening effect on the system, constituting the serious disease known as diabetes. Now, as has lately been proved by an American investigator, Doctor W. B. Cannon, of Harvard University, anger, or strong emotional excitement of any sort, immediately causes the liver to liberate sugar in excess. Doctor Cannon found this to be true in the case of both animals and human beings. Almost always a man examined after he had been angry or excited showed clear indications in the [ 90] THE CHILD WHO SULKS liquids of his body of glycosuria, or excessive sugar. Here is Doctor Cannon’s summary of one of his most interesting observations: “C. H. Fiske and I examined twenty-five mem- bers of the Harvard University football squad imme- diately after the final and most exciting contest of 1918, and found sugar in twelve cases. Five of these positive cases were among substitutes not called upon to enter the game. The only excited spectator of the Harvard victory who was examined also had a marked glycosuria, which on the following day had disappeared.” * Further than this, on testing the blood of excited and angry animals and people, Doctor Cannon dis- covered that it held in excess another substance which, like sugar, is usually present in the circula- tion in exceedingly minute quantities. This substance, called adrenin, has some extraor- dinary properties. It is secreted by two small glands back of the kidneys. If artificially extracted 1“The Bodily Effects of Pain, Hunger, Fear, and Rage,” pp. 15-16, [91 ] HANDICAPS OF CHILDHOOD and injected into the blood of a human being in any appreciable amount, it instantly has the effect of creating a sharp rise in blood pressure, the blood ves- sels being constricted and the heart beat appreciably increased. It also alters the distribution of the blood, driving it from the abdomen to the head and limbs. And for the time being it enormously in- creases muscular power and abolishes all feeling of fatigue. Exactly similar effects, scientific research has proved, are brought about by the quantity of adrenin set free in the blood during periods of anger or other emotional stress. That is to say, not only does anger temporarily stop stomach action and abnor- mally stimulate the sugar-releasing function of the liver: it also imposes an unusual strain on the heart and the blood vessels. Likewise with worry. It affects the heart, blood vessels, liver, and digestive organs as anger does. Even in the lower animals, and when occurring in comparatively slight degree, worry puts a stop to [ 92] THE CHILD WHO SULKS stomach movements and digestive secretions. Thus, in discussing with me the physiology of worry, Doc- tor Cannon stated: “To give a significant illustration of how worry affects animals, as well as people, I might mention the case of a young male cat, the movements of whose stomach I studied by the aid of the Réntgen rays. “For observation purposes, it was necessary to attach the cat to a holder. He made no resistance when this was done, but kept up a slight twitching of his tail from side to side, indicating that he was at least somewhat anxious as to what was going to happen to him. “For more than an hour I watched his stomach by means of the rays, and during that time there was not the slightest beginning of peristaltic activ- ity, the waves of muscular contraction being entirely absent. “In another instance, that of a female cat with kittens, something happened to create an anxious [93 ] HANDICAPS OF CHILDHOOD mood while the cat was attached to the holder. Until that moment the cat had been contented, and the work of digestion was proceeding normally. But now the movements of the stomach entirely ceased, and the gastric wall became relaxed. Only after the cat had been petted and began to purr did the stom- ach movements start again. “I have observed the same thing in dogs and guinea pigs.