Class Book.. Copyright^: CCP1HJGHT DEPOSED Digitized by the Internet Archive in 2011 with funding from The Library of Congress http://www.archive.org/details/multiplepersonalOOsidi MULTIPLE PERSONALITY AN EXPERIMENTAL INVESTIGATION INTO THE NATURE OF HUMAN INDIVIDUALITY .- BY. BORIS SIDIS, M. A., Ph.D. (Harvard) AUTHOR OF THE PSYCHOLOGY OF SUGGESTION AND PSYCHOPATHOLOGICAL RESEARCHES AND SIMON P. GOODHART, Ph. B. (Yale), M. D. NEW YORK D. APPLETON AND COMPANY 1905 t> X OCT 28 1904 i 'Vtoyrforht ew> Copyright, 1904, bt D. APPLETON AND COMPANY Published November, 190b TO PROFESSOR WILLIAM JAMES OF HARVARD UNIVERSITY WHO HAS DRAWN MY ATTENTION TO THE VAST AND IMPORTANT DOMAIN OF ABNORMAL MENTAL LIFE, WHO HAS INSPIRED ME WITH LOVE FOR THE STUDY OF THE "VARIETIES*" OF HUMAN EXPERI- ENCES, WHO HAS GIVEN ME HIS SYMPATHY AND HEARTY SUPPORT IN MANY AN HOUR OF TRIAL, THIS WORK IS AFFECTIONATELY DEDICATED. BORIS SIDIS. PREFACE The case of double personality described in Part II is of great interest and is specially recommended to the reader's attention. This case has been investigated in the Pathological Institute of the New York State Hos- pitals. Sincere thanks are therefore due to Dr. Ira Van Gieson, the former Director of the Pathological Insti- tute, for his broad-mindedness and liberality in afford- ing facilities for carrying on the investigation of the Hanna case. The work of Parts I and III covers a period of eight years. Out of the material accumulated by Dr. Sidis and his collaborators, some experiments and observations of functional psychopathic cases have been utilized in the last part of this volume. Another portion of the work of Parts I and III has been accomplished in the Psycho- pathological Laboratory of the New York Infirmary for Women and Children, and sincere thanks are therefore due to the Trustees and especially to Dr. Alexander Lambert and Julia B. de Forest. Thanks are also due to Dr. Walter B. Cannon, As- sistant Professor in Physiology at Harvard Medical School, for reading the first three chapters of Part I, and especially to Dr. H. Linenthalf for his valuable assistance, given in the reading of the proofs of this volume. Boris Sidis, Brookline, Mass. S. P. Goodhart, New York City. CONTENTS PART I PERSONALITY BY BORIS SIDIS CHAPTER PAGE I. Individuality 3 II. Multiple Individuality and Neuron Organization . 8 III. Types of Neuron Organization 12 IV. The Law of Individuality and Evolution 22 V. Evolutionary Stages of Psychic Elements ... 27 /VI. The Attributes of Psychic Elements .... 34 i/ VII. Representations and the Break-up of Personality . 38 VIII. The Nature of Familiarity 45 IX. Neuron Organization and Multiple Personality . . 52 X. Plural Personality 58 PART II DOUBLE PERSONALITY, OR THE HANNA CASE BY BORIS SIDTS AND S. P. GOODHART I. Aspects of the Hanna Case ...... 83 II. The Birth of the New Personality .... 91 III. Education and Growth of the New Personality . . 95 x CONTENTS CHAPTER PAGE IV. First Impressions 107 V. First Impressions {Continued) 115 VI. Biography 128 \J VII. Revelations from Dream Life 135 VIII. Upheavals of the Subconscious 142 IX. Picture Dreams and Subconscious States . . . 146 X. Resurrection of Outlived Personalities . . . 156 XI. Awakening of Primary Personality and Double Con- sciousness 160 XII. The Rise of Primary Personality 164 XIII. The Reappearance of the Secondary Personality . 171 XIV. The Arousal of the Subconscious . , . . . .174 XV. Dual Life 183 XVI. The Struggle and Union of Alternating Personalities . 189 Autobiographical Sketch of Dual Life Experience . 202 PART III CONSCIOUSNESS AND MULTIPLE PEESONALITY BY BORIS SIDIS I. The Moment Consciousness 229 II. Mental Organization 237 III. The Conscious and the Subconscious . . . . 240 IV. Automatism 243 V. The Psychic Minimum 246 VI. The Fading Moments 249 VII. The Brightened Moments 253 VIII. Transmutations of Subconscious Messages . . . 257 IX. The Process of Mental Resurrection .... 261 X. The Reawakening 264 CONTENTS xi CHAPTEB PAGE XI. The Threshold op Mental Life 269 XII. The Threshold in Abnormal Mental Life . . . 279 XIII. Memory Lapses and the Subconscious .... 304 i/XIV. Hypnoidic States or Resurrected Lives . . . 309 J XV. Hypnoid States or Underground Life . . . 327 i/XVI. The Twilight of Consciousness, or Dammerzustande . 341 XVII. Hysteria 347 XVIII. Types of Dissociated Personalities .... 356 XIX. A Single Appearance of a Secondary Personality . 364 XX. The Reawakening of the Secondary Person . . 376 XXI. Alternating Double Personality 383 XXII. Manifold Personality 387 XXIII. Manifold Personality {Continued) . . . . 420 XXIV. Secondary Infant Personalities 435 XXV. Multiple Personality and the Hypnoleptic State . 447 INDEX . 457 PART I PERSONALITY By BORIS SIDIS PART I PERSONALITY By Boris Sidis CHAPTER I INDIVIDUALITY The question " What is an individual? " seems to be the easiest thing to answer. It is enough to point to some individual object as an example. The matter appears to be so simple. A closer examination reveals some difficul- ties. Suppose the individual object pointed out is a book. Do we not find that the book is made up of "individual " leaves, the leaves of individual sentences, the sentences of words, and the words of ' ' individual ' ' letters ? Physically and chemically the book can be analyzed into masses of molecules, and the molecules in their turn can be further analyzed into infinity of " individual " atoms. The in- dividual book, therefore, is made up of masses of sub- ordinate " individuals." In what sense then is- the book an " individual '"? The leaves are connected, the chap- ters, the sentences, the words, and the letters are so inter- related that they form a whole, — a compound system of subordinate individual systems. The unity or individual- ity of the book is purely relative. The book as an indi- vidual object is a system of systems. If from objects we turn to organisms, we obtain the same result. If we ask what is an individual organism, we find on examination that the individual pointed out, apparently one and indivisible as a unit, can be resolved into systems of organs, the organs into tissues, and the 3 4 MULTIPLE PERSONALITY tissues into individual cells. Modern biology goes even deeper and resolves the cell into complex structures and organizations, such as cytoplasm, cytolymph, cyto- reticulum, microsomes, plastids, centrosomes and astro- sphere, plasmosome or nucleolus, chromatin network, chromosomes, linin network, and so on. Recent research in biology makes more and more probable that the cells are built up of systems of simpler individuals. These individ- ual elementary organic units are formed into complex sys- tems giving rise to cells. The cells in their turn organized *?SM-— . Fig. 1. — Hydra fttsca, a fresh-water polyp. (^4), cut across at D ; B and C, the two pieces which have become independent individuals. (After Verworn.) into multiple systems form the unity of the individual organism. The individual, therefore, is never something simple and indivisible; it is only relatively an " individ- ual. ' ' In reality, the individual is an aggregate of systems of simpler individuals. The systemic structure of the organic individual is strikingly manifested in the lower animals. The Hydra fusca can be divided and subdivided, the portions becom- ing separate individuals leading an independent existence. (See Fig. 1.) INDIVIDUALITY 5 Similarly the Eucorallium rub rum, the precious coral, is an individual consisting of elementary coral polyps, each one capable of living its own individual life. In the Microgromia socialis the cells are loosely con- nected, and each can lead its own independent individual life. (See Fig. 2.) In the Codonocladium umbellatum, a colonial, flagel- late protozoon, the same relation obtains ; the portions, Fig. 2. — Micogromia socialis. (After E. Hertwig.) when isolated, become independent individuals. (See Fig. 3.) The Eudorina elegans is an infusorian belonging to the Flagellata. (See Fig. 4.) The individual organism of the infusorian consists of many subordinate individuals ca- pable of an independent existence. The Siphonophore is an apparently differentiated indi- vidual with many organs having different functions, such as movement, nutrition, reproduction. Now these organs are really single individuals arising by budding from the MULTIPLE PERSONALITY Fig. 3. — Codonocladium umbellatum. (After R. Hertwig.) Fig. 4. — Eudorina elegans. (After Verworn.) main stem, and when separated from the stem can lead an independent existence. (See Fig. 5.) Even individual infusorian cells can be divided and subdivided, and the cut portions can in their turn become Fig. 5. — Siphonophore Colony. A, longitudinal section; B, ex- ternal view ; sb. the float ; sg, the swimming-bells, the nutritive, reproduc- tive, and other " persons " beneath. (After Hceckel.) INDIVIDUALITY independent beings with a life of their own. The Stentor Roeselii may be taken as an example. (See Fig. 6.) Unicellular organisms can be subdivided into many pieces, and provided some portion of the nucleus is pre- served in each piece, the fraction of the cell regenerates the individual and lives an independent active life characteris- tic of the parent cell. These facts, along with others drawn from the internal structure, from the process of karyokinesis or cell-reproduc- Fig. 6. — Stentor Roeselii. A, cut across at * ; B and C, two pieces which have become regenerated into complete Stentors. (After Verworn). tion, and from the various processes going on in the internal morphology and chemistry of the cell during the different stages of cell-reproduction, pointing to the constancy and individuality of the chromosomes and their constituent granules, — all these facts and many others go to show that even so apparently simple an individual as a cell is really a compound system of many subordinate systems of rela- tively simpler individuals. The individual is a composite, — "7 a multiple individuality. CHAPTER II MULTIPLE INDIVIDUALITY AND NEURON ORGANIZATION The principle of multiple individuality underlies the organization of what may be regarded as the basis or coun- terpart of psychic life, — I mean the nervous system. The multiple systemic structure of neuron organization becomes more emphasized, more clearly denned as we ascend in the scale of evolution. The mode of neuron structure may be regarded as mirroring the mode of organization of psychic life. Although it may appear as a digression in a work on multiple personality to devote space to morphological structure of nerve elements, the reader is asked to bear in mind this important fact of intimate relationship of neuron and mental activity. One mirrors the other. The develop- ment of the various forms of neuron structure may be found to correspond or run parallel to the various modes of mental organization. It may, therefore, repay us to give a review of the modes and forms of neuron differentiation and neuron aggregation following the stages of organic evolution. In the very lowest forms of animal life there is no nerv- ous system. The neuron has not yet become differentiated, and the primitive cell possesses the fundamental charac- teristics which are afterward to develop in the highly differ- entiated functions of the neuron. In the monocellular or- ganism, such as the Amoeba, Paramecium, Gromia ovi- formis, Vorticella, and others, there is present a sensitivity to external stimulations. Monocellular organisms react to touch, pressure, pricking, temperature, light, and chemical irritations. In the very lowest forms, sensitivity to all kinds MULTIPLE INDIVIDUALITY 9 of stimuli is diffused and belongs to the protoplasm of the body cell as a whole. The tendency, however, is that the principles of physiological division of labor should work even in the lowest of cells, and without giving rise to any specially formed organs, certain parts of the protoplasm should become more sensitive to certain stimuli than others. In micro-organisms, in infusoria, for example, the pseudo- podia or protoplasmic expansions manifest great sensitivity to touch, pricking, temperature, and chemical stimulations ; especially is this the case when the protoplasmic expansions become permanent organizations of the animalcule, as, for instance, in the ciliated infusoria in which the cilia show great sensitivity to touch, pressure, and other stimulations. The sensitivity shown by monocellular organisms to chemical stimuli may very well correspond to gusta- tory and olfactory sensations in higher forms, since these senses are of a chemical nature. In fact, we may say that such sensitivity is the germ out of which the senses of smell and taste are developed. Certain pigmented spots of the body of the monocellular organism may become more sensitive to light. Such conditions we find in the Glenodin- ium polyphemus, Panophrys fiavicans, Euglena viridis, and others. These pigmented spots scattered over the body of the monocellular animalcule may be the germs, or, truer to say, the forerunners of the delicate structure of the eye with its highly differentiated function of sight. Of course we must remember the fact that the different organs formed in the higher forms of animal life do not actually come directly as a further development out of the particular spots of the lower micro-organism, but they are probably analogous in function. The structure, of course, is fundamentally different in metazoa from that of the protozoa, but the germs of the different functions are already found in the monocellular organisms. In monocellular organisms the organs are but portions of the cellular protoplasm. Such primitive organs or organoids 10 MULTIPLE PERSONALITY are to be found in the Amoeba proteus, Paramcecium cau- datum, Yorticella, and others. In multicellular organisms the organs subserving the highly developed functions are represented by systems of cells, and even by many aggregates of cell-systems, which go to form one functioning interconnected organic whole, possibly being a sort of syncytium, having cell-bridges and protoplasmic continuity. It is in the multicellular organisms that the nervous system first takes its origin. When organic development reaches a certain height, a group of cells becomes differentiated into a nerve ganglion, spreading out its protoplasmic processes like a network over the organism, and thus supplying with its ramifica- tions every portion of the body. As we ascend the animal series the ganglia become multiplied, groups of neurons increase, and their association and co-ordination increase in number and complexity. In the course of develop- ment the neurons, even as the cells of the body in gen- eral, become arranged into groups of higher and higher complexity. Groups are aggregated into systems, communi- ties, clusters, and constellations. This holds true of the structure of the higher animals as well as of the general evolutionary series of animal organizations. The nervous system appears at first in a disseminated inco-ordinated form, and becomes more co-ordinated as well as more complex with the ascent in the scale of evolution. In the lowest forms this co-ordination of gan- glia is merely a matter of repetition, the interrelation of the nerve-centres is at a minimum. What is present is sim- ply a repetition of many ganglia similar, if not identical, both as to structure and function. Co-ordination or con- centration is almost absent, so much so that each portion with its ganglion may be completely excised without in the least interfering with the function of the rest. Differentia- tion of structure and function of the various ganglia is at its minimum, and corresponding with this lack of differen- MULTIPLE INDIVIDUALITY 11 tiation is also the lack of co-ordination and integration of the ganglia centres. A repetition of ganglia is all that is present in the most elementary forms of neuron organization, and only in the subsequent ascending series of animal life do the separate ganglia become co-ordinated, integrated, and differentiated into a true neuron organization. In this respect neuron organization follows the law of organ- ization in general which proceeds from a repetition of organs with like structure and function to a multiplicity of highly differentiated organs unlike as to structure and function. The lower forms of plants have a repetition of the same organ. The same holds true of animal life, the lower organized forms of the animal series have similarly a repeti- tion of like organs. A similar state we find in the history of the various forms of nervous systems. The lowest form of the nervous system is essentially one of repetition, while the principle of differentiation comes to the foreground in the higher types of animal life. In fact, repetition of organs is taken as a fundamental characteristic of a low stage of development. The structure of the nervous sys- tem is systemic or segmental in character. The complexity is at first purely quantitative, and only afterward becomes also qualitative. From complexity of like systems or seg- ments the nervous system progresses to complexity of un- like systems or segments. The diversity of structure and function of the system or segment increases with the course of development. CHAPTER III TYPES OF NEURON ORGANIZATION From this stand-point the types of the nervous system may be arranged into the following ascending series : (I) The disseminated type. (II) The systemic, or segmental type, which may he subdivided, according to form as well as degree of co-ordi- nation, into the following subdivisions: (a) The radial type. (5) The bilatero-ventral type. (c) The median-dorsal type. In the Actinia the neurons are in a disseminated state. The neurons, as yet but little differentiated from the other cells, are found strewn in a more or less disconnected state under the ectoderm or outer layer of the animal. In the Planaria a similar structure is found. In the Ascidian and others, the nervous system consists of a group of neurons, or of a single nerve-ganglion with protoplasmic processes radiating all over the body of the animal. Dendrons, axons, collaterals and the branches of terminal arborizations are distributed all over the organ- ism, receiving impressions from the external and internal environments and reacting by muscular activity or glandu- lar secretion. The same neuron receives its sensory im- pressions, and also sends out motor reactions in response to the stimulations, — that is, it is also motor — the neuron, therefore, is sensory motor in character. In the Medusae, such as the Acaleplice, there is a series of groups of neurons or of ganglia, but they are not intercon- nected. The groups are not organically connected by radi- 12 TYPES OF NEURON ORGANIZATION 13 ating fibres, but their co-ordination is extremely simple, being rather synchronous in nature. (See Fig. 7.) Each ganglion, with its portion, acts by itself, and all work to- gether, because they belong to the same general body system of the particular individual. The co-ordination is established through the general synchronous action of the body cells, otherwise the cells could not possibly co-operate. Should the portion with its ganglion be cut off, it would still go on functioning independ- ently. The ganglia are neither j$ f jfe— - ..^q functionally nor organically di- jf \/~v \ ,-*--"" rectly connected, but have a co- I S^r ' f ordination of a purely syn- \/ ^\J chronic order, and are like **w-w«^ separate individuals working in Fig. 7.— Diagram of the unison and performing their bel1 of Aurdia Aurita with „ , . , , i • eight sense-organs. (After functions at the same given C1 , time. In other words, in this stage the co-ordination is due not to internal unifying organizations, but to the mere fact of the synchronous rhythm in the physiological functions. In Hydromedusce the interconnection of the nerve-cen- tres is more organic in character. The groups of neurons or nerve-centres are connected by their protoplasmic processes and are organized into a double ring system. The upper ring consists of a layer of more or less sparsely strewn gan- glia connected by delicate protoplasmic processes. The lower ring consists of more ganglia than the upper one. 'These ganglia are interconnected by more or less thick nerve- fibres. Both rings are brought into relations by nerve- fibres, thus giving rise to a further co-ordination of the two co-ordinated ring systems of neurons. From the ganglia of the two rings, fibres radiate in all directions, supplying every portion of the animal with sensory and motor fibres. (See Fig. 8.) Similarly in the Radiata, such as the Echinus, or the 14 MULTIPLE PERSONALITY Fig. 8. — Htdromeddsa. a, umbrella; 6, manubrium; c, margin of tbe swimming bell with nerve-ring. starfish, the nervous system consists of a series of ganglia co-ordinated into a central ring, localized round the mouth of the animal. This central ring of ganglia sends out nerve- fibres in different directions. Each arm is innervated by its closely situated ganglion or group of neurons. All the ganglia or groups are connected by radiat- ing protoplasmic processes, thus establishing a co-ordination of all the groups of ganglia. (See Fig. 9.) In the Annelida, representing the bilatero- ventral type, we meet with a more complex structure of the nervous system. (See Fig. 10.) The ganglia instead of hav- ing a radial arrangement become organized in chains. The anterior or the central ganglion is the most massive, and is probably brought about by a coalescence of many minor ganglia. The rest of the gan- glia are much smaller and form a longitudinal series which have a segmentation corre- sponding to the metameres of the body. The cerebral gan- glion gives origin to the nerves of the sense-organs, the other ganglia supply the other or- gans, and also give rise to a visceral nervous system. Of the sensory organs present, there may be found an auditory vesicle, tactile organs, and a pair of eye-spots. In the Annelida the segmental plan of structure stands Fig. 9. — Nervous System of the Starfish, a, central nerve-ring that surrounds the mouth; b, peripheral nerves of the arms. (After J. Loeb.) TYPES OF NEURON ORGANIZATION 15 out clear and distinct. Each ganglion supplies and inner- vates its own segment. The individual is formed by asso- ciations of segments, and the nervous system consists of an aggregation of ganglia, largely preserving their indi- vidual independence. The differentiation of structure and function is at its mini- mum, the segments are prac- tically similar as to consti- tution, and form so many repetitions of one and the same fundamental ganglion. In the Radiata the plan of repetition is radial, in the Annelids the plan is longi- tudinal, and as such it is far more restricted as to co- ordination. In the lower animals, in the Medusce, in the Siphono- pliorce, the neurons and their ganglia are diffused without any plan and co-ordination; in the Radiata, such as the starfish, the neurons and their ganglia become organ- ized on some general plan, but the plan is still diffused, the similar still undifferen- tiated ganglia become radi- ally organized along many lines of repetitive co-ordina- Fig. 10. — A, The Leech {Hir- udo mediciri). B, The Nervous System of the Leech. (After J. Steiner.) 16 MULTIPLE PERSONALITY tion. The further advance of repetitive co-ordination is a restriction to two lines or even to one line, instead of many- similar lines of development. In the lower forms of the Annelida, as well as the embryonic stages of the higher forms, two similar chains of ganglia run parallel to each other, and only in the adults of the more advanced forms do we find that the two parallel chains become integrated into one series. The course of evolution is to a greater in- tegration of similarly functioning ganglia. In the Molluscoidea, which probably descend from a common form with the Annelids, the nervous system is ex- tremely simple, consisting of one ganglion or group of neurons, sending off their protoplasmic processes to various portions of the organism. In the Bryozoa, usually united to form colonies, the nervous system consists of one oesopha- geal ganglion placed between the mouth and the arms. In the Laphopoda this ganglion is contained in the concavity of the laphoplwre, the disk bearing tentacles on which the mouth is placed, and supplies the tentacles and oesophagus with numerous nerves. When many individuals go to form a colony or a com- posite individual, a more or less co-ordinating colonial nervous system is found to take rise. If from the Annelida, we pass to the Arthropoda we find the same fundamental type preserved. There is one supra- cesophageal ganglion that constitutes the brain and a sub- oesophageal ganglion and ganglionic chain, or ventral nerve cord. With the rise in the scale of evolution of the Arthro- poda the cerebral ganglia become more massive and more complex and give rise to bundles of nerves innervating the different sense-organs which become finer and more com- plex in structure and function. The suboesophageal gan- glion with the chain of ventral ganglia undergo a similar change: they grow and develop quantitatively as well as qualitatively; they become more massive, more complex, more integrated, and more differentiated. Thus in Limu- TYPES OF NEURON ORGANIZATION 17 lus polyphemus, one of the oldest representatives of the Arthropoda, the nervous system consists of a dorsal or Fig. 11. — Nervous System of Limulus polyphemus. o, Supraoeso- phageal ganglion ; c, commisure ; u, suboesophageal ganglion. A, b, c, d, abdominal ganglia. (After J. Loeb.) supracesophageal ganglion, a commissure and suboesopha- geal ganglion, with a chain of six small abdominal or ven- tral ganglia. The nervous system of the Limulus is highly segmental 3 18 MULTIPLE PERSONALITY in character. (See Fig. 11.) Each peripheral organ belonging to a segment of the body has its correspond- ing segment in the nervous system. This is well brought out in one of the experiments made by Professor Loeb. The whole nervous system was removed in a Limulus with the exception of a small portion of the left side of the commissure and the six ventral ganglia. No connec- tion was left between the two portions, still the Limulus went on living; it had to be artificially fed. These ven- tral ganglia are indispensable, since they innervate the gills requisite in the respiration of the animal. The por- tion of the commissure left was also necessary, because some of the leg movements were requisite in the recep- tion of food. The animal in such a state received the food and nourished itself like a normal individual. So inde- pendent are the groups of neurons, that Patten has demon- strated that in a Limulus each leg receives food in a nor- mal way, when nothing else is left in the process of oper- ation except the portion that directly innervates the leg. In the crab the dorsal or brain ganglia are little devel- oped; the ventral ganglia are, however, far more massive and better developed. In the house-fly the dorsal ganglion is comparatively massive, and so are also some of the ventral ganglia. (See Fig. 12.) In the honey-bee the dorsal ganglion, or the brain, is very massive and highly developed, and so are also the ven- tral ganglia. (See Fig. 13.) This is brought out clearly, when we compare the nervous system of the honey-bee with that of the house-fly. If the fly is deprived of its brain, or of the dorsal gan- glion, spontaneous movements disappear, the fly remains in the same position, never moving unless acted upon by an external stimulus. If one of the legs is tickled, it will re- spond by contraction, while the others will remain quiet; only when the stimulus becomes very intense, only then, TYPES OF NEURON ORGANIZATION 19 Fig. 12. — Nekvous System op House-Fly (Musca vomitoria). a, dorsal ganglion ; i, subcesopha- geal ganglion ; c, 40 MULTIPLE PERSONALITY is as different as day and night, but the habits, being well organized, persist through both, and the habits are the most noticed characteristics of those we know except in the case of some few intimate friends. The change or waking occurred not quickly, but grad- ually. I was sitting by my window reading — as it hap- pened — something of Herbert Spencer's. Something there touched a chord that had ceased to vibrate over a year before. One point in the chain of my past experience found, all was quickly regained. Looking out of the window things seemed real — as I compared the view out of the window with what it was a minute before. It was a real living view to be seen with the eyes where there was a flat, faded, uninteresting picture. The great, great world opened up before me, not to the ocular vision tone, but to the mental eye. Again I felt the thrill of living awaken those chords of sympathy that bind each thing that is with all that is, has been, or is to be. During that day and the next, I made a great many observations, comparing the two phases of personality — the strong and the weak, as I will call them. Alas ! I woke to fall asleep again. I hope, I pray, there is a waking, for one day of life is worth more than a year of sleep. It was only a few days later, I don't know exactly how long, when going back into precisely the same environ- ment, routine habit in its favor, the weaker proved the stronger, and pulled me, dragged me back. For a few months the personality was very unstable, changing phase slightly from day to day. It finally set- tled down, but is a very weak personality. I go on without much interest in the world, able to make a living, but hav- ing few joys and few sorrows, a dull, dull life. The past forgotten, almost as fast as passed, little thought of the future, and little of the great world about me. I know it BREAK-UP OF PERSONALITY 41 is a great world, because I once could see, but that now to me is less than another's testimony. As a boy I went to school very little, but read much; I read because there was something in books I wanted to get at. I took especial delight in scientific study. Except the writing of a few scientific thinkers I never read a book through from cover to cover, but searched through it for the particular mental food I was in need of. What I read I sifted into two parts: the bulkiest, useless to me, I slung away; the substance of the other was bound up in my mental growth, and became a part of me, never to be lost or forgotten. Oh, where now? My books were my companions. Having saved a little money for the purpose, I quit work three years ago and entered high school. Decided to study Latin, and found it difficult. Not being accus- tomed to give up what I had undertaken, I determined to conquer it. As it became more difficult, my determination became one fixed idea to which everything else was sacri- ficed. The studies I loved and all of my pleasures were given up. In eighteen months I had exhausted myself mentally. As I had felt my powers failing, life had been one living torment. Happy for me, each day was forgotten as it passed. From sheer exhaustion I gave up the fight. From that moment a load was off my mind. I felt stronger. It was a few days after this, a Friday or a Saturday, I think, I had the experience I have related. It was going back into the same school-room that brought me back. During the remaining two months of school I read other things during study time, and studied none of my lessons, but found I could recite and stand my exams, far better than before. One exception, I spent three hours a week at Latin with my teacher. 42 MULTIPLE PERSONALITY During these two months everyone thought me very original, but the fact is, every original thought I expressed during those two months had its birth and growth to matu- rity in those two days previous, and the thought, being put into word form was carried over the gulf that separates the two periods. I could not remember in itself that period of the strong personality, I could not call to mind its feelings and aspira- tions, but I could remember its thoughts, because they seemed to have been stereotyped into word (language) form. Language seemed to be the intermediate link that connected the two phases. Throughout the two months the thought of those two days seemed to have made a far deeper impression on memory than anything else, and, ex- cept as counted by days and hours, those two days were a longer period of time than the previous eighteen months. A few days or weeks, I don't remember now, though I can look it up, after my experience of the strong person- ality, feeling that it was fast fading from memory, I wrote an account of it, some sixty pages, taking great care to make it accurate. Unfortunately, that record has been destroyed. I have no direct memory of the period of strong personality now, and all I may say about it is based on my memory of that record. It was written between midnight and three o'clock, and I got up from bed to write it. I had previously come to the conclusion it must be consigned to writing for fear of my death, as I believed it might be of value to someone. When I found it fast fading from memory, and realized that when it was forgotten I should cease to endeavor to let the prisoner out and he should lie unconscious in his prison till its threescore and ten were out, and then cease to exist without having known of his own existence, except for the period of his first score of years. It was this thought that took me out of bed at midnight to record the experience, for I thought even if it were forgotten, if I BREAK-UP OF PERSONALITY 43 had it recorded in my own handwriting, I should know something of the prisoner, and though having no personal interest in him, should do something to set him free. At the end of the school-year I graduated, Latin not excepted, and then began work at a trade, and in that change of environment have almost forgotten my two years of school-life, which shows what a weak personality I have now. However, I have done better than I once expected, for I have made a living, and am giving satis- faction to my employers, have been advanced, and have good promise of further advancement. In the weak phase it is characteristic that thought and language are inseparable. It is impossible to think faster than speak (or speak mentally). In the strong, vigorous thought is so independent of words or verbal representa- tion that I can think ten or even twenty times as fast as I can speak. In the weak, I think in images of words; in the strong, I think in images of things. In both phases of personality life is made up of seeing and doing, and what I do is adapted and directed by what I see, but there is this vast difference : in the one, the con- nective link is only habit, in the other it is a vast network of thought and feeling that constitutes mental life. In the weak I may speak of ' what I believe ' just as I do in the strong, forgetting that it is of no importance what I believe about most things, as it has no part in directing my conduct, that being really (however I may deceive myself) controlled by habit. In the strong, pre- vious to every act throughout the day, is a long but quick train of thought which determined it, and this train of thought is controlled by my beliefs." Ordinarily, however, both vividness and memory are affected, and this is especially true in severe cases of disso- ciation. Since loss of memory is the most obvious and striking pathological manifestation, it is natural that the latter alone should become the index of the severity of the 44 MULTIPLE PERSONALITY extent and depth of the mental lesion. The breaks and gaps in the continuity of personal consciousness are gauged by loss of memory. Mental systems not bridged over by memory are so many independent individualities, and if started on their career with a good supply of men- tal material, they form so many independent personalities. For, after all, where memory is gone the dissociation is complete. This dissociation can be traced to functional as against structural interrelationship of psychophysiological elements and systems. CHAPTER VIII THE NATURE OF FAMILIARITY The recognitive function of the representative element is possibly more clearly revealed in cases where previous perceptual experience of the object does not result in its subsequent recognition. Consider what happens, for in- stance, when we meet a person whom we do not seem to know, but who introduces himself as one who has had the pleasure of our acquaintance. We are told of the particu- lar circumstances under which we have met, we are re- minded of the events that have taken place during that time, of our mutual friends and acquaintances that have then been present, of the subjects we have conversed; and as we scrutinize the features of the stranger's face we try to bring up more images, more representations. With the growth of the accumulated representative elements the stranger's face becomes to us more and more familiar, and finally the particular representation relating to the specific object, the stranger, shoots up, and we recognize in the stranger an old acquaintance. What again happens when we meet with a person who is strangely familiar to us. The " strange " familiarity consists in the arousal of a number of specific representations, many of which are rec- ognized as incongruous and are rejected. Representations rise and revolve round that percept. The mind tingles with cognitive anxiety, with mental throes on the eve of giving birth to the specific associations, resulting in final recognition. This peculiar condition of subexcitement of representative elements started by the perception of an object constitutes the state which is termed the sense of 45 46 MULTIPLE PERSONALITY familiarity. Familiarity is vague recognition, recognition not as yet made specific. Familiarity implies former perception, it implies the presence in the subconscious of a corresponding represen- tation attempting to rise above the threshold of personal consciousness. In psychopathic states -of paramnesia we find conformation of our present view. An object, an event perceived for the first time, appears to the patient as familiar. His so-called sense of familiarity may range throughout all degrees of recognition, from the point of extreme vagueness to the point of full specific distinctness. This depends on the phenomena of dissociation. The par- tially dissociated subconscious systems first perceive and cognize the object in the corresponding formation of rep- resentation which give rise to a greater or lesser degree of familiarity, according to the extent of association imme- diately formed. In many instances this can be proven to be the case by putting the patient in a state of hypnosis. In some eases the patient may directly declare, "I have had a glance at it before, but I have forgotten, and that is why it seemed to me familiar." The patient suffering from paramnesia, on being confronted with an object, may momentarily pass into a subconscious condition in which the object is perceived; on immediately recovering from his state and perceiving the object once more, a vague sense of recognition arises. This view is still further confirmed and proved in an interesting case that has recently come to my notice. The patient is a proof-reader in a newspaper office. While reading his proofs it often seems to the patient that he has read all that before ; he recognizes the news, although he knows that he reads the article or the news for the first time. An examination disclosed the fact that the patient, who had a tendency to the manifestation of phenomena of the sub- conscious order and who frequently passed into psycho- pathic subconscious states of short duration, formed the THE NATURE OF FAMILIARITY 47 habit of putting the proofs on. his desk and glancing them over cursorily before starting the proof-reading. By gazing at his proofs he occasionally falls into a subconscious state, and actually reads the article or the news, and when passing out of the subconscious state and rereading the proofs he recognizes, in a more or less vague form, all he had read during his state of dissociation ; representation emerges, and complete recognition is effected. Sometimes such complete recognition is brought about by the patient 's own efforts. The whole wealth of experimental work in hypnosis, as well as in psychopathology in general, may be brought in proof of the truth that recognition is not to be explained by familiarity, but, on the contrary, familiarity is to be ex- plained by recognition. Familiarity is vague, incomplete recognition, it is recognition in a retrogressive state, so to say. To explain recognition by familiarity, and then re- duce familiarity to a pleasant mood, to an agreeable feeling of at-homeness, is hardly justifiable, because the familiar may be indifferent and often even distinctly unpleasant and painful. The at-homeness theory of recognition is, moreover, inadequate, since it reduces the more known, the function of recognition, to the less known moods and feel- ings which, as such, are unanalyzable. To assert that these moods and feelings are due to organic sensations is hardly sufficient. The problem remains untouched, un- analyzed and unanswered, for not all organic sensations give rise to the sense of familiarity. The mood theory of familiarity is inadequate even on its own grounds. Experiments in personality metamorphosis, experiments in formation of post-hypnotic states with the induction of complete or incomplete amnesia, experimental work in cases of psychopathic amnesia recurring in the so-called states of automatism, as in the states inaptly termed "psychic epilepsy," — all these can be adduced in an almost endless variety to demonstrate the fact that familiarity is based on recognition present in the subconscious. 48 MULTIPLE PERSONALITY A few examples taken from the great number of ex- periments, for the sake of illustration, will suffice for our purpose. If we hypnotize a subject and suggest to him that on awakening he should quarrel, insult, and kick a person present whom he highly respects in his waking state, the subject on emerging from the hypnotic condi- tion and passing into what I term the hypnonergic state will proceed to act out faithfully and earnestly all that is suggested to him in hypnosis. When afterward brought back into the state of hypnosis and suggested that on awaking he should not know anything that had transpired since the time of the first hypnotization up to the time of the second awaking, the subject, on finally emerging from the last state of hypnosis, knows nothing of what has taken place. A few days later, however, he may come and tell you with an air of great dissatisfaction, like that of a per- son who is trying to recall something that is familiar, but which nevertheless constantly escapes him, that he has had a very disagreeable quarrel with someone, but he does not know when it has taken place, what it has been about, nor who that person could have possibly been; in fact, the whole thing may have been nothing but a dream. The sub- ject has simply a feeling of vague familiarity, of something disagreeable having occurred and nothing more. The whole experience may never come to full consciousness and recognition, although it is fully present in the subcon- scious, and can be revealed in many different ways — by automatic writing, by crystal gazing, by shell-hearing, by hypnoidization, by putting him into the hypnotic state, or by merely pronouncing the simple formula: "Now you can know everything." In case this is not carried out, the "feeling of familiarity" gradually fades away, and the subject soon forgets all about it; it fades away like a distressing, but extremely vague dream. Similar experi- ments may be varied as to form and matter, but they all yield like results. THE NATURE OF FAMILIARITY 49 It is extremely instructive to watch the way memories from the hypnotic state struggle up into the waking con- sciousness. Bring the subject into deep hypnosis and tell him different things, news that should agitate him, such, for instance, that his parents are dead, that his brother is arrested for grand larceny, that he himself is a liar of the worst kind, tell him things that are calculated to im- press him by their unpleasantness; then suggest profound amnesia and wake him up gradually, say by counting to fifteen or twenty. The subject, if his consciousness admits of complete dissociation, will know nothing at all of the disagreeable things you have told him during his state of hypnosis. If now you tell him: "Try hard, you can re- member, you can know what has happened." The subject tries hard. Something familiar seems to struggle up in his waking consciousness. " You have told me something dis- agreeable, but I do not know what it was about." After another hard trial : ' ' Oh, yes, something about my parents, but I do not know what ; it is familiar to me, it seems within my grasp, but somehow it escapes me." After another trial and suggestion from the experimenter the subject ex- claims: " Oh, yes, you told me my parents died. That was rather disagreeable; you ought not to have said it." Bit by bit does the hypnotic experience struggle up to the surface of the waking consciousness, first in the vague form of familiarity and then as complete recognition. The rising experience, fully recognized in the subconscious, coming to the periphery of the primary waking conscious- ness may remain in the arrested state of recognition — namely, familiarity, — the fully and completely known ex- perience, known to the subwaking consciousness, never pro- truding its head above the surface of the subconscious. In other words, representations of experience present in the subconscious, when emerging slowly into the light of the waking consciousness, struggle up not in a form of specific recognition, but in a condition of vague familiarity. 5 50 MULTIPLE PERSONALITY Familiarity is a state of retrogressive, degenerative recogni- tion, due to the presence of representative experiences in the background of consciousness, in the subconscious. Cases of psychopathic amnesia give further evidence of the same fundamental truth. Experience passed through in a state of narcosis, and in regards to which there is pro- found amnesia, can be elicited either by hypnoidization or by hypnosis. The experiences present in the mind, disso- ciated by the action of the poison, begin to struggle up slowly and laboriously and always in the preliminary form of familiarity. The same holds true in other forms of psy- chopathic amnesia. In some of my cases of amnesia this form of struggling up of subconsciously present experi- ences were specially well illustrated. The whole series of experiments carried out went to show forcibly and palpa- bly that the sense of familiarity implies recognition. In other cases of amnesia under my experimentation the same relation was clearly revealed. The patient need not be hypnotized, but put simply into a state of hypnoidization. 1 The chips and fragments of memories that struggled up to the surface of the primary waking consciousness were at first incoherent and unfamiliar in character and were not recognized by the patients, but as more of them gathered and had become synthetized, the sense of recognition began to appear. At first the sense of recognition was extremely vague, resembling the state of remembrance of a dream gone by, then the experience became more familiar ; it appeared as something that had actually taken place some time ago in the patients' lives; and finally the sense of recognition reached its full state of development, and the experiences became localized in place and time. In the meantime, dur- ing this long and difficult struggle toward full recognition, it could be shown that the lost experiences were subcon- sciously present. 1 See Sidis, Psychology of Suggestion ; also Psychopathological Researches. THE NATURE OF FAMILIARITY 51 Familiarity, then, cannot be regarded as the primary state out of which recognition develops, but, on the con- trary, recognition is the primary state and familiarity is the derivative one. Of course, if by the term familiarity is meant not that psychic state observed in the adult con- sciousness, both normal and abnormal, but that primary state of recognition out of which more definite recognition develops, then the contention may be admitted, but at the same time it must be declared as trivial. For it is obvious that a higher, more complex, and more definite state of recognition arises from one that is lower, less complex, and less definite. The sense of familiarity implies previous perception now dissociated, but subconsciously present and struggling up toward the surface of the upper conscious- ness to gain recognition. The sense of familiarity depends on the condition of incomplete or of imperfect association. This may range through different shades and stages. Should now the dis- sociation be complete, the sense of familiarity will be com- pletely absent. The object, though experienced, will be regarded as strange, as entirely new, and will be felt as something that has never been experienced before. The fault will lie here in the paucity of associations with rep- resentative elements. Where through some accident all the associations of representative elements are reduced to their minimum of functional relationship, the world of sensory experiences, the world of objects, will appear as to one newly born, a state found in the case of Mr. Hanna, an account of which is given farther on. CHAPTER IX NEURON ORGANIZATION AND MULTIPLE PERSONALITY The investigations of Golgi, Cajal, and others point to the fact that the nerve-cell, especially that of the cortex of the higher forms of life, is an independent unit. The neurons form combinations of greater and greater com- plexity; the groups form systems, communities, constella- tions. These organizations of neurons are not of an anatomical, structural character, but of a purely func- tional relationship. The functional interrelation of neu- rons into more and more complex organization is con- comitant with the functional interrelation of elementary psychic units and systems. The functional interrelation of primary and secondary sensory elements as well as repre- sentative elements and systems runs parallel to the func- tional interrelation of neuron elements and systems. The individual mind may be regarded from this point of view as a complex system of many minds or, more strictly speaking, the psychophysiological individual may be viewed as an or- ganization of many subordinate individuals. As pointed out in a former work of mine : x "Every nerve-cell anatomically considered is a complete unit. The processes coming out from different nerve-cells do not fuse with processes com- ing out from other nerve-cells, but rather interlace and come in contact like the electrodes of a battery in forming the electric circuit. . . . The associations of nerve-cells is not organic, but functional. " Nerve-cells with concomitant psychic moment-con- tent come in contact with other nerve-cells, accompanied by 1 Sidis, Psychology of Suggestion. NEURON ORGANIZATION 53 psychic content, by means of their fine terminal processes. The association of cells forms a group whose physiological function has a concomitant mental activity. . . . By means of association fibres the groups are organized into systems, the systems into communities, the communities into clusters, the clusters into constellations, and each of the higher more complex aggregates is more feebly organ- ized by less stable association fibres." Now, if the constitution of the individual mind be made up of many subordinate individual minds, or of indi- viduals less complex in character, we may well conceive the formation of secondary individualities or of secondary per- sonalities in the various states of mental dissociation and degeneration. Under the influence of hurtful stimuli, be they toxic or traumatic in their nature, the first stages of functional degeneration may give rise to functional disso- ciations along different lines. Different individualities, often parasitic in character, may arise, develop and even stifle the primary personality. There may be as many different personalities, parasitic or secondary, as there are possible combinations and disaggregations of psychophysio- logical aggregates. There may, therefore, be different forms of secondary consciousness or of multiple personal- ity. They may be of a simultaneous character or one of alternation. The personalities may appear side by side, or they may appear alternately. The play of person- alities may be of a dramatic character, the characters and personalities appearing on the scene of consciousness like so many actors, the whole appearing as a play of many different persons. Such cases, however, occur after long training of the subconsciously formed personalities, so that they form and unform, appear and disappear from the scene of action, as if they were actual and not at all para- sitic, foam-like constituted individualities. When such dramatic personalities reach a high stage of development and come and go on the stage like actors impersonating 54 MULTIPLE PERSONALITY various characters, according to the needs or inspiration of the moment, then with the great power of imitation and play they give themselves names, and for the sake of dra- matic play and sensation claim to be fully fledged persons simulating the living that have gone from this world. In the act of simulation they convey in their own fashion the fact that they are not living personalities, but still claim- ing existence, they place their being in another world, in the world of discarnate spirits. The truth of the being of the simulated quasi-personality is asserted in its own peculiar fashion. In its own way this transient trance personality reveals its real character, and it is all the more satisfied as the assertion is made in a dramatic, sensational form. The usual forms of multiple personality are those of alternation. Even in the simultaneous forms the order is really one of rapid alternation. The dramatic play of the personalities, in fact, requires such an alternation. The persons, fictitious or simulated ones, come and go, repro- ducing relations of persons in real life. The simultaneous presence of many personalities brings with it confusion, so that no more than two personalities enter into the simulated intercourse. The simplest way is to follow up cases in Which this dramatic play has not reached such a high state of development. There is an interval between the appearing personalities. Each one carries along with it its own mental continuity. Each individuality, like a person in real life, has its own character, its own memory. The mental sys- tems are independent in their function, their memories do not fuse, nor do they run into one another. Like actual persons in real life, persons whom they imitate and simu- late, they stand out independent. The personalities do not interpenetrate. There is an impassable gap between them. When one appears the other is absent, and often the life and memories of one are not known to the other. One personality may often enter into communication with the NEURON ORGANIZATION 55 other. This is somewhat similar to what we find in real life, when different people try to get information of the life of their neighbors. It may, therefore, happen that some personalities may have information about their fellow per- sonalities, while the latter are ignorant of the life of the former ; in fact, they may not even know of their existence. But even in those cases where there is knowledge of the life of the fellow personality, the knowledge is not a direct one; it is entirely of an indirect character, as it is in the case of living persons ; one does not live directly the life of the other. They know of the life experience of the other Fig. 14. personalities by information. In reality, between the life of one and that of the other there is a clear gap. Let the concentric circles of A (Fig. 14) represent the widening successive beats of consciousness of each simulat- ing personality, and let A t represent that of another ; then from A to A t there is a gap. This gap may be one of deep unconsciousness or of a third state of consciousness with a vague relation or with no relation at all to either A or A ± . We may represent the periodical manifestations of the quasi-personality by a series of circles. Between each manifestation and the other there is a gap. Let A repre- sent one period of functioning activity and A 1 the next one, then between the two there is a gap, — a complete break. X f .' vV >.".'■ 56 MULTIPLE PERSONALITY With the disappearance of A x , the first one, A, but with some modification, comes to the surface; we may term it Ab. The beginning of Ab connects itseli with the end of A. This is indicated by the arrow. With the cessa- tion of Ab, Aj, with some modification, say b 1} appears, the system being AJt^ ; this latter connects itself not with Ab, but with A x . We, therefore, may have a series of A, Ab, Ac, Ad, Ae, etc., with gaps, in the interstices of which there are other active states of another personality, consist- ing of a series, A t , A-Jo^ A^, A 1 d 1 , A x e x , etc. The former are synthetized into one personality, having its own life history, character, and memory, and so are also the latter. In such a case we have the phenomena of double personal- ity. A third, fourth, fifth, and more series may be inter- posed, and we may then have the phenomena of triple, quadruple, quintuple, — in short, the phenomena of multiple personality. It may again be that a dissociated system falls into the subconscious, and keeps on repeating itself in the form of independent states, but vaguely connected with the prin- cipal personality. This system may keep repeating itself, but may not reach the full stage of personality; it may be too elementary in its psychic content and type. Here, too, the lapse may be complete, and the manifested disso- NEURON ORGANIZATION 57 ciated mental system appears in the gaps formed by the lapses of the principal personality. Here, again, the suc- cessive series of the principal personality present one continuity, while the successive series of the dissociated elementary system, A 1} are so many repetitions of the same state. Let A (Fig. 15) represent the main personality of the patient, B the next emergence after the break. From A to B there is a break in which the dissociated system, A x occu- pies the whole field of consciousness. Now the start of the nucleus of B is the last act of A. The same holds true in the case of B and C, C and D, and so on. As soon as the personality enters into its life activity it begins where it has left off, no matter how wide and deep the lapse or gap may have been. A fully developed personal system must have a continuous history. For continuity is one of the main attributes of personality. CHAPTER X PLURAL PERSONALITY The formation of many personalities, their dramatic play, their dissociation, new associations, interrelations, and sense of familiarity can possibly be best brought home to the reader by concrete examples from the vast domain of abnormal psychology. A number of cases representing different types of multiple personality are studied and analyzed farther on ; meanwhile, I think that a couple of cases will be sufficient for our purpose. The following re- markable case, studied by Dr. Morton Prince of Boston for a number of years, will probably best illustrate the meaning of multiple personality. 1 " When Miss Beauchamp first came under observation she was a neurasthenic of a very severe type. She was a student in one of our colleges, and there received a very good education. But in consequence of her neurasthenic condition it was simply impossible for her to go on with her work. She was a wreck, I might say, in body. In temperament she is a person of extreme idealism, with a very morbid New England conscientiousness, and a great deal of pride and reserve, so that she is very unwilling to expose herself or her life to anybody's scrutiny. This has been one great difficulty in the study of her case. To this I would add that she is a person of absolute honesty of thought and speech. I feel sure we can rely upon and trust her absolutely and completely. I have never known her, nor has anyone, I believe, known her — as herself, or the person whom we call herself — in any way to indulge 1 I am indebted to Dr. Prince for bis revision of this brief account. 58 PLURAL PERSONALITY 59 in any deception. Nevertheless, every safeguard has been employed to guarantee the bona- fide character of the phenomena. " Now she came to see me in this neurasthenic state, but I found treatment was of almost no use. The usual methods were employed with no result, and it seemed as if her case was hopeless. Finally I concluded to try hypnotic suggestions. She proved a very good subject, and the sug- gestions produced at the time rather brilliant results. In hypnosis she went easily into the somnambulistic state. This somnambulistic state came later to be known as B. II., while the first personality with whom I became acquainted, Miss Beauchamp herself, was known as B. I. Now I used to notice that as B. II. she was continually rubbing her eyes; her hands were in constant motion, always trying to get at her eyes. Still I paid very little attention to it, or placed very little significance in this fact, merely attribut- ing it to nervousness. One day when I hypnotized her and referred to something that she had done in a previous hyp- notic state — that is to say, something that she had said or done in a previous state when I supposed she was B. II. — she denied all knowledge of it and said it was not so. This surprised me, and I attributed the denial at first to an attempt at deception. I waked her up and put her to sleep again, and this time she admitted what she had pre- viously denied. This rather puzzled me, and I made vari- ous tests to determine her honesty in the matter. The next time I hypnotized her she denied what she had previously admitted, and so it went on, denying and then admitting, until it dawned upon me that I was dealing with an en- tirely different personality, and this proved to be the case. It turned out that when she went into the state of which she later denied the facts, she was an entirely distinct and separate person. This third personality, which then devel- oped, came to be known as B. III. We had then three mental states, B. I., B. II., and B. III. 60 MULTIPLE PERSONALITY " B. I. knew nothing of the others. B. II. knew B. I., but no more. B. III. knew both B. I. and B. II. Thus far there was nothing very unusual. " Now B. III. has proved to be one of the most inter- esting of all the personalities that have developed in the case. In one respect it is one of the most remarkable per- sonalities, I think, that has ever been exhibited in any of the cases of multiple personality, as will, I think, pres- ently appear. B. III., like B. II., was constantly rubbing her eyes, so that I was frequently compelled to hold her hands by force to prevent her from doing so. When asked why she did this, she said she wished to get her eyes open, and it turned out afterward that it was she who was rubbing the eyes of B. II. in the earlier times. At this time I prevented B. III. from opening her eyes for the reason that I feared that, if she got her eyes open and was thereby able to add the visual images of her surroundings to her mental life as B. III., these same images of her surroundings which she would also have, of course, when she was B. I., would by force of the associa- tion awaken all her mental associations as B. III., and that, in consequence, B. III. spontaneously would be constantly coming into existence of her own accord. This afterward proved to be the case. B. III. always insisted upon having her eyes opened, complaining that she wished to see, and had a 'right to see.' One day, some time after this, while she was at home, owing to some nervous excitement, she was thrown into the condition of B. III., and then, as I was not there to prevent it, she rubbed her eyes until she got them open, and from that time to this she (B. III.) has had a spontaneous and independent existence. " This personality dates her whole independent exist- ence from this day, and she always refers to events as being 'before' or 'after she got her eyes open.' That is the central event in her life, just as mothers date periods before or after the birth of a child. Now this personality PLURAL PERSONALITY 61 came afterward to be known as Sally Beauchamp. (The name Beauchamp has been adopted in this account for all the personalities.) She took the name for fun one day, a name that she got out of some book, and by that name she has been known ever since. In character she differs very remarkably from B. I. I would say here that B. I. is a very serious-minded person, fond of books and study, of a religious turn of mind, and possesses a very morbid con- scientiousness. She has a great sense of responsibility in life, and with those who know her trouble is rather sad and depressed in consequence of the general difficul- ties and trials of her life. Sally, on the other hand, is full of fun, does not worry about anything; all life is one great joke to her; she hates books, loves fun and amusement, does not like serious things, hates church, — in fact, is thoroughly childlike in every way. She is a child of nature. She is not as well educated as is Miss Beauchamp, although she reads and writes English well ; yet she complains constantly that she cannot express her- self easily in writing, but she does it quite well all the same. She cannot read French or any of the foreign lan- guages which Miss Beauchamp knows, and she cannot write shorthand; in short, she lacks a great many of the educational accomplishments which the other character pos- sesses. She insists, although of this I have no absolute proof, that she never sleeps, and that she is always awake while Miss Beauchamp is asleep. I believe it to be true. Then Miss B. is a neurasthenic, Sally is perfectly well. She is never fatigued and never suffers pain. " During the first year Sally and Miss Beauchamp used to come and go alternating with one another. At first whenever B. I. became fatigued or upset from any cause, Sally was likely to come, the periods during which the lat- ter was in existence lasting from a few minutes to several hours. Later these periods became prolonged to several days. It must not be forgotten that though Miss Beau- 62 MULTIPLE PERSONALITY champ knows nothing of Sally, Sally, when not in the flesh, is conscious of all Miss Beauchamp's thoughts and doings, and the latter could hide nothing from her. " Curiously enough, Sally took an intense dislike to B. I. She actually hated her. She used to say to me, 'Why, I hate her, Dr. Prince ! ' and there was no length to which Sally would not go to cause her annoyance. She would play every kind of prank upon her to make her miserable. She tormented her to a degree almost in- credible. While Sally would never do anything to make anyone else unhappy, she was absolutely remorseless in the way she tormented Miss Beauchamp by practical jokes and by playing upon her sensibilities. I will give a few illustrations. If there is one thing which Miss Beauchamp has a perfect horror of, it is snakes and spiders. They throw her into a condition of terror. One day Sally went out into the country and collected some snakes and spiders and put them into a little box. She brought them home and did them up in a little package, and addressed them to Miss Beauchamp, and when B. I. opened the pack- age they ran out and about the room and nearly sent her into fits. In order to get rid of them she had to handle them, which added to her terror. Another joke was to take Miss Beauchamp out into the country when she was very tired, and in an unfit condition to walk ; that is, Sally would take a car and go out six or seven miles into the country to some retired place, and there wake up Miss Beau- champ, who would find herself far out in the country with no means of getting home, no money in her pocket, and nothing for it but to walk. She had to beg rides when she could from passing wagons, and came back tired, worn out, used up for a week. "A great friend of Miss Beauchamp, to whom she was under strong obligations, had asked her to knit a baby's blanket. She worked on that blanket for nearly a year; as soon as it would near completion, Sally would unravel it, PLURAL PERSONALITY 63 and then, like Sisyphus, she would have to begin the task again, only to have Sally pull the whole thing to pieces again. Finally she came to herself one day and found her- self standing in the middle of the room tied up in a perfect network and snarl of worsted yarn; the yarn was wound round the pictures and then round and round the furni- ture, the bed, the chairs, herself, obliging her to cut it to get out of the snarl. Another favorite joke of Sally's was to make Miss Beauchamp lie. She had the power when she pleased, of producing aboulia, and also of making B. I. say and do things against her will ; for after a fashion she can get control of her arms and legs, and also of her tongue. ' ' Sally made her tell most frightful fibs. For instance, when asked who lived in a small squalid little house at the side of the road, she said 'Mrs. J. G.,' a very prominent lady in society, and very wealthy. 'Why, I thought she was rich!' 'Oh, yes, but she has lost all her money now.' Miss Beauchamp would be mortified at hearing herself tell these astounding barefaced fibs, which her listener must know were fibs, but she could not help it. Again, for a time at least, Sally put B. I. on an allowance of five cents a day. She would find the money waiting for her in the morning on the table with a note saying that it was her allowance for the day and she could not spend more. Sally took away her postage-stamps, and if Miss Beauchamp wrote a letter it had first to be exhibited to Sally, and if Sally approved it, it was posted; if not, it did not go, and that was the end of it. " Miss Beauchamp is a person with a great sense of dignity, and dislikes anything that smacks of a lack of decorum or of familiarity. Sally had a way of punishing her by making her sit on a chair with her feet upon the mantelpiece. B. I. could not take her feet down, and was mortified to think she had to sit that way. Sally carries on a correspondence with Miss Beauchamp, writes letters to her pointing out all the weak points of her charac- 64 MULTIPLE PERSONALITY ter, dwelling on all the little slips and foibles of her mind, telling her all the reckless acts and secret thoughts, indeed, everything she has done that would not bear criticism. In fact;, when she has a chance to stick a pin into her, she does it. When Miss Beauchamp wakes in the morning, she may find pinned upon the wall of the room verses containing all sorts of personal allusions, letters calling her names, tell- ing fictitious things that people have said about her; in short, doing everything imaginable to make her life miser- able. Nevertheless, at times when she has gone too far, Sally has got frightened, and then she would write me a letter and ask for help, saying that she 'could not do any- thing with Miss Beauchamp,' and I 'really must help her.' "Although B. I. knows nothing of Sally, Sally not only is conscious of Miss Beauchamp 's thoughts at the moment they arise, but she is capable, as I have said, of controlling her thoughts and her arms and legs and tongue to a cer- tain extent. Sally can produce positive and negative hal- lucinations in B. I. and frequently does so for a practical joke. During the times when Sally is in existence, B. I. is — as Sally puts it — ' dead, ' and these times represent com- plete gaps in Miss Beauchamp 's memory, so that she has no knowledge of them whatever. ' What becomes of her ? ' Sally frequently asks. Sally is never 'dead.' Her mem- ory is continuous; there are no gaps in it. She not only knows — simultaneously, as I said — all of B. I.'s thoughts and emotions and sensations, but more than that ; — Sally 's thoughts are entirely distinct from and independent of B. I.'s thoughts, with which they are coexistent, but not iden- tical. B. I.'s thoughts are not Sally's thoughts. Sally's thoughts coexist alongside of and simultaneously with B. I. 's ; but Sally 's mental life is made up of entirely different and separate thoughts and feelings from B. I.'s, so that Sally will have a train of thought at the same time with B. I., of an entirely different nature. All this is also true of the relation of Sally's mind to the personality PLURAL PERSONALITY 65 — B. IV. — who came later, excepting that Sally does not know B. IV. 's thoughts. While either Miss B. I. or IV. is thinking and feeling one thing — is depressed and self-re- proachful, for example — Sally is feeling gay and indiffer- ent and enjoying Miss B.'s discomfiture and perhaps plan- ning some amusement distasteful to her." Professor J. H. Hyslop gives me the following account of an interesting case of multiple personality, in which the parasitic " discarnate " personalities claim to come from ' ' other worlds. ' ' " A little over three years ago an orthodox clergyman, whose real name I here conceal under that of Mr. Smead, wrote me that his wife had done considerable automatic writing with the planchette, and had received some appar- ently spiritistic communications, and that he wished I would investigate the identity of a certain person claiming to communicate, and who gave his name as Harrison Clarke. In the same letter Mr. Smead remarked that he had some matter purporting to be communications with reference to the planet Mars, resembling the work of Flournoy's case of Mile. Helene Smith. I requested the privilege of seeing this matter, and it was at once sent to me. I became sufficiently interested in the phenomena to pay Mr. Smead a visit to investigate the case. My first task was to convince myself that I was dealing with gen- uine phenomena of some kind, and this was done in various ways, besides ascertaining the standing and respectability of Mr. and Mrs. Smead. " Inquiries into the history of Mrs. Smead 's planchette writing showed that she had been familiar with the instru- ment since childhood. But nothing of a systematic character had been done or preserved until 1895, when some allusions were made in the writing to the planet Jupiter, which was described as the 'babies' ' heaven. Mr. and Mrs. Smead had lost two children stillborn, and one a few hours after birth, and Mr. Smead a brother some years earlier by a 6 66 MULTIPLE PERSONALITY railway accident. It was in the names of these personal- ities that the ' communications ' purported to come regard- ing planetary conditions. After the allusion to Jupiter, some inquiry was made as to whether any of the planets were inhabited, and the reply was that Mars was popu- lated. Soon afterward a map was drawn of this planet, representing a continent and the various zones on it. The names of these zones were given, and were ' Zentin ' (cold), ' Zentinen ' (very cold), ' Dirntze ' (north temperate zone), ' Dirntzerin ' (south temperate zone), and ' Emerincenren ' (Equator). This was followed by a dia- logue between Mr. Smead and the ' communicator,' in which it was said that the inhabitants of Mars were some- what like our Indians, and that some of them were civilized in certain respects. Allusion was also made to the ' ca- nals,' in the form of expression, ' the way they fix the water,' which was described as 'canals connecting the oceans. ' ' At this point the experiments were interrupted for five years with exception of a few attempts, one of which was fairly recorded, and purported to be a ' communication ' from a deceased friend, of whose death Mr. and Mrs. Smead say they did not know until after the fact was written in connection with the planchette. In 1900, when the writ- ing was resumed, the Martian ' communications ' occupied most of the time given to the work for about three months, and were well developed and systematic, as if the interval had been employed by the subconsciousness in maturing what it had to say. A hieroglyphic language was invented by this agency, and said to represent the visible speech of the Martians. One of the first things done in the re- sumption of Martian messages was the drawing of a figure which was called a ' sea vessel,' and the writing of two words, ' Seretrevir ' and ' Cristririe.' The first of these words was said to mean ' sea vessel, ' and the latter its name. A curious feature of the incident, however, was the state- PLURAL PERSONALITY 67 ment that the Martian ships were made of trees, and that the inhabitants of that planet did ' not use sawmills as we do.' Is this an association of Indian canoes cut out of trees with what was said five years previously about the Martian inhabitants being like our Indians? It certainly has this probability. " In the next experiment a curious figure was drawn, unrecognizable in itself, but which was explained to rep- resent a ' dog-house temple.' In the corners of the figure two animals were drawn which were meant to represent dogs, and which were said to give the name to the temple. Then the hieroglyphic characters were drawn, describing the temple by name, and then translated into English characters. They were ' Ti femo wahrhibivie timeviol,' meaning ' the dog-house temple,' the words taking the same order as in English. " At the same sitting the name of the lake, drawn five years earlier on the map, was given. It was ' Emervia.' Mr. Smead then asked for the Martian for ' the boy runs,' and received the reply that people do not run on Mars, but only walk. The Martian characters were then drawn for ' the boy walks,' and were translated into English charac- ters, ' Ti inin amaravim. ' The form of thought was ex- plained to be ' the boy walking,' and not ' the boy walks.' " A number of Martian objects were drawn and de- scribed at various times, when at last a fine palace was drawn and described in detail. It had two divisions, with lawns and flower-plots in front and mountains behind. One part was gray stone and the other white. A few days later the ground-plan of the same palace was drawn, and then a curtain that was said to hang, possibly as a piece of tapestry, in it. The representation of this curtain was, in fact, a fine work of art. The details were all minutely described by the planchette. " Finally, a barrack was drawn, and said to be the building where Martians lived before marriage and while 68 MULTIPLE PERSONALITY working in the fields. There were indications that the class thus provided for were aristocratic. It had been earlier stated that the members of this class were not allowed to vote at the election of rulers and legislators. The drawing of this barrack, however, was the last of the Martian ' communications.' If I could here give the de- tailed record of the Martian incidents, and the hieroglyphic language and sentences written out with the planchette, it would be apparent to the student that both represent a very systematic illustration of subconscious work. 11 Without any warning or previous indication the Martian ' communications ' were interrupted by a new personality calling himself Harrison Clarke. He soon dropped the planchette and used the pencil. A special trait of this personality, not noticeable before appearance or after his disappearance, is his adeptness at tricks of writing. He shows about equal facility at inverted, mir- ror, and normal writing. The inverted writing is from right to left, and must be read upside down. The mirror writing must be read with a mirror. Mrs. Smead never in her life, at least so far as her memory goes, practised mirror or inverted writing, and yet these were produced by Harrison Clarke as easily as the normal type. But it was his biography that had the greatest interest. This was written out at various times and without regard to chrono- logical order, but reduced to this was as follows : " Harrison Clarke was born in a town that is now a part of Chicago, and at two years of age was brought to Albany, N. Y., where he was cared for, until grown, by an aunt. He came first to New York City, and went thence to Baltimore, where he worked in a store until, becoming engaged to a lady and finding it necessary to learn a trade, if he was to marry, he returned to New York and entered the office of the New York Herald as a type-setter. The death of his lady-love in the meantime led to his enlistment in the army, and he was in the last regiment that left New PLURAL PERSONALITY 69 York City for the war, and was in the battle of Shiloh, where, one morning, after being ont all night with his comrade, he was discovered by rebel guards and shot. His lady-love, deceased, appeared to him as he was dying and told him that he was going with her, and on her consent that he might some time retnrn to tell of his survival after death, he agreed to die content. The generals on both sides and the date of the battle were correctly named. " Now, Mrs. Smead does not remember ever hearing of any person by the name of Harrison Clarke and also does not recall reading any account of that battle. The New York Herald authorities refused to permit investigation as to the employment of any such person as Harrison Clarke on their pay-rolls in 1861 and 1862, and the Directories of that city for several years show no such person. Inquiries at the war records in Washington showed that no Neiv York regiments were in the battle of Shiloh. They show that there was a Harrison Clark in the 125th Regiment of New York, but he was mustered out at the termination of the war in 1865, and at this writing is still living in Albany, N. Y. There was a Harrison Clark in one of the Illinois regiments that was in the battle of Shiloh, and he was also mustered out at the end of the war, and did not die until 1895. None of the facts fitted him, so far as could be ascertained. " As soon as I had determined these facts, and the im- possibility of treating this personality as anything but sub- conscious action of Mrs. Smead, I resolved to confront it with this story of the failure to prove identity. I intrusted the task to Mr. Smead with directions. At the first oppor- tunity Harrison Clarke was told of his imposture. He was embarrassed for an explanation at first, but at a half sug- gestion he took up the story that he had deserted the New York regiment and joined one under a different name that permitted him to be in the battle of Shiloh. But he re- fused to give the new name under which he enlisted. He 70 MULTIPLE PERSONALITY was not to be entrapped. But later, evidently feeling doubtful about the impression he had made, he caused a vision to Mrs. Smead in which she saw him pointing out the 125th Regiment of New York marching through the streets of that city and the vacancy in the ninth line, as an evidence that he had been killed ! Here was quite indubi- table evidence that secondary personality was at the bot- tom of the whole affair, to say nothing of the evidence in the previous falsity of his story. " In the Martian ' communications ' there were fre- quent indications of ' messages ' from deceased friends of the Smeads, sometimes whole sittings being taken up with these. But when Harrison Clarke came in to control, in- truders of all sorts were absolutely excluded. When he found himself ridiculed for his spiritistic claims, the ' communications ' took on the personality of deceased friends of the Smeads in most cases, and only a few in- stances of apparently verifiable cases of unknown persons. For a long period the ' communications ' purported to be from or about persons known to the Smeads, and to repre- sent incidents which, in most cases, were known to them. The spirit of fabrication was exorcised by the failure of Harrison Clarke to prove his reality. I can give no de- tailed account of these instances, as it would take me far beyond the limits of this paper even to summarize them. But the chief personality concerned was Sylvester Smead, the deceased brother of Mr. Smead. The chief interest attaching to this fact is the selective unity shown by Mrs. Smead 's subconsciousness in the choice of incidents to rep- resent discarnate reality, indicating a very large range of power of imitation." The Flournoy case of multiple personality with its con- trolling guide and subordinate personalities belongs to the same order of mental phenomena. The case is probably well known to the reader. I give here a brief account from a review made by Professor Joseph Jastrow. PLURAL PERSONALITY 71 " The story is a complicated one. The medium in the narrative goes by the name of Helen Smith. Her father was a merchant, a Hungarian by birth, and is described as an active, enterprising, matter-of-fact man and a good linguist; though quite hostile to ' spiritualistic ' notions, he was gradually won over to them by his daughter's mediumship. Her mother, born in Geneva, has always been markedly predisposed to spiritualistic phenomena of all kinds, has had ' psychic experiences ' of her own, and is also involved as narrator or witness in several of the less clear and less credible phenomena of Helen's medium- ship, Helen herself is described as an attractive woman of about thirty years of age, intelligent and frank; she is of good physical and mental health, presents none of the recognizable stigmata of nervous instability, if we except a six-month period of general weakness, and her medium- istic tendencies; and resents strongly the imputation of being abnormal in any respect. At the age of fifteen she became an apprentice in a large business house and has earned her living as a trusted and capable employee. She has refused to allow any photograph of herself to accom- pany the volume, but has consented to its publication in spite of her radical disbelief in the explanations offered. During her girlhood she was given to day-dreaming, expe- rienced hallucinations and unusual warnings, and was, as she still is, of a highly sensitive, nervous, and imaginative temperament. She regarded herself as a strange and un- usual person, who was in a way out of place in the every- day existence about her, and she was ever ready, though often with fear and trembling, to perceive in* unusual hap- penings the confirmations of her imaginative creations. Adolescence brought about a consummation of many of these tendencies, in the way of more positive hallucinations, momentary lapses of consciousness and sporadic instances of automatic or ' somnambulic ' actions. M. Flournoy re- gards it as likely that these excursions in an unreal world 72 MULTIPLE PERSONALITY and the tendencies to automatic expression would have dis- appeared normally and naturally amid the sterner real- ities of life (for this form of coquetting with castles in Spain and seriously mystic occupation with the less hum- drum world of one's imagination is not a rare trait of childhood), were it not for her introduction to the mani- festations of spiritualism. These became both rain and sunshine to the tender sprouts of her subconscious fancy and developed them into a tropical luxuriance of , auto- matic manifestations. Table turning and rapping out of messages she accomplished at once, while a slight sugges- tion on the part of the ' circle ' induced automatic writing and clairvoyant visions. These began early in 1892 and continued without any unusual features until the spring of 1895, when, partially under the incentive of the inter- ested and professional presence of M. Flournoy, the ' poly- morphous ' automatisms of Hindu and Martian blossomed forth. " Mile. Smith, in her present seances, enters into a trance, or rather into one of several forms of trance, the general reality of which is attested by physiological changes of breathing and attitude, by the presence of abnormalities of sensibility and movement, and by marked psychologic characteristics similar in every way to those of the hyp- notic trance. Her appreciation of her surroundings, her remembrance of her trance-doings on return to her normal state, vary in the several trances; several different imper- sonations or trance conditions may occur in the same sitting, and the most remarkable phenomena seem associ- ated with the deepest disturbance of consciousness. Her general guide or spirit-control is one ' Leopold, ' who enters partially into all her automatic ' cycles ' and into her daily life. She not rarely sees him, or hears his voice; he has indicated the whereabouts of hidden articles, warned her against impending disaster, prescribed remedies for the sick, and in particular directed Helen as to what she may PLURAL PERSONALITY 73 and may not do both in ordinary worldly and in ' psychic ' situations. ' Leopold ' has been a great help and also something of a hindrance to the investigations. He alone is in touch with the subconscious strata of Helen's mental storehouse, and can by suitable suggestion be made to yield information which the normal Helen is unable to give; but at crucial points he too professes ignorance, and pro- nounces licet and non-Meet upon attempts to bring to light hidden sources of ' spirit-revealed ' knowledge. Now this factotum and mentor, Leopold, is really the disembodied spirit of Joseph Balsamo, better known as Count Caglios- tro, who departed this life with a somewhat shattered reputation in 1795. Leopold seems to personify Balsamo mainly when Helen passes into what M. Flournoy calls her ' royal cycle,' in which she becomes Marie Antoinette and Balsamo her ' cher sorcier ' and devoted admirer. While the unfortunate queen seems in many ways the favorite character of Mile. Smith's automatic repertoire, and while she assumes the part with superb histrionic realism of atti- tude and manner ; and spends entire evenings as the queen, and partakes an actual dinner which she eats with royal appetite, entertaining her real, but to her transformed, guests, gracious to her favorites and queenly to all ; yet this is but the spontaneous exuberance of an imaginative crea- tion the materials for which are readily accessible to her normal self, and many details of which have been traced to an engraving accompanying Dumas 's account of Bal- samo. We shall, therefore, follow M. Flournoy to India and to Mars. " The Martian cycle seems to have sprouted from a chance suggestion of one of the sitters, a M. Lemaitre, that it would be interesting to know what was going on on the planet Mars, and the further elaboration of the topic after the manner of Flammarion. This notion, ' caught on the wing,' made a great impression on Mile. Smith's subcon- scious automatism, and in one of her subsequent clairvoy- 74 MULTIPLE PERSONALITY ant visions she seems to be floating away into space and the table spells out ' Lemaitre, ca que tu desirais tant! ' and then she arrives at her destination which the table an- nounces to be Mars. At this same seance she also brought messages to an old lady from her dead son Alexis Mirel, who reappears in another incarnation on Mars as Esenale. Then come descriptions of Martian houses, scenery and peoples, of customs and doings, and a bit of its fauna and flora. These are all fanciful enough and are evidently de- signed to be as oddly different from terrestrial conditions as may be. There is an intermediate condition in which Mile. Smith can be induced to use pencil and brush and yet can receive by suggestion this visualized Martian scenery; in this way we have quite a collection of illustra- tions of things visible upon Mars. They are not particu- larly interesting. The landscapes and houses are rather Japanese, or vaguely oriental; the occasional specimens of a plant and animal are unusual combinations of familiar vegetable and animal qualities, not nearly so droll as those of Edward Lear. The one really remarkable feature of the Martian epos came only after a long period of incubation or subliminal preparation; this was the Martian language. In its fullest development it included the hearing of words in this strange tongue, speaking it, seeing it visualized in space and, best of all, writing it when the medium was completely entranced and personating a Martian. How- ever, none of these processes ever appeared as fluent, exten- sive or completely spontaneous; yet we have short but significant and consistent messages in a wholly fictitious and strange-looking alphabet. Here is one of the messages reduced to Roman characters, and its French equivalent: " ' Astane bounie ze buzi ti di trine nami ni ti di umeze se i" mire bi tarvini, " ' Astane cherche le moyen de te parler beaucoup et de te faire comprendre son langage.' PLURAL PERSONALITY 75 " But how is the French equivalent known 1 ? Through Leopold, who vouchsafed a talismanic word and procedure by which the entranced medium could be induced to trans- late. The messages do not transcend the familiar medi- ocrity of spiritualistic circles, but their form is certainly a marvellous example of subliminal creative imagination, if we are willing with M. Flournoy to accept them as such. M. Flournoy 's analysis of the language is most minute, and he pronounces it an ' infantile ' production modelled closely after the French, the only language which Mile. Smith knows. Its syntax and the arrangement of words are absolutely identical with those of French; the vocabu- lary is made as bizzare as may be, but it is possible in many cases to recognize the source of the invention. In brief, the noteworthy point is the holding in mind of the visual signs and the phonetic equivalent of these signs, and of their combination into words, at least sufficiently to hear, see and write brief messages; the imaginary Mar- tian setting and corroborative, ' details added to give veri- similitude to an otherwise improbable tale,' are creditable to a subordinate personality, but they do not arouse the admiration evoked by the auditory and visual memory feats. " The Hindu cycle is even more complicated, and its element of mystery remains as yet an unsolved problem. In this, Mile. Smith appears as the daughter of an Arab sheik, whom she leaves to become, under the name of Simandini, the eleventh wife of Prince Sivrouka Nayaca, whose present incarnation is none other than M. Flournoy himself. This Sivrouka reigned over Kanara and built in 1401 the fortress of Tchandraguiri. Other characters are a faithful servant Adel, a small ape Mitidja and a fakir Kanga, who is no other than the Astane of the Martian world. Upon this foundation there is again elaborated a complex drama too intricate to be here unfolded. ' ' These cases may serve as good illustrations of the possi- 76 MULTIPLE PERSONALITY ble disaggregations and new aggregations of the mental sys- tems that go to make up the warp and woof of human per- sonality. Of course it remains yet to be shown how much of these phenomena is artificially induced and how much of this play is really spontaneous. In either case, however, the fact of plural personalities stands out clear and dis- tinct. Training no doubt counts a good deal, but this in itself is insufficient to account for the independent personal- ities with their own characteristic traits, intellectual and moral, and with their own trains of memories impenetrable to all other personalities, persisting in their existence once formed, persistently refusing to be merged into any of the other personalities, and resisting all efforts at fusion. The life experience of the different personalities as well as their memories are so distinct that the information they get as to the life and experience of their neighbors is en- tirely of an indirect character. At the same time a closer examination of the cases reveals the fact that the per- sonalities, in spite of their apparent independence, have a good deal in common. Different as the mental systems are, they have a good many common constituent mental groups. Taken as examples of many others, these eases fairly illustrate the meaning of what is usually understood by the term multiple personality. In a broad sense we may say that tracts of consciousness separated by gaps, by breaks, which for the time being cannot be bridged over or united to form a continuity, are regarded as so many different personalities. A tract of consciousness may be affected through some shock, or through the influence of toxic or auto-toxic stimuli acting on the associations of the psycho- physiological systems, bringing about dissociations and im- passable gaps, so to say, in the mental continuity. If these dissociations run in many different directions, the phenom- ena of multiple consciousness, or what is the same, of multi- ple personality, are the inevitable result. When the old per- PLURAL PERSONALITY 77 sonality becomes disrupted by the hurtful stimuli into small- er and more contracted individualities, the fragments may under certain conditions, such as trance states and hypno- sis, be again unified into the complete old personality. The content, however, in all these fragmentary personali- ties remains unchanged, — they are chips of the old block, and as such may be regarded as mere contractions of the old personality. According to some psychologists, the new personality is identical with the old personality contracted along different lines. Such contractions of personality with ex- pansions in other directions, reminding one of the pro- toplasmic amoeboid contractions and expansions as adap- tations in response to stimuli coming from the external environment, are by no means the exception; in fact, they are rather the rule. All along the course of one's life the stock of memories at the direct disposal of the personal consciousness keeps on contracting in some directions and expanding in others. Many memories drop out while others come in. How much do we remember of our in- fancy, childhood, boyhood, youth and even of our early manhood"? There are leaks, breaks, gaps and losses in all directions. The perspective of our life history becomes shortened and contracted as our life journey lasts. On the other hand, the prospective into the future often expands beyond justifiable bounds. The content of personality keeps on changing, but we are hardly justified to designate phenomena of this order as multiple personality or as the formation of new personalities. No new personality is really formed. The whole process is simply a matter of am nesia. From a certain stand-point this view is quite legit' mate. Looked at from the stand-point of the old personality all these lacks, losses and lapses of personality are simply so many contractions of individuality, so many lapses of memory. The fact that the dissociated tracts of consciousness 78 MULTIPLE PERSONALITY cannot be bridged over, and what happens in one field of consciousness cannot become the possession of the neigh- boring field, though all of them intensely conscious ; the fact that each dissociated mental aggregate has its own chains of memories which do not fuse with that of the other aggre- gate, and that, moreover, in the intervals of its inactivity, or when in the periods of its activity, it does not attach itself to the dominant functioning system, but picks up the chain of memories precisely at the point where it had dropped it, all these facts point to the presence of an independent personality. Moreover, under certain conditions, such as trance or hypnosis, these dissociated tracts of consciousness can be made to reveal their experiences, their memories, in fact, the whole of their content. While the dominant per- sonal system is active, the secondary personality may some- times know and sometimes be ignorant of what is happen- ing to the other, but the two always regard one another objectively as strangers. Can we quite say that this is the experience of ordinary life? Is it a matter of every-day experience that our detached forgotten memories become active and set up housekeeping on their own behalf? Are not all these characteristics rather descriptive of what we mean by persons? Is it not in greater accordance with facts to describe phenomena of this order in terms of per- sonal consciousness? It is true that from the stand-point of loss of content the phenomena under discussion fall into the category of amnesia, but this is too general a classification. Multiple personality, no doubt, is a form of amnesia, but amnesia is i- I tfc multiple personality. Multiple personality is a species i_ \ a amnesia, and as such it has its own differentia. Amnesia t I i loss of content, but multiple personality is a lost con- sent that has become an independent centre of activity with a history and continuity of its own, definitely — one may say absolutely — demarcated from the main conscious- ness and from all other neighboring centres of activity. A PLURAL PERSONALITY 79 centre of activity with minimum of content may be termed a personal moment-consciousness. 1 At the same time we may regard the phenomena de- scribed as double or multiple personality from the point of view of loss of content, from the stand-point of simple amnesia. Amnesia may range from the simplest forms to the most complex. All the forms of amnesia may be ar- ranged in an ascending series beginning from the simplest aphasias, where auditory or visual or other psychic ele- ments are lost, passing through cases where more and more complex systems of elements are involved, where names, visual images of objects are gone, passing then to the loss of definite events of life, and finally ending with the drop- ping out of whole tracts of mental life covering minutes, days, weeks, months, years and even a whole lifetime. It is at this extreme end that the Hanna case finds its place, inasmuch as it represents the loss of a whole lifetime. Most of the cases current in literature are incomplete; in so far as the amnesia is but partial, only portions of the mental content are lost, while the Hanna case gives the first record of a complete loss of a lifetime from early in- fancy up to the moment of the accident. The only case in literature that somewhat resembles it, though incom- pletely, is that of Mary Reynolds. As the case is nearly a century old and has been found by Dr. Weir Mitchell among his father's papers — the account being written a number of years later after the original occurrence by a nephew of Mary Reynolds for Professor Archibald Alex- ander, who gave it to Professor John K. Mitchell, the father of Weir Mitchell — one must keep in mind the indirect sources, the many hands it has passed through and the indirect second-hand evidence. The Hanna case, being under direct observation and experimentation, stands alone 1 The moments may be of different types, from the lowest to the highest. See Sidis, Psychology of Suggestion. This subject will be fully developed in a later work, Principles of Psychology and Psychopathology. 80 MULTIPLE PERSONALITY at the extreme end of the amnesia series as far as content itself is concerned. It has, moreover, all the traits character- istic of the phenomena of dissociation known under the name of double consciousness or multiple personality. PART II DOUBLE PERSONALITY, OR THE HANNA CASE By BORIS SIDIS and S. P. GOODHART PART II DOUBLE PERSONALITY, OR THE HANNA CASE By Boris Sidis and S. P. Goodhart CHAPTER I ASPECTS OF THE HANNA CASE Before presenting the case to the reader we intend to say a few words by way of introduction. "We think it of importance to point out the distinguishing features of the case. In the study of the phenomena of multiple person- ality we get a glimpse into the nature of the highest product of evolution, namely, human personality. From the facts of variation from what we regard as the normal we can form an idea of the complexity of the human self. Per- sonality is but relatively a unity, it is really a complexity of many subordinate units. As pointed out in the previous chapters, the human mind is not a simple entity, but is, correlatively with physiological processes, a complexity of mental states. In analogy with the anatomical struct- ure of neuron systems, the self is a complexity of many systems of systems, of what may be termed moments-con- sciousness. Human personality, in short, can appear under various aspects, can become divided and subdivided into many personalities of various degrees of intelligence, as can be found in the induced states of hypnosis, such as personality-metamorphosis, in the various changes of per- sonality observed in spontaneous cases under the disin- 83 84 MULTIPLE PERSONALITY tegrating influence of hurtful stimuli. Human personality can become crystallized into many different forms and can again be broken up into many subordinate units, which in their turn may become formed and re-formed, giving rise to a number of various personalities of a secondary char- acter. These secondary personalities may coexist or alter- nate with the principal personality. Alteration of personality is the most usual relation. With the manifestation of one personality the other dis- appears. Now it can be demonstrated by different methods, as it has been done in the Hanna case, that personalities which for the time being seem to disappear from the sphere of mental activity are really present- subconsciously. Still, for all intents and purposes, they may be regarded as absent from the consciousness which is in active rela- tion with the external environment. /Not being in direct relations with the external environ- ment, the whole psychic content, the whole mass of associa- tions remains unmodified. When now these dissociated systems of consciousness are stimulated to activity by various agencies, whether accidental or artificial, the mass reacts in the same way. The more often, however, the dissociated systems are brought into activity, the more often they are acted upon by different stimuli and made to react by their masses of psychomotor associations, the more frequently they become adapted to various ex- ternal conditions, to various environments, the more modi- fied does the content of the systems become. The mass of psychomotor associations gradually changes and there are more chances to draw the dissociated systems into the active primary consciousness standing in direct relation with the external environment. It is, therefore, of the utmost im- portance, in the case of functionally dissociated systems subconsciously present, to stimulate them as often as possible and draw them from their inactive obscurity to the upper regions of daylight consciousness ; to bring them THE HANNA CASE 85 into direct relations with the conditions of the external environment, and thus finally to effect an association with the primary functioning systems, or with what is regarded as the normal personality. The unchangeability of the psychic content belonging to dissociated mental systems subconsciously present, as well as the principle of frequent stimulations by various agencies, physiological and psychological, under different conditions, are of great interest, both from a theoretical and practical stand-point. We have the possibility of running together and associating the disjointed portions of con- sciousness. This is precisely what has been done in the Hanna case, in which the association has been effectively established. To be sure, the association is not effected by means of the principle of stimulation alone. We must also utilize the intermediary states which are of importance in mental alternation. In. passing from the primary to the secondary personality there is an intervening period which is represented by a state of low moment-conscious- "^ ness. This period varies in duration. Now it is not only the dissociated secondary states, but also the intermediary states that need be stimulated and often brought to the surface of consciousness in order to effect an association. Cases of double consciousness are by no means abundant in the literature of abnormal psychology, but still rarer are the cases where the dissociation is so complete as to produce an amnesia so profound that the loss of mental con- tent is so extensive as to have the patient revert to a state of infancy — to a state of a new-born baby — as it has oc- curred in the Hanna case. So rare are such cases of total amnesia that Janet, a man of such wide experience, tells us in his discussion of the Mary Reynolds case — a case which has been copied from book to book and which has circulated in literature for over a century — that he him- self has not had the favorable opportunity of observing 86 MULTIPLE PERSONALITY cases of total amnesia such as presented by Mary Reynolds. Until now the Mary Reynolds case has been the only case of complete double consciousness on record. It is certainly unfortunate that it has been drawn from second-hand sources. The Hanna case, described in the succeeding chapters, may be regarded as the first case of complete amnesia and double consciousness which has been under direct personal observation as well as under experimental control. There is, moreover, another important feature to which we want to draw the reader's attention. In the cases of double or multiple personality which have been reported in literature the mental wound formed has not been healed. The mental gap that separates the different per- sonalities is not bridged over. In the interesting and possibly best observed case of double consciousness in- vestigated by Professor James, namely, the Ansel Bourne case, the two dissociated personalities, primary and sec- ondary, could not be run into one. " I had hoped," writes Professor James, " by suggestion, etc., to run the two personalities into one and make the memories continu- ous; but no artifice would avail to accomplish this, and Mr. Bourne's skull to-day still covers two distinct per- sonal selves." This holds true in other cases of the same type. In the Hanna case, which may be regarded as the classical type of total amnesia and double consciousness, the gap separating the dissociated mental systems has been bridged over and the two personal selves have become synthetized into one personality. This synthesis is not only of practical importance, on account of the complete cure that has been effected, but is also theoretically of great value. It demonstrates the composite character of human personality. " Observation," says Ribot, " does not show that this chasm is ever bridged by direct recollec- tion. Thus two o appositions are possible : either the regis- tration of anteriox states is effaced, or the conservation of THE HANNA CASE 87 anterior states persisting, their power of revivification by- association with the present is destroyed. It is impossible to decide arbitrarily between these two hypotheses." In the light of the experimental work and results obtained in the Hanna case the decision must be in favor of the theory of subconscious persistence of the apparently lost memories. The two personalities are but functionally dis- sociated and can by various methods be brought together, "the chasm can be bridged by direct recollection," as it has been effected in the Hanna case. The deepest interest of the case lies in the fact of com- plete dissociation and total loss of mental content up to the time of the accident. The dissociation observed in the cases of double or multiple consciousness is partial in char- acter, the patient having lost but a portion of his life ex- perience. This loss, as it has been pointed out before, may cover a period of a few hours to several years; or it may affect the whole of the patient's life experience, involving not only the associations of his social relationships, such as the recognition of his family, of his friends, acquaint- ances and all his relations with them, but it may also in- volve his automatic psychomotor activities as well as habits and even his perceptual activity. In nearly all the cases of double or multiple consciousness the patient's most fundamental associations are preserved; they appreciate time, know spatial relations ; they can walk, run and handle objects, know how to dress, to eat, know the use of objects of every-day life experience ; they, moreover, can talk, can understand speech and they rarely lose the knowledge of reading and writing. Not so was it in the case of Mr. Hanna; not only was the knowledge of his social relation- ship gone, but all his automatic, instinctive and habitual psychomotor reactions in response to stimuli coming from the external environment, all were swept away by the catas- trophe of the accident. He was an infant, a baby newly born, or like a visitor coming from another world. He knew 88 MULTIPLE PERSONALITY neither objects, nor space, nor time; knew no speech; neither could he understand the meaning of gestures; he knew nothing of food, nor did he understand the manner of feeding; he could not walk, nor could he grasp objects, nor adjust himself to the perception of size, volume and distance. In short, the case is one of total loss of memory. Mr. Hanna was like an infant that had just opened his eyes to the light of day. In fact, after he had acquired some knowledge, he was for some time under the impression Fig. 16. — Normal mental content. that people come into the world fully grown, like himself. It is from the little ones that he has learned the course of growth in this world. The Hanna case, then, presents a complete obliteration of all psychomotor acquisitions, and as such may be re- garded as a case of what may be technically termed total amnesia. A graphic representation of the various forms of loss of memory, or of amnesia, in relation to this point will perhaps best bring home to the reader, at a glance, so to say, the depth and extent of dissociation observed in the Fig. 17. — Partial loss of conscious content Hanna case as compared with other cases of the same type of double and multiple personality less complete in the character of the dissociated content. THE HANNA CASE 89 Let AA U BB X , and CC^ represent the habitual, auto- matic, instinctive, and subconscious reactions of the patient's life. Let the area of curve E represent his fully conscious activity of his social relationship ; then, under the influence of hurtful stimuli, the E content may be affected. The loss may be represented by shaded lines of a portion of the total area of E, according to the depth and extent of the loss. Now in the Hanna case the loss went far deeper; not Fig. 18. — Total loss of conscious content. only the curve E but also the AA lf BB X , CC l7 portions became involved. The Hanna case is of special value, if only from the stand-point of the possible morphological and functional modifications that may take place in the personal self. The study of the case is also of interest, if we compare the mode of re-education of such cases of total amnesia, or of "adult infants," so to say, with what is observed in the Fig. 19. — Total loss of conscious and subconscious content. gradual development of infant life. We may compare the re-education of Mr. Hanna in the secondary state with the acquisition by children of psychomotor reactions and asso- 90 MULTIPLE PERSONALITY ciations in response to the stimulations of the external en- vironment and their adaptations to the external objects of their little world. We can see reflected in this strange case of Mr. Hanna the growth and development of spatial and temporal associations and reactions observed in infants — their learning to walk, to talk and their acquisition of knowledge and adaptations by imitation. It is also of interest in comparison with the learning of estimation of spatial relationship in the case of the blind operated for cataract of the eye, and in the case of the education of the blind, deaf and dumb, such as that of Laura Bridgman and Helen Keller. "We must, however, keep in mind the fact that in cases of functional dissociation, as presented by double and mul- tiple personality or in total amnesia, such as the Hanna case, the relation to child development and education of the defectives is but analogous. In the defectives and in children the psychic content is absent, while in the func- tional cases the content is really not absent, but present subconsciously. CHAPTER II THE BIRTH OF THE NEW PERSONALITY About seven o'clock in the evening of April 15, 1897, Rev. Thomas Carson Hanna, while returning home in his carriage from the town of M., attempted to alight in order to adjust the harness, lost his footing and fell to the ground head foremost. He was picked up in a state of uncon- sciousness by his brother, who, for some minutes, vainly endeavored to restore him. His eyelids were closed and his breathing was faint. Not the slightest movement was noticeable, and, but for the feeble respiration, life seemed extinct. Mr. Hanna was removed to the house of a friend and medical aid summoned. For a period of about two hours he lay in an unconscious state. Three attending physicians regarded life as almost extinct and heroic means of restora- tion were adopted. Large doses of strychnine were hypo- dermically injected. Although no time was lost in specula- tive diagnosis, the probability of a most serious organic lesion was determined upon. Finally Mr. Hanna began to move, then opened his eyes, looked around, moved his arm, then sat upright in bed, arose, reached toward one of the physicians and at- tempted to push him. Thinking the patient in a state of delirium, and fearing an attack, they seized him and at- tempted to push him back upon the bed. Mr. Hanna resisted vigorously and a struggle ensued, in which the three physicians were considerably worsted. The Rev. Mr. Hanna is normally a strong man, but on this occasion his strength seemed herculean. He was finally overpowered, 91 92 MULTIPLE PERSONALITY securely bound with straps and placed in bed. He lay perfectly quiet and made no attempts to release himself. At the suggestion of a newcomer, Mr. C, the straps were removed. The patient remained quiet and made no further attempt to rise. Although Mr. Hanna's eyes were open and clear and he was looking about him in an apparently curious and inquisitive way, when spoken to he did not understand the meaning of the words. It was not only that he had lost the faculty of speech so that he could not answer the in- terrogations put to him, but he had also lost all power of recognition of objects, words and persons. He was in a state of complete mental blindness. Although the functions of the sense-organs remained intact and the peripheral sensory processes remained normal, so that he experienced all the sensations awakened by external stimuli, yet there was a loss of all mental recognition and of interpretation of incoming sensations; all recognition of the external world was lost. Stimuli from without acted upon his sense-organs, gave rise to sensations, but perceptions and conceptions were entirely absent. The man was mentally blind. He could feel, but could not understand. He was as a newly born infant opening his eyes for the first time upon the world. The world was to Mr. Hanna but a chaos of sensations, not as yet elaborated and differentiated into a system of distinct percepts and concepts; neither objects, nor space, nor time, in the form as they are presented to the developed adult mind, existed for him. So totally obliterated from memory were the experiences of his past life that even the requirements of the simplest mental processes by waich the appreciation of distance, form, size, magnitude is ac- quired, were effaced from his mind. Movement alone attracted his attention. He did not know the cause and meaning of movement, but a moving object fastened his involuntary attention and seemed to BIRTH OF NEW PERSONALITY 93 fascinate his gaze. He made as yet no discrimination be- tween his own movements and those of other objects, and was as much interested in the movement of his own limbs as in that of external things. He did not know how to control his voluntary muscles, nor had he any idea of the possibility of such a control. From the more or less involuntary, chance movements made by his arms and legs, he learned the possibility of controlling his limbs. The full voluntary power over his muscles he only learned from instructions by others. He could not co-ordinate the movements of his legs, hence he could not walk. Unable to discriminate between his own activity and that of others, the world was not as yet differentiated into the objective and subjective, and he had no idea of ego activity. Movements had for him no differential coefficient — all were alike to him. The three dimensions, length, width and depth, were as yet not appreciated; they really did not exist for him. Although impressions were received by his sense-organs, still the only sensations prominent in his mind were dark- ness, light and color. Everything was close to his eyes, — objects near and far seemed equally distant. He did not have the least conception of the flow of time, — seconds, minutes, hours were alike to him. His knowl- edge and adaptations to environment were so completely obliterated that, like an infant, he most unceremoniously re- sponded to the calls of nature. The sensation of hunger, though present in all its intensity, as we afterward learned, could not be interpreted by him, and he certainly did not know how to appease it. When food was offered him he did not understand the pur- pose of it ; nor when it was placed within his mouth did he know how to masticate and swallow it. In order to feed him, fluid nourishment had to be placed far back into the pharynx, thus provoking reflex swallowing movements. 94 MULTIPLE PERSONALITY The sensation of hunger awakened in him an indefinite feel- ing of discomfort which he could not comprehend or in- telligently express. When food was offered to him he made no effort to receive it; when placed within his reach, he did not endeavor to chew, or swallow it. This seeming rejection of food led the attendants to believe that the patient had no desire to eat. It was only when food was forced upon him and thrust far back into the pharynx and reflex swallowing movements excited, accompanied by relief of his restlessness, it became evident that he was really hungry. It was in this way that Mr. Hanna for the first time realized the purpose of food and learned the wav of taking it. CHAPTER III EDUCATION AND GKOWTH OP THE NEW PERSONALITY Like an infant, he did not know the meaning of the simplest words, nor did he understand the use of language. Imitation was the factor in his first education. He learned the meaning of words by imitating definite articulate sounds made in connection with certain objects and activi- ties. The pronunciation of words and their combination into whole phrases he acquired in the same imitative way. At first, he simply repeated any word and sentence heard, thinking that this meant something to others. This manner of blind repetition and unintelligent imitation was, how- ever, soon given up, and he began systematically to learn the meaning of words in connection with the objective con- tent they signified. As in the case of children who, in their early developmental stage, use one word to indicate many objects entirely different in their nature, but having some common point of superficial resemblance, so was it in the case of Mr. Hanna: the first word he acquired was used by him to indicate all the objects he wanted. It goes without saying that the very first objects for which he felt the most intense interest were those that had relations to the elementary and at the same time indis- pensable sensation for the maintenance of life, namely, hunger. Words denoting articles of food were the first he acquired for the purposes of intercommunication with his environment. The first word he learned to know and to repeat was "apple." An apple was given to the patient when he was 95 96 MULTIPLE PERSONALITY hungry and the attendant, pointing to the fruit, pro- nounced the word "apple" several times with great em- phasis. The patient repeated "apple, apple," but did not grasp the import of the word as relating to this one par- ticular object. To him "apple" was in a vague way asso- ciated with hunger and craving for food. When later he again became hungry, he called for ' ' apple, ' ' but when the fruit was brought to him he rejected it in disgust. He wanted some of the other articles of food or dainties that had been given to him, but which were not ' ' apple. ' ' This apparent contradiction was taken by those about him as signs indicating capriciousness and perhaps mental de- rangement. On several occasions the unfortunate young man was obliged to remain without food, since instead of the dainties craved for, the undesirable "apple" was con- stantly thrust before him. He was disgusted at incessant reappearance of the same fruit. At first Mr. Hanna had no idea that there were terms for all classes of objects; he did not know abstract and universal terms. He could not understand the use of words denoting quality such as "whiteness." He had no idea of words having a universal significance, such as food, fruit, etc. He learned only the names of particular objects. He did not seem to learn words of uni- versal import, words which would have been of far greater use to him. " When they had given me three or four things, ' ' he told us afterward, ' ' I began to think there were other things to eat, too, and I wanted to learn the names of all those things. If I had only known the word 'food' or 'eat' or any of those words." Although Mr. Hanna was mentally blind and had lost all knowledge formerly possessed, both in relation to the external and internal world; although he was mentally re- duced to a state of infancy, strange to say, his intelligence remained intact. His curiosity for acquiring knowledge was keener than ever, and the use made of his acquisitions was GROWTH OF NEW PERSONALITY 97 truly astonishing. His faculty of judgment, his power of reasoning were as sound and vigorous as ever. The content of knowledge seemed to have been lost, but . the form of knowledge remained as active as before the accident and was perhaps even more precise and definite. It is difficult to comprehend how a case of such a nature could possibly occur, and indeed it almost appears to be miraculous, but, as the reader will see from our further discussion, such a case may be readily analyzed and ex- plained. Among his earliest experiences was that of noting means of communication between persons. He was greatly inter- ested in the fact that in response to uttered sounds certain actions were performed by others. He attempted to obtain similar results by uttering meaningless sounds and gibber- ish. The young man finally came to the conclusion that definite sounds brought about definite actions, and he be- came more eager to learn them. His knowledge was gained by the endeavors of those about him who constantly tried by objective demonstration and explanation of words to assist him in his eager efforts to learn. He was very anxious to gain the knowledge of language necessary for communi- cating his wishes and expressing his wants to others. His desire to acquire the use of words and phrases was based principally upon his observation that those about him, by making movements of the lips and producing sounds, elicited from others certain responses which were frequent- ly followed by definite actions. Finally Mr. Hanna in a very short time acquired a number of words sufficient to express his wants to others, and he made the best use of his limited vocabulary. A word once heard seemed indelibly impressed upon his mind, and he never again forgot it. It was really surprising to find a man starting in life with absolutely no vocabulary, with no means of communication and with no mental material, acquiring in the course of a short period a familiarity with 98 MULTIPLE PERSONALITY language sufficient for carrying on intercourse with others, and with powers of imitation so keen as to enable him to follow correct grammatical forms. Mr. Hanna made no errors in pronunciation; used the tenses correctly, and in forming sentences combined the words in their proper order. He had great difficulty in the acquisition of the use of adjectives and abstract nouns. When a word was told to him, and the object shown, he always associated that name with the object, but did not as yet understand names signifying the qualities of objects. For instance, Mr. Hanna had learned the meaning of the word signifying the color white, but not that signifying black. Now it happened that he was shown a black hen and the name was told him. The patient thought that "black hen" was the name of the bird. The next time he saw a hen of white color, he remarked that there was another "white black-hen." The way in which he learned the use of adjectives will be made clear by the following example : The difference between "good" and "bad" was made clear to him by the objective demonstration of good and bad food. When Mr. Hanna first ate an apple he devoured all of the fruit, in- cluding core and stem, but the next time he was watched and the core was taken from him. The attendant, making a wry face, said repeatedly, pointing to this indigestible part of the fruit, "Bad, bad." The patient thus realized the meaning of these abstract words. At another time, to further emphasize the meaning of "bad," and prin- cipally to have a word of caution against harmful objects, Mr. Hanna, when hungry, was given a piece of soap ; thinking it food, he put it into his mouth. The soap was snatched away from him with the exclamation, "Bad, bad ! ' ' Thus he acquired his first knowledge of the differ- ence between good and bad, and thereafter it was applied to different objects under many other circumstances and conditions. GROWTH OF NEW PERSONALITY 99 As an illustration of how abstract ideas, which were complicated and had no relation to objects, but rather to activities, were acquired, we may give the following inci- dent : It was, of course, important to acquaint the patient with the meaning of the word "careful" in order to avoid harmful situations, but it was most difficult to convey the exact meaning of this word, and it could not be illustrated objectively. Now it happened that an attendant bringing him a glass of water upon a tray almost upset the contents. Someone exclaimed, "Be careful, be careful!" Mr. Hanna, noticing the effect, immediately grasped the sig- nificance of the phrase. Thus, knowledge of words in their abstract meaning and their wide application was gained. The fact that great difficulty was experienced in con- veying to the patient 's mind the meaning of abstract words in no way indicates his dulness of comprehension. On the contrary, his mind was as keen as ever and always on the alert. The intense activity of the patient's mind and the great power of his reasoning were well illustrated by his ability to make the utmost use of the knowledge he gained. It is highly instructive to follow Mr. Hanna 's acquisi- tion of knowledge of space. Immediately after the acci- dent he was found to have no knowledge of space what- ever. He possessed, however, sensations of color, of light, of shades, of darkness, but the concept of space was not present in his mind. He had no idea of distance and made efforts to grasp far-off objects, such, for instance, as orna- ments and pictures that were beyond his reach. To illustrate the total lack of appreciation of distance, we may mention his effort, one day while still confined to his bed, to grasp a distant tree perceived through the win- dow. The tree was to him an object of interest, presented to his eye as a series of' sensations attracting his attention, and he naturally endeavored, by reaching out his hand, to get hold of it. Like an infant, he would not have hesitated to grasp the moon or take hold of a star. Lof< 100 MULTIPLE PERSONALITY Mr. Hanna, in the early stage of his secondary life, having as yet no perception of distance, had the sensation that everything was "close" to his eyes. The sense-ele- ments, however, that go to make up the concept of space were present. Thus, he had some appreciation of room, volume. Shortly after recovering consciousness, with his eyes still closed, having none but internal sensations, and even of these no proper perception, he still had some idea of volume. He wondered how much room there could be, although he could not clearly formulate this idea. From constant efforts to reach objects, and from the many failures attending his early attempts, he gradually gained an idea of distance and learned the relation of objects to each other in space. Mr. Hanna seemed to acquire the knowledge of space along with that of movement. At first he was not aware of the fact that he could control his muscles. He could not adapt and co-ordinate his movements to seize near and dis- tant objects. He knew not how much force to put forth, — how much energy to exert to grasp objects of various size and weight. By daily effort, however, at first rather invol- untary, by automatic movement and by constant exertion, the voluntary gradually emerging from the involuntary, Mr. Hanna learned to grasp objects — to feel and handle them — and thus the kinesthetic sense was trained. The ideas of space and movement were so interlaced that their development seemed to go hand in hand. The primitive elements in his space knowledge were sen- sations of volume in a rather vague manner, and along with them also the sensations of movement; Mr. Hanna seemed to have developed the two simultaneously. Thus, at the beginning, he wondered how much room there was, and the involuntary movements of his hands gave him the feeling of how much more, how much expanded that movement could be. Once an involuntary movement of his limbs oc- curred he learned to repeat it voluntarily. He took pleas- GROWTH OF NEW PERSONALITY 101 ure in the exercise of his muscular apparatus. As in the case of the infant, the involuntary chance movements give rise to a process of auto-imitation, the same movement is repeated over and over again with great delight, and after- ward this process is amplified and varied. So it was in the case of Mr. Hanna. He took delight in repeating his movements many times over, and then amplified and varied them. When a chance movement of his arms occurred, he took great pleasure in repeating it, and then went further — he extended his arms, moved them in different directions, and thus, in this uncertain, involuntary, indefinite way, gaining more definitely the idea of volume and movement. The apparently senseless excursions of his arms alarmed the physicians and attendants ; he was thought to be suffer- ing from delirium. Along with his own spontaneous efforts at education, those about him constantly endeavored to teach him. We must, however, call the reader's attention to the fact that although Mr. Hanna was unable to make voluntary adapta- tions in his movements to his environment, although he had to be taught to walk in order to reach an object, still under strong emotional upheavals he made correct movements of adaptation which he could not afterward voluntarily repeat. This fact was clearly revealed shortly after he regained consciousness, when he, supposing himself at- tacked, was able to make efforts of resistance and cor- rect co-ordination of movements. However, this was but a flash that appeared under special conditions, — a flash, the general form of which he could recall and give an account of after having acquired means of communication. His own movements, as well as those of objects and persons about him, especially attracted and interested him, as is the case with children and lower animals. The move- ments of his own limbs greatly aroused his interest when after the accident he first gained consciousness and opened his eyes; it was the sensation of movement that first at- 102 MULTIPLE PERSONALITY tracted his notice. The very first sensation he experienced in his new life was the movements of his chest in respira- tion. He first learned of voluntary movement by noticing that the rapidity of respiration and the concomitant rise and fall of the chest-wall were under his own control. Mr. Hanna did not originally appreciate differences in the cause and form of movements. Movements, voluntary and involuntary, made by himself or occurring in the exter- nal world, were of the same character to him. Thus, when he noticed an attendant walk across the room, he identified the movement with that of his own. He did not yet dis- criminate between his own movements and those outside himself. He gradually learned the difference between these two kinds of movement by the observation that he had con- trol over his own movements, but not over those of others. This also was a basis originally of differentiation between himself and the external world. In the case of time as in that of space Mr. Hanna lacked at first all knowledge. The flow of time and the various parts of the day were at first appreciable to him only by the changes from light to darkness. Even after gaining more knowledge, he still measured the intervals rather roughly by the succession of meals. After he had advanced so far in his knowledge as to know of objects and to localize them more or less roughly in space and time, he still was unable to distinguish be- tween the animate and the inanimate. It was only later on, when he had acquired some knowledge of voluntary move- ment, that he could discriminate between the two. At first movement in general, and later spontaneous movement, be- came to him the criterion of life. For some time a moving ■ thing was to him identical with a living object. Branches and leaves of trees, because of their occasional movement, he regarded as animate, and later learning that spontaneous movement was peculiar to the animate, he wondered that branches and leaves could move. GROWTH OF NEW PERSONALITY 103 He did not analyze a complicated object into its differ- ent qualitative components, simply because he lacked the knowledge of the individual constituents. This was well illustrated by the following amusing incident : He saw a man sitting in a carriage and driving a horse, and ob- serving that all moved together, he regarded them as one object, one living being. Later on, learning that there were various kinds of beings, he thought a man mounted upon a bicycle was a kind of man different from those he was accustomed to see. When, however, he learned to know the objects separately, he gained the proper concep- tion of each. When he acquired knowledge of the existence of living beings, it was still hard for him to realize what persons really were in contradistinction to other living beings, and when he learned to differentiate the two, it was difficult for him to realize that he, too, was a person. Persons, he thought, moved about, while he was lying in bed ; then, too, they were dressed, while he was not. The manner in which he learned that he, too, was a being like other people is inter- esting. Mr. Hanna, pointing to himself, asked an attendant, "people? people?" meaning to inquire whether he himself belonged to the same beings, and receiving an affirmative reply, he understood that he, too, was "people." Here again his imitative proclivity manifested itself in that he wished to be dressed and appear like other people. He was anxious to feel that he also was a person. To emphasize the fact to himself and others, and at the same time think- ing this condition indispensable for personality, he was de- sirous of appearing dressed like those about him. It was difficult for Mr. Hanna to realize that, although he was a person, still his personality differed from that of others. It was hard to convey to him the different shades of meaning of words that indicate consciousness of individ- uality. The ego or self-consciousness came rather late in his present mental development. He was certainly con- 104 MULTIPLE PERSONALITY scious and the activity of that consciousness was very- intense. He was most eagerly taking in and elaborating impressions coming from the external world, impressions that were to him entirely new; still, the consciousness of self was for some time absent. It was only after prolonged efforts on the part of his teachers that he could grasp the meaning of words conveying the idea of personal relations. Before Mr. Hanna had acquired a more or less extensive vocabulary, an attempt was made by the attendants to con- vey to him the meaning and distinction between the con- cepts "mine" and "yours." This was done in the following way : A watch was placed in his hand, and a pin held by the attendant. The latter, then pointing to the watch, said and made Mr. Hanna repeat, ' ' This is mine. ' ' Then in a like manner, pointing to the pin, he instructed Mr. Hanna to say, "This is yours." He could not, however, compre- hend the meaning, and all efforts in that direction were in vain. He could easily repeat the words, but found it im- possible to grasp their meaning. It was only later on in the course of his mental acquisition that he realized the significance of words indicating the various shades of per- sonal relationship. Associated systems of ideas of a more or less fixed and definite nature characteristic of the developed mind were wanting for some time after the injury, and there could therefore be no possibility of self-conscious individuality. When he acquired more knowledge of the external and in- ternal worlds, when his vocabulary became more extended and he could come into communication with persons and his environment, it was only then that, after great efforts, he succeeded in grasping the meaning of words that express personal relations and the significance of individuality. There is, of course, no need of expanding on the fact that Mr. Hanna had no idea of sex. In fact, even when he was well advanced in his mental development and enjoyed free communication with others, he still had no idea what- GROWTH OF NEW PERSONALITY 105 ever of the sexual difference between men and women. Even when he was so far advanced as to discuss difficult and complicated religious questions, he still had not the least notion of sexual differences and reproduction. The first knowledge acquired of differences in sexual structure was the information given him in the distinct formation of the two sexes of the floral world. Even then, however, he knew only of the differences in sexual structure and func- tion in the vegetable kingdom. The absence of anything pertaining to the amorous was so pronounced that he could not understand the different conventional relations between the sexes, or, as he at that time expressed it, between the "two strange kinds of human beings." He could not un- derstand why feelings of gratitude, friendship, likings, could not be openly and frankly expressed by caresses and kisses, in his relations toward both sexes alike. Although he was lacking in all other forms of knowl- edge, it was of great interest to find that Mr. Hanna from the very start had a keen appreciation of the harmonious in general, and of music in particular. As soon as he learned to know and recognize objects and pictures without being instructed as to what was beautiful and what was ugly, he showed at once his likes and dislikes in relation to them. In fact, we may add that his sense of appreciation of the beautiful and his disgust for the ugly was even far stronger and keener in this state after the accident than in his normal condition before it. So keen was his apprecia- tion of the beautiful, in music especially, and so remarkably strong were his imitative powers, that he learned to sing hymns and play instruments in so short a time that the ac- quisition seemed almost miraculous. Having had no famil- iarity with the banjo before the accident, he acquired the skill of playing it in but a few hours. A friend spent an afternoon with him in teaching him to play the banjo, and was astonished at the remarkable aptitude of the pupil who in a few hours learned to handle the instrument with the 106 MULTIPLE PERSONALITY facility of an experienced player. Mr. Ilanna showed the same remarkable aptitude in acquiring the technique of the piano. He soon repeated with correctness several selections on the instrument after having only a few times carefully watched their execution. CHAPTER IV FIRST IMPRESSIONS To make clear to the reader the state of Mr. Hanna's mind, we bring here verbatim answers to our questions put to him some six weeks after the accident, when his sec- ondary personality became sufficiently trained and edu- cated to give an account of what had taken place since the injury. We had frequently to simplify and elucidate our ques- tions, as Mr. Hanna often failed to understand words and phrases. Mr. Hanna's talk is somewhat incoherent, due to scantiness of his mental content and of his newly ac- quired vocabulary. Q. We want to get from you an account of the very first things you remember of your life \s &vdp<*trc\ TjSr? x^ Wk ^n h^ * Fig. 21i. — Specimen of Mr. Hanna's writing in the primary state. his primary state could not discover their whereabouts.) This caused him much chagrin, as he was naturally method- ical and not absent-minded. The total loss of all memory as to what he had done with his clothing made him fairly desperate. TE i I g is a sj ' or p ated t 1 stim SECOXriATiY STATE PLATE I Ah #lbwncA ./—*•* ff*7 NJ M \) X) \) N W 1 wwwwmw ^r\r\N\^m\^^^l\r\N\^ww WxTxNVWxf WW J^Ck^inn & -tynw oCwaW-Titf &1&A- &GrunKs -^ cnT ^s M N M MM M J M \) M m \J \) V m V V V r\vi — \r\r\r\ RmU£v£.en*. : N ^wXvX^w^^^ ^^^^^V^l^^^^^W^^^^^ i^lNYW^^ \f\i\r\i y/vc v^S^Tn-o^ v\J^V \J V nr\r\rw\i\ Pneumograph^ tracings taken of Mr. Ilanna in secondary state. The iirst tracing is taken under normal coniliti and the apparatus gives regular respiratory curves. In the rest of the tracings, after a short respiratory interval of us character are applied, such as songs and hymns familiar to either the secondary or primary state, recitations of rasping sounds and so on. The reaction is quick, the respiration is greatly accelerated and the total change strongly marked, showing the great sensitivity of the secondary personality to external stimulations is, that is, no stimuli are applied espirution, stimulations of various sensory stimuli, such of the respin AROUSAL OF THE SUBCONSCIOUS 181 He did not desire to take a walk, and as Dr. S. did not wish to leave him alone and let him lapse into the secondary state, we continued the conversation. ( In a discussion of the history of Indo-European languages.) Mr. Hanna showed great mental acuteness and familiarity with literature and history. He also showed remarkable keenness in discussing the question of ethics, or the nature of right and wrong, of good and evil. He expressed himself clearly, logically and forcibly. When the conversation turned on belles-lettres, on realism and idealism, Mr. Hanna displayed a wide range of reading. On the whole, he manifested a remarkable intelli- gence and versatility of mind trained by a university edu- cation. We see now that the primary state was a full re- production, morally, intellectually and even physically, of Mr. Hanna as he was at the time of the accident. He was now overcome by an uncontrollable desire to sleep. His eyes began to close. He was urged to keep them open, but each time they seemed to drop in spite of his every effort. Dr. S. then endeavored to stimulate and arouse him. His limbs were moved violently, cold water was dashed in his face; he was pinched and otherwise mechan- ically stimulated. The onset of the somnolent state was irresistible. The lids closed ; he could not control them. He fell into a state of unconsciousness. Every effort to keep him awake was futile. Even the mechanical opening of the lids did not bring response; he remained immovable. This state, which may be characterized as hypnoleptic, is of the highest importance both for theoretical and practical pur- poses. The nature of this state is discussed in another chap- ter. In this hypnoleptic state, Mr. Hanna was physically prostrated. He was like one dazed by a hard blow lapsing into unconsciousness. His muscular system was passive without the slightest rigidity. The conjunctival reflex was absent. There was absolute anaesthesia to touch and pain. He did not respond to the strongest, to the most intense and varied stimuli ; nor did he react to loud shouts into his ears. 182 MULTIPLE PERSONALITY He was evidently in a state of diffused, disaggregated con- sciousness. 1 This hypnoleptic state continued for about a minute. The onset of this state, at first gradual, became rapidly more intense, and by a kind of accumulative force from mo- ment to moment finally plunged him into complete physical prostration and mental isolation from the external world. The hypnoleptic state may be considered as an attack of sudden onset. It may be divided into two periods. The first is that of a rapidly increasing condition of extreme fatigue and of an overwhelming feeling of drowsiness, cul- minating in a second period, that of unconsciousness. A discussion of the two stages and their significance will appear farther on. After a lapse of about one minute, Mr. Hanna suddenly regained consciousness, opened his eyes and was found to be in his secondary state. He looked in surprise about him, wondered that he sat in a chair completely attired, and that his brother and Dr. S. were attending him. His last recollection was that of be- ing in bed. He remembered distinctly, as he said, that he had retired, but he did not know how he happened to be fully dressed sitting comfortably in the chair. He felt ex- ceedingly weak, and lay down upon the lounge. A condi- tion of physical exhaustion, bordering on collapse, now superseded. He was cold, his skin was dry and pinched, the pulse was small, but not rapid. He complained of extreme cold. He found difficulty in moving his extremities. There was neither paralysis nor rigidity, nor was there catalepsy or negativismus. The arm passively raised dropped again inertly. Although fully conscious, as was evident from his appearance and from what he said afterward, he did not reply to questions put to him. When he was raised, he could not stand alone, but fell to the floor. In this condi- tion, when touched, he seemed to be hyperaesthetie. 1 See Sidis, Psychology of Suggestion, chap. xx. CHAPTER XV DUAL LIFE In order to introduce again new psychic stimuli, Mr. Hanna was taken to see a popular variety performance. During his university life he had undoubtedly been famil- iar with the theatre ; since entering, however, into religious work, this mode of entertainment had been severely frowned upon. We hence chose this visit as an admirable stimulus, because of its decided novelty to his present life, but not altogether foreign to his former early life experi- ence. We wished likewise to observe how the young clergy- man in his present secondary mental state would regard the gayety and life which one sees at such a place. We must remember that Mr. Hanna had "never" (i.e., in his second- ary state) been to theatre. Everything was new to him. The bright lights, the many faces, the brilliant costumes, the gay scenery, the witty remarks, the daring feats, the danc- ing, all greatly interested him. He was amazed, and ab- sorbed everything with great avidity. He was frequently asked whether he enjoyed the scenes, and he invariably re- plied he did. It was amusing as well as instructive to see the naturally austere and dignified young minister readily learning in this his secondary state of mental metamorpho- sis to applaud the "highly" artistic, though somewhat ethically questionable, feats of the heel and toe. Mr. Hanna drank two glasses of beer. When asked if he had tasted anything like that before, he replied he had not. "Do you like it?" he was asked, to which he said, ' ' Oh, it tastes all right. " It is of interest to note that the taste of beer must have been familiar to his subconscious 183 184 MULTIPLE PERSONALITY state, as it is rather improbable that a man tasting beer for the first time should find it "all right." The beverage had been known to him in his early college days, as it was brought out in his ' ' hypnoidic ' ' dream state. In his pres- ent mental state, Mr. Hanna did not know that beer was any different in its nature than any of the non-alcoholic beverages. He drank the beer as a matter of course. On his return home with us, Mr. Hanna at once retired. As usual, he was watched carefully during the night. He awoke only once, at 3 a.m., but was then also in his secondary state. He awoke at seven and was found to be in the primary state. He was already familiar with his apartment, but the last thing he remembered was that he was sitting completely dressed in a chair. He could not understand how he should at this time be in bed with no recollection of how he got there. Although Mr. Hanna in his secondary state had seen Dr. G. the night before, he now asked for him, saying he had not seen him since Wednesday (the last primary state). This time likewise on awakening, as in the last primary state, he complained of muscular weakness and pain in his back. He also complained of a buzzing in his ear as if a "brass band" were there. This was probably due to the impression made by hearing the brass band at the roof garden the night previously, when he was in the secondary state. We took occasion to test Mr. Hanna 's memory in this primary state. The method of serial numerals was em- ployed. His memory was, for new impressions, far less re- tentive than in the secondary state. At breakfast he engaged in a long discussion with Dr. S. concerning the various philosophers from Plato to Hegel. He ably discussed the significance for modern philosophy of the Cartesian principle, "cogito ergo sum." He like- wise discussed Kant, and said he had studied Baldwin's Psychology. When Professor James's essays, which Dr. S. DUAL LIFE 185 had in his hands, were shown him, Mr. Hanna smiled; said he knew of Professor James. He read paragraphs given to him with great ease and fully understood their meaning. One of the passages read had been given to him the day before, when in the secondary state. At that time he did not understand most of the words ; the sense of the phrases was not comprehended at all, and as usual he said "never heard of Professor James." As it was Sunday, we determined to take Mr. Hanna to church. We went to attend the services of his uncle, a well-known preacher in New York. The exactness of Mr. Hanna 's memory was manifested when the question of his uncle's residence arose. Mr. Hanna 's brother gave a street and number which he thought correct. Mr. Hanna at once changed the number, and it turned out that it was the correct one. As we passed from the house to the street, he looked about with great curiosity. He did not recognize the scene as he had "never" been in this neighborhood when in the primary state. A few minutes later, as we were seated in the car, Mr. Hanna, in the same manner as previously de- scribed, fell into the hypnoleptic state. He remained in this state for about one minute. His eyes were firmly closed ; he could not be aroused. We pricked him sharply with a pin, but he did not respond. Upon awaking, he complained at once of a feeling of pain where the pin-point had entered the skin, although he did not know the cause of the pain. He had passed into the secondary state. He remained in the primary state from 7.30 until 10 a.m. He was quite surprised to find himself seated with us in a Broadway cable-car. "Dear me!" exclaimed he, "I have the taste of that beer in my mouth yet." (It will be re- membered he had taken the beer when in his secondary state. In the primary state in which he had been pre- viously, however, he had not complained of the taste, and knew nothing about having taken any.) 186 MULTIPLE PERSONALITY Mr. Hanna asked, if we had been in the car all night. His last clear recollection was of being in the theatre the previous evening, although he had returned home and re- tired while still in the secondary state. Mr. Hanna, unac- customed to alcoholic drink and also being more impres- sionable in the secondary state, had been slightly affected by the beer, which dimmed his faculties somewhat for events of the late evening. Nothing of importance passed during the church service. After the services, Mr. Hanna was introduced by his brother to his uncle, the pastor. Although in the years be- fore the accident he had spent much time at his uncle's house and knew him very well, it was now necessary to in- troduce the young man, who, of course, in the present psychic state, did not know his relative. Mr. Hanna remained in his secondary state until the next day, June 14. He awoke at eight in the morning, hav- ing spent the night in the same apartment as previously. It was rather dark in the room. His first question was, "Where are we? Have we returned? How many days have passed?" When leaving the house in the primary psychic state, Sunday morning, it was his intention to go to Brooklyn after church and spend the afternoon with his relatives there. On the way to church in the car, as we have said, he had passed into the secondary state and re- mained in it until Monday morning, when he awoke in the primary state. His last recollection was of the latest events of the previous primary state, namely, leaving the house with the intention of going to church and then to Brooklyn. This explains his first question upon awaking. At the house where Mr. Hanna stayed for several days was an attractive and intelligent young woman in whom Mr. Hanna, of the secondary state, became much interested. He confided much to her, and although he rarely spoke to others of his changing psychic condition, he revealed the whole story to the young lady who had won his confidence. DUAL LIFE 187 Mr. Hanna, now in the primary state, was told by his brother, in order to avoid the embarrassment of not recog- nizing those in the house, whom he had learned to know, while in the secondary state, to bow indiscriminately to all whom he met there. The equally indifferent and formal recognition of the young lady so much admired by Mr. Hanna of the secondary state, rather surprised and nettled her. In his present psychic state, she was just as strange to him as the others. He was now taken to the psychological laboratory in order to take various tracings. The place and people there were all strange to him in his present primary state. Dr. V. G., to whom he had been introduced and with whom he had a long conversation while in the secondary state, he now passed by without recognition. He gazed with interest at the many "new things" he saw in the laboratory. During the taking of tracings, we urged Mr. Hanna to resist all inclination to sleep, and endeavored by various stimuli to assist him. We explained that if he succumbed to his feeling of drowsiness, he would pass into the secondary state, and he himself was most anxious to have the primary state prolonged as long as possible. We tried to engage his attention and interest him. About 12.30 a.m. he began to manifest an inclination to sleep. We endeavored to counteract this tendency by talking loudly and emphat- ically to him, urging him to resist with all his power the drowsiness coming over him. He made a strenuous effort to assist us. Each time the feeling of sleepiness seemed fairly to overpower him, but it yielded to the intense efforts to keep up the waking state. Now he would drop into a sleepy state, and again he would open his eyes and give a response as we shouted into his ear or applied some strong physical stimuli. He seemed to alternate in his moments of sleep and awakening, and his responses showed that he was at one moment in the secondary and at 188 MULTIPLE PERSONALITY another m the primary state. He seemed to oscillate be- tween sleep, or rather hypnolepsy, and the waking state, and his responses to our questions indicated now the pres- ence of the primary, now that of the secondary state, and now of the simultaneous presence of both. Each time the stimuli aroused him from the state of hypnolepsy and each time the latter took possession of him ; again he was aroused and again the hypnoleptic state gained the ascendency, un- til at last he fell into the deeper, the last stage of hypno- lepsy. In this condition he was completely shut out from the external world and appeared to be in an unconscious state. The first stage of hypnolepsy continued for about five minutes, the last stage about three-quarters of a minute. He awoke, and as usual was found to be in his secondary state. The primary state had continued for about four and one-half hours. CHAPTER XVI THE STRUGGLE AND UNION OP ALTERNATING PERSONALITIES Mr. Hanna was now taken out for a walk, and on the way stopped at Dr. G.'s office, about 4.30 in the afternoon of June 14. A discussion arose between Dr. S. and Mr. Hanna on various topics relating to religious and minis- terial duties. Mr. Hanna was in a pleasant mood; there was observed, however, some absent-mindedness, as if something was working in the subconscious regions of his mind. His mind was lucid; his argument, as usual, was clear and forcible. At Dr. G.'s office, Mr. Hanna lay down upon a lounge to rest. He soon fell into a condition of what appeared to be deep abstraction. He complained of a severe headache, which, he said, was "all over the head." The state of ab- straction deepened ; he turned his head away from us and lay immovable upon one side for some time. Although he was awake, he would not answer our interrogations and strongly resisted our efforts to change the position of his limbs. In this condition Mr. Hanna remained for twenty min- utes. The mouth temperature at this time was found to be 99.5 F., pulse 96 per minute. When his brother addressed him, Mr. Hanna turned to him with eyes staring wildly, but did not reply. When an interrogation was put to him, he gazed in a dazed way at the question, but did not answer. Five minutes later, when asked how he felt, he seemed to make an effort to comprehend, but still did not reply. 189 190 MULTIPLE PERSONALITY The pulse had dropped to 78 ; temperature remained as before. We desired to ascertain whether Mr. Hanna could un- derstand us and possessed voluntary control, at least of his eye muscles, because it was not possible to induce move- ments of other voluntary muscles. It was difficult to de- termine whether his failure to respond to our direction to him was due to loss of comprehension or to loss of volun- tary control of his muscles. To determine this, a pencil was moved in various directions, and he was told to follow it with his eyes. At first he failed to respond, but later correctly used his eye muscles in looking at the pencil. There was no muscular paralysis, but rather want of com- prehension. A few minutes later he was able to answer "yes" and "no" to questions. It was necessary to repeat the ques- tions four or five times before he grasped the meaning. AYe could not stimulate him to speak, although he apparently made every effort to do so. To determine whether Mr. Hanna 's mental faculties were intact, and whether he un- derstood speech, we told him to answer "Yes" when a sentence given contained a proper combination of words, and "No" to an incorrect nonsense combination. For example, when we would say white is black, five times eight are ten, his answer was " No " ; fire burns, five times eight make forty, his reply was "Y r es. " His responses were uniformly correct, showing that comprehension was present. During the entire time, Mr. Hanna was apparently in a state resembling that of mental stupor. His mind reacted sluggishly to the impressions from the external world; he was deeply absorbed within himself. Asked as to his head- ache, he replied ' ' No, ' ' meaning by it that he no longer suf- fered pain. We wished now to learn whether he was in his primary or secondary state. To ascertain this, we put questions ALTERNATING PERSONALITIES 191 which would show familiarity with both states. His responses of "Yes" and "No" showed that he knew di- rectly of both primary and secondary states. In order to be more certain, we spoke German to him. This language he knew only in the primary state, and he showed positive signs of comprehension. We asked questions concern- ing persons and events which had recently occurred in the secondary state and of which he had not been told when in the primary state. His correct responses proved to us be- yond question that he now possessed knowledge of both states. In short, Mr. H. was in what we may term the com- plete state. Gradually he began to recover his speech, but only slowly; he seemed to suffer from bradyphasia. The sen- tences in which he answered were short, and the words drawn out into their component syllables. Not only was he slow in his speech, but also in his movements, and in his reaction to external stimuli. His comprehension was dull, his mental activity was greatly retarded, his intellect was sluggish. This slowness of thought we may appropriately characterize by the term oradylogia. At first we had to assist him to rise; he moved more or less mechanically until he seemed gradually to regain his power of voluntary locomotion. He remained in this rather dazed state for about two hours. During this time he gradually came to himself, but his mental activity was greatly retarded, strongly contrast- ing with both his primary and secondary states. He was able to converse with us freely, but asked us to speak slowly and distinctly in order that he might comprehend what we said to him. This slowness of intellect had never before been manifested, neither in his normal state before the accident nor in the primary or secondary states. This condition gradually disappeared in the course of several weeks. When Mr. Hanna was in a condition to enter into con- 192 MULTIPLE PERSONALITY versation with those about him, he was asked, if he could give an account of the peculiar state in which he had been in the afternoon. He told us he was fully conscious of all that had been said and done. When asked if he had volun- tarily resisted our endeavors to flex his limbs and to turn him while he was lying upon the lounge, he answered that every movement at that time greatly disturbed him and acted painfully on his mind. What he meant by this will shortly be made clear to the reader. He was then asked to give a full account of his psychic state at that time ; what his thoughts had been and through what experiences he had been mentally passing. We were then informed that he was during those mo- ments passing through an intense mental struggle; that it was a most critical period of his life. Here, also, we find the central point of Mr. Hanna's pathological state. Around this point of his life centres our interest, because it gives us a deep and clear insight into the nature of his subconscious state. Our observations that pointed to the presence of a slumbering, subconscious state of the lost ex- periences; our experiments on his memory, the hypnoidal and hypnoidic states that clearly revealed the actual exist- ence of these memories and their possible rise to the surface of his life ; our methods that had further substantiated our views by bringing about a crystallization of the two per- sonalities that kept on, by constant stimulation, alternating in his upper consciousness ; our methods employed with the object of bringing up simultaneously the two individuali- ties having them confronted by each other, then forcing them into one synthetic living unity, all that was now once more substantiated by the crucial test of the expected and predicted final results, and by Mr. Hanna's subjective ac- count of them. The objective and subjective lines of evi- dence as to the nature of the pathological processes coin- cided; Mr. Hanna's subjective account corroborated our views of the case. ALTERNATING PERSONALITIES 193 Mr. Hanna told us that while lying upon the lounge, he had engaged in one of the most intense struggles he had ever experienced. The two personalities, that of the primary and that of the secondary state, arose simultaneously and confronted each other. Each of them was the "I" of Mr. Hanna, and still they differed from each other. He could not choose one only, because each was of the same nature as the other; they could not be joined^ because they were two quite different personalities. Still, different as they were, they were not independent. Both were the ego of Mr. Hanna, and yet each so differed from the other. The struggle produced intense perplexity and perturbation. He felt that the two lives were his, and that they had to be synthetized into one ego. This seemed as impossible as to unify two different individualities and make of them one person. One could not possibly be abandoned and the other taken, because both came up constantly before him as though proclaiming, ' ' We are one, though different ! ' ' It was a critical period for Mr. Hanna ; he was in a con- dition which one in a normal state can hardly realize. Two different individualities claimed his personal self. It was a struggle for life between two individualities formed in a single mind; each one endeavored to gain ascendency and to suppress, to crush the other; and still neither could be suppressed^ because each was part and parcel of the other. There was only one way out of the diffi- culty, and that was the unification of the two. There was no alternative, the two had to be combined and form one ego. Mr. Hanna had reached a critical point, the situation was tragic and painful. Already in the psychological lab- oratory, before the painful and critical point came up, al- ready there the conflict of personalities began. It was there for the first time that each of the separate, crystallized in- dividualities caught, so to speak, a glimpse of each other; it was there, so he afterward told us, that the two lives came simultaneously before him, disappeared, rose, met, 14 194 MULTIPLE PERSONALITY disappeared again, and finally, as the secondary state came uppermost, the primary state for the time being, seemed to be suppressed, fell into the subconscious regions ; but it did not remain there long ; it came to the surface, and with re- newed vigor defended its claim for life. The struggle was again resumed and it was just this painful situation that expressed itself in his present psycho-physical state. These two- formed individualities, seemingly mortal foes, confronted each other for a long period of time, and in their very struggle recognized their intimate relationship, if not their relationship of identity. It seemed as if each said to the other, "Thou art my mortal foe, and yet thou art the bone of my bones and the flesh of my flesh." For each personality to crush, to suppress the other, was now out of the question; the difficulty, the problem for them, was how to form a unity; how to become synthetized into one conscious personality. The task was a difficult one, and could be achieved only at a loss of much mental energy. Hence the sluggishness of psychomotor activity, the slow- ness of movement, of speech, of reactions to external stim- uli ; hence the retardation of the whole stream of conscious- ness, the slow and difficult comprehension, hence the phenomena of bradyphasia and bradylogia. Mr. Hanna gave us a personal account of his subjective experiences during the attack just described. The account was all the more valuable, because of his intelligence and excellent intellectual training. We here reproduce verbatim his replies to our questions. Mr. Hanna was asked to describe the manner in which he emerged into his present "complete" state. He replied: ' ' While I was sitting in the chair and fell into that sleep from which you made so many efforts to awaken me, the two lives, that of the primary and of the secondary state (in each state he knew indirectly of the other by informa- tion from us), came up for the first time. What agitated me most was the problem, which of the two lives I had been ALTERNATING PERSONALITIES 195 living should be continued, which experiences I should ac- cept as my own and make continuous. That was the first time I really had memory for the primary and secondary states simultaneously. ' ' Q. Did the two states appear to you as different, and in what way? A. They seemed as any memory of the past, just as anyone's past life appears to him. They were, how- ever, different. I had to choose between the two, which seemed to me a task impossible to perform. For instance, it would be impossible for you to take Dr. G. 's life and join it to your own, and hence if such a problem were to arise you would have to choose between the two and accept only one. It would be impossible for you to take both; one must go. Q. How did the two memories appear to you? A. As two different persons. That moment in the laboratory was the first time when they appeared together and yet were separate. When I saw these two lives, I felt myself con- strained to choose. The two lives appeared distinct and separate. Reason told me I was one, but there appeared two egos, and hence I had to choose between them. Q. How did you know the two lives both belonged to you if they appeared as two different personalities? A. The first thing that made me think so was that I remem- bered in my primary state that you told me of a secondary state, and in the secondary, of a primary state alongside of the secondary ; hence, when two individualities, both known as my own, appeared together, I thought they must be mine. There was also an unexplainable feeling that both were mine. Q. Were these differences as distinct as between two real persons? A. I can't surely say, but you remember and are sure of what happens in your life and cannot say why you are. When I was in the primary state, I had memory for everything in that state, and when in the sec- ondary state, I had memory for everything which occurred 196 MULTIPLE PERSONALITY in the secondary state. Now, when I was in that sleepy- condition in the laboratory, the two states were together, each of precisely the same nature as it had been before; both states came together and were recognized. Before that, while in the one I did not recognize the existence of the other. I never realized that, if I should regain my memory, it would happen in such a strange way. I thought it would be like bringing up old memories as one ordinarily does. In reality, it was like bringing to vision an entirely new life. In each memory the life seemed within the same body physically, the same physical be- ing. It seemed to me, on reasoning, as if these were two bodies alike, like twins, perhaps, beings that had lived entirely different lives, or like twins of the same body, with tastes and natures very similar that had afterward become one. Mentally the two lives were very different; it ivas as if, for instance, you had the memory of your life and Dr. G.'s life as your own at once, or, better still, if you had the memory of Dr. G.'s experiences in another body similar to your own, bodies exactly alike, with similar dis- positions, faculties and tastes. You would think it im- possible to join the two lives into one; they would seem so discontinuous and different. It was a struggle for me to decide which to choose. I had to leave one, because it was impossible for me to take both, it seemed too great a strain to take both. You see how hard it would be to take your own and Dr. G. 's life and make both your own ; you would have to choose one. Q. AA 7 hich life did you prefer to accept ? A. I was will- ing to take either. The struggle was not so much to choose one as to forget the other. I was trying to find which I might most easily forget. It seemed impossible to forget one; both tried to persist in consciousness. It seemed as if each memory was stronger than my will, and still I had to determine which to drive away. Just before lunch yester- day, in the psychological laboratory, I chose the secondary ALTERNATING PERSONALITIES 197 life ; it was strong and fresh and was able to persist. The primary was more clouded and easier to subdue. I tried alternately to throw away each, and succeeded at last in throwing away the primary and emerged into the secondary state. At Dr. G. 's office I had the same struggle over again. Q. Why, when you were lying upon the lounge, did you resist our efforts to change your position? A. I wanted to be alone to decide which life to give up. At this time the question arose, whether I could not possibly take both, whether I should try and forsake either at all. I felt I must decide now whether to have this struggle daily, that is, to decide upon one only; I now wondered whether I might not accept both. The first time the question arose I was in the inter- mediary state; the question was, Which of the two lives I should reject f The second question in my mind arose when I was at Dr. G. 's office. It was, whether I should take one or both lives. The second question was one that ought log- ically to have been decided prior to that considered the first time. I recognized that it was necessary to choose one or to take both. The question now was, whether one or both ; the mental struggle was great, it was hard to decide. (Mr. Hanna found it extremely difficult to express the mental struggle of the two states.) I decided to take both lives as mine, because of the fear and anxiety that the struggle would be repeated again and again. The mental agony experienced in the struggle of the two lives was too great to endure ; the decision had to be made. I determined to end the struggle, and make a final decision. I decided to accept both lives as mine — a condition that could not be worse than the uncertainty I was in. I then felt that the oft-repeated struggle would ruin my mind. The struggle was very severe and the mental agony great. It never seemed possible to me that loss of one's mem- ory could be so complete. I could not in either state pre- pare my mind for the amalgamation of the two states, be- 198 MULTIPLE PERSONALITY cause I couldn 't realize them both together. I have now re- tained both memories ; / am sure both are mine. They are separate, and I cannot yet fit the two well together. For instance, I can remember the hours of the primary state of Sunday morning, but I cannot recall just where to fit them in, and I do not know whether to put them before or after going to church. (Mr. Hanna, on the way to church, passed into the secondary state.) I cannot arrange the events in a chronological order. Secondary and primary states have breaks and intervals in them, as though there were periods of sleep. The secondary state is stronger and brighter, but not more stable. Q. How about your picture dreams? A. I then called the vivid ones "dreams," but I think I should now call them visions. Mr. Hanna was reminded that in Plantsville Dr. S. had read beginnings of Hebrew passages to him, and that he had continued the recital of the entire passage. He was now asked to describe his mental state at that time. He said: "Yes, I remember that; it came to me then as when a quotation, for instance, is recalled to mind suddenly and one can't remember where or when it was learned. One does not realize he has ever learned or heard it before; he can't associate it in his experience. It came to me just like a mental flash. It startled me then, because for all the five weeks prior to that time and dating from the accident I had a clear recollection and association for all I knew ; I had carefully retained all, but that flash of 'unknown memory' was a wonder to me. On reflection I realized it must belong to the past life about which I had been told so much." Q. Do you remember that you fell from the carriage? A. Yes, I remember falling out of the carriage. Q. What is the next you remember about the fall? A. I remember my brother going to help me, and then I went to sleep. ALTERNATING PERSONALITIES 199 Q. And when did you wake up? A. In about three hours. Q. After you awoke, were you able to speak ? A. No. Q. Could you have spoken by force of will? A. No, I didn't know a single word. Q. Last night I asked you if you had made up your mind to have the two lives combined, is your mind made up fully now? A. Yes. Q. Do you still consider them separate? A. I am sure they are both mine, but they are separate in this sense, that I cannot fit the parts of one into the space of the other. I do not know how to unify them. For instance, I can remem- ber three hours when I was in the primary state one morn- ing, but I do not know what date to fit that in. I remember rising, dressing and going to breakfast, and that is all I re- member in the primary state, but I do not know when that was, what day that was. I have not learned to fit them in the chronological order. The secondary state has breaks in it that are like sleep, and the primary state has breaks in it also. I will have to learn the dates better before I am able to fit them together. Q. Which of the two memories do you retain the most easily, the primary or secondary ? A. Both alike, in a gen- eral way. The difference is that the secondary state is a little stronger and brighter, but it is no better maintained. There are more details in it, which I remember vividly. Q. Have you any reasons more or less personal to care to remain rather in the primary or in the secondary state? A. No, I cannot choose now, I have decided. Q. Have you any reasons, any personal reasons, to pre- fer to remain in the primary or in the secondary state or to retain both ? * A. No. Q. Last night you spoke to me as if you would like to remain in one state rather than the other; that there were 1 Because of the sluggishness of the patient's comprehension at this time, some of the questions were necessarily repeated. 200 MULTIPLE PERSONALITY two reasons why you would prefer to remain in the pri- mary state rather than in the secondary ? A. No, I meant to say that there were moral questions that have come up before me since I have joined both. For instance, these two men that I spoke of last night, and similar things. Q. Well, explain if you can. A. It is this, there are two men who, since the two states are joined into one, give me good reasons to change my relations to them. They would have been my enemies if they could. In my sec- ondary state, of course, I did not know that ; there was no one to tell me, and they took advantage of the secondary state, introduced themselves, and got promises that no one else would have been able to get. I tell you this as an ex- ample of questions that come in my mind since, because I have learned people differently in the secondary state, and compared with the complete state it makes quite a differ- ence. Some people I cannot trust now that I did trust be- fore. In my secondary state I believed every word they told me. I have simply given this to prove to you what has been passing through my mind since I have joined the two lives. It is a question to know what to do in this case. Whether to fulfil these promises I had made in one state and which I would not have made in my full state, or to try to compromise the two. Q. Do you feel that you are responsible for the promises you have made in the secondary state? A. That is the question. You see, if they are contradictory, I cannot be responsible for both; but you can understand what a con- fusion there must be in a person's mind, for everyone that I have met with, old or new friends, has been in certain re- lations to me. I am not speaking of anyone in particular, but it is very confusing, and it will be confusing and em- barrassing for them, too, for they have been explaining things to me and teaching me like a child to talk, and so on. Mr. Hanna gave the above account in a clear, precise ALTERNATING PERSONALITIES 201 way; slowly and apparently with mental effort, though with a full and exact idea of what he was intending to con- vey. The two personalities have merged their individual minds into one personal consciousness. The two individual lives have gone to form the complete healthy life of one individual, the present Mr. Hanna. AUTOBIOGRAPHICAL SKETCH OF DUAL LIFE EXPERIENCE About six months after Mr. Hanna 's complete recovery, at our request he furnished us with the following personal account of his experience since the accident, April 15, 1897 : The first return to consciousness on the night of April 15, 1897, may be understood only by comparing it to the birth of a person possessed immediately of matured mental and physical functions. The first memories are the most vivid of all, and the difficulty in describing them is from want of a parallel as comparison. During the first rudi- ments of consciousness, there was absolute lack of knowl- edge that an outside world was in existence. The eyes were closed, there were no sounds to be heard and the power of motion was not yet known. How long this first state, without knowledge of anything in the material world, really lasted, is not possible to say. Simple memory would represent it as a period of many years, so great was the mental activity and so wonderful were even the meagre facts of consciousness. But the fact that absolutely no motion was made, even of the eyelids, and that no sound was heard, although the room was full of watchers, apparently indicates that the state was of but an instant's duration. In fact, later experiences which left on me the impression that would now be made by the life-happenings of many years, really continued only for a few moments, according to the positive testimony of others who observed them. Thus, if memory, with its present habits of com- parison, was to be trusted for a verdict, my life for the 202 AUTOBIOGRAPHICAL SKETCH 203 first few days would be declared to cover a few centuries, and this impression has been corrected only by force of the most vigorous reasoning on my part and the exercise of the perfect power of the will in forming beliefs. The mental tension of the first state was relieved by a sensation of breathing. This was the first breath since the return of the sense of touch or ' ' feeling, ' ' which was doubt- less at the same time as the return of consciousness, and the sensation brought a feeling of intense wonder. Consciousness had apparently returned at the time of the full breath as this first sensation was of exhaling, as the lungs became empty and the heart-beat was felt. This was a new object of study and the mind was not slow to direct itself toward it. It is necessary to state in this connection that the local physicians of Plantsville, then attending, report that during the last half hour of unconsciousness the breathing was so faint and the heart-action so weak that at times even the most careful observation failed to distinguish either. This shows that at the first moment of consciousness the sense-perception was acute. There seems to have been an immediate, complete restoration of every mental and phys- ical power, as the subsequent narration will continue to show. Inhalation and exhalation followed normally. Although breathing was involuntary, yet the fact was noticed that its rapidity varied according to the degree in which the attention was fixed upon it. I remember the great effort to vary the breathing to every form from a short, quick gasp to a deep sigh. This I have been told was the first sign to the watchers of returning consciousness. In spite of all that the mind had experienced in that won- derful moment, those who had watched so carefully had been able to observe absolutely nothing of the return to conscious life or rather the birth into a new life. The vio- lent exertion in varying the breathing brought to those present grave fears, although there was actually no danger. These were merely the experiments of a man who had just 204 MULTIPLE PERSONALITY found that lie could breathe. During this breathing also the sense of hearing was first discovered, and it was almost instantly learned that the breathing could be made more or less distinctly heard, according to the wish. In this way the breathing became at times inaudible and again so loud as to amount almost to a snort. At this time the power of motion in the face was learned principally by the mouth and nostrils, and it was no wonder that those taking care of me were alarmed by the contortions of the face and the spasms of the chest. Voices and movements were now heard in the room, breathing paused for a moment, arrested by this new won- der. On commencing once more the violent breathing and the movements of the face, the eyes suddenly opened quite involuntarily, and here indeed was a new world of wonder and study. Objects were all alike as to dis- tance, shape and thickness, but the variety of color was the feature of interest. The room was a great, beau- tiful picture, absolutely without movement or distance beyond the eye. There was as yet no motion of the head or limbs, but the eyes were restlessly moving about as far as the field of vision allowed. Yet at the next breath the motion of the chest was seen, and in watching that, the head was felt to move. Having learned this new power, the head was soon turned here and there and rolled about ceaselessly until the violent effort soon caused a motion of the shoulders and then of the arms, which were tossing backward and forward and groping and feeling about in the great desire to learn all that was to be learned. At this time one of the attendants standing near the door moved a step or two. Expecting that this motion, like the others, was connected with my own power, I reached out toward the person who had moved, and was much surprised at not being able to touch the object and repeat the move- ment. In the effort to reach farther and farther, the body and limbs came into use. After some effort I learned to AUTOBIOGRAPHICAL SKETCH 205 walk imperfectly a step or two, and persisting in the search, I reached the person who had moved, and gave him a vig- orous push. I was well rewarded by seeing him move, but surprised that he directed his motion violently toward me. The other men in the room also came forward, and the fact dawned upon me, now too late, that there were others like myself in existence, and that they expected to have an in- fluence in regulating my movements. They pushed me without much trouble back to the bed, but my unwilling- ness to be opposed was very great and another effort placed me beyond their control. I have been asked many times to account for the re- markable strength then at my command, but I cannot do so. Furthermore, it is now my desire to give facts, not theories. My only thought was to resist with my utmost exertion the well-meant efforts of the men, who in turn mis- understood my motives. My only wish was to defeat them that I might be free from them. There was no idea of per- sonal danger, and consequently no sense of fear. I gave myself to the object in view with a complete abandon that is proved by the wounds and bruises received which an ex- perienced person would have guarded against, perhaps, by withholding some of his strength. The three men who were first engaged with me in the struggle were all heavier than I and one was far taller. The first man to interest me was the one who had first moved and he was thrown to the door, and the others were pushed back. Another man caught me by the throat and this trans- ferred my interest to him. He was soon thrown down and held fast, regardless of the efforts of the other two men to gain control. I meant no harm, and although two of the men were where I could have inflicted serious injury, I was satisfied to keep affairs in statu quo and none of us suffered except by bruises and lameness and dishevelled clothing. However, it was impossible for me to rise without releasing the one against whom I felt the greatest opposition as being 206 MULTIPLE PERSONALITY the one who had caught me by the throat. And thus we re- mained, neither side being able to gain the desired ad- vantage until another man was summoned from the neigh- borhood. After another severe struggle, the four gained control, and my arms were tied behind my back. This pro- duced considerable pain, but worst of all was the hateful feeling of helplessness, and so I was tossing and writhing as though in great agony. At this time the family to whose house I had been brought returned and learned of the evening's experiences, and the desire was to release me from the painful restric- tions. This was done without the knowledge of the attend- ants. I was heartily glad to be released and glad that there was no attempt to renew hostilities. The time was spent in watching those present, and wondering at the strange sounds and movements by which they seemed to understand each other. I was beginning to see that people were kindly disposed toward me after all, and it was a great trial indeed that I was not able to talk as I saw them do, in order that I might tell them that my previous actions had resulted from a mis- understanding and not from intentional harm on my part. However, I was still suspicious of the attendants and would not allow anyone's hand near my throat or face. Soon ex- haustion overcame me, and, as I am now told, the remainder of the night was spent in a comatose state. n The next day (Friday) the awakening brought a con- tinuance of the experiences of the preceding evening. My great desire was to learn to talk and to this end I repeated every phrase I overheard, but I found that people either were puzzled or misunderstood my meaning. And so I gave up this attempt for the time being. I was suffering from great hunger, but did not know that it was possible to sat- AUTOBIOGRAPHICAL SKETCH 207 isfy my wants until at last a little food was brought and I was taught to drink from a glass. Having learned how to eat, I took nourishment so eagerly that there was fear to provide more, and my greatest inconvenience for the first two or three days was from hunger and the inability to state the need. One of the friends at last appreciated the fact that I was fully able to learn to talk, but had merely lost the use of words, and she consequently set to work to teach me to talk. The first lesson was "apple." After hearing the word repeated several times, I understood that it was de- sired that I should say it likewise, and so I did, and was re- warded by being taught to eat the apple. Yet my idea of the meaning of the word was very vague. To me "apple" was an expression of the thought "food," and my con- stantly calling for "apple" was simply the expression of my desire to eat, although it was interpreted as an expres- sion of an inordinate desire for fruit, and consequently my diet was even more restricted. The next words were the imitation of the "tick-tick" of the watch, and the word ' ' watch ' ' itself. After this, words were learned with remarkable rapidity, needing to be ex- plained only once in order to become permanently a part of my vocabulary. Of course, parts of speech other than nouns and verbs were more difficult of explanation, but everything was well understood as soon as it was made clear to me. It was, however, a long time before the use of the pronoun was substituted for the use of the proper name. Strictly speaking, there was not a question of learning to talk, but rather of learning to understand. Every word could be correctly repeated without difficulty, and as soon as once satisfactorily explained, was always correctly used. The arduous task was to define each word in terms of the limited vocabulary already at command. Concrete nouns, especially the names of objects in the room, were easily learned, but certain verbs and other parts of speech were 208 MULTIPLE PERSONALITY hard of illustration. Expression by the hands and face were of great effect in presenting the root idea of a word, but often failed to make clear whether a noun, or verb, or ad- jective was intended. After learning in this way by repetition, it was natural that the personal pronouns should present some difficulty. For example, "you" was understood as being the denom- inative applied to me, and "me" as applied to the one ad- dressing me. Consequently, on commencing to use these words, I referred to myself as "you," and to the interlocu- tor as "me" or "I." It was some time before the fact could be learned that "I" and "you" might refer to the same person if used by different speakers. While stating that a word once defined was always remembered, it must be acknowledged that a great many ridiculous mistakes were made, from the fact that only the first bare definition was known in exclusion of any shades of meaning, or of the scope of the term. A fowl was seen through the window and was described as a "black hen." I had already been taught the names of two or three colors, white, green and pink, but did not know the word "black" or the word "hen," consequently I understood "black-hen" as one word, the name of the creature. A moment later, seeing another fowl which was white, I referred to it as a "white black-hen." Having learned imperfectly the use of the word "talk," and understanding that it referred to the motion of the mouth, I at first described the process of eating as "talking" the food. Long argument was required to convince me that I was a human being, or, as I then expressed it, ' ' people. ' ' I had noticed that I had many of the physical characteristics of others, but as they were always walking or standing fully dressed for active daily life, able to talk and to act freely, while I was kept in bed and obliged to learn everything la- boriously, led me to think that I was a creature of a differ- ent order. When told that some day I would walk about AUTOBIOGRAPHICAL SKETCH 209 and look like other people, I at once wished to know whether I would wear a dress, or a coat, or trousers. Ideas of time were taught to me by holding a watch and naming as a minute the time required for the revolution of the second hand. Large divisions were denned with rela- tion to this, but were at first scarcely understood, or at least scarcely realized, although constant reference to the watch and a comparison of its different indices were of assistance. There was no idea of distance beyond a few feet. The out-door world appeared through the window as a picture whose details occasionally moved, as when a man or a dog passed or when the trees waved. The room was the world, into which persons came into existence or were annihilated at the doorway. It was soon evident, however, that per- sons carried on an existence outside the room, and later that by mentioning a person's name he would appear on the scene. And so everyone who had visited the room and whose name I had heard was called for, and I could by no means understand what was meant by saying that so-and- so was many miles away, or "lived down in Plantsville. " I entertained the idea that everyone I had seen was just outside the door, and could have been reached at a mo- ment's notice. A mirror was given to me by chance, and seeing my image in it, I attempted to find the face behind the glass, but it had disappeared. Again and again the effort was made to find the person who had eyes and mouth which he could move as other persons could do. There was no idea that the face was a picture of anyone in the room until by chance the glass was turned so that other objects and per- sons were seen reflected in it, and on using a larger glass, the whole matter was explained. in Saturday morning, the absence of pain in the head was noticed. This pain had been severe, but had been ignored 15 210 MULTIPLE PERSONALITY by me, I suppose, because, being constant, I was not aware of it as an abnormal condition. Now that it was absent mostly, yet returning by spells, the difference between the normal condition and the condition of pain was appre- ciated, but it was puzzling to the attendants to hear now of severe pain in the head, when formerly none had been complained of. The pain was an intense, hot pressure, such as would be felt under a great weight of hot metal on the head. The periods of relief were so welcome that there was a desire to laugh hysterically or to get up and jump about. The pain was described by me as "big push on the head," which was to be interpreted as severe pressure on the head. There was a great desire to see and become acquainted with people and to hear them talk. An extraordinary mem- ory was manifested in afterward recognizing people once introduced to me. A general lively conversation was scarcely understood at all, but the meaning of a detached sentence could often be guessed by thinking over the words in all possible relations, so that sometimes much more was overheard by me than others suspected. However, as most of the remarks had reference to the accident or to my for- mer life, their bearing was wholly incomprehensible, as there was no idea in my mind of my former life. When my former life was first mentioned to me, I re- fused to accept it, being still suspicious of everything but the evidence of my own senses. This opinion would prob- ably have been held until the general credibility of the friends had been established by other facts had it not been for one or two chance suggestions. Inquiring into the cause of the different color of the hands, face and neck from that of other portions of the body, it was accounted for as result- ing from the sunlight upon such portions of the body as were unprotected by clothing. This was further illustrated by the same effect in the case of other men, and as it was a plausible explanation, there seemed a probability that I AUTOBIOGRAPHICAL SKETCH 211 also had at one time worn clothes like other men. This sug- gestion opened a new and wonderful world, and there was feverish eagerness to learn all the details of that other life. These details seemed incredible, but there was no flaw in the consistency of the accounts given by different per- sons, and in fact other proofs were brought, such as my photograph, unmistakably like my own image in the mir- ror, yet dressed in clothing which I could not remember wearing at any time. Great was my disgust at being obliged to depend on others for an account of what I was accustomed to say and do, and of my appearance in that other life. Having learned that I had dressed and walked about, like other people, it was almost impossible to per- suade me to remain in the bed, and in fact the only suc- cessful persuasive was the promise of the desired liberty in the near future. The first attempts at walking were very crude, and the instructions of other persons only increased the awkward- ness of the ludicrous performance. The promenade was confined to the one room, but a view had been obtained of the adjoining room, and great was the curiosity to learn the mystery of the other room. The next day a conversation was overheard in which it was stated that "the men will come again." Now it must be explained that "the men" to my mind referred to the four people as they appeared and acted oh the first night during the fearful struggle. Since then all the men had seen me and had excited no alarm or antagonism in my mind. There was a belief in my mind that the person was known by the expression of the face and by the name applied. Thus, while the name of some of them indicated the kindly, genial persons who came occasionally to chat with me and aid me in every way, on the other hand, ' ' the men" indicated the harsh, determined fighters of the memorable Thursday night. Yet both were recognized as having the same general appearance and bodily form. As 212 MULTIPLE PERSONALITY soon as it was known that "the men" were coming, there was an irrepressible desire to leave the bedroom. So per- sistent was this wish that after repeated refusals by differ- ent friends, and with an unwillingness on my part to use violence again, the most earnest pleadings were entered upon. The pleadings were so urgent that some left the room from pity, and the others were at last persuaded to grant the request. The developments showed the fears to have been without foundation. A part of the night was passed in the other room, as it was termed, and then find- ing that "the men" did not return, and after obtaining the promise of going again to the other room at any time, I was satisfied to return to bed. The next day, while walking in the other room, it be- came evident that the great blanket used as a garment was impeding the process of walking, and the piece of rope was picked up which had been used to secure my arms during the struggle of the first night, and which had caused me not only some pain, but a great horror of helplessness in the hands of "the men." On seeing this rope was to be passed around me, I misunderstood its purpose, and snatch- ing it from the hands of the others, hurled it violently across the room. It was two or three days before I learned to dissociate the events of the first night from the facts of every-day life, and to appreciate that "the men" had been kind-hearted, but mistaken. IV In every respect the desire was to ape others, and this willingness was often played upon by friends for their own amusement rather than for the cultivation of any dignity or even self-respect in me. I could be induced to imitate with the most serious face any ridiculous performance, un- til I came to distinguish between the desire to teach and the desire to make sport. AUTOBIOGRAPHICAL SKETCH 213 It may be well to mention certain peculiar facts, which, although not scientifically ascertained, are positive facts of memory and are also vouched for by well-qualified ob- servers. There was not only a remarkable acuteness of such faculties as sight, hearing, touch and memory, but there were well-witnessed feats which cannot ordinarily be accomplished by the five senses. A pair of handcuffs which had been brought for use on the night of the struggle, but were not used, happened to come to my passing notice. On observing that friends were reluctant about explaining their purpose, great curiosity and interest were aroused in me. As this interest grew, the apprehension of the friends also increased, and efforts were made to hide the articles in question. But wherever they were hidden, either up-stairs or down, even in an obscure closet at the other end of the house, I could, without hesitation, go to the spot and discover the article. This was without the article or its hiding-place being mentioned to anyone, and the latter be- ing known only to the one having hidden the handcuffs. A small coin was many times held in a person's hand while I was asked to guess in which hand it was. The guess was correct in every case, and even when the coin was left out of both hands, I indicated the fact by a shake of the head. There was no consciousness of any faculty by which these things were ascertained, neither were the results by any means guesswork; there was a positive conviction. The sense appeared to be more like instinct. It was as though some reliable authority had told the fact, and then the tell- ing had been forgotten, but the fact remembered. Memory was extraordinarily acute. When a number of people were brought to the room, a complete mental picture was formed, so that I afterward could tell everything each person had done, the articles of dress, and a description of the features. This was the case even when there was a large number of persons, strangers even to my former life, and even when they remained but a moment in the room. 214 MULTIPLE PERSONALITY But beside this mental picture, there was memory of the names of the persons introduced, and of every word that they had distinctly spoken while present. On going as before mentioned into other rooms, the fact was noticed that there were "two out-of-doors," and later that there were four "out-of-doors," as seen from the dif- ferent windows. Still later it was learned by me with great wonder that the "four out-of-doors" were all one great "out-of-doors," completely surrounding the house. It was with much caution and hesitation that the first steps were taken out of the house. Instead of a draught of air through a window as the room had been aired, there was a volume of delicious atmosphere which gave an almost fearful impression of vastness. Stepping on the piazza, great was the surprise to see a floor without carpet or rugs, and the ground had even a more treacherous appearance, as it was some time before I could be convinced that it afforded a safe footing. After touching the soft turf and reaching out in the ex- pectation of touching the distant trees of the orchard as a child reaches out to grasp the moon, an idea was formed of the immensity of even that small portion of the world. A determination was at once arrived at to go as soon as per- mitted and walk and investigate all these wonders. The distinction between animal and vegetable life was difficult to grasp. How could the trees wave if they were not alive"? What was meant by growth when no motion was visible? The clouds in their motion were marvellous and were said to "boil," because their appearance and mo- tion were like the steam from the tea-kettle, and as words were often misunderstood in their exact reference, the word "boil" was taken as describing the outward, visible effect, rather than the unseen process. AUTOBIOGRAPHICAL SKETCH 215 But of all the mysteries, life itself was the greatest. The first ideas were that this life so mysteriously begun would be continued for but a few days, and that even while it ex- isted, other persons and things were constantly coming into being and going out again, as they appeared and disap- peared. Even when told that life might last for many years, no conception of this fact was formed. There was no horror of the extinction of life. There was no knowledge of death. There was simply the thought that as there was a period of oblivion behind, so all at once again knowledge would cease. Later this brought great dissatisfaction, for the world was becoming so interesting, and life so dear, that it was with much regret that a thought was entertained of leaving everything. The belief was firm, probably taken for granted from the information that I had lived before the present consciousness, that there would be further fut- ure distinct existences, with complete forgetfulness of each preceding. These would differ from the separate experi- ences from day to day, because the latter were connected by a constant memory. There was a noticeable passion for music. The first emotions on hearing beautiful vocal or instrumental music were pleasant, but this became so intense and such a power- ful enthusiasm was felt as to have even a painful effect, and many times tears would flow down my cheeks. Hymns were the favorite selections, and yet the words were never listened to, but there was something direct and touching in the tune of such a hymn as "Jesus, Lover of My Soul." In fact, the effort to grasp the meaning of the words had invariably the effect of almost entirely destroying this in- tense delight. In vocal music, nothing depended on the words sung, but everything on the tunes, and the quality of the voice that rendered the songs. Even in conversation, the first quality noticed in a person was the voice. A beau- tiful voice was far more attractive than beauty of feature or ease of manner even of a kindly disposition. There was 216 MULTIPLE PERSONALITY no time when the kindly tone of voice could not prevail, when both harshness and inducement were useless. How- ever, it must be said that this was not peculiar to the con- dition following the accident, but was rather intensified at that time. In music, there was a phenomenal ear for discord, and a decided dislike. Sometimes two or three per- sons in another room would strike a number of chords strongly and make one very slight discord. The effect was to disguise the discord so that well-trained ears failed to observe it, yet I always detected it the moment the false note was sounded. No such effect was noticed, when the same chords were played without the false note. One afternoon a friend brought a banjo, and although I had never handled one before, I learned in about an hour to play three selections, none of which I had ever heard in my previous life. Thus, in many ways it was proven that the readiness to learn was not confined to subjects with which there had formerly been familiarity. Both the banjo and the piano were learned at this time by mere imitation of the motion of others. In attempts at writing there was equal facility with both hands, although preference was given to the left. There was a great perplexity and disgust at the use of so many forms of one letter, the printed and the script, the capitals and lower case of letters, to say nothing of the dif- ferent letters of one sound, and the different sounds for one letter. Yet there were desires to learn books and letters, and several hours were spent every day with a painstaking teacher in learning word by word of the mother-tongue as printed. A word once explained was permanent property, and yet there was great difficulty on the part of the teacher in remembering what words I knew, and which could there- fore be used in defining the new words. In speaking, such expressions as a "pink pink" were confusing. "A white AUTOBIOGRAPHICAL SKETCH 217 rose" or a "purple violet" were all well enough; but how could a flower be called by the name of a color, when some of the same were of other colors ? What was the sense of a red pink or a white pink ? Or if pink could be the name of a flower, how could there be a pink rose ? VI Long walks soon became the fascination, and it was during one of these that the whistling of the little brown frogs in a neighboring pond brought into reality what had been considered the vaguest, dimmest dream, so unreal as not to be worth relating to anyone. But now there was a suggestion of reality, and on inquiry it was learned that the dim dream was a meagre memory of an actual occur- rence. The memory was of lying back in my carriage (which I had lately seen and examined with curiosity) and with eyes almost closed, seeing nothing but a few lights and shadows, and the indistinct figure of the horse ahead racing along, as it seemed to me, at a frantic speed. My brother 's voice was beside me, shouting loudly at the horse, but hold- ing me with both hands and rubbing my cheeks and putting his face often to my lips. Then the last was the beautiful, soothing sound of the frogs whistling in the pond, and with an emotion of peculiar enjoyment I fell asleep, as it seemed, with that sound last in my ears. I attempted to re- call something further, but nothing would return until the awakening and the awful struggle. Carriage rides were soon permitted, but the walks were far preferable and I enjoyed them most when alone. It was vexatious to see some person coming over the hills to call me to dinner or with the announcement that some "friend," who was nevertheless really a total stranger, had come and was very desirous of seeing me. Even to sit in one spot and think and dream by the hour was the height of enjoyment. At other times the endless flower life (just beginning to be 218 MULTIPLE PERSONALITY seen) and the birds and trees and sky were all the heart could wish. A sunset was the acme of beauty. I had been told that the other members of the family were to come soon to see me, and after a description of them and an understanding as to what should be my bear- ing toward them, and what affection I owed them, there did spring up a strong desire to meet those whom I came in this strange way to love. The situation was further made plain by the evident affection between others who were mutually related. At this time the first trip to New York was taken for medical consultation. The journey was full of happenings of interest, though the novelty was no more attractive than had been the visits to other houses in my native town. The whole world was so new and remarkable that a railway train or a twenty-story building were no more interesting than a cow or a hay-loft. It was later that these propor- tions were established. The ocean was the one view that made a truly powerful impression on the mind. The dis- cussions with the doctor (not one of the two who finally and successfully took up the investigation of my case) were of interest and food for reflection. There was no encourage- ment to me in his statement of the possibility of recovery, because I was satisfied with the present condition, and in fact the descriptions given me of my former life had served only to confuse my mind, and I feared a recovery would involve an overwhelming and crushing revelation of mul- titudinous facts. It was later, on learning that the re- covery would involve the acquisition of the knowledge once possessed, and which was now so much envied in others, that there was that strong desire, peculiar to the latter con- dition of regaining the past life. The advice was that there was no mental or physical deficiency and that I should recommence the lessons of life. It was in this process that the second accident occurred. The accident, however, was not due to the condition, but AUTOBIOGRAPHICAL SKETCH 219 would have occurred to any other man in the same way. I was riding horseback, which was not difficult for me to learn. In riding at a high speed around a corner the stir- rup strap broke under the strain, unavoidably throwing the rider. In falling, the saddle was caught and pulled awry, but despite this slight relief the fall was serious. The in- jury to the back was excruciatingly painful, and for a time prevented walking to the house. The after effects were even more serious, and compelled confinement under med- ical treatment for some weeks. The only disappointment to me was that I had not first learned more of the world be- fore being shut out from it. Reading was also prevented almost wholly, although the lessons were in some measure continued. vn A period of discouragement followed the first relief from the pain of injury. There was always the thought that if there had been a few more days to see the world, it would have been easy to bear the confinement. However, as the days passed, there was much more hope in the faces of friends, and the future again looked bright. About this time the specialists from New York, to whom I owe so much, commenced their visits and afforded subjects of immense interest. The first visit by one of the specialists from New York was doubtless for the purpose of satisfying himself of the nature of the trouble. The habit of implicit obedience to the attendants, care- fully formed in the past weeks, brought now a serious dif- ficulty, for I was commanded by the specialists to remember certain facts in my past life, and it was wholly impossible for me to do so. The effect of this condition can never be understood by others, because, in the first place, an ordi- nary lapse of memory is different. Though a person forgets, he realizes that he has forgotten and that at once makes a 220 MULTIPLE PERSONALITY point of connection. In my case, while there was a vague belief in the testimony of friends that there had been a former life with such and such occurrences, yet this fact was not actually grasped in such a sense as to enable a realization of what remembering involved. In the second place, it is a frequent occurrence in ordinary life that a person is accustomed to forget, and by an effort, to remem- ber, but in my case there had been absolutely no such thing as a conscious failure of memory since the accident, so that I did not know how to ' ' remember, ' ' and could not understand how it was possible to "forget." Further, a person in ordinary life is accustomed to follow his own wish in questions of obedience. For a while he is desirous of granting the request of a friend ; he knows that if the grant is impossible, he is at liberty to decline ; but in my case I had, since the struggle on the first night, done noth- ing except to give implicit obedience, and the dilemma of an impossible obedience was a new one. There seemed to be something wrong with the machinery of the will. Later, the memory tests under the direction of the spe- cialists in charge of the case were of great importance to me, for while I evinced a memory far better than the nor- mal, yet of course there were some figures or letters in the list that could not be recalled. This was the first conscious forgetting. There was a realization that something had been lost and a knowledge where to search for it. In a few cases the absent numbers were regained, and nearly all could be recognized when renamed by the examiner. This discovery of the possibility of forgetting and regaining made a profound impression upon me. VIII As to the character of my dreams, I may say that they were of two kinds, though it was not known that either kind was of importance till they were related by me at the re- AUTOBIOGRAPHICAL SKETCH 221 quest of the specialists. The ordinary dreams referred in- variably to the life since the accident, and as this was the only life to me, these dreams were the only ones of interest to me. I found great amusement in comparing their cir- cumstances with those of the real life, ridiculing their in- consistencies and wondering vastly at their connection with one another. These ordinary dreams differed from normal dreams only in that they were necessarily limited in their subjects and situations, and yet were more extravagant even "than a dream." The other "dreams" were an un- conscious reliving of the early life. 1 To me they were the merest imagination, until I was assured by my friends that their scenes had been actual. They were not dreams in any true sense, but were actual memories by a mind so freed from the gross material of ordinary existence as to actually live in the past. Not only a faithful photograph was preserved, but a phonographic record as well, so that conversations could be remembered, and strange to say, con- versations that otherwise have been wholly lost even to the normal memory. These were much more actual and vivid than dreams, and as I later learned were identical with the real experiences as far as the latter can now be remem- bered, the memory dreams reproducing details which are not now contradicted by memory, yet which have escaped amid a crowd of other matters. In reference to the flashes 2 of the past during waking hours, it may be said that they came without an effort of the will, but vfere forced upon the mind. These flashes I felt as violent intrusion of ideas seemingly foreign, yet un- avoidable. That they referred to the past life was believed by me on authority, but was not yet realized. When, on Listening to the reading of Hebrew verses, I was able to re- peat other verses from memory beyond those read by the 1 Mr. Hanna refers here to hypnoidic states. He wrote this without reading our statement of the case. 2 Mr. Hanna refers here to the hypnoidal states. 222 MULTIPLE PERSONALITY examiner, I felt as if they were being spoken by another mind using my tongue. When listening to a song, the names of two singers in a distant city came to my mind. I, however, had no memory of their having rendered the song or who they were. I could only remember the first names of the singers and the tones of their voices, and even these memories did not appear as such, but seemed like the statement of another person with my own voice. IX I was again taken to New York to undergo a thorough examination and a course of treatment. The tests were very trying to me, yet there was so great an interest in the proceedings as to prevent a refusal to submit to the treat- ment. After the first day of the novelty of city life, a nov- elty more evident now because of a wider experience, I awoke after a good night 's sleep at about four o 'clock, with the full knowledge of the past life, except what had oc- curred since the accident. The surprise was exceedingly great to find oneself in bed in a typical New York home, when the last memory was driving over the country roads of Connecticut. Even this memory was not immediate, but rather a general remembrance of being at home and at work. Fortunately, the room-mate was recognized as my brother, and the latter being rudely awakened by me, was challenged for an explanation. This being made hastily, I was cautioned to remain quiet, while a "friend" was called. This friend proved to be one of the specialists. Questions and answers flew so fast that it was some time before I could realize the state of the case. I utterly refused to be- lieve the story of the accident and of the following weeks, and took the whole for a huge joke. This was natural, from the humor of the situation. The three persons by no means made a presentable appearance, yet all were ap- parently sincere, the doctor taking notes like a stenogra- AUTOBIOGRAPHICAL SKETCH 223 pher, the brother executing a war-dance in jubilation, and I racking my brains for some possible motive for such a practical joke. The doctor was then a stranger to me, so no confidence would be placed in him. The brother was con- tinually bursting into fits of uncontrollable joy, the result of relief from so long a strain. "When questioned, I could recall events up to the time of my commencing to alight from the carriage. I told of having felt at the time an acute rheumatic pain in my knee which prevented its use. While attempting to relieve it by the other foot, the lap robe became entangled and swayed helplessly. This memory, then, harmonized with the state- ments of the others, and the conclusive proof was felt when a watch was seen to read 4.15, although daylight was ap- pearing. I remembered well that at the date of my memo- rable drive, daylight would not have come till much later than 4.15. This convinced me of the lapse of considerable time in accordance with the statement of the others. The physical sensation was of great weakness. There was a slight feeling of pain in the head, and my back felt weak. Otherwise I felt as well as usual. Before long, however, an uncontrollable drowsiness came, and after some attempts to keep awake, I was allowed to fall asleep. The feeling of sleepiness was at the first en- tirely within my control, but not realizing the necessity of remaining awake, a necessity that was later impressed upon me by the specialists, and having partially yielded to this feeling of drowsiness, the will was powerless even to re- spond to the urgent requests to resist sleep. The drowsi- ness was powerful, bringing a delicious sense of rest hardly suggested by ordinary sleep. Being awakened out of a heavy sleep later in the morning, I knew nothing of the ex- perience of the early hours, but was again living and acting according to the second life. It was only at a later date that I could learn what occurred during that half hour. The questions asked and the interest shown in regard to my 224 MULTIPLE PERSONALITY condition, even while I was feeling as usual, aroused my curiosity and surprise. At the next awakening to the nor- mal, or at least to the ''primary" x state, there was memory for what occurred in the last primary state. As the room and house were different, it was evident to me that there had been another lapse of time, and the first inquiry was, ' ' How long has it been this time ? ' ' The next time curiosity was greatly aroused because, on coming into the secondary state, I found myself dressed and sitting in a chair, and with the comfortable feeling of a good breakfast already eaten, and an uncomfortable feeling of pin-holes in the flesh made by the doctor, while I was falling asleep. I had no knowledge of the pain when the needles pierced the skin, but felt a sharp pain on awaking. However, no in- formation could be gained, and I was of the belief that I had fallen asleep, and during that time had been fed and dressed by others. In the primary state I found myself making thought- lessly a resolution that on again awaking in the secondary state I would not be alarmed at the change ; but of course, at the next change, there was no memory of the resolution, and consequently, distress was felt. While in the one state, I was informed of my experiences in the other, so that I knew in an indirect way the state of things. It was thus that in each state I came to a determination to assist the scientists in effecting a cure. Yet as each resolution was not known to the other state, there was not the necessary harmony of action. One resolution was that while in the primary state an effort would be made by me to remain awake at all hazards day and night until a continuance in that state seemed probable. The other resolution made in the secondary state was to cling to the facts of that state 1 Mr. Hanna had become familiar with the use of the terms primary and secondary states. AUTOBIOGRAPHICAL SKETCH 225 and that life with a grip of steel, yet to allow the passing into what the doctors called the intermediary state, when they would be able to give me the facts of the other life while I was holding to the present also. The first mental struggle was during the very next pri- mary state, which, by the doctors' earnest request and my own extraordinary effort, was already prolonged to three or four hours. All were assembled in the ' ' laboratory ' ' ; the feeling of drowsiness had hitherto been resisted, but was growing continually more heavy, especially during the quiet of the experimenting. In vain were these interesting proceedings watched by me, in vain were the efforts of all, even the needle- points, which were not felt yet were faintly known in the dim receding consciousness. Yet there was that determina- tion to remain awake at all events, and the struggle con- tinued in half-consciousness for a long time. Suddenly there was a glimpse of the secondary life, only a glimpse, it is true, yet a revelation of infinito wonder as being the first real insight into one state from the other. In- stantly the thought came, "What is the use of enduring this severe struggle when invited into that attractive life, the secondary state?" This statement was not thus care- fully formulated, but that was the impulse of the moment, the feeling was just to that effect. But saying mentally again, "What is the use?" there was a letting go, and the primary life was again lost. While in the last instant of the primary state, as has been said, there was a glimpse of the secondary state, there was in the secondary state no memory whatever of the pri- mary, but just the old unshaken determination to carry out as far as possible the plan of the doctors. They had a full understanding of this peculiar mental state, and so every- thing was ready for the decisive battle. It came in the same house in which the first awaking to the primary state had taken place. It was early evening, 16 226 MULTIPLE PERSONALITY after a clay of unusual activity and enjoyment, bringing great fatigue and drowsiness. Struggling against this, I felt a severe pain in the head. There was a regret of hav- ing bound oneself to such & resolution, yet a determina- tion to stand by it at all hazards. There was every en- couragement from the doctors, who were eagerly plying me with questions and insisting on facts of the experiences of the other state. The persons and places of the primary life (learned by the doctors by questioning friends and myself in my different states) were mentioned and strongly im- pressed upon my mind. Especially those persons whom I knew in both states, were referred to. I was still in the sec- ondary state, but the other life dawned on me, and nothing but my will pertinaciously clung to the secondary state. Both states were dim and only the doctors' tiresome repetitions and persistent hammering on the reluctant mind made them gradually more real. I felt quite vexed at what seemed the obstinacy of the doctors, yet was coming more and more to feel the force of their state- ments. Yet even now only the first position was gained in the conflict, for while both lives were presented to the mind, where was the possibility of combining them? And had I not lived and felt each life? Yet how could one person live and feel both lives ? Here was the critical point. But the doctors persisted they were both my lives, and in- deed I knew each one was, though it is impossible to take two men and make them both into one. But the lives were constantly becoming more and more personal, until at last, by a deliberate, voluntary act, the two were seized, and have both remained for half a year to the present date, though for some time after the recovery it was difficult to dovetail together the detached portions of each life so as to present a continuous history. Mr. Hanna has fully recovered, the detached portions have become dovetailed, the two sharply denned personali- ties have been fused into one healthy, normal person. PART III CONSCIOUSNESS AND MULTIPLE PERSONALITY By BORIS SIDIS PART III CONSCIOUSNESS AND MULTIPLE PERSONALITY By Boris Sims CHAPTER I THE MOMENT CONSCIOUSNESS Moments of consciousness are not all of the same type. The moment consciousness of the infant differs from that of the adult, and the moment consciousness of the brute differs from that of man, and still they are all of the genus consciousness. Consciousness, therefore, must be assumed as not being uniform, as not representing one and the same type, but as having different stages, dif- ferent types. Very frequently we find a confusion in psy- chology, a confusion which must by all means be avoided, in fact, it may even be termed the psychologist's fallacy. Whenever consciousness is spoken of, it is tacitly as- sumed as being that of the fully developed, adult human mind ; lower types of consciousness are left out of account. Comparative psychology and the science of psychopathol- ogy have opened before us new regions of consciousness. "We can no longer affirm with Descartes that consciousness is the privilege of human beings only and that all other ani- mals are reflex machines, with no conscious accompaniment. We must also take into account our companions who stand lower in the stage of evolution; we must allow for the existence of animal consciousness, and once this is ad- 229 230 MULTIPLE PERSONALITY mitted, where is the boundary-line? The dog, the cat, the bird, the serpent, the fish, the worm, the bee, the ant — all have psychic life, all possess some form of consciousness, and where in the descending series of animal life can we possibly put a dividing line and say here consciousness ends ? Mental life fades away in the animal series by slow degrees, and in the most humble living representative some elementary form of consciousness must be present. Psychi- atry again shows us forms of abnormal mental life, forms of dissolving consciousness, such as idiocy, dementia, general paralysis, and other forms of insanity. In short, the nor- mal adult human mind is certainly not the only form of mental life, and different types and stages of consciousness must be taken into consideration by the psychologist. The fact that the different types and stages of conscious- ness are not clearly formulated and not always kept in view by the psychologist causes much confusion in psychological discussion. Thus, as we have just pointed out, whenever consciousness is spoken of, self-consciousness is always tacitly assumed. Whenever, therefore, this last form of psychic activity is absent, consciousness itself is said to be lacking, and if any act is the result, it is said to be a case of pure ' ' automatism, ' ' the effect of unconscious physiolog- ical processes, with no conscious concomitant whatever. So great, in fact, is this confusion that a certain psychologist in discussing animal consciousness and its sleeping states, speaks of "the self-consciousness of the dove." Evidently the psychologist is under the impression that consciousness and self-consciousness are identical. But if, on the one hand, instead of mere consciousness, self-consciousness or consciousness of a personality is substituted, we meet, on the other hand, with an opposite fallacy due to the same confusion, namely, that whenever self-consciousness, or personality, is discussed, mere consciousness is substituted. The different types of consciousness are not recognized, and the whole field of psychological facts is, on account of THE MOMENT CONSCIOUSNESS 231 it, in hopeless confusion. What would we say of the biolo- gist who, in describing organic life in general, would sub- stitute human life, and in describing the human organism, would give a description of ants and cockroaches? We must try to realize clearer the precise meaning of the ' ' moment consciousness, " as a clear comprehension of it is of the utmost importance to psychology in general and to psychopathology in particular. Psychic contents or states of consciousness are always found in connection with some individuality. That piece of bread lying yonder may awaken hundreds of mental states under different conditions and in various organizations. My friend sitting by my side sees it, so do I, and so does the child, so does the bird in the cage, so does the dog, and so possibly does the fly flitting around the table. The states awakened are no doubt different, but they are of a psychic character none the less. My friend and I may be conscious of the personal element along with it. We may think it in the form of ownership ; "it is we who think, we who have the thought of the bread ' ' ; but this is only one of the many forms under which the perception or thought of the bread may appear. One thing, however, is essential to all the various states, different as they may be in their content, and that is the fact that they belong to some one individu- ality which under certain special conditions may also be of the nature of a personality. The individuality may be of a high or of a very low type, it may be that of a man or it may be that of a fly, but it must be some one consciousness that synthetizes the psychic state. It is this one synthetiz- ing consciousness that constitutes the essence of what we term "moment consciousness." The moment consciousness is the subject, the psychobio- logical individuality, requisite in all psychic activity. The psychic individuality cannot be regarded as a series of independent physical events. For it may be asked, for whom does that series exist and to whom is it presented? 232 MULTIPLE PERSONALITY A synthetizing moment consciousness, both subject and content, is a fundamental assumption of psychology, just as space is that of geometry, and matter and force that of physics and chemistry. This necessity of assuming a synthetizing moment consciousness becomes clearly mani- fested in the highest form of psychic activity, such as self-consciousness. For if self-consciousness be reduced to a series, it may be pertinently asked with John Stuart Mill, "How can a series be aware of itself as a series?" Now a moment consciousness must not be considered as something apart from its content; it does not exist by it- self; it exists wherever and whenever psychic states are synthetized; it is the synthetized psychic material; mere synthesis without material is meaningless. On the whole, we may say that the moment consciousness is like an organ- ism, it forms a whole of many constituent parts. In the moment consciousness we find psychic material synthetized round one inmost central event which in its turn may have a central point. It reminds one strongly of the cell: although it branches out in all directions, it has always its inmost central point, its nucleus, nucleolus and nucleolinus. While I am sitting here writing, I take in the many impressions coming to me : the sunshine pouring through the window, the table, the ticking of the clock, the chair, the bookcase, and many other things in the room ; all of them are formed and synthetized into one, and as such they form a moment consciousness. They are not, however, indifferently grouped; their unity is an organized whole with a centre, with a vital point, so to say. At the heart of that synthetized whole there is a central point, the grouping around which constitutes the individuality of the partic- ular moment consciousness. In my own case, the central interesting point is the paper on which I write the sentence just formulated, and the inmost point, the principal idea under discussion which forms the nucleolinus, so to say, of the whole moment consciousness. The most interesting or THE MOMENT CONSCIOUSNESS 233 the most important experience forms the centre of the moment. The same object which seemingly gives the same experi- ence assumes different meanings and is therefore really quite a different experience, according to the moment con- sciousness in which the perception or knowledge of that ob- ject is synthetized. These presently experienced states, synthetized within the moment, form the matter, or what we may term the content of the moment consciousness. The moment of consciousness will change with the changes of the synthetized content. As an official, I am now in my office doing my work, and the different experiences form one whole, an association of experiences, systematized and syn- thetized into an organic unity. As a family man, I am at home enjoying the company of wife, children and friends, and once more the experiences are organized into the unity of a moment consciousness. Now I am climbing mountains and stand on the slippery edge of a precipice, now I enjoy a conversation with the maiden I love, now I take part in the excitement of the political arena, now I sit on the bench of the jury listening gravely to the cross-examination of witnesses in a murder case; all these form nuclei for the formation of different moments consciousness. All of these depend on the different central experiences that form the kernel for the moment consciousness. The central experi- ence, round which all other experiences are grouped and synthetized, forms, so to say, the very essence of the given moment consciousness, and as long as this central experi- ence remains unchanged in its central position, the new ex- periences are assimilated within the same moment con- sciousness. The moment consciousness, therefore, does not vary with the change of the content, if only the assimilat- ing nucleus remains invariable. Should, however, the con- tent vary so that the central experience is transposed and some other one occupies its place, then the moment con- sciousness itself is changed. In fact, we may have the con- 234 MULTIPLE PERSONALITY tent of the moment consciousness entirely unchanged ; but if the central experience alone is displaced from its position, then the moment consciousness itself becomes changed in its nature. Thus, if as a traveller I climb the mountains chiefly for the sake of pleasure, and keep the scientific and aesthetic aspects in the background, the moment conscious- ness will be entirely different from the one where the sci- entific or aesthetic aspects are in the foreground, and all other considerations in the background. The moment con- sciousness, we may say, is entirely determined by the lead- ing central experience. The content of the moment consciousness, however, is not confined to the presently experienced psychic states only ; it also embraces the past, it includes memory, that is, it synthetizes also outlived moments. In my present capacity of physician and working in the office, I may also include the experiences as traveller, as juror, as teacher, as companion and as lover, but still the tone of this particular moment consciousness is given by the official duties of my present occupation. The most vivid, interest- ing and leading experiences form in this synthesis the nucleus round which all other experiences are crystallized and synthetized into one organic whole. We have here a series of moments, all of them being co-ordinated and con- tained in one synthesis of one moment consciousness. The members of this synthetized series are not of equal value nor are they qualitatively the same. The leading experi- ence that constitutes the assimilating element of the given moment has reality, interest and value, while others are only so much food, support for the principal central expe- rience. This central experience differs also from the other experiences synthetized in the moment consciousness by the fact that it alone, that is, the nucleus only, has the most vivid psychic states, sensational and perceptional elements, while the others may totally lack them. Other subsidiary synthetized moments are rather of an ideational character; THE MOMENT CONSCIOUSNESS 235 they are what is called "reproductions," ideal representa- tives of formerly experienced outlived moments. The moment consciousness may contain moments that happened to emerge by the dynamic processes of asso- ciation, such as contiguity, similarity or contrast. Each moment consciousness may become content for the next. Each successive moment consciousness may synthetize the preceding ones, contain them in an abridged ideational form and may moreover recognize and claim them as be- longing to itself, and as being one with them. There may, in short, be various forms of mental unification, but one thing stands out clear and that is the nature of the moment consciousness. The essence of the moment consciousness is mental synthesis. If we take a cross-section of the moment consciousness and try to fixate it with our mental eye, we find a central psychic element round which other psychic elements are crystallized. This central psychic element is prominent, vivid, it forms, so to say, the vital point of all the states, and gives the tone to the rest, forming a whole, one organized experience. The psychic matter that surrounds the lumi- nous central point does not stand in a free, more or less dis- connected relation to the latter; it is intimately related to the centre, and cannot be separated without destroying the moment as a whole and even the life existence of each par- ticular constituent. The whole moment seems to form an organic network in which the other elements take their place, according to a plan. The structure of the moment may in this respect be compared to that of the cell. In the cell we discriminate the nucleus round which the proto- plasm is grouped. The protoplasm is connected with the nucleus by a network, a cyto-reticulum. The destruction of the nucleus affects the protoplasm and the destruction of the protoplasm affects the nucleus. The two are intimately, organically interrelated by the common network, the gen- eral plan of their organization. 236 MULTIPLE PERSONALITY A concrete example will perhaps best answer our purpose. Suppose the moment is perceptual and consists only of one percept. Now in the percept we find a central sensory ele- ment surrounded by other elements. This central element stands out prominently in the given psychic state, while the other elements are subordinate. Not that those elements are unimportant for the precept ; on the contrary, they are of the highest consequence ; they only lie outside the focus of the total psychic state. Along with the focus these elements form one organized whole. The intensity of the psychic state proceeds from the periphery to the centre. The elements can as little be separated from the central element as the area of the circle from its centre. By re- moving the centre the circle will be destroyed and the cen- tre will cease to be what it is. All the elements of the per- cept form one vital texture having the central sensory element as its nucleus. Integrated as all those elements are, they are not, how- ever, of equal value and importance for the life existence of the whole. The central sensory element is of the utmost consequence; it is the vital point of the whole experience. While the change or destruction of one or of some of the subordinate elements may still leave the total percept un- changed, or but slightly modified, a change of the central sensory element, of the nucleus, will profoundly modify all the other elements and their interrelation ; a destruction of the nucleus will destroy the percept, the total moment. CHAPTER II MENTAL ORGANIZATION Moments of the same type form aggregations in an as- cending series of complexity, groups, systems, communities, clusters and constellations. Isolated moments are organized into groups, groups into systems, systems into communities and communities into constellations. Groups are the most simple, while constellations are the highest and most com- plex of the aggregates. The firmness, the stability of organi- zation, stands in direct relation to the complexity ; the more complex an aggregation the less stable it is. The order of complexity also represents the order of development, so that the more complex is also the latest to appear in the course of evolution. Evolution and stability stand thus in inverse relation. What appears early in the course of development is more firmly urganized than what appears later on. The whole tendency of evolution is from stability to instability. The order of growth and instability is in the ascending scale — from groups, through systems, communities, to clusters and constellations. The simpler sensori-motor reactions are both ontogenetically and phylogenetically first to appear in the course of evolution and they are also more stable than the more complex sensori-motor reactions. We can possibly best realize the relation of instability to complexity of structure if we regard life, including both physiological and psychic processes, as an ascending organization of sensori-motor re- actions to the influences of external environment. The sensori-motor reactions represent a hierarchy of organized aggregations, beginning in the lowest reflexes 237 238 MULTIPLE PERSONALITY and organic automatisms and culminating in the highest activity. As illustrations of the lower processes we may take the knee-jerk, the action of the bladder, peristaltic movement of the intestines, respiratory movements, heart-beats and other organic activities. Associations among these various processes form higher aggregates. The complex co-ordina- tion of orientation and space adjustments, such as the main- tenance of equilibrium, walking, running, jumping, flying, swimming, and so on, represent more complex activities. A still higher aggregate is to be found in the association of groups and systems of sensori-motor reactions of a sense- organ with the complex co-ordination of motor adjustments of the whole body. The highest aggregates are to be found in the association of all the motor reactions organized within the different spheres of sense-organs with the complex motor co-ordinations of body adjustments. Simple sensori-motor reflexes, complex reflexes, sensori-motor co-ordinations, in- stinctive adaptations and intelligent adjustments, statically regarded, correspond to the classification of psychomotor aggregates into groups, systems, communities, clusters and constellations. In other words, the analysis of the sensori- motor constitution of the higher organized beings in their adult stages, reveals the presence and interrelation of those various sensori-motor aggregates. Genetically regarded, we find that the history of the use and growth of the aggregates is in the order of their complexity. In ontogenesis we find that the simple reflexes appear first, then the more complex sensori-motor co-ordina- tions; later on the so-called instinctive adaptations begin to appear, while the intelligent and controlling adapta- tions are the latest to appear. The child at its birth is a purely reflex being; the different reflexes are not even associated, it is the medulla and the spinal cord that are pincipally active; the pupils react to light, the legs and hands react to more or less intense sensory stimuli, such MENTAL ORGANIZATION 239 as tickling, and sensori-motor reflexes to taste stimuli are present. All of these reactions are isolated ; they are so many simple groups of sensori-motor reflexes ; even the suck- ing activity of the infant is largely of the reflex type; in short, the child at its birth is a spinal being, and its moment consciousness is desultory, consisting of the desultory ac- tivities of isolated functioning sensori-motor groups. Later on, the reflex activities become associated through the devel- opment of sight and kinesthetic sensations. The eyes can follow an object, the hands become adapted to the seizing movements. Movements of body-co-ordination then begin to appear, such as turning the body to right or left, then sit- ting up, then creeping, standing, walking, talking, all in- volving greater and greater co-ordination of muscles and kinesthetic sensations, aided by the association of sensations and sensori-motor reactions from different sense-organs. It is only very late in its history of development that the child begins to gain full control of its actions and adjustments to the stimuli coming from the external environment. The history of phylogenesis runs a parallel course. The lower organisms are purely reflex in their sensori-motor re- actions, and as such they belong to the type of the desultory moment consciousness. Instances may be found in the lower forms of the Mollusca. In the higher forms of Mollusca associations of sensori-motor reflexes begin to appear. These associations become more and more complex with the rise and growth of differentiation of sense-organs in the higher forms of Mollusca and the lower Arthropodes, giv- ing rise to groups, systems, communities, reaching the cluster stage in the higher Arthropodes and the lower Mammalia, finally culminating in the high complex func- tions characteristic of the constellation stage, such as found in the sensori-motor reactions of man in his adaptations to physical and social surroundings. CHAPTER III THE CONSCIOUS AND THE SUBCONSCIOUS If we turn now to the constitution of the moment con- sciousness, we find that each moment as it takes its place in the scale of evolution can both statically and ontogenetically be regarded as a summary, as an epitome of phylogenetic history. Each moment represents at the same time a hier- archy of many moments, but of lower types. The highest constellation has at its command lower types of psychic aggregates, and had it not been for these lower moments, the higher type would have lacked matter and activity for carrying on its own work. The lower forms of moments, however, are subordinate to the higher type which constitutes the centre, the nucleus of the total psychic state. The other constituent moments, from the simplest to the most complex, are in the service of the highest type of moment and lie outside the central focus of the principal controlling moment consciousness. These lower forms are, however, by no means to be ignored, since they form the main sum of factors that determine indirectly the total psychic activity, they constitute the storehouse from which the central moment draws its material. Without the lower moments the principal controlling moment could not have received stimulations from the external environ- ment, nor would it have been enabled to make proper motor responses. In fact, we may say that without the lower forms of moments, the moment nucleus would have lost its vitality and even its meaning. The perception of an object 240 / CONSCIOUS AND SUBCONSCIOUS 241 and the proper adjustments to it depend not so much on what is directly present in the focus of consciousness, but on the wealth of accumulated material lying outside the focus. In reading a book, for instance, the handling of it, the motor adjustments in keeping it, the perception of the letters, of the words, of the phrases, lie outside the focus of the principal interesting thought that guides the growth of the moment; and still it is this mass of perceptions that forms the matter, the food supply of the controlling mo- ment. The inventor, in working on his particular invention, has a mass of accumulated material and experience, indis- pensable for the development of the invention, but which is in the background of his consciousness. Similarly the mathematician in solving his problem, which forms the fo- cus of his consciousness, possesses a body of knowledge or a mass of material which, though it lies in the periphery of his consciousness, still forms the mainstay of his particular investigation. There is more in consciousness than is actu- ally directly present in the focus of the moment. While I am writing these last phrases, my consciousness is only occupied with them, but they are supported by a body of thought that lies in the background. All our per- ception is largely determined by the results of our previous experience which as such falls outside the central point of consciousness. Many of the perceptual illusions find their explanation in habit. An otherwise novel experience sur- rounds itself with familiar experiences, which disguises the novelty and transforms the percept by substituting what is otherwise habitual. This mass of familiar expe- riences is not present in the focus of the moment con- sciousness; it lies outside the centre and is very often submerged in regard to the direct introspective scrutiny; and yet it has a powerful influence on the total activity in general and on that of the nucleus in particular. The submerged moments, though lying outside of the main focus, still exercise a great influence on the course 17 242 MULTIPLE PERSONALITY of the moment's growth and development. The con- scious controls the material supplied by the subconscious, while the subconscious by its nature, by the quantity and quality of its material, in its turn, modifies and determines the course and direction of conscious activity. CHAPTER IV AUTOMATISM Different as the active nucleus and the relatively pas- sive protoplasmic mass are, no hard and fast line can be drawn between the two; they are constantly in the most intimate intercommunication, one passes into the other. With the formation of a new centre of activity, the old nucleus may pass into the general protoplasmic mass of the lower moments. This passing of the nucleus into the gen- eral protoplasm of the moment is a process that is con- stantly going on in the life history of the total moment consciousness. As a new nucleus is taking the place of the old one, the latter retreats in the background and exercises its influence on the course of the psychic activity from behind the scenes, so to say. The potency of this influence is in proportion to the duration and intensity of the activity manifested by the old nucleus. We are all well acquainted with the common- place fact that an action requiring at first great stress of attention, finally, with its repetition, drops out of the focus of consciousness and becomes, as it is called, automatic. They who have observed a child striving to stand by him- self or beginning to walk realize how such seemingly au- tomatic acts as standing or walking are at first accompanied with intense attention. The child, when standing up all by himself, does it hesitatingly; he shakes and trembles, as if occupying unsafe ground, or doing a difficult act ; he looks around for support, stretches out his hands, asking the help of his parents or nurse, and if he does not get aid in time, begins to cry from sheer fear and drops on all-fours. 243 244 MULTIPLE PERSONALITY During the whole process of standing, simple as it appears to us, and lying as it does with us outside of the field of at- tention, the baby's mind is fully engrossed with the act of maintaining his equilibrium. It is a difficult feat for him. Withdraw his attention from his performance, and in the first stages of his series of trials he simply drops helplessly to the ground. The same holds true in the case of walking. The child in beginning to walk, does it with great hesitation and fear. It can only be compared to the attempt of an adult in walking on a narrow board over a precipice or learning to walk on a rope. Each step as it is made re- quires full attention, each advance is a victory. The least distraction of attention and the baby falls down in a heap. The least change in the touch, muscular and kinesthetic sensations coming from leg and foot will interfere with the successful attempt at standing or walking. Thus in the baby under my observation, after the first two days of more or less successful trials at walking, a new pair of shoes were put on him. The new peripheral stimuli and the strange sensations experienced at once told on the successful issue of his walking activity. The number of failures became so great that they finally arrested further attempts at walking. Only when the baby became accustomed to the new shoes and the sensations they gave rise to became so habitual that they fell in the background of his consciousness and no longer distracted his attention, it was only then, that the baby once more started a series of trials, and with such success that after two days' practice he walked almost a whole mile. After a period of long practice the complex muscular adjustments, required in the acts of standing and walking, gradually retreat to the background of conscious- ness and become automatic. Not that consciousness in those acts is lost; it has simply reached its necessary minimum, leaving the focus of consciousness free for other new and unaccustomed adjustments, which in their turn fall out of AUTOMATISM 245 the centre into the periphery, giving place to new experi- ences. To minimize the expenditure of neuron energy and reach the minimum of consciousness constitutes the tendency of psychomotor life. We can fully realize the importance of this tendency, if we regard it from a teleological point of view. In the struggle for existence or in the economical system of com- petition of modern life, the saving of unnecessary expendi- ture, where only possible, is of the highest consequence. Those organisms that will best effect such an economy of energy will be the fittest to survive. Those organisms that are enabled to reduce to its minimum the friction and loss of neuron energy have the great advantage of possessing at their disposal a greater amount of energy to cope with new circumstances, with novel conditions and react better and in a more favorable way, when confronted with changes in this environment. This economizing becomes absolutely indis- pensable to the life-existence of higher organisms, the en- vironment of which is always highly complex. The reduc- tion of psychomotor activity to the least amount of psycho- physiological energy expenditure, in other words, to the minimum of consciousness, is the law of psychomotor life in general and of the highest representation of that life in particular. CHAPTER V THE PSYCHIC MINIMUM This economizing is by no means an endless process; there is a certain minimum of consciousness beyond which the psychic states cannot pass. This minimum of conscious- ness once reached, must remain stationary, for a fall below it is the arrest of the activity of that aggregate. In other words, there is a certain minimum below which consciousness cannot be reduced with impunity. Reduce the conscious- ness of the total psychic state by lowering the sensibility of its constituents or by raising the threshold of con- sciousness and the whole aggregate will cease to function. Diminution of the stimulus to which the aggregate has adapted itself in the course of its growth, both phylogenetic and ontogenetic, gives the same results ; the aggregate does not respond. Either a summation of successive small stimuli or an intense stimulus that should reach the threshold is requisite to set the aggregate into activity. In short, a mini- mum of consciousness is always required for the proper functioning of mental aggregates. This condition of minimum of consciousness requisite for the proper function of lower mental aggregates is clearly seen in different forms of pathological cases. In the initial stages of tabes, when the kinesthetic sen- sations of the feet and legs become hypoaesthetic, the patient is unable to walk well and must be guided by visual sensa- tions, so that when his eyes are closed, he stumbles. Al- though he may feel that his limbs were moved, if the passive movement is quick and through a considerable angle, so that the stimulus is intense, he still does not know the direc- 246 THE PSYCHIC MINIMUM 247 tion of the movement, nor is he aware of the position of the limb when left to itself. Similarly in cases of onset or slowly recovering hemiplegia, the sensibility falling below the requisite minimum produces a total failure in the sensori- motor adjustments; the patient has to learn to make his adjustments by means of content coming from the visual sense. As a good illustration of the point in question, I may mention a very interesting case of my own now under in- vestigation. The patient suffers from tactile anaesthesia all over the trunk, with the exception of neck and face and lower extremities; the other sensations, such as those of temperature, pain, pressure, muscular sense and kinaesthe- sis, are greatly diminished. The patient does not feel one short, sudden stimulus, such as a prick, pinch, burn, but only a long continuous stimulus, or a quick succession of more or less intense stimuli. The patient is unable to adapt herself to the changes of external environment and often hurts herself, before she becomes aware of danger and is enabled to react and ward off the harmful stimulus. The aggregates with a reduced minimum of consciousness fail in their function and are unable to adjust themselves to the external environment. This failure to function in case of fall below the stand- ard minimum is still further illustrated in the diminution of the patient's muscular sensibility. If she is told to close her eyes, and her arm is taken roughly and given a quick and sharp wrench, she is aware of the movement and also of its direction. If, however, the same passive movement is produced slowly, gently, by degrees, then the patient is unaware both of the movement and direction; even if the hand has been rotated in a circle, or raised in a horizontal position from a position of repose close to the body, the patient thinks that the hand has not moved and is still in the same place. If now the patient is told to touch a part of her body, such, for instance, as the nose, eye, or 248 MULTIPLE PERSONALITY ear, the attempt is often a failure, on account of the un- necessary extra amount of energy put forth in the muscular effort of bringing the hand in the required position. This extra amount of effort put forth is determined by the ex- tent of hypoaesthesia and the false notion of the position of the arm. If the experiment is somewhat modified and the arm is raised a little faster, so that the patient becomes aware of the changed position, of the movement, but not of the direc- tion, the results are no less interesting. If under such con- ditions the patient is asked to put the hand to the nose, eye, or ear, the answer is uniformly the same: "I cannot; I do not know where the hand is." Once more the sensori- motor aggregate, with its lowered minimum of conscious- ness, fails to act and carry out its adjustments to its surroundings. A variation of the experiments leads again to the same conclusion. If the patient, with the hand at rest, is told to raise it, and when she starts the movement the hand is seized and kept forcibly, the patient, after making strained efforts finally declares that the hand is raised; the sensori- motor aggregate fails to act and make the proper adap- tations. A further variation of the experiment reveals still clearer the paralysis of an aggregate with a lowered psychic minimum. If the arm is half raised and the pa- tient, with the eyes closed, is told to raise it still higher, and as soon as the patient starts the movement the hand is seized and moved in a different direction, after some time she declares that the hand is raised, although the hand is in a much lower position than the original one. Once more we find that a lowering of the minimum of con- sciousness of a psychic aggregate brings about a complete failure of adjustment and is equivalent to a paralysis of its function. A definite minimum of consciousness is the sine qua non of psychic aggregates. CHAPTER VI THE FADING MOMENTS The hierarchy of moments, from the lowest to the high- est, belonging to one organized constellation of moments, may be arranged in a series as to intensity and vividness of consciousness ranging from minimum to maximum through all degrees of intensity and vividness. The maximum of intensity is in the focus, in the nucleus of the moment, the minimum is at the periphery. Now a moment through frequent functioning gradually loses intensity and vivid- ness and passes by degrees through all the intermediary stages from maximum to minimum. The fading moment passes by degrees from the centre to the periphery of con- sciousness. Under other conditions, such as the hypnotic trance, the moment may become suddenly submerged. As a case in point I bring the following experiment, made by me in the presence of Dr. Van Gieson, former Director of the Pathological Institute of the New York State Hospitals: I hypnotized Mr. V. F., and suggested to him that on awakening he should not recognize any of the people pres- ent, and that two or three minutes later he should throw out of the chair the gentleman whom he found sitting near by. That gentleman was Dr. Van Gieson, for whom the subject had the highest respect, and whom he would not have touched in his normal waking state. Before arousing the subject from the trance I took good care to dissociate the memories by suggesting amnesia. 249 250 MULTIPLE PERSONALITY The subject was then awakened. He looked round in a dazed way, as one who found himself in the company of utter strangers. He did not recognize any of his acquaint- ances, nor did he manifest the least sign of recognition of a near friend of his who was present at the experiments. About two minutes after awakening he suddenly turned to Dr. Van Gieson, who was at that time sitting reading, and exclaimed gruffly: "I want that seat." Without wait- ing for a reply, V. F. made a sudden onset, vehemently attacked the struggling doctor, seized him by the shoul- ders, pulled him out of the chair, and gave him a violent push. All this transpired in the twinkling of an eye, so that Dr. Van Gieson had no time to collect himself and show resistance. When Dr. Van Gieson asked V. F. why the latter offended him without provocation, the subject answered, "because he wanted the seat." When Dr. Van Gieson pressed him further to give his reasons why he did not ask for the seat in a polite way, and, besides, what right he had to throw a strange gentleman out of a seat while there were so many others which he could occupy as comfort- ably, the subject's argument was that in this world the mere desire of having a thing is a sufficient reason and a good right. When it was still insisted on his giving a better reason than that, the subject became angry and snappishly replied he wished Dr. Van Gieson would "shut up," and said he was sorry he had not made him shut up before, as the gentleman seemed to be very loquacious. A quarter of an hour later the subject was brought into a passive state. Amnesia of the incident was enforced, and the subject was then awakened. Mr. V. F. woke up oblivious of the whole affair. Only when I inquired of him, he told me he had a vague dream that he quarrelled with someone, but he did not know the person, nor did he remember the circumstances. The subject regarded it as a mere idle dream, and gave no further attention to it. Mr. THE FADING MOMENTS 251 V. F. is until now in complete ignorance of the whole affair. The whole incident faded from his conscious memory. If, however, the intensity and vividness of conscious- ness decrease from the centre to the periphery, the extent of content increases. The further away from the centre the greater is the number of the fading moments. At the periphery the number of moments is also the greatest. The immense number of outlived moments gradually fades away with the lapse of time and tends to pass to the periphery of consciousness. It is clear, then, that as we pass from the centre to the periphery the number of outlived moments in- creases proportionately. The deeper the regions of the sub- conscious the wider the extent of its contents. In hypnosis the intensity of consciousness becomes diffused over lower and lower moments, liberating their pent-up energy, and as with the depth of hypnosis the obscure regions of the sub- conscious come to light, their immense extent stands re- vealed before the astonished and bewildered eye of the observing self-consciousness. A lighting up of the subconscious regions can also be brought about by the use of toxic drugs. The pent-up neuron energy becomes liberated from lower and lower- most moment, consciousness becomes concomitantly mani- fested and long forgotten experiences well up to the centre of consciousness ; outlived moments become resurrected and rise to the surface of full consciousness with all the vivid- ness of a present reality. Thus De Quincey, in his "Con- fessions of an English Opium-Eater, " tells us that "the minutest incidents of childhood or forgotten scenes of later years were often revived. I could not be said to recollect them, for if I had been told of them when waking, I should not have been able to acknowledge them as my past experi- ence. But placed as they were before me in dreams like intuitions and clothed in all their evanescent circum- stances, and accompanying feelings, I recognized them instantaneously. ' ' 252 MULTIPLE PERSONALITY Hypnoidie states such as described by me in previous works 1 also reveal the wealth and extent of psychic con- tent present in the lower subconscious regions. Glimpses into the subconscious are also given in hypnoidal states which are induced by the process of hypnoidization. The patient is asked to close his eyes and keep as quiet as pos- sible without, however, making any special effort to put himself into such a state. He is then asked to tell any- thing that comes into his mind. The patient may also be asked to attend to some stimuli, such as reading or writ- ing or the buzzing of an electrical current, and he is then to tell the ideas, thoughts, images, phrases, no matter how disconnected, that happen to flitter through his mind. This same condition of hypnoidization is sometimes better accomplished through mental strain. The patient is put into a quiet condition, and with his eyes closed and the experimenter's hand on the patient's forehead, the latter is urged to mental effort and strain, and, if necessary, given some hints. Experiences seemingly inaccessible flash light- ning-like on the upper regions of self-consciousness, reveal- ing the depths below. 1 See Sidis, Psychology of Suggestion and Psychopathological Re- searches. CHAPTER VII THE BRIGHTENED MOMENTS We have until now mainly viewed psychic or moment content as passing from the centre to the periphery of con- sciousness through varying degrees of intensity, from max- imum to minimum, the movement being from the conscious to the subconscious. There is no need, however, that this should always be the case. Experiences may first be per- ceived by the subconscious regions and then only trans- mitted to the conscious regions, the movement thus occur- ring in the opposite direction, from the subconscious to the conscious. Experiences, for instance, lived through in dreams, which belong to the subconscious states, may come to the surface as hypnoidal states and then become syn- thetized in the upper waking consciousness, or they may be lighted up in hypnosis and then permanently synthetized in the centre of consciousness. The following case, which I quote from my notes, may serve as an illustration: The patient suffers from headaches, which are some- times very severe ; feels pain on concentration of the mind. She often reads a page over and over again and is entirely unable to make out the meaning. She feels completely paralyzed in her will, and whatever she does is more of a mechanical affair to her. She has not the slightest interest in anything. When young, patient was very musical, but since her twenty- fourth year she lost her musical talent — at least, she feels she has not the power she possessed once. Her memory is growing worse since then, until she is now unable to remember anything. She can now read and play, 253 254 MULTIPLE PERSONALITY but it is mechanical, without the power and feeling she possessed once. Her headaches are severe, dull, but rather irregular as to their onset. Patient is very restless in her sleep, moans, wakes up as if in a great fright, but does not remember the dreams. Sometimes she moans and cries in her sleep and has to be awakened by her husband. Occa- sionally she has periods of insomnia. She is a very active dreamer; the dream-life has become predominant and has absorbed and sucked down, so to say, the content of her waking consciousness. She went into a deep hypnotic state, and gradually the dream of the night before unfolded itself before the patient as if she were living the same experiences over again. "I see a very high tower — I am there — something I don't like — the window — I feel — " Patient became very agitated. She was quieted, and she went on: "I am in space — I am falling — I don't know where I am — I can't get down — I don't know what keeps me there." Patient became greatly agitated, greatly frightened, as one actually falling and becoming suspended in the air; she sighed and breathed hard. "I want to get down. I am hanging in the air," she cried out in despair and fright. Patient, in great excitement and with her eyes closed, suddenly jumped from the couch. (Pulse about 90.) After a few moments, patient says: "Now I am down — I am on the ground. I hurt myself and got a head- ache." The whole experience was of a very highly devel- oped hallucinatory state, a hypnoidic state, which she was able to recollect on emerging from the hypnotic state. Similarly experiences first lived through in the sub- conscious states induced by alcoholic intoxication may be brought by hypnoidal states or by hypnosis into the focus of consciousness. Hypnoidal states are specially impor- tant; they are uprushes of the subconscious, and by means of them many a hidden and obscure region of the subcon- scious may be laid bare. Thus the Hanna case was largely THE BRIGHTENED MOMENTS 255 marked by hypnoidal states. In another case of mine, characterized by subconscious lapses, furious maniacal out- breaks preceded by an aura, followed by long sleep of fif- teen hours ' duration, and by complete amnesia of what had occurred during the lapses, the hypnoidal states were the only means by which the experiences, passed through during the subconscious lapses, became completely revealed. Sim- ilarly in another case of amnesia, the hypnoidal states have given glimpses into subconscious regions which even deep hypnosis could not reveal. There is no need of devoting space to the cases here, as our purpose is only to show that the movement of moments may originally occur in the reverse direction from the peripheral subconscious regions to the centre of consciousness, and also to indicate the fact of the great value of hypnoidal states in bringing about such a reversion of movements. The method of guesses is also valuable in the investiga- tion, showing the reverse process of mental activity, the passage of a state that has been subconsciously experienced into the focus of consciousness. If in a ease of psycho- pathic anaesthesia.; a form of anaesthesia where sensibility of the anaesthetic spot is really present in the subconscious in a hyperaesthetie form, if the anaesthetic spot is stimulated, the patient is not aware of it ; should he, however, be asked to guess, or to tell anything that happens to come into his mind, he is often found to give correct answers even in minor details. The patient perceives subconsciously, and this perception, often in a slightly modified form, is trans- mitted to the upper consciousness, or to what for the pres- ent constitutes the patient's principal moment conscious- ness or personality. If, for instance, the anaesthetic spot of the patient is pricked a number of times, the patient remains quiet and is seemingly insensible. Should we now ask the patient to tell anything that comes into his head, he will say "pricking," and will be unable to tell why he happened to think of "pricking" at all. Should we now 256 MULTIPLE PERSONALITY ask him to give any number that may enter his mind, he will give the correct number, once more not being able to give the reason why this particular number happened to enter into his mind, considering it a mere "chance num- ber." The subconscious sensations experienced are trans- mitted as ideas to the focus of consciousness. Sometimes instead of the particular idea being transmitted, only the general aspect of it reaches the focus. Thus the patient may not be able to guess the particular nature of the stim- ulus, but may give the correct number of the unfelt stimuli, showing the reverse movement of the psychic state. This reverse movement of the psychic state, from the originally subconscious to the upper consciousness, is well manifested in a case under investigation. The patient's field of vision is- extremely limited. If objects are inserted in a zone extending from the periphery of the narrowed field to the utmost boundary of the normal field, and the patient is asked to tell anything that happens to enter the mind at that time, and to do it without any deliberation, the words, seemingly chance words to the patient, are almost uni- formly correct names of the inserted objects. On the periphery of that ' ' subconscious ' ' zone only general guesses are correct. Thus, if letters and numbers are inserted, the patient thinks of the particular letter or number, when ex- hibited within the "subconscious" zone. At the periphery of the zone, however, only the general character comes into the mind, namely, letters or numbers, but not the particu- lar character itself. Some of the phenomena of param- nesia can be explained by this principle of reverse move- ment, when subconscious experiences transmitted to central consciousness appear under the form of "familiar" mem- ories, such as was shown to be the case with the proof- reader described in another chapter. CHAPTER VIII TRANSMUTATION OF SUBCONSCIOUS MESSAGES The movement of the moment from the subconscious to the nucleus of self-consciousness may sometimes take a dif- ferent course. Instead of being centrally transmitted from the subconscious to the centre of the upper consciousness, the experience is projected into the external world in the form of a hallucination and then only perceived by the dominating moment consciousness. This process of reversion is met with in the phenomena of crystal gazing. In these phenomena experiences ac- quired subconsciously are projected into the crystal in the form of visual hallucinations. The crystal gazer sees in the crystal, images, pictures of events which he cannot remember directly, but which can be found in his subcon- scious. The changing light and shade due to reflection and refraction give rise to peripheral sensory processes which form the nucleus, the suggestion that awakens those subconscious psychic states. Experiences mainly of one sensory nature may be transformed into and assume the character of another sense; thus experiences, mainly of an auditory character, may be projected into the crystal as visual hallucinations. In the phenomena of shell hearing, we meet once more with a similar process of reversion. Psychic states origi- nally experienced by the subconscious are objectified in the shell as auditory hallucinations. The vague, indistinct buzzing coming from the shell affects the sense-organ and gives rise to a peripheral process that forms the nucleus round which the subconscious experiences become crystal- 18 257 258 MULTIPLE PERSONALITY lized and projected in the form of auditory hallucinations. Here, too, as in the case of crystal gazing, experiences of one sensory character may be transformed into that of another. Psychic states originally of a visual character become auditory on being projected by this reverse move- ment from the subconscious to the central consciousness. In automatic writing we meet once more with a similar process of reversion, only under a somewhat different form. The subconsciously acquired experiences, instead of being in a sensory form as hallucinations, are motor in character ; they are expressed as written words, and by this means the upper consciousness becomes for the first time acquainted with the experiences of the subconscious. This process of reversion by means of automatic writing may be cultivated and may become so persistent that the subcon- scious regions may keep up a correspondence with the upper consciousness and reveal its experiences by "mes- sages" apparently coming from another world. The phenomena of automatic speaking are rather rare, and are very much akin to those of automatic writing. The subconscious instead of projecting its experiences in the form of written words, does it by means of the spoken word. Here, too, as in the case of automatic writing, the process may become cultivated and the subconscious may carry on its intercommunications in a systematic form. The spoken messages, coming from the subconscious and revealing strange experiences first subconsciously acquired and then only made known in the way of the spoken word to the upper consciousness, appear inspired and awe-in- spiring. They are "voices from another world." The emergence of subconscious impressions, but in terms of another sense-organ, a condition somewhat sim- ilar to the phenomena of sensory automatism, such as those of crystal gazing and shell hearing, can also be effected by means of hypnosis. Anaesthesia to a definite class of im- pressions is produced in some parts of the body. These SUBCONSCIOUS MESSAGES 259 impressions are then made to emerge as experiences com- ing from another sense-organ. The following experiments may be taken as typical of many others. A subject of mine suffering from alcoholic amnesia falls into a very deep state of hypnosis. When in this state his hand is made anaesthetic by post-hypnotic suggestions, it is then sug- gested to him that objects put into his anaesthetic hand will be seen by him on a screen. When he wakes up his hand is anaesthetic even to the most painful stimuli. The anaesthetic hand is then put behind a screen and another screen is kept in front of his eyes. When objects are put into the subject's anaesthetic hand, he has visual hallucina- tions of them. Thus, if half a dollar is put into his anaes- thetic hand, no matter how lightly, he sees it on the screen first as a circle on a flat surface, then the visual hallucina- tion is gathering more solidity and reality, more details are gradually emerging, and finally it begins to look like a solid half dollar. This rather bewilders the subject, as this coin is not like ordinary ones, for it does not feel like a solid object at all when the hand is passed over it, and he looks up in surprise, asking for the explanation of this curious phenomenon. The additional interest here is the extreme hyperaesthesia which the patient manifests in his apparently anaesthetic hand. No matter how small the ob- ject is and no matter how lightly it touches his hand, he still gives a minute description of it, when he draws with his free hand the outlines of the visual hallucination of the object as it appears to him on the screen before his eyes. Instead of a visual hallucination of the tactile impres- sions, the subject may be made to have auditory halluci- nations. When, on waking up, objects are put into the patient's anaesthetic hand, he begins to listen intently. He hears voices accusing him of keeping in his hand money or the particular object placed there by the experimenter. He calls the voices ' ' foolish and lying, " as he has no money about him, nor has he any other of the objects the voices 260 MULTIPLE PERSONALITY tell him of. Subconscious tactile impressions become here converted into auditory experiences. Similarly, in an extremely interesting case which is at present under my investigation, the sensibility of the whole right side of the body presents striking phenomena. The patient feels neither touches nor pricks on the right side; even pain is completely gone, but when he looks into a glass of water while the anaesthetic hand is hidden from his sight by a screen, he has visual hallucinations of the correct numbers of touches, or of pricks given to the anaes- thetic side, or of objects put into his anaesthetic hand; he has visual hallucinations of letters and words lightly writ- ten on the insensible hand. On the whole, he manifests extreme subconscious hyperaesthesia, but, strangely enough, in symbolic terms of another sense. 1 1 This process of conversion is intimately related to secondary sensory elements which play such an important role in the structure of the percept in general, and in that of hallucination in particular. See my article on " Hallucination," in Psychological Review, for January and March, 1904. CHAPTER IX THE PROCESS OP MENTAL RESURRECTION The process of mental resurrection or of reverse pro- cession of psychic states, from the periphery of inattentive consciousness to the focus of consciousness, can, in fact, be fully substantiated by observations in spontaneous som- nambulism as well as by experiments in the hypnotic state. The following brief account of spontaneous somnambulism may serve as an illustration : "I am a medical student in the University of Pennsyl- vania and take some interest in hypnotism, suggestion, and other psychical phenomena. A few days ago I became the fortunate possessor of your book, 'Psychology of Sugges- tion,' and after reading a few scattered pages, the happy idea came to me of consulting you on a subject which has troubled me for some time. I shall be as brief as possible. I am twenty-two years old; I am a somnambulist. They say that when I was a child I used to talk a little during my sleep, but that is about all. In 1893 I lived with a friend in New York, who had some electric batteries. He wanted me to take a shock, but I was somewhat timid and refused. One day he told me that if I did not take the shock he would give me one during my sleep. That night, I had been sleeping about two or three hours, I felt the wires in my feet and hands, and began to scream and kick all around, and finally I was awakened by my friend; all had been a dream. From that night on I very often had dreams, but always disagreeable ones, that they were kill- ing me, or somebody was falling out of a window, etc. About eight months after that I went to New Orleans. It was winter and my room was very cold. I bought a stove, 261 262 MULTIPLE PERSONALITY and the first night I had it, after I went to bed, I noticed that it lighted the whole room, and the idea of a fire came to me; and after I had been sleeping about two hours, I began to dream that my whole room was on fire. I tried to get out through a window; I broke one of the shutters with my fist, but did not open it. Then I went for the door and went out into the hall, where I was met by sev- eral scared people. As soon as I saw them I said, 'Ex- cuse me,' and ran back to my bed. Next day, before I had seen anybody, I knew all that happened. Prom that day up to the present time I dream almost every night, and, I could almost say, all the dreams are on fires, deaths, etc. Soon after that I went to room with a brother. Once he had to stay away overnight, and the lady of the house said : ' To-night you must not have a nightmare, because your brother is not here to take care of you.' That night, as usual, I had dreams, and was just going to open a door when what the lady had told me came to my mind, and I said to myself, 'She told me not to do it,' and very quietly went back to bed. Next day they told me what they had heard me doing, which proved to me that what I remembered of my dream was right. As a rule, I always remember what I do and say, though I don't always wake up after the dreams." All the phenomena reviewed by us, the phenomena of psycopathic anaesthesia and those of sensory and motor automatisms, such as crystal gazing, shell hearing, auto- matic writing and automatic speaking, can be reproduced artificially by hypnosis in our laboratories, provided the subject falls into a deep trance and takes post-hypnotic suggestions of motor and sensory character. It is highly probable, and experiments seem strongly to confirm the same view, that the different form of spontaneous auto- matic manifestations are of the same nature as hypnotic states. The subject first lapses into a subconscious state, from which he emerges manifesting sensory or motor au- MENTAL RESURRECTION 263 tomatism. The patient may fall into the subconscious state and pass through the whole of the experience while in that condition, and then on passing out of the state may remem- ber everything that has taken place, but not suspect hav- ing lapsed into the subconscious state. One of my cases, an active somnambulist, had similar experiences. "This morning," to quote from my notes, "I have been looking for a lost parcel. Suddenly I heard a voice telling me, 'You will find it on the shelf in there.' I was standing by a closet door, my eyes were open. I looked through the door and could see the thing clearly. I opened the door and took it. I was in a peculiar state before the voice spoke to me. My mind was a blank. I was as if unconscious of walking, as if doing things auto- matically." She had recently similar experiences. Thus, an instrument was displaced; a voice suddenly told her, "It is in the dark room," and there it was found. The patient may fall into the subconscious state only momentarily, and take the suggestion of manifesting the automatic phenomena on emerging from the subconscious condition into the normal waking state. It appears, then, that the general law for the reverse procession of psychic content from the deeper state of the subconscious is the one condition of the merging, momentarily, of the central consciousness into the subconscious and then the emer- gence of the subconscious into the focus of the upper con- sciousness. CHAPTER X THE REAWAKENING A moment in passing from the centre of consciousness to the lower regions of the subconscious is usually effecting its course gradually through all degrees of intensity, rang- ing from maximum to minimum. In learning to play a violin, for instance, the movements of adjustments are at first effected with much strain and intensity of attention, but a long course of exercise, practice and repetitions slowly reduce the strain and intensity of attention until the act of playing and the necessary motor adjustments require the minimum of consciousness and the minimal amount of strain ; in other words, the act becomes habitual, automatic. A habit is not formed suddenly. A series of repetitions are requisite, each repetition making the next one easier, thus reducing the strain and intensity of consciousness, until the minimum is reached. Of course, the minimum is relative for that particular moment consciousness. Some of them have a higher and some a lower minimum, although none of them may pass the absolute minimum. This large- ly depends on the complexity of the moment. The more complex the moment is, the higher the minimum, although they have all a tendency to reach ultimately the absolute limit. In other words, a more complex moment or aggre- gate of moments takes a larger time and a longer series of repetitions to reach the absolute minimum of consciousness. A simplification in the constitution of the moment makes the process of reduction more rapid, but the moment on its way to the minimum has nevertheless to pass through the different degrees of intensity. The passage through inter- 264 THE REAWAKENING 265 mediate stages is a necessary condition of the reduction of a functioning moment to a minimum of consciousness. In the reverse process, however, in the process of a mo- ment 's rise from the subconscious to the conscious, inter- mediary stages are not always requisite. The moment, buried in the obscure regions of the subconscious, may be illuminated by the intense focal light of consciousness with- out passing through any intermediary stages. The direct or fading process is like the dying away of light; the reverse process is like the blazing up of a torch or like the explosion of gunpowder. That intermediary stages of con- sciousness are not requisite in the reverse process, that is, in the process of the moment 's rising from the subconscious to the conscious, we may clearly see from such a common- place example as the recalling of a once familiar name. We look and search for the name; we try all kinds of clews; we strain our attention in the search after the lost link, but of no avail. In fact, the more we try, the more we feel barred from the place where that lost link is to be found; we feel lost and wandering, and finally give up the whole affair in great despair and turn to something else. In the middle of our work, when we have fully forgotten all about the search, the name suddenly shoots up. No intermediary stage is passed, the whole state flares up at once. Solutions of difficult and complicated problems, discoveries and inventions, are known to occur in this way. Similarly in the phenomena of the various forms of sensory and motor automatisms, the sensory images or the motor reactions expressive of the rising psychic state gush up suddenly from the depth of the subconscious self. In hypnosis, again, ideas and sensori-motor reactions, induced by post-hypnotic suggestion, may flash suddenly upon the mind of the subject. While in trance, the sub- ject may be told a word, or a phrase, and suggested that he should be unable to remember it on awakening, but that when he will hear the word "now," coming from 266 MULTIPLE PERSONALITY the experimenter, he should be able to remember. On emerging from the trance state, the subject cannot re- member that word or phrase, although it may just be, as some say, on the tip of his tongue; he may be in a condition similar to the one when searching after a familiar word, but which somehow constantly eludes his mental grasp. Generally, though, if the subject falls into deep hypnosis, his amnesia is complete and he cannot remember anything about the word, just as if it has been erased from his memory. No sooner, however, does the signal "now" reach him, than the forgotten word or phrase immediately and instantly flashes upon his mind. This sudden, "impulsive" rise of moments from the subconscious into the light of the central consciousness can be even more clearly seen, more concretely realized, so to say, in the post-hypnotic suggestion of the motor character. During hypnosis it is suggested to the sub- ject to do a certain act on perceiving a certain signal, but that he should not have the least memory of what he is going to do before the signal is given. On coming out from the hypnotic trance, if this be deep, he remem- bers nothing and may engage in something else; no sooner does he perceive the signal than he jumps up and carries out the suggested act with great impetuosity and lightning- like rapidity. The suggested psychomotor reaction, hidden subconsciously, appears in the light of consciousness as instantly as the discharge of the gun on the release of the trigger, or as the ring of the electric bell at the touch of the button. If we turn to psychopathological cases, we once more meet with evidence of the same truth, we find instances the very essence of which consists in the fact that intermediary stages of the moment's transition from the subconscious to the conscious are completely wanting. The sudden onset of uncontrollable impulses and imperative ideas are no- torious. Many an asylum can point to patients in its THE REAWAKENING 267 wards, patients who have been quiet and listless for many months and even years, who rise suddenly, fell their attendant with one powerful blow and immediately after return to their previous listless state. The outburst is instantaneous. Suicidal and homicidal impulses, accom- panying various forms of mental alienation, may have a sudden onset and vanish as abruptly as they came. Im- perative ideas may also have the same flash-like appear- ance. The idea enters the mind suddenly, torments the patient by its insistency, and then somehow unaccountably vanishes. These impulses and ideas are like meteors, they appear lightning-like on the mind's horizon and then drop out of sight. Thus all the adduced facts now verge to one truth that reverse procession of a moment from the sub- conscious region to the light of the upper consciousness need not be through intermediary stages. It may also be pointed out that intermediary stages are also absent when the subconscious moment which has emerged into the focus of the upper consciousness falls back again into the region whence it has come. In fact, we may say that this fit-like process is often even more characteristic of the returning of the moment into the subconscious than of its coming. We all have experienced the fact how some ideas, whether familiar or not, often flash across the mind, and the next moment disappear as mysteriously and as tracelessly as they came; they drop into the subconscious before the upper consciousness can seize on them, fixate them and have them assimilated. Hypnoidal states are of such a nature; they are sudden upheavals from the depth of the subconscious, but often disappear from conscious- ness as suddenly as they appear. The same we find in the case of uncontrollable impulses; they invade consciousness and get possession of it like an attack and then drop out of sight, sometimes not even leaving a trace or a vague memory. In the states of hypnosis, such coming and going of sub- 268 MULTIPLE PERSONALITY conscious moments can be investigated more closely. Dur- ing hypnosis, a story may be told to the subject and then a suggestion given that on awakening, when he perceives a signal, a sound, for instance, the story should occur to his mind, and that he should relate it, but that, immediately after, it should lapse from his consciousness. If the sub- ject takes post-hypnotic suggestions, and can be put into that stage of hypnosis where amnesia can be induced, then the rise and fall of the subconscious moments are almost instantaneous, demonstrating the truth that the subcon- scious moment does not necessarily require to pass transi- tional stages in consciousness, whether forward or back- ward, whether it rises from the subconscious to the focus of consciousness or leaves the focus to sink into the sub- conscious. This want of intermediary stages in the history of the rise and fall of the subconscious moment is not uniformly the case. The subconscious moment may rise slowly, pass through intermediary stages of intensity of consciousness, and then enter the focus and may again, in departing, fade away slowly, passing by degrees through all grades of intensity in its backward course. This is especially fre- quent in cases when the given moment rises spontaneously from a great depth of the subconscious. The moment seems to struggle on its way with many obstacles, hence its many failures to rise to full intensity. The same thing occurs in the different forms of sensory and motor automa- tism. The moment buried in the depths of the subconscious does not appear at once, fully developed, but struggles up as a series of failures, blunders and errors. This fading away of the moment into the subconscious and then the rise of it, sudden or gradual, back to the focus of con- sciousness, constitutes the cyclical movement of the moment consciousness. CHAPTER XI THE THRESHOLD OP MENTAL LIFE In discussing the psychic minimum, it has been pointed out that there is a minimum of consciousness beyond which the moment cannot fall, if it is to work efficiently in its functions and adaptations to the conditions of the external environment. The arousal of such a psychic minimum de- pends on the general state of the functioning aggregate. Under certain conditions the state of the functioning ag- gregate may change so as to make it more difficult to arouse the requisite psychic minimum ; on the other hand, the con- ditions may be of such a nature as to make the psychic minimum more easily aroused. Both sets of conditions in- dicate an abnormal state of the functioning aggregate. Under the influence of certain toxic stimuli, such, for instance, as alcohol, cannabis and opium, the psychic min- imum becomes easily aroused, associations in certain direc- tions are awakened with great rapidity. This is clearly illustrated in the many forms of autotoxic and bacterial maladies accompanied by high temperature and consequent inducement of maniacal-like states, such, for instance, as are to be found in malaria, typhoid fever, and so on. Still clearer is the same condition revealed in the many states of mental alienation characterized by maniacal attacks, such as are to be found in the various forms of mania, simple mania, recurrent mania, alternating mania, mania furiosa and other states, in which the so-called maniacal outbreaks are mani- fested. In all these conditions the psychic minimum is readily aroused, the aggregate of moments has become more sensitive, and hence more responsive to stimuli coming from the external environment. 269 270 MULTIPLE PERSONALITY In other states the psychic minimum may be aroused with great difficulty. Such states may occur under the in- fluence of depressive drugs, such, for instance, as the bro- mides, the later stages of the action of toxic and autotoxic agencies. The man in the stage of drunkenness is awak- ened with difficulty, the difficulty corresponding with the depth of the stage of intoxication. The patient in the later stages of high fever is in a state of stupor, a condition from which it is the harder to arouse him the more insidious and more intense the fever is. In idiopathic and the later stages of Jacksonian epilepsy, conditions which may be characterized as to their disorganized chaotic motor dis- charges as "motor manias," are often followed by states of stupor in which the arousal of the psychic minimum of the mental aggregate becomes nigh impossible. In the different forms of melancholia, such as simple melancholia, the recurrent and alternating forms, and espe- cially in the states termed stuporous melancholia, this con- dition of fall of the psychic minimum, with consequent difficulty of arousal of the mental aggregate, is clearly manifested. In melancholia the flow of associative psycho- motor activity is greatly impeded, and mental synthesis is effected with difficulty. Moments require a considerable length of time to reach the fulness of their development and their association with other moments is one of a slow, difficult and painful process. The fluctuations in the ease and difficulty of arousal of the psychic minimum of the moment aggregate are but approximately estimated in complex mental states. In the more elementary forms of moments they may be deter- mined with more or less precision by the intensity and duration of stimulation required. AVhen the arousal of the aggregate requires a stimulus of high intensity, then the psychic minimum is aroused with difficulty; on the other hand, when the mental aggregate requires for its arousal a stimulus of low intensity, then the psychic minimum is THRESHOLD OF MENTAL LIFE 271 aroused with ease. The difficulty of arousal of the mental aggregate means a fall and impoverishment of the psychic minimum, while the ease of arousal or of stimulation of the aggregate means a rise of the psychic minimum. Now, it seems clear that when the functions of the mental aggre- gate are effected with difficulty, there is a fall of the psychic minimum and a rise of the intensity of the stimulus, and when there is ease of inducing functioning activity in the aggregate, there is a rise of the psychic minimum and con- sequently a fall in the intensity of the stimulus. The ex- ternal stimulus and the psychic minimum stand in inverse relation to each other. If the activity of the functioning aggregate is regarded in relation to the stimulus, the two are found to be inti- mately related. A definite amount of stimulus is required before the aggregate can begin to function. A fall below that amount will fail to arouse the psychic minimum. Now that intensity of stimulus which is next to the one just suf- ficient to arouse tne aggregate to functioning activity and give rise to the psychic minimum, may be termed the stim- ulus threshold, while the state lower than the minimum may be termed the moment threshold. In order that a moment or aggregate of moments should become in a con- dition to function, it must first overstep the psychic or moment threshold, attain the psychic minimum, while the, external stimulus must overstep the stimulus threshold. The relation in which the thresholds stand to the psychic minimum is not the same in which they are to each other. The psychic threshold and the stimulus threshold are in direct relation. If a higher stimulus is required to awaken the psychic minimum, that indicates that both the psychic and stimulus thresholds have been raised. The same con- dition, however, shows that the psychic minimum has not increased. The thresholds and the minimum are not di- rectly related. A rise of the thresholds is a fall of the psychic minimum, while a fall of the thresholds is a rise of 272 MULTIPLE PERSONALITY psychic minimum. The thresholds and the minimum are in inverse relation. In the simpler forms of sensory experience, the stim- ulus threshold is found by measurements for the different senses. Thus two parallel lines are for most people barely distinguishable when the distance between them subtends an angle of less than 60 seconds. In the sense of hearing, vi- brations recurring between 30-35 per second are barely dis- tinguishable. Below 16 vibrations per second no sensation of sound can be produced. Thresholds have been similarly determined for all other sensations. Thus the sense of touch, when tested by the sethesiometer, which, by the way, is an extremely unsatisfactory instrument, gives the average for the tip of the forefinger about 1.65 mm., on the back of the hand about 16.0 mm. Sensitivity to pain as tested by the algeometer varies from 10° to 15°. Sensitivity to smell varies with different substances; thus for smell of garlic sensitivity varies in detecting 1 part in 57,000 parts of water to 1 part in 44,000 parts of water; for oil of lemon from 1 to 280,000 to 1 in 116,000. Taste can detect the bitterness of quinine in a solution of 1 part quinine to about 400,000 to 450,000 of water; the sweetness of sugar can be detected in a solution of 1 part sugar to 200 of water; the taste of salt can be detected in a solution of 1 part salt to about 2,000 parts of water. In the higher and more complex moments there is no possibility, for the present at least, to determine math- ematically the amount of the stimulus threshold; but all the phenomena reviewed by us, as well as the analogy with the simpler moments leave no doubt that such a threshold and its correlative threshold of the moment consciousness play a very important part in the formation and interrela- tion of functioning complex moment aggregates. The moment threshold rises with the activity of the mo- ment. The longer the duration of the activity of the moment the greater is the relative increase of stimuli, both in num- THRESHOLD OF MENTAL LIFE 273 ber and intensity, requisite to prolong the activity at the same pitch. As our work on a subject progresses, unless new points of view unfold, serving as new stimulations, our interest wanes and our attention lags. In fixating a point we find that more and more effort is requisite to keep it before our eye, and that it finally disappears. Something new comes within the field of vision. In the sphere of sensation we find the same rise of moment threshold. We are all acquainted with the fact that an additional candle or lamp, for instance, in a well- lighted room does not produce the same sensory effect as when brought into a more or less dark room. An elec- tric light in the sun is scarcely perceptible. An additional ounce to a lifted pound does not feel as heavy as when raised by itself. A sound added to another sound or to a noise, sounds less loud as when appearing isolated, or when the same sound is breaking upon silence. The same relation holds true in the case of other senses. This same truth is still more clearly brought out in the fact that if we take a certain stimulus as a unit giving rise to a definite sensation, then as we progressively ascend and add more and more units of the same stimulus, the intensity of the sensation is far from rising proportion- ately. If we take, for instance, the weight of an ounce as our unit of stimulation, then the successive moments of unit-stimulations, that is, of ounces, will not give rise to as distinct and similar sensations as the initial stimula- tion. The second ounce will give a sensation fainter than the first one, and the third fainter than the second, and so on until a point is reached when the sensation of the additional ounce will not at all be appreciated, will dwindle away and almost reach the zero point. In the same way, if the pressure of a gramme is excited in the hand, suc- cessive increments of grammes will not in equal degree increase the sensory effect; the additional increments of grammes, though they are equal units of stimulation, give 19 274 MULTIPLE PERSONALITY rise to fainter and fainter sensations, until finally all sen- sory appreciation of the added unit fades away and dis- appears. If the hand is immersed in water, say at the freezing point, an addition of ten degrees will be per- ceptibly appreciated, while successive increments of ten degrees each will be felt less and less, and finally will not be noticed and become difficult to detect. In short, the moment threshold rises with its stimulation. To bring about a sensory response of an already stimulated sense- organ the intensity of the stimulus must be relatively increased. This is what constitutes Weber's law. The continuous progressive sensory response of a sense-organ requires a constant increase of stimulations which, within certain limits, bears a constant ratio to the total stimulus. This law is sometimes summed up by psychologists in the statement that "the increase of the stimulus necessary to produce an increase of the sensation bears a constant ratio to the total stimulus." Activity raises the moment thresh- old ; it is the beginning of fatigue. The rise of threshold after stimulation holds true in the whole domain of biological activity. If the gastroc- nemius muscle of a frog, for instance, is stimulated by an electric current, the muscle, with each successive stim- ulation, responds less readily with a contraction, and this becomes more evident with the onset of fatigue. Pffefer, in a series of extremely interesting experiments, has shown that spermatozoids of ferns are attracted by malic acid, the progressive response of attraction of the cell requiring a constant increase of the degree of concentration of the acid, the increment of stimulations, as in the case of sen- sation, bearing, within certain limits, a constant ratio to the total stimulus. The threshold rises with each succes- sive stimulation. The rise of moment thresholds increases with intensity and duration of stimulation as we approach the state of fatigue. Through the influence of exhaustion, fatigue, or THRESHOLD OF MENTAL LIFE 275 the influence of toxic, autotoxic, emotional and other stimu- lations, the thresholds of certain moments have been raised so that ordinary or even maximal stimuli can no longer call out any response of the moments. Now, when such a rise of moment thresholds is present, the moments with raised thresholds can no longer enter into association with systems of moments with which they are usually associated, and the result is dissociation, giving rise to the great mul- titude of phenomena of functional psychosis with a sub- conscious background, the extent of which depends on the number of raised moment thresholds, on the extent of the dissociation effected. When a moment or aggregate of moments begins to func- tion it also radiates stimulations to other moments or aggre- gates of moments. All the aggregates which these radiated stimulations reach will not equally begin to function. It will depend largely on the state of the aggregate and its threshold. If the radiated stimuli be minimal, the many aggregates that have a high threshold will not be affected at all. Furthermore, many aggregates whose arousal could otherwise be easily effected by the given stimulus may tem- porarily be in a condition in which their thresholds have become raised and thus fall outside the sphere of activity of the functioning aggregate. On the other hand, aggre- gates that are usually inaccessible to those minimal stimuli may under certain conditions get into activity by similar stimuli through the previous lowering of the thresh- old of the total aggregate. Thus the aggregates set into activity by the functioning aggregate are conditioned by the rise and fall of their thresholds. In case where the threshold of an aggregate is raised, the radiating minimal stimuli coming from a particular functioning aggregate may become efficient and reach the threshold, when another aggregate begins to function si- multaneously. This holds true even in the case when the minimal stimuli coming from two different aggregates are 276 MULTIPLE PERSONALITY just below the threshold stimulus. Thus, under certain conditions, when visual stimuli are barely or not at all dis- cernible, they can become intensified by re-enforcing them with auditory stimuli. This is commonly found in the fact of forgetfulness of a name or of some event and in the mode of its recovery. We try to find the name and seek to come to it in one line of thought, but of no avail ; new lines are attempted, and finally the combined activity of the sys- tems reach the lapsed aggregate whose threshold, through a lapse, the nature of which will be discussed afterward, has become temporarily raised. We find the same truth further exemplified in the case of the infant under my observation. When with the nipple in his mouth the infant ceased nursing, the sucking move- ments could be induced again by stimulating some other sense-organ. The tactile pressure, temperature and taste stimuli coming from the nipple in the infant's mouth be- came insufficient to stimulate to activity the functioning aggregate of sucking movement on account of its raised threshold, and only additional stimulation could bring about a further functioning of the lapsed aggregate. This, of course, could also be effected by making the tactual and pressure stimuli coming from the nipple more intense, such, for instance, as shaking the nipple while the infant kept it in his mouth. This increase of intensity, however, mainly indicates that the stimuli were no longer effective, and an additional stimulus was requisite, a stimulus that might come either from the same aggregate or from a totally dif- ferent aggregate. In the many cases of post-hypnotic amnesia, we find the same truth further illustrated. In the deeper stages of hypnosis, from which the subject awakens with no remem- brance of what had occurred during the state of hypnosis, the lapsed memories can still be brought into the upper consciousness by plying the subject with many questions. During the trance or during the intermediate stages, with THRESHOLD OF MENTAL LIFE 277 subsequent trance and suggested amnesia, the subject is made to perform a certain action, to light and extinguish the gas four times in succession, or to open and close the door four times. The subject is then awakened from his trance ; he remembers nothing of what has taken place. If he is asked point-blank whether he remembers any inci- dents of his hypnotic state, he answers with an emphatic negative. If now the subject is asked whether he knows how much two times two are or his attention is incidentally directed to the gas or to the door, he at once becomes re- flective, the subconscious memories are on the way to surge up, and a few further indirect questions, the number de- pending on the depth of hypnosis, finally bring about the lost memories. The threshold that has risen at the end of the trance is stepped over by the combined effect of the many stimulations coming from different directions and the subconsciously submerged moment or aggregate of moments surges up to the focus or nucleus of the upper consciousness. Once a particular moment is stimulated in its appropri- ate way, it may go on developing, and usually does so by stimulating and setting into activity aggregates of mo- ments associated with it, or may form new combinations of aggregates. The solution of a problem may present great difficulties, but once started on the appropriate line, the whole series of combinations goes on unfolding, stimulat- ing other moments and aggregates and forming more and more complex combinations. Thus, Archimedes, as the story runs, while in the bath made discovery of the law of specific gravity. Newton under the apple-tree made the discovery of universal gravitation. Hughes was startled by the idea of symmetry in his discovery of the laws of crys- tallography. Goethe was led to his conception of metamor- phosis and evolution by a skull on the plains of Italy. Darwin, by reading Malthus's economical treatise on popu- lation, was inspired to work out the great principles of the 278 MULTIPLE PERSONALITY struggle for existence and natural selection. Myers was led by the greater redness of blood in the blood-vessels of tropical patients to his grand conceptions of transforma- tion and equivalence of energy. All these examples illus- trate the fact that once a moment has been started, it goes on developing by stimulating other cognate moments and aggregates to functioning activity. The same condition is also found in psychopathic bor- derland states, such as dreams. In dreams a peripheral stimulus gives rise to sensations that start the functioning of moments, which in their turn give rise to phantastic combinations of different aggregates. This phantastic com- bination of aggregates, giving rise to the functioning of otherwise unusual, or what may be termed abnormal con- stellations, is largely due to the fact of redistribution of thresholds in the dream state. The dream state is charac- terized by a rise of the thresholds of the moments and aggregates that have been functioning during the waking states, the thresholds of these aggregates having been raised through fatigue. In such a state as this moments that have their thresholds relatively or absolutely lowered through rest, in other words, moments or aggregates that are un- usual during the waking state, will become aroused and begin to function, hence the phantasms of the world of dreams. CHAPTER XII THE THRESHOLD IN ABNORMAL MENTAL LIFE In the interrelation of moment aggregates the moment threshold plays an important role, since its oscillations, its height and fall are at the basis of their associations and dissociations. Consciousness, consisting of complex aggre- gates of moments, passes in the course of degeneration through stages in the inverse order in which it has been built up. The complex aggregates of the higher type be- come dissolved, dissociated into less complex aggregates of moments of lower types. Constellations become disaggre- gated into clusters, clusters into communities, communities into systems, systems into groups, and groups may become decomposed into their constituent elements. The process of disaggregation may be slow or rapid, but its course is the same, it is from constellations to groups, from higher to lower types of moments. With the process of dissolution going on in a mental aggregate we find modifications and redistributions of thresholds of all those moments with which the dissolving aggregate is directly or indirectly connected. A variation produced in one moment threshold tends to modify all the rest. An aggregate consists of many subordinate aggre- gates, and with its dissolution many moment thresholds become modified, affecting other thresholds of moments with which the constituents of the given aggregate are interrelated. The slow heightening of the thresholds going hand in hand with the process of disaggregation may result in a 279 280 MULTIPLE PERSONALITY permanent rise of thresholds or may end in a paradoxical fall of thresholds. The components of the dissolving or already dissolved aggregate fall into the subconscious, the moment thresholds become lowered. While the thresholds of the moments, when stimulated through the components of the dissolving aggregate, become insurmountable, the components of the moments become more easily accessi- ble through the lowering thresholds, if the attempt is made through the subconscious. We are thus met with the paradoxical state in which anaesthesias are also hyper- esthesias, and amnesias are at the same time hypermnesias. In fact we may assert that all psychopathic functional disturbances, that is, disturbances in which great rise of moment thresholds with consequent functional dissociation of moment aggregates have taken place, present this seem- ingly contradictory double aspect of loss and presence, of a hyperassthetic anaesthesia and a hypermnesic amnesia. Eedistribution with rise and fall of thresholds gives us a clew to the phenomena of functional psychosis. The dissolution of a moment aggregate sets the com- ponents free, which become through subconscious inter- communication more easily accessible. In other words, the process of disaggregation, while raising the conscious moment thresholds, reveals by it the low subconscious thresholds, in the same way as distraction of the attention reveals the presence of an exaggerated reflex knee-jerk or as the removal of the cerebrum in a frog reveals the low thresholds of the spinal nervous aggregates. The subcon- scious is in fact a reflex consciousness, and its activity becomes fully revealed with the removal or dissolution of the upper strata of consciousness. As long as a group, system, community, cluster, forms a part of an aggregate it is more difficult to have it aroused to function than when it is dissociated, isolated from its other constituents. This relation may be formulated in the statement that the rise of threshold is directly proportional to the complexity of ABNORMAL MENTAL LIFE 281 the aggregate and inversely proportional to the simplicity of its constitution. The simpler an aggregate is the lower are the moment thresholds. This truth is clearly manifested in the case of children. The child is easily aroused to action, slight stimuli divert its attention in different directions, and any idea and image crossing its mind has its motor manifesta- tions. In savages, too, we meet with a similar condition of mind. Mental life is simple, and any passing mood and emotion have immediate motor manifestations. In the mentally defective, such as the imbecile, the cretin, the idiot, the systems that are more or less intact are easily aroused by slight stimuli; in other words, the aggregates have low thresholds. In psychopathic cases and in the insane we meet once more with similar conditions of men- tal aggregates, the moment thresholds fall and become lower with the process of degeneration. The same thing is manifested in the state of belief induced in persons whose mental life is narrow and lim- ited. Belief is the beginning of action. Now in children, savages, and mentally defective, belief is easily induced. This is clearly manifested in the case of suggestibility, which in fact is closely connected with the state of belief. It is notorious how children are extremely suggestible, so are savages, so are mentally defective persons of narrow thought and low education, and also the mentally unbal- anced and insane. Anything, no matter how absurd, that falls in with their expectations is greedily accepted and immediately acted upon. Insane delusions in the different forms of melancholia and paranoia seem to present an exception to our statement, but as a matter of fact they, too, fall in line, considering the fact that any sugges- tion is readily accepted by the insane, if it only goes to strengthen the central delusion. Whatever can be assimi- lated by the functioning mental aggregate gains easy access, clearly demonstrating the fact that even where the 282 MULTIPLE PERSONALITY mental disease is of such a nature as to have moment thresholds raised, conditions found in the various forms of melancholias, still the chief organized functioning systems are set into activity by the slightest stimula- tions showing a low threshold of the dissociated active moments. All other conditions remaining the same, it may be asserted that the simpler in structure a moment becomes the lower falls its threshold. An aggregate in the state of disaggregation will have the thresholds of its constituent moments progressively lowered, the fall being directly proportional to the depth of the disaggregative process. The continuous functioning of an aggregate brings about a process of disaggregation, the moment threshold of the given aggregate slowly rising until the reverse proc- ess of aggregation sets in, more or less restoring the pre- vious state of the moment threshold. This is partly to be seen in the phenomena of fluctuation of the attention. If the attention is fixed on an object, say on a blot of ink, at first the interest flags, then there is a persistent tendency to look away from the blot, transfer the gaze to something else, and finally the whole blot vanishes from the field of attention and vision. New, persistent, though fluctuating efforts of attention are requisite to keep the object, the image, the idea before the focus of mental vision. The functioning of the particular mental aggregate is slowly bringing about a process of disaggregation, thereby rais- ing the moment threshold, making further functioning more difficult, and finally having it arrested through the maximum rise of the moment threshold. This rise of thresh- old through function makes it possible for other aggregates to be aroused in the order of the heights of their thresholds ; the lower the threshold the earlier is the aggregate stimu- lated, the higher the threshold the later is the aggregate set into activity. Fluctuations of moment thresholds and formation of combinations of moment aggregates are of special impor- ABNORMAL MENTAL LIFE 283 tance in pathological states. Maniacal states of different forma of mental alienation present a similar distribution of thresholds. Maniacal states, wherever they occur, pre- sent a disintegration of the total interrelation of aggregates of moments as synthetized in the principal constellation, with a consequent lowering of the disintegrated constituent aggregates. Once such disorganization is induced, any stimulus may call forth an aggregate, which, through its radiating stimulations, may awaken all kinds of combina- tions and constellations in the aggregates the thresholds of which have been lowered. These aggregates, liberated from the control of the principal constellation, when stimu- lated, naturally give rise to chaotic, meaningless kaleido- scopic play of moments. The maniac is full of activity, his muscles are in constant play, and when the attack is at its height, he is continually gesticulating, running, dancing, shouting, singing and screaming. Reactions are intensi- fied, reflexes are lively, verbal associations are greatly facilitated. Disintegration of moment aggregates, redistribution and fall of thresholds are the cardinal traits that charac- terize maniacal states, wherever they are found, whether in the general somatic diseases, or in the conditions of men- tal alienation. Now in all states of such a nature, once a moment is started to activity, it goes on developing by ever forming new phantastic combinations. This process is very much similar in character to the activity of the moments in dream states. The difference between the two being that while the combinations in the dream states are largely due to a rise of moment thresholds, in the maniacal states the different combinations and connection of moments are mainly due to a fall of the moment thresholds. Maniacal states, on account of the general fall of mo- ment thresholds, are very much similar to the waking states. In both the waking and maniacal states the same condition of reduction of the moment thresholds is to be 284 MULTIPLE PERSONALITY found. Maniacal states are waking states with the only- difference that they are abnormal, psychopathic waking states. The maniac is too much awake, responding with all his being to every slight and passing stimulus. He is in a state of intoxication, his mind and body are shaky and unstable, as if he were under the influence of strong liquors. The maniac seems to be possessed by powerful, active and malicious demons of the world of spirits. The nature of maniacal states gives us also a clew as to how to counteract them, and if possible, when the process of degeneration has not advanced far, to bring about a syn- thesis of the moment aggregates and thus re-establish the controlling synthetic life activity of the disintegrated prin- cipal constellation, constituting the personal character of the particular individual as the result of his whole life his- tory and development. To free the maniac from the bane- ful action of the world of demons, the influence of those harmful spirits must be removed. The patient's psychic life must be better defended and protected against the demoniacal possession by surrounding him with higher bat- tlements and stronger fortifications. In other words, mania can be reduced by raising the moment threshold. This rise of the threshold may come on by itself and the maniacal states may even pass into states of melancholy. States of melancholy, whether found in general somatic diseases or in conditions known as insanity, are character- ized by a redistribution and rise of the thresholds of the moment aggregates. The more or less general rise of the thresholds makes it difficult for the usual combinations of moment aggregates to become formed. Combinations of incongruent moment aggregates, the thresholds of which are relatively lower, are alone in a condition to function. The field of consciousness becomes narrowed, the subcon- scious thresholds rise higher and higher. The course of mental activity, on account of the rise of the thresholds of the moment aggregates, is limited and confined to a narrow ABNORMAL MENTAL LIFE 285 field, in which only those moment aggregates can partici- pate, the thresholds of which are relatively lower than the rest. The ensuing result is the formation of a delusion, which becomes the more pronounced and the more fixed the longer the general conditions of the rise of moment thresh- olds continue. The mind of the melancholic, especially in the chronic forms, becomes inactive, and turns in one narrow groove delved out by the delusion. The gradual growth of difficulty in effecting combinations of moment aggregates, due to the gradual rise of the moment thresh- olds, are accompanied by unpleasant moods and painful emotions so highly characteristic of melancholic states. In this respect of mood and emotion melancholic states differ radically and in fact are the very opposite of the maniacal states in which the moment thresholds are lowered and the formation of moment aggregates and their combina- tions are effected with greater ease, giving rise to agreeable moods and pleasant emotions. Melancholic states may be said to be characterized by the cardinal traits of redistribution and rise of moment thresholds, by a narrowed activity concomitant with a pain- ful emotional condition. The moment aggregate aroused by a stimulus will in the melancholic mind grow and develop and arouse to activity moment aggregates, the thresholds of which are low enough to be reached by the radiating stimulations coming from the primarily awakened moment aggregate. On account of the more or less general rise of moment thresholds, the process of synthesis has but a narrow selection. In the course of time, as the process of synthesis is more often repeated, definite and stable combinations of moment aggregates be- come formed. The longer the general states of the rise of moment thresholds last the more stable do these combina- tions of moment aggregates become, and finally they be- come so firmly organized as to form stable compounds; the melancholic states become chronic. 286 MULTIPLE PERSONALITY The rise of moment thresholds in melancholic states can be easily demonstrated by observation, and especially by experimentation. The mind of the melancholic patient is concentrated on his miserable condition and fixed on his principal delusion. Moments relating to his general state are alone active, while others are awakened with great difficulty. Reaction time is retarded in melancholia, and so is association time. The most simple questions must often be repeated a number of times before they are fully realized. The answers come only after a considerable time, and sometimes they are not forthcoming at all. Especially is this the case when questions relate to subjects lying outside the narrow field of the patient's delusions. This rise of the moment thresholds and consequent narrowing of the field of consciousness is clearly seen in stuporous melancholia, but it is still more clearly demon- strated by experiments, even in the mild cases and early stages of melancholia. The method of association is valu- able for testing the degree of narrowness of the field of con- sciousness, the height of the rise of the moment threshold, the strength and extent of the organization of the moment consciousness constituting the principal delusion. If the patient, for instance, is told that when a word is given to him, he should immediately tell a series of words that come into his mind and pronounce them in quick suc- cession as rapidly as possible, it is found, when an interval of five or ten seconds is allowed for the experiment, that the patient cannot tell more than a word or two, and more often nothing at all, the mind being a perfect blank. The same holds true, if the patient is told that when a word will be pronounced he should tell any phrase that happens accidentally to come into his mind. The result is the same ; the mind is a blank. The words and phrases given by the patient, when such are given at all, are found to relate to his principal delusion. The moment aggregates are or- ganized round the principal moment, which forms the ABNORMAL MENTAL LIFE 287 kernel of the delusion, the whole combination forming a stable compound. The great stability of the combination of moment aggre- gates is a very characteristic and also very important trait of melancholic states. In respect to stability, melancholic states contrast strongly with maniacal states, the psychic combinations of which are extremely unstable and fluct- uating. Melancholic states have a great similarity to sleeping states. The conditions in both are very much alike. The more or less general rise of the moment thresholds in mel- ancholic states, with only a relative fall of thresholds in a more or less narrowed field of moment aggregates, brings the melancholic states very near to the dream consciousness of sleeping states ; in fact, we may say that melancholia is a sleeping state, only it is an abnormal, or psychopathic sleeping state. The melancholic dreams with his eyes open. The dream of melancholia is unchangeable, fixed, oppres- sive; it is of the nature of a nightmare. The melancholic has on him the relentless grip of a horrible incubus. From the depressing sleeping states the melancholic may awake, he may then have lucid intervals, and with the further removal of "inhibition," with the fall of thresholds, may even pass into states of excitement, into states of maniacal exaltation. This view of melancholic states from the stand-point of moment threshold is not purely theoretical ; it is not en- tirely devoid of practical application. For it suggests a way of how to alleviate the condition of these unfortunates. As our investigations have shown that melancholic states consist in a rise of the moment thresholds, with a conse- quent formation of extremely limited combinations of mo- ment aggregates, the only way to counteract this state of things is to endeavor by different means, whether by stimu- lants or by other agencies, to demolish the great heights of those thresholds. To counteract effectively melancholic 288 MULTIPLE PERSONALITY states and to bring about a dissolution of the stably organ- ized delusional moment compounds, one must direct the battering-ram against the thresholds. In the treatment of melancholia, the psychiatrist must keep before his mind one, and only one, paramount principle: reduce the thresholds. The following hospital notes of observations and ex- periments on a case carried out by Dr. A. Heger, under my direction, may be of interest to the reader: "Admitted to Manhattan State Hospital, March 21, 1896 ; age, 19. Single. Seamstress. Hungary. Reads and writes. Diag., melancholia acuta. "Patient noisy and screaming; does not seem to know what goes on about her. She is morose and sullen. "Excitable on admission; troublesome; says, 'There is something the matter with me, my head aches ; I think I am different from other people.' Has ill-defined delusions of persecution; is depressed and melancholy. Is excitable at times and noisy, if interfered with. "Patient became despondent about a month ago. She complained of being sick and having no appetite ; was very irritable and took a dislike to members of the family. "March 30th. — Patient becoming quiet, speaks little; appears confused. One month later speaks only with mem- bers of family, and in June speaks to no one. "From this time on patient remained in this condi- tion, with but little change from time to time. She was tube-fed the greater part of the time, occasionally spoon- fed, and occasionally up and was helped about the ward; at no time would she make any voluntary movements; she never soiled herself. She was on thyroid treatment for several months and improved during this time. From this time on patient remained in a stuporous and cataleptic condition for two years. "January 29, 1898. — Patient lies in stuporous condi- tion. She is cataleptic, tube-fed; eyes are closed, with ABNORMAL MENTAL LIFE 289 some tremor of the lids. Various stimuli tried, such as tickling, disagreeable odors, electricity, and pain, but re- sponses were absent or occasionally barely perceptible. Has never been seen to sleep, but lies in the same stuporous manner night and day. She assumes strange positions at times. ' ' She was given six ounces of spiritus f rumenti in three doses by tube. Half an hour after first dose, patient began to cry and moan ; later on, to sing and talk ; spoke about her previous life, said her mother was poor and she had had to work very hard, but that Miss O'Donnell, the forewoman in the shop, had been very kind to her ; said that two doctors had been in and had given her some brandy. She spoke about her sister not having been to see her for some time; called the nurse by her name, asking her to excuse her for giving so much trouble; that she knew she had her eyes closed, but she could not open them. She asked for a looking-glass, and said she would not know herself. Sang constantly in a drunken manner 'Nearer, my God, to Thee,' and on being asked, sang also 'Kosie 'Grady' (this song came out while she was in the hospital). Her manner was that of a sane and drunken person. She then became quiet, and when roused would make an effort to sing. ''January 30th. — In her usual condition, but seems more docile ; will move hands on being urged ; drinks milk ; later eats rice, bread and milk from spoon; will partially open eyes if urged. "No special treatment; patient quiet all day. "Night nurse stated that patient apparently slept sev- eral hours. Patient up and in usual quiet condition when seen at 10 a.m. No drug given ; was made to stand and left in order to see if she would seat herself. She swayed consid- erably, but remained in the same place ; was gently directed to a chair, but in trying to sit, missed the chair and fell, her eyes being shut, and received a slight abrasion of the 20 290 MULTIPLE PERSONALITY chin. She seemed quite disturbed by this ; her pulse rose to 100, and she appeared agitated. She was taken to a room and stimuli, such as snuff, blown in her nostrils, and snow on her neck tried, but without success. Ridicule was tried. She was told that she would be a success in a dime museum as an ossified woman, at which she smiled, and her arms were put in the position of a banjo player and a jig whistled which also amused her. "Her abdomen was kneaded over the stomach; this was done suddenly and roused her. She showed signs of dis- tress and attempted to leave the chair, opening her eyes and apparently starting to speak, but quickly regained her quiet, and after this the same process brought no response. So far the results undoubtedly show that if a stimulus, new and unexpected, is tried, a response is almost certain; but if the same thing is repeated, she seems prepared and will take no notice of it. "In the afternoon she was taken to the patients' dance, in the hope that the change and the music might rouse her. She was in the care of a nurse, who was instructed to note her actions carefully and try and interest her in the pro- ceedings. She opened her eyes on reaching the hall, and after apparently taking a look around, closed them and kept them closed ; except for this, and for the fact that she opened them slightly at various times on the walk to the hall, she remained in her usual condition. Her physical condition has improved since the experiments, her tongue becoming clean and her breath less foul. In regard to sleeping, the nurse thinks that she was asleep, but is not sure, as she did not snore, but her breathing seemed heavier than normal. ' ' One nurse who had charge of her for some time states that she never slept, but lay 'in a kind of stupor' all the time. "January 31st. — Patient received four ounces of spir- itus frumenti. The effect was not very marked. She ABNORMAL MENTAL LIFE 291 talked and later read aloud five pages from a book given her, asking about the words she could not make out. She was not as excitable as usual. "February 1st. — Received four ounces spiritus fru- menti at 10.30 a.m. At 3 p.m. she was dressed (visitors being in the wards till this time), and she walked with some difficulty; would not respond to or notice any ques- tions. "February 2d. — Was dressed with the other patients in the morning. No spiritus frumenti. Sat about the ward during day; could net be made to talk, but ate her meals and allowed herself to be led about ; walks well. "February 3d. — Up and sitting in ward; takes no notice of efforts made to rouse her; patient received six ounces of spiritus frumenti in three doses. A little later opened eyes on being urged and kept them open for about half a minute at a time. She laughed, cried and sang; would speak a little when questioned; was intoxicated and incoherent. "She had talked with the nurses and eaten her din- ner with a good appetite. Later on she was taken into a separate room off the ward and an effort made to hold her attention as much as possible. She said she felt tired and that her stomach ached and she wanted to go to bed. She was apparently but slightly, if at all, under the effect of the whiskey. She had a tendency to fall back into her stuporous condition, and this was combated. She kept her eyes resolutely closed. She would remain quiet for about a minute and then suddenly make some remark, in nearly every case repeating some phrases overheard by her previously. She would stop in the middle of a sentence suddenly, as if she had lost her train of thought, and cry out in anger and clasp her head and say, ' Oh, don't make me talk,' or, ' I can't say anything,' and begin to scream. When quiet, it is difficult to rouse her or get her to speak, but while speaking, if a question is abruptly 292 MULTIPLE PERSONALITY put to her, she would answer, and sometimes would carry- on a short conversation. Her answers were, as a rule, very- sensible, and she would sometimes joke. Her memory is very good, and at times extraordinary. She spoke about her commitment, and said, with a laugh, that a doctor had asked her if she heard voices or saw visions. It was only by the most constant effort that her attention could be held or her interest excited, but during the period of two hours that she was questioned she improved in her attention. She laughed frequently and had fewer outbreaks of screaming and had an appearance of animation. She gradually re- covered from the effect of the whiskey without lapsing into stupor, and continued to talk while quite sober. Later on she returned to the ward and ate supper, and asked to be taken into the room, the first time she had made such a request. In the evening she was in her usual stuporous condition. ' ' The principal point in this method of work is the lower- ing of moment thresholds, no matter by what means such lowering is effected. The best way is to use various stimuli at different intervals, so that the patient should not become habituated to them, which may on this account lose their effect. The patient in the intervals should be stimulated to greater activity and exertion. When complex moment thresholds become lowered, mo- ments submerged into the subconscious step over the threshold and enter consciousness. Such a fall of the moment threshold is often found under the influence of intoxicating drugs. Slight stimuli of minimal intensity set into active function numerous moment aggregates endlessly varying in their combinations, intensity and vividness. Thus under the influence of opium or of hashish long- forgotten incidents arise with such intensity and vividness that one cannot help recognizing them. The rise and fall of moment thresholds stand out clearly and definitely in cases of sensory derangement where hypo- ABNORMAL MENTAL LIFE 293 resthesia or hyperesthesia is present. In the case of hype- resthesia, the threshold is raised, while in hyperesthesia the threshold is lowered. In hyporesthesia, to pass the thresh- old and reach the psychic minimum the stimulus must either be intensified or a series of stimulations must become summated before a moment aggregate, with its psychic minimum, is aroused to activity. Thus in a case under my observation and experimentation, a case suffering from tactual anesthesia, with hyperesthesia of pain, pressure, temperature and kinresthetic sensations, a stimulus to reach consciousness and be felt bad either to be very intense or a series of stimuli had to be given in quick succession. When a series of intense stimuli were given in quick suc- cession and thus became summated, overstepping the raised threshold, the many stimulations were felt as one. If, for instance, a strong prick was given, the patient felt nothing at all, but if the pricks came one after another in quick succession, then the .patient declared that pain was felt as if a prick was given. If asked how many pricks, the patient either answered, "I do not know," or declared them to be "one." The same holds true in the case of the other sensory stimulations or series of quite intense pressure, pain or tem- perature stimuli, they are felt as one, their multiplicity not being discriminated, their total amount being just sufficient to give rise to one impression. This impression is often so vague that it is often hard, if not impossible, for the patient to localize the stimulated place or point out the direction where a series of pain, pressure or temperature spots have been excited in quick succession, forming a line having a certain direction. The patient, while experiencing the stimulation, is often even unable to tell to which hand the stimulus was applied, whether to the right or to the left hand. The same holds true in the case of the kinresthetic sensations. When I get hold of the patient's hand and move it slowly, the hand can be changed in position 294 MULTIPLE PERSONALITY almost through an angle of 90°, and the patient, when blindfolded, is not in the least aware of the change. The patient thinks that the hand is in the same place and in the same position. When a series of quick, sharp movements are impressed on the hand, the patient feels the movement, but does not know in which hand to localize the movement, nor is she cognizant of its direction. It is only an intense wrench of the hand, arm or forearm that can raise in the patient a full consciousness of the movement impressed both as to locality and direction. If the intensity of the stimulation is decreased, but the extensity increased, the same result follows; thus when the stimulated area is in- creased, the patient is able to feel a stimulus of less in- tensity. This holds true of all sensations with the exception of touch. In other words, the raised moment thresholds can be overstepped either by a higher intensity or a greater extensity of stimulations. The following case of aphasia brought to me by Dr. Winter, Instructor in Neurology at the New York Medical College, is of interest from this stand-point. Annie Bell, age 30, Irish. Came to my laboratory May 20, 1900. Four years ago, when patient was 26, she had a sudden apoplectic attack while on the street. She was taken home in a state of unconsciousness. Since that time her right side is affected. There is a marked tremor and paresis in the right hand and leg. There is a history of alcoholism; syphilis is denied by patient. Patient has always been well up to the time of the attack; family history is negative. Reflexes are exaggerated ; pupillary reaction and binoc- ular accommodation are normal. Patient complains of severe headaches. There is a hyposesthesia of all the forms of sensations on the affected side and also that of kines- thesia. With her eyes closed, patient is not able to repro- duce well with her left hand the different positions pro- duced by slow and very light rotations of the right hand. ABNORMAL MENTAL LIFE 295 Dynamometric pressure for left hand is 70 ; for right hand, 55. The movements of the tongue are normal. Patient 's mental life is greatly affected ; questions must be repeated before she answers them. There is consider- able difficulty in forming the answer, which is often incor- rect. Although patient was to school, and before her attack she could write quite well, after the attack, all her school knowledge, and along with it her ability of writing, was completely gone. She could read neither written nor printed letters. In the examination of the patient, she gave her name correctly, but when asked how old she was, she first said 40, and then corrected to 30. When asked what year it was, she could not answer. Is it 1900? Patient answered, "I don't know." When a paper with the date of 1900 was shown to her, she did not know what it was. When her address was asked, she said, "284 Bleecker Street" (right number 285 ) . When asked, " Is it 275 ? " she said, ' ' Yes. ' ' Q. Do you know the name of the city ? A. New York. Q. What country do you live in? No answer. Q. What is the name of this country? No answer. Q. Is it England ? A. No. Q. Is it Ireland? A. No. Q. What is the name of this country ? No answer. gQ. Is it the United States? A. Yes. Q. Is it the Northern or Southern part in which you live ? A. Northern. Q. What is the name of your husband? A. Tom Bell (correct). Q. How many children have you? A. Eight — no, two (two is correct) ; one living and one dead. Q. What is your husband's occupation? A. Driver. Q. How much does he make a week? A. Twelve dollars. Q. What was your occupation before marriage? A. Laundry. 296 MULTIPLE PERSONALITY Q. How old is your child ? A. Eight years. The more familiar associations, having a low threshold, could thus be easily awakened. Patient is unable to talk in connected sentences and speaks in monosyllables. The following is an example of her speech : "My sister, goin' away, three months, in the country, nice time, Sprengt, Sherring Strings. Got a fellow up there. Write to him. Nice. How once upon time. Mother- in-law broke it up. All for drink. And five children. One is dead and other living. "An awful headache once in a while, top of me. Tchak- ing much." (Patient has great difficulty to pronounce the word "shaking." Lips twitched. She tried again and again, and failed.) "If I ever get better. Leg too ever get better?" Patient, however, repeats single words well; mispronounces only when she has to repeat a whole phrase. Her mother told us that the patient could not name objects correctly, but that she does it quite well now. Dif- ferent objects were shown to the patient, and she named them correctly, though there was some difficulty noticed in the process of recollection of the names. She could recognize pictures, but named them with dif- ficulty. The more familiar pictures took a shorter time. She could identify, however, the represented object when the name was given to her. During the experiments of naming objects which re- quired her utmost attention, the tremor in her hands com- pletely ceased. The patient was asked whether she could picture to her- self a dog or a cat. She answered, ' ' Yes. ' ' When asked if she could picture to herself her husband, she likewise an- swered affirmatively. It is, however, doubtful whether the patient really understood the questions. Colors were shown to the patient. She recognized them and sorted them well, with the exception of yellow. She ABNORMAL MENTAL LIFE 297 does not know the name of color yellow, but remembers the names of colors. She does not recognize the shades of yel- low as yellow even when told. With her eyes closed, a lemon was put into her hand, and when asked what it was, she said, ' ' A ball. ' ' Q. Is it hard or soft? A. Soft. Told to smell and then asked what the object was, pa- tient said it was a lemon. With her eyes closed, she could by sense of touch and pressure and kinassthesis give the correct name of familiar objects, such as scissors. Q. Can you spell cat? A. C A T. Patient was not quite sure of the spelling. Q. Can you spell pretty? A. I can't. Q. Is it K, L, M? A. I don't know. Patient knows about half of the letters of the alphabet if the letters are named to her; others she cannot identify even when named; they seemed to have been entirely gone from her memory. She can distinguish figures from letters, although she cannot name them and does not know them. Patient can count up to twenty, and if aided, up to thirty-five. She also knows that after forty comes fifty, and so on up to one hundred. Beyond one hundred she cannot go. One hundred and one is an unknown, if not an un- knowable quantity to her. She traces letters quite well, al- though she reproduces them imperfectly a minute after. Q. How much is two and three ? A. Five. Q. Three and one? A. Four. Q. Six and one? A. Seven. Q. One and six? A. Sixteen. Q. Two and six ? Patient did not know. When, however, vertical strokes are made in groups of five and three, she counts the marks, adds them up cor- rectly, and then she knows how much five and three are in the abstract. This, however, is very slow. Sometimes, after counting the strokes, she still fails to give the correct answer, when the numbers are given in the abstract. The 298 MULTIPLE PERSONALITY threshold is thus higher for the abstract than for the con- crete and the sensory; the threshold can be passed by the help of sensory experience, such as visual, tactual, and so on. She was then asked the following questions : Q. What is more, six or five? A. Six. Q. Eighteen or seventy-five ? A. Don't know. Q. Eighteen or twenty? A. Twenty. Q. Twenty or seventy-five? A. Don't know. When, however, more complex figures were asked in the concrete form of dollars, she gave correet answers. Q. What is more, 43 dollars or 39 dollars? A. Forty- three dollars. Q. Fifteen dollars or 76 dollars? A. Seventy-six dollars. Q. Eighteen dollars or 75 dollars? A. Seventy-five dollars. With her eyes closed a watch was held close to her ear and she was asked to tell what it was. She said, "Tick, tick, tick." Q. What is it ? She could not tell the name. Q. Is it a wagon ? No reply. Q. Is it a watch? A. Yes, yes. She was told to open her eyes, and she was asked to tell the time. Patient gave the correct time with each change of the movement of the hands of the watch. As patient knew some of the letters, syllables were made of them and she was asked to pronounce them. She could not do it. Thus she knew letter B and letter A, but when asked to read the composite syllable BA, she could not do it. The same was in the case of LO and OF. When shown syllable OF and asked if it would read as "of," she did not know. The following series of figures were given to her in or- der to test her memory : 23, 47, 89, 76, 52. ABNORMAL MENTAL LIFE 299 The series was shown to her and she was told the value of each number. She was then asked what the first one was. She could not tell. After telling her five times, she was asked what the first number was; she still could not tell. Patient is conscious of her defective memory and says, ' ' Right away forget them. ' ' She was then told again and once more asked, "What is the first one?" She then gave the correct answer, twenty-three. Q. What is the second? A. Don't know. Q. What is the third? A. Don't know. Q. What is the second ? A. Don't know. Q. Is it fifty? A. No. Q. Is it sixty? A. No. Q. Is it forty? A. Yes — no. Q. Is it forty-nine? Is it forty-three? A. Yes. Q. What is the first ? A. Twenty-seven. The interesting point is that she learned readily the in- dividual figures, but she could not learn their combination, just as in reading she learned some of the letters of the al- phabet, but she could not learn the syllables, that is, the combination of the sounds even when the individual values of the sounds were known to her. To test patient's memory, and especially her power of representation, the following questions were put to her : Q. How many sides has a square? Patient could not answer. Q. How many sides has a box? A. Four. Q. Has a box a top and a bottom ? A. Yes. Q. How many sides has a box? A. Four. Q. How many sides has a house? A. The front. Q. How many more sides has a house? Patient seems puzzled. Q. How many legs has a chair? A. Four. Q. How many legs has a table ? A. Four. These questions were put to the patient with her eyes shut. 300 MULTIPLE PERSONALITY Q. How many toes have you ? A. Five. Q. How many on both feet? A. Ten. Q. How many toes and fingers have you? A. Twenty. Q. How much is ten and ten? A. Twenty. (The an- swer is given very slowly.) She could not have given this correct reply if the question had been put in its pure abstract form. Q. How much is five and five and five and five? A. Twenty (very slowly). Q. How many legs has a horse ? A. Four. Horses are quite familiar to the patient since her at- tack, as patient lives in a large city and in a place where the traffic is very great, and besides, her husband is a driver. When, however, the less familiar question was put to her: How many legs has a bird? patient was puzzled, then said, "Three." Q. Has a bird got three legs? A. I don't know. Instead of the general form the question was put in a more particular form: Q. How many legs has a chicken ? A. Four. Q. Has a chicken four legs? (Patient embarrassed.) A. I don't know; I don't understand you. Q. How many legs has a cat? (familiar). A. Four. Q. How many legs has a chicken? A. Don't know. Q. Has a chicken teeth? A. No. Q. What do you use in drinking tea? A. Cup. Q. What more? A. Saucer. Q. What more ? Nothing. Q. Don 't you make it sweet ? A. Yes ; sugar. Q. Do you stir it? A. Yes; spoon. Q. Is pepper sweet? A. No. Q. Is it salty? A. No. Q. What is the taste of pepper? A. I don't know. Q. Would it taste hot? A. Yes. Q. Would it taste bitter? A. Yes. Q. What is the taste of vinegar? A. Sour. ABNORMAL MENTAL LIFE 301 Q. What is the color of silver? A. Don't know; don't understand. Q. Is silver blue ? A. No. Q. Is it red? A. No. Q. What is its color ? A. Don 't know. A more familiar color of a very familiar object was then asked : Q. What is the color of grass ? A. Green. Q. What is the color of gold? Patient kept on repeat- ing the word "gold" many times, as if one trying hard to recall but did not succeed. Q. Is gold blue ? A. No. Q. Is it green? A. No. Q. Is it yellow ? A. Yes ; oh, yes ! In many nervous diseases where the advanced stages are characterized by complete loss of the muscular sense and of kinsesthesis, the early stages present phenomena of rise of threshold. This can be verified in the initiatory stages of tabes. Thus in an interesting case that came under my observation, the patient for about the course of two years revealed no other symptoms, except severe attacks of periodic nausea and vomiting, and on an exam- ination revealed no sensori-motor derangements indicative of any lesion as of the active progress of a pathological process. A closer examination, however, by the method of minimal impressions revealed a great rise of the thresh- old for kinassthesis in the toes. The case was afterward regarded to be one of tabes. I may add, by the way, that the method of minimal impressions in relation to the rise of thresholds can be used in many forms of nervous dis- eases from a purely practical diagnostic stand-point, the method being all the more valuable in the initiatory stages of the malady. In hypnosis and trance states the moment thresholds are often found reduced. The fall of the thresholds in these subconscious states gives rise to an extreme condi- 302 MULTIPLE PERSONALITY tion of hyperesthesia. This hyperesthesia is by no means of an organic character, but purely of a functional psy- chopathic nature. In other words, the hypnotic hyperes- thesia is not at all due to a modification within the periph- eral sense-organs, but simply and solely to a lowering of the moment thresholds of the more complex and higher constellations of moment aggregates. Stimuli of minimal intensity, which in the waking state cannot overstep the higher thresholds of the higher constellations of moment aggregates, constituting the personal self-consciousness of the individual, are enabled to do so when the trance state is induced and the moment thresholds are lowered. The impressions are subconsciously present, but can only enter consciousness or self-consciousness through the medium of trance states. To this effect I have carried out a series of experiments, varying them in all possible ways, but with the same result, — apparently unperceived stimuli during the waking state are still present subconsciously and be- come manifested with the induction of subconscious states. The hypnotic subject, when in a very deep trance, is often highly hyperesthetic, his discrimination becoming very acute. The subject's eye can perceive a difference, when no other eye can see any; his ear can detect the slightest difference in apparently similar sounds; the hand can recognize and identify objects in all their details by the slightest and most superficial touch. This fact of hyper- esthesia in trance can be verified by anyone who has car- ried on extensive experiments in hypnosis and has had subjects who could be submerged into the deeper subcon- scious regions. In other words, moment thresholds are lowered in hypnosis, minimal and subminimal stimulations give rise to psychic processes which become assimilated in the moment aggregate. Furthermore, experiences received subconsciously come to the surface with the induction of hypnosis and of trance states. The thresholds having become lowered, subcon- ABNORMAL MENTAL LIFE 303 scious experiences are enabled to overstep them and be- come assimilated in the functioning moment aggregate. This holds true not only of subconsciously received experi- ences, but also of such experiences that have been so deeply submerged into the subconscious as to be beyond the reach of self-consciousness. In the deepest stages of hypnosis, as well as in similar trance states induced by other means, memories are often revived that have fallen altogether out of the grasp of the individual. In short, subconscious moment aggregates manifested in hypnosis and trance states have lower thresholds. CHAPTER XIII MEMORY LAPSES AND THE SUBCONSCIOUS Disaggregation of moments becomes clearly manifested in the phenomena of amnesia. When a moment becomes dissociated from the principal functioning constellation, the life of the moment is degraded, falling into the subcon- scious region of mental life. If the content of the moment has not become completely disintegrated, but has only fallen to lower and lower types, it may by different methods be evoked from these obscure regions of mental activity. Among these different methods those of hypnotization and of hypnoidization are of the utmost importance. The different methods of hypnotization have been so often dis- cussed that there is no need to describe them here. The method of hypnoidization, however, is not so well known, and a short description given in a former work of mine will answer the purpose. 1 The difference between the method of hypnoidization and that of hypnotization is the manifestation of the sub- merged moment. In hypnotization, the submerging mo- ment stands revealed as a whole ; in hypnoidization, the moment appears in parts and synthesis is effected in the functioning moment consciousness. Hypnotization has the great drawback that the patient is not always willing to be put into hypnosis, nor is it easy with all cases to reach that deep level of subconsciousness to which the dissociated moment has fallen. Hypnoidization, on the other hand, though having the drawback of breaking up the moment's content and laying bare fragments of it, has the great 1 See Sidis, Psychology of Suggestion. 304 MEMORY LAPSES 305 advantage of dispensing with the state of hypnosis; the method can be used while the patient is in his waking state. Hypnoidization, in fact, often proves to be superior and far more effective than hypnosis. The synthesis effected through the intermediary states which are closely allied to the hypnoidal, proves to be more stable than that brought about through hypnotization. In the case of D. F., the dissociated states synthetized in hypnosis became once more disaggregated in the waking state and fell again into the subconscious regions and could only attain per- manent stability when the synthesis was effected through those intermediary states, of which the hypnoidal states constitute one variety. The H. case, one of double con- sciousness; the M. case, which would be characterized as "psychic epilepsy"; the P. case, one of alcoholic amnesia, and many other minor cases, have been worked far more successfully through intermediary states, and especially through hypnoidal states. 1 As an illustration of the dissolution of moments and the discovery of their presence in the lower levels of con- sciousness, or in the subconsciousness, the following case may be cited: In the "Arch, de Neurol." for 1894, J. Seglas and Bonnus report an interesting case of amnesia which may be considered as typical and of which we give here a brief account : The patient is 19 years old. In her sixteenth year she had nervous attacks. On the 5th of June, 1894, she was brought to Salpetriere for great disturbances of memory. Examination revealed the following symptoms: Total an- aesthesia of the skin and of the mucous membranes, limita- tion of the field of vision, disturbances of the color-sense. As to the disturbances of memory, the patient lost all reminiscences for all that she had lived through since the 26th of May, 1894. Patient remembers, however, that she 1 See Sidis, Psychopathological Besearches. 21 306 MULTIPLE PERSONALITY has had a violent emotion on this day ; a gendarme came to her and served her official summons. From this point of time she remembers nothing at all. She lost all capacity for synthetizing new experiences in her narrowed moment of self -consciousness. Now, when the patient's eyes and ears were closed, she rapidly fell into a sleep-like state; it was not the normal sleep ; it was rather a somnambulic state. In this state the lost memories and sensibilities re- turned. This we should expect from the stand-point of our theory of dissociation; the lost sensibility and experiences were present to the subconscious moments. To take another example : In one of my cases, in that of R. C, the dissociated memories were brought out in hyp- noidal states. The patient, otherwise a strong and healthy man, but extremely sensitive and nervous, used to fall into subconscious states preceded by what may be termed a sensory aura, this being uniformly a sensation of green. The subconscious state lasted from about half an hour to an hour and more, the patient often becoming violent, having hallucinations, making attempts to assault his sister-in-law in the presence of his wife and bystanders ; fighting people, beating cruelly his best friends, and even attempting in a fit of violent anger to throw out through the window his own little baby, whom in his normal state he greatly loves and adores. When the subconscious state works itself off and gradually approaches its termination, the patient be- comes exhausted and falls into a deep sleep, which some- times lasts as long as fifteen hours or more. On emerging from this sleep, the patient remembers nothing of what had taken place during the subconscious state. The memories, however, were not lost; they were present subconsciously and were brought to light by the induction of hypnoidal states. A full history of the patient's actions and doings during some of his subconscious states was given by his relatives, who watched him closely. This history helped to verify the patient's own account given by him in his hyp- MEMORY LAPSES 307 noidal states. Sometimes a cue had to be given to the patient and then memories emerged slowly in bits and fragments, finally becoming synthetized, the patient's con- sciousness of the sequence of events being reconstructed and fully recollected. Once the dissociated states became syn- thetized in the patient's principal moment consciousness, they were reduced both in content and intensity of activ- ity. The interest lies in the fact that disaggregation of moments gives rise to certain forms of what may be called psychopathic amnesia and may be found present in the subconscious, from which, under certain conditions, they may emerge and become synthetized in the principal mo- ment consciousness. Another case of mine, that of F., is very similar to that of R. C, the chief difference being the absence of aura, of violence, and of prolonged sleep after the emergence from the subconscious states. The subconscious state does not set in suddenly, develops gradually, is not violent, and lasts for a few days. On the return to the normal state the memories of the subconscious state are found to be missing and are apparently obliterated. This oblitera- tion, however, is more apparent than real. The memories could be recalled in hypnoidal states. Experiences passed through during states of disaggregation are present only in the synthesis of the simpler systems. With the reinstate- ment, therefore, of the higher or more complex disaggre- gated systems, events and actions passed through during the state of disaggregation will not belong to the experi- ences constituting the content of the higher moment con- sciousness. The higher moments, on account of their absence during the state of disaggregation, have no mem- ory for the experiences of lower moments. A dissociated moment consciousness can remember only its own experi- ences. When the higher moment of self -consciousness becomes disaggregated and a lower type of moment takes its place, a 308 MULTIPLE PERSONALITY break occurs between the two moments, the experience of the lower moment is not transmitted to the higher mo- ment. The higher moment lacks the experience passed through by the lower moment, and the result is amnesia. This is well illustrated by the amnesic states that often ac- company intense emotional states, great exhaustion, toxic conditions, epileptic attacks and intense stimulations in general. CHAPTER XIV HYPNOIDIC STATES OR RESURRECTED LIVES Hypnoidic states consist in the recurrence of outlived phases of the patient's personal life. The hypnoidic state, when it occurs, forms a complete and distinct individuality, the upper consciousness of the patient being removed. Memories, which the upper self is unable to recall and which seem to be altogether effaced, suddenly arise to the surface of consciousness as the upper layers of mental activity are removed. The hypnoidic state differs from hypnosis. In hypnosis, the removal of the waking con- sciousness is followed by a state of high reflex suggesti- bility, which is characteristic of the indefinite nature of the secondary self. In the hypnoidic state, such suggestibility is absent, because another quasi-personality emerges, hav- ing a more or less definite character, a personality which is often not amenable to direct suggestion. By means of indirect suggestion, however, it is possible to remove this personality and replace it by another, which may again be treated in the same way. In hypnoidic states, the sense-organs are closed to the impressions of external stimuli; the patient does not per- ceive what goes on about him; his hallucinatory or "vis- ionary" environment relates to the past. If by chance any impressions reach the patient, they are worked into his present "visionary" experience. The patient hears nothing of the conversation going on about him, and does not reply when spoken to on subjects not relating to his resurrected life experiences. He only replies to questions 309 310 MULTIPLE PERSONALITY relating to the experiences through which he is at that time passing. His replies are to the thoughts awakened within the present active subconscious moment, or in very rare cases he seems to converse with some persons appearing to him as present in the hypnoidic state. On awakening from the hypnoidic state, the patient clearly re- calls the events of his "vision," but cannot recognize them as experiences of his past life. He does not remember, how- ever, any of the answers which he was induced to give. It is only what occurred spontaneously in his visions and which was a faithful reproduction of his past experiences that is remembered with even an extraordinary distinct- ness. The hypnoidic personality is of an unstable nature, and left to itself, tends to disappear and fall back within the depths of the subconscious regions. The hypnoidic person- ality, however, is in closer contact with subconscious life than is the waking self. The former possesses experiences and memories of which the upper self is quite ignorant. We find here a more or less systematized association of clusters and constellations of moment consciousness, dis- sociated from the main stream of personal life and not syn- thetized within the principal moment of self-consciousness. These dissociated moments emerge to the surface of men- tal life at regular or irregular intervals. In other words, clusters and constellations that have been split off from the main aggregation or rather organization of collec- tively functioning clusters and constellations of moments, under favorable circumstances, especially when the princi- pal organization of constellations is "inhibited," emerge to the light of day and become active, their activity being manifested in the phenomena of hypnoidic states. The well-known case of Dr. Mesnet's may be taken as a good illustration. I quote from Dr. Mesnet's account: "F , 27 years of age, sergeant in the army of Africa, received, in one of the battles preceding Sedan, a RESURRECTED LIVES 311 bullet wound, which fractured the left parietal bone. The ball, fired obliquely, made a wound eight or ten centimetres in length, parallel to and about two centimetres below the temporal suture. At the time he received the wound, F had still enough power to overturn with a bayonet thrust the Prussian soldier who attacked him, but almost at that instant his right arm became paralyzed, and he was obliged to abandon his weapon and make his escape from the conflagration and the storm of balls which rained down on the village of Bazeilles. He was able to proceed about two hundred metres, when his right leg also became par- alyzed, and he lost all consciousness. It was only after the lapse of three weeks that he recovered his senses, when he found himself in Mayence, whither he had been transported by a Prussian ambulance. "At this period the right hemiplegia was complete, the loss of motion absolute. Six months later he was taken to France, and was an inmate of various military hospitals in Paris, the paralysis continuing about a year. Nevertheless, he recovered. "He suffered, however, from attacks of abnormal states, during which the general sensibility was completely extin- guished. The muscular sensibility is preserved. Hearing, smell and taste are sealed against any impressions from without. Sight yields only vague impressions. The sense of touch persists, and seems to acquire delicacy and an ex- aggerated impressibility. "The activity of F is nearly the same during his attack as in his normal condition, with the exception that motion is less rapid; he moves about with open eyes and a fixed gaze; if he is directed against an obstruction, he strikes against it slightly and turns to one side ; whether it may be a tree, a chair, a bench, a man, or a woman, it is nothing more to him than an obstacle, the character of which he does not recognize. He appears like a pigeon whose cerebral cortex has been removed ; and still he lives 312 MULTIPLE PERSONALITY in a world of his own. Thus he was promenading in the garden, under a grove of trees, when someone put back into his hand the cane which he had let fall a few moments previously. He felt for it, turned his hand several times around the curved handle of the cane, became attentive, seemed to listen, and suddenly cried out, 'Henri!' then, ' There they are ! There are at least twenty of them to the two of us! We shall get the better of them!' and then, carrying his hand behind his back as if to get a cartridge, he went through the movements of loading his musket, crouched at full length in the grass, concealing his head behind a tree, in the posture of a sharpshooter, and follow- ing with his gun at his shoulder all the movements of the enemy. "On another occasion he came across the handle of a drawer; opening it, he took up a pen; he began to ransack the drawer, taking out and placing on the table several sheets of paper, and also an inkstand. He then sat down and commenced a letter, in which he recommended himself to his commanding officer for his good conduct and bravery, and made an application for the military medal. As he kept on writing, the page was withdrawn, but he remained disconcerted and terminated on the third sheet the line com- menced on the preceding, continuing from the exact point where his pen was placed. We took away successively, and in the same manner, the third sheet, then the fourth, and arrived at the fifth ; he signed his name at the bottom of the page, when everything that he had written had disappeared with the preceding sheets. We saw him then turn his eyes toward the top of this blank page, read over all that he had written, giving a movement of the lips to each word ; while at various times he made with his pen, in different places on this blank page, here a comma, there an e, at another place a t, following out carefully the orthography of each word and correcting them to the best of his ability; each one of these corrections corresponding to an incomplete word, RESURRECTED LIVES 313 which we found at the same height and the same distance on the sheets of which we ourselves had possession. "On completing the letter he went into the garden, where he took from his pocket a book of cigarette paper, opened it, and detached a leaf from it; then took out his tobacco and rolled a cigarette with the dexterity of one who is accustomed to this proceeding. He searched for his match-box, lighted his cigarette with a match, which, fall- ing still burning upon the ground, he extinguished by placing his foot upon it. "This first cigarette terminated, he prepared to smoke another, when we stepped up and began to interpose ob- stacles. He held a fresh sheet of paper in his hand, ready to receive the tobacco, and he searched vainly in his pocket for his tobacco, as we had filched it. He searched for it in another pocket, going through all his clothes until he came back to look for it in the first pocket, when his face ex- pressed surprise. I offered him his tobacco-pouch, but he did not perceive it ; I held it near his eyes, yet he still did not perceive it; even when I shook it just in front of his nose, he did not notice it. But when I placed it in contact with his hand, he seized it and completed his cigarette di- rectly. Just as he was about to light the cigarette with one of his matches, I blew it out and offered him instead a lighted match which I held in my own hand; he did not perceive it ; I brought it so close to his eyes as to singe a few lashes, yet he still did not perceive it ; neither did he make the slightest motion of blinking. He lighted another match, when I blew it out and offered him one of mine, with the same indifference resulting on his part as before. I brought it in contact with the cigarette which he was holding in his mouth, but even when I burned the tobacco of his cigarette he did not notice it. "On another occasion, he appeared to look for his but- tonhole bouquet, noticed his ribbon of the military medal, and appeared satisfied. He nimbly descended the stairway 314 MULTIPLE PERSONALITY which he daily frequented, traversed the court of the hos- pital with the air of a man of business, and went toward the gate of exit. Arrived there, I prevented his passage and turned his back to the gate; he allowed this without any resistance, and then started off in the new direction I had given him, and, in groping about, entered the lodge of the doorkeeper, which opened into the hall where we were. "At this moment the sun lit up with a bright ray a glass window that closed the lodge on the side toward the court. He seemed to be not at all insensible to the brilliancy of this ray, which probably caused him an illusion of vision, by bringing forward a sensation in keeping with the idea he had in his mind. This ray must have given him the impres- sion of a footlight, for he at once placed himself before it, readjusted his toilette, opened the roll of paper which he carried in his hand, and softly hummed an air, running his eyes over the pages as he slowly turned them, and marking with his hand a measure that was perfectly rhythmical; then he sang aloud, in a highly agreeable manner. When he got out of this state he was like one awakening from a deep sleep or from a state of unconsciousness." This remarkable case of Dr. Mesnet was utilized by Huxley for the purpose of supporting by facts from mental pathology his theory that mental processes, even of a highly complex character, could be carried on in a purely auto- matic way without the least interference of consciousness. The mental-like processes can be performed without the least spark of consciousness. This, according to Huxley, is true not only of the poor automaton, the soldier, but also of animal and man in the perfect normal state. The mind has absolutely no influence whatever on our life and actions, not any more than the whistle has on the movements of the steam-engine. The mind, like the whistle, is a by-product. Mesnet regards this ease as one of pure automatism, and he describes the case on the theory that all the actions of RESURRECTED LIVES 315 the patient are of a purely mechanical nature, without the least presence of consciousness. A closer analysis reveals the fact that Mesnet himself does not strictly adhere to this point of view. The facts flatly contradict it; the very language he uses in describ- ing the phenomena is saturated with psychological terms and concepts based on psychic experience. A few instances will suffice for our purpose. The patient could perceive his own match when lighted, but could not see that of others. This is hardly a mechanical relationship of a light stimulus to nervous activity ; it is one of personal selection of stimuli. From a purely physical stand-point, a match, as a match, does not differ in its actions and effects whether it is mine or yours. Again, when a stick was put into the patient's hand, he passed through a series of complex hallucinations, as if he were living over his war experiences, attacking his enemies or hiding from them. On another occasion, he seems to look for his sheets of music, and when a roll of paper is put into his hands a new hallucinatory state de- velops — he lives over his experiences as an actor and singer on the stage — he sings and acts before an imaginary audi- ence. Under the proper suggestion he could write letters recommending himself to his superiors. When the paper is withdrawn, he looks up with surprise, continues writing on the next pages; and when the letter is finished on the different sheets of paper, he makes corrections on the hal- lucinatory letter. Surely all these facts and many others of the same character clearly indicate that the patient lived in a hallucinatory world of his own. Moment by moment the soldier lived over his past life, not in memory, but in recurrent sensory experience. The patient, like the dreamer, lived in his own world en rapport only with him- self. The states are essentially hypnoidic in character and are of the same type as found in the Hanna case, when the patient lived through his former life in the form of intense sensory experience. 316 MULTIPLE PERSONALITY The hypnoidic states, as I have pointed out, arise from the depth of the subconscious and pass through the cycle of their former life. Arising, though, as they do, under the influence of external stimuli, they themselves, as psy- chic tracts, are independent of the external environment. In fact, the stimuli act simply as mere suggestions. A roll of paper recalls experiences of theatre, the singing of birds revives experiences of mountain climbing. The hypnoidic states are detached, dissociated moments; they come and go without leaving a trace behind them. These disaggregated moments consciousness partake of the char- acter of embryonic secondary personalities, and as such belong to the category of multiple personality. The hypnoidic personality is extremely unstable, and when left to itself tends to disintegrate. As pointed out in my book, "The Psychology of Suggestion," the hyp- noidic personality tends to vanish as soon as it goes through in an abridged form the cycle of its existence. The follow- ing cases worked by me in my laboratory, with the assist- ance of Dr. H. Linenthal, may be regarded as typical of the resurrected lives of the hypnoidic personalities : Mr. R., a man of fifty, well developed and well pre- served. Has never had any serious illness except an acute attack of rheumatism some years ago. He is a business man and does not impress one as a neurotic. He is, on the contrary, very phlegmatic, a calm, calculating business man. He complains of a tremor in his hands, which be- comes worse when he is doing something. His writing is illegible. When carrying a glass of water to his mouth, his hand shakes so much that the water spills over. This tremor, he tells us, he has had for eight years or so ; it has been coming on gradually, but is getting worse now. He is ashamed to come among people on account of this trouble. He cannot give any definite time of the onset of the tremor. When asked what he attributes the tremor to, he says it is due to a good deal of worry. When asked about RESURRECTED LIVES 317 his dreams, he said that they were rather pleasant; all about gaining money. An examination proved the patient normal in all other respects. Mr. R. was put into deep hypnosis. He was asked: "Can you tell us the exact conditions and the time when you first perceived the tremor?" "Yes." "When was it?" "It was on the day my wife died. The nurse came in to me from the sick room and told me that my wife was dead. I then noticed for the first time that my hands were shaking violently. " " Do you have any dreams ? " " Yes. ' ' ' ' What are they ? ' ' Here followed a long series of dreams which he related one after another, localizing each dream more or less definitely in time. All the dreams related to his dead wife. He frequently dreams that she comes to his bedside dressed in white and cries bitterly, bemoaning his fate that he is so wretched and is left all alone in the world. He has all kinds of fanciful combinations of dreams in which his wife is the principal figure. He dreams, for instance, of her coming to life again, of his living with her for several years and then losing her again. These dreams, he tells us, excite him greatly; he is thrown into convulsions during his sleep, and frequently shakes so much that he is thrown out of bed. All these dreams are completely forgotten in the morning. The scene while the patient related these dreams was pathetic in the extreme. While recalling these sad dream- experiences, he seemed to live them through again ; he was convulsed with sobs, tears were flowing from his eyes, and his features indicated the most intense suffering and an- guish. There was a complete transformation of his per- sonality. The waking Mr. R. was different from the hyp- notic Mr. R. as any two individuals can possibly differ. The former is a phlegmatic, calm, calculating business man, having no room in his mind for anything else except 318 MULTIPLE PERSONALITY business, talking of nothing else but business worries and money matters. Mr. R. in the hypnotic state is trans- formed. We no longer have before us a business man of fifty. We see before us a childlike soul displaying a most intense human emotion, a soul most intensely yearning for a lost beloved companion. All business is completely forgotten; not a mention is made of money. To take another interesting case, 1 worked by me with Dr. Morton Prince and Dr. H. Linenthal: Mr. M., 21 years of age, Russian, came to this country four years ago. He is an intelligent young fellow, has never been ill; has very good habits. The patient was referred to me by Dr. K. M. Davidson, of Boston, for epileptiform attacks on the right side of the body, of which he gave the following history: About five years ago, when 16 years of age, he attended a ball in his native town. After midnight, he was sent out to look for a ring which the lady whom he accom- panied had lost on the way. While searching for the ring he had to pass near a cemetery, and got frightened, as it seemed to him that someone was running after him. He fell down and was picked up in an unconscious condition and brought home. He could not tell what happened during his fall or on which side he fell. For a week he was confined to bed, suffering from spasms on the right side. The spasms consisted of rhythmical shaking of the head, of the right hand and right leg. The whole right side was paralyzed and anaesthetic. Since then the attacks set on periodically about once a year, they come about the same time in the year, and begin about midnight. During last year, however, he had four attacks. Two weeks after his last attack he was referred to us. On examination the following phenomena were observed: The patient was still affected on the right side, so that he was not sensitive to any form of sensation, such as touch, 1 Published in the Boston Medical and Surgical Journal, June 23, 1904. RESURRECTED LIVES 319 pain, smell, sight, hearing and taste, the left side being fully normal. He could not tell anything about his dream life; he has ordinary dreams. Though the patient is insensitive on the right side, still it is possible to show that his subconsciousness perceives what his upper consciousness has lost. If the patient is made to look into a glass of water with a light reflected in it, and if his right limb is touched ever so lightly, he sees in the glass a visual hallucination of the number of impres- sions in the symbolic form of a written numeral. The same holds true in the case of letters, words and objects im- pressed ever so lightly on his insensitive skin. In fact, the patient manifests an extreme acuity of the senses in the subconscious regions. The hallucinations symbolic of im- pressions of another sense, when projected on a screen, could be outlined by him, so vivid were they to the patient. Mr. M. was then put into hypnotic state. He goes into deep somnambulism. In this state he tells us that during the attacks he keeps on dreaming about the fright, fall, and about his illness. In short, he lives the same original ex- perience over again in his subconscious dream life. While examining him during trance, we happened to call atten- tion to his angesthesia. Suddenly, as if by the wand of a magician, his present personality disappeared from view and the old personality of the accident emerged. Mr. M. went into one of his attacks, living over the same period of his life in Russia. He ceased to understand English and was carried back to his sixteenth year. He cried out in great agony, as of one frightened to death, squirmed and twitched and began to shake. "What happened to you?" we asked. "I fell down," he exclaimed in his native jar- gon; "I got frightened." He then passed through the movements and shaking characteristic of the attacks. When asked where he was, he answered, "At home." ' ' With whom are you now V " With my mamma. ' ' When the attack ceased, with a shudder, he literally came to him- 320 MULTIPLE PERSONALITY self, his present personality returned, and on our question, "Where are you now?" he promptly replied, "At the doctor's." In this somnambulic state a whole series of outlived and long ago subconsciously buried personalities could be resurrected from their sleep and be made once more to appear in the light of the upper consciousness, each per- sonality having its own chain of memories and peculiar traits of character, but each time, as the sixteenth year personality was resurrected, the typical attack developed with automatic regularity, like a wound-up clock. The following case of my own may be taken, like the previous ones, as a striking example of hypnoidic states in dream consciousness and of their effects on waking life: Mrs. A. is 22 years old; Russian; pretty, intelligent, and rather emotional; married; came to me on May 28, 1902. She suffers periodically from attacks of violent headaches, lasting several days. Family history is good, parents are alive, and never suffered from any physical or mental diseases. Mrs. A. is very nervous ; she is easily frightened and has suffered from headaches and pressure on head for quite a long time, but the pain became exacerbated some five years ago. The attack is sudden, without any premonitory feelings, and lasts from eight hours to two days. The head- ache often sets on at night, when she is asleep, and she wakes up with frightful pain. At the time of the first at- tack she was very much run down. Patient is otherwise in good condition, but complains that her memory is getting bad. Patellar reflex exaggerated. Field of vision normal. The eyes show slight strabismus and astigmatism, corrected by glasses, that did not, however, in the least diminish the intensity as well as the frequency of the headaches. Mrs. A. suffers from bad dreams and distressing night- mares, the content of which she cannot recall in her waking state. She also often has hallucinations, visions of two RESURRECTED LIVES 321 women wrapped in white, pointing their fingers at her and running after her. She never had any fall, nor any special worry or anxiety; never suffered from any infectious dis- ease. After a persistent inquiry, however, she gave an account of an accident she met with when a child of eight. Opposite her house there lived an insane woman of whom she was mortally afraid. Once, when the parents hap- pened to be away, the insane woman entered the house and caught the child in her arms and greatly frightened her. Another time she was sent out by her parents to buy something in a grocery store. It was night and very dark ; she bought the things, but on the way back she saw two women in white with hands stretched out running after her. She screamed from great fright and ran home. Mrs. A. is very much afraid to remain alone, and espe- cially in the dark. She is not afraid so much in the street as in the house. The two women appear to her now and then, and she is mortally afraid of them. Mrs. A. was put into hypnotic state. There was marked catalepsy; the eyes were firmly closed and she could not open them when challenged. Suggestion of gen- eral well-being was given and she was awakened. On awakening, she could not remember what had taken place in the hypnotic state. Next day she was again put into hypnosis and went into a deeper state than the day before. When asked whether she thought of the crazy woman occasionally, she replied in the negative. The patient spoke in a low, suppressed voice, the words coming out slowly, as if with effort and with fear. It was then insisted that she should tell one of her recent dreams. After some pause, she said : "Last night I had a bad dream ; I dreamed that I stood near a window and a cat came up to the same window ; I saw it was ' cra2y. ' I ran away; the cat ran after me and bit me and scratched me. Then I knew that I was crazy. My friends said that there was no help for me. I dropped the baby, ran, and jumped 22 322 MULTIPLE PERSONALITY downstairs. I remember now that when I fell asleep I saw a woman, maybe it was the crazy woman. I covered my- self ; I knew I was only afraid and that she was not real. Six weeks ago I saw the same woman, when falling asleep or when asleep; I ran away and she ran after me and wanted to catch me." Mrs. A., in relating these dreams, shivered all over and was much afraid, as if actually living the dream experience over again. ' ' It was this woman who caught me in her arms and kissed me and embraced me and did not let me go until my screams brought friends and my father and they took me away from her by force. ' ' Gradually some more dreams emerged. ' ' I dreamed some time ago that the woman came to me and spilled hot water on me. Another time I dreamed I was in the insane asylum ; she came out, told me she was well; I was greatly fright- ened and ran away. ' ' Mrs. A. then remained quiet. After a while she began to relate a series of dreams. Some time ago she dreamed that the woman entered the room where her father was and ran up to him, evidently with the inten- tion of hurting him. Her father ran away and she hid herself in a closet in the next room. "I also dreamed that the woman was shadowing me in an alley. She wanted to get hold of me, while I tried to get away from her. I turned round, and she gave me such a fierce look. It was so fierce. I ran. She could not catch me. I should die if she catches me. ' ' Mrs. A. shivered. ' ' Are you afraid of her ? " " Not now, she is not here. I did not dream of the woman much before, but some time before my marriage I began to dream of her quite often. In one of my dreams about her I saw people putting cold water on her, and I could hear her scream. It was awful! I dreamed I went upstairs, opened the door and met her face to face. I was badly frightened, but I could not run away, so I jumped out of the window. If I could only not dream about her ! ' ' A very rich subconscious dream life was thus revealed, a life of which the patient was totally ignorant in her wak- RESURRECTED LIVES 323 ing state. The dreams referred to the same central nucleus, the shock of her early childhood. These dreams gave rise to intense states of fear and agony. ' ' Some time when I dream I feel something in my head ; some pain. ' ' The dreams oc- cur between 11 at night and 4 in the morning. After the dream Mrs. A. is afraid to get up in the morning and feels greatly disturbed by her dream experience. "Sometimes I dream that a big black lady stands near me and is ready to attack me.\' ' Mrs. A. could not continue the account of her dreams, as it set up in her an intense emotional disturbance. "Once a year I must dream about her. I dream that at least once a year I have to dream about the woman." "When Mrs. A. was fully quiet and felt well, some more dreams came up. ' ' Once I dreamed that I had my baby in my arms and the woman entered the room; I got fright- ened ; I could not run away ; I tore my dress. The woman said she would not hurt my baby; that she would like to talk to the baby. My husband came in. She petted me and then it seemed that I fainted ; I do not know. "I dreamed many times that I was crazy; I screamed and cried and everybody was afraid of me. As soon as I wake up I forget the dream. I am, however, quite sure of being crazy while I dream. I often dream of crazy cats and mad dogs attacking me. Sometimes I dream of going up a big, big mountain, and then roll down a precipice, where there are horrible people, some kind of devils, who crowd around me, grinning and laughing loudly. They are like crazy people, mad devils." At this point I asked the patient while in the deep hypnotic state to give a complete account of the insane woman who seemed to have played such an important role in Mrs. A.'s life. "The insane woman was the wife of a minister; I now remember that she once told my mother that when still a young girl she became insane and that she was taken to a 324 MULTIPLE PERSONALITY magician, who cured her by some powerful charms. She then married and was very much distressed by the fact that her husband did not permit her to wear the charm given to her by the magician. The woman became insane while she was in our house and was very violent. One of those horrible devils so violent looks just like her. I re- member she told my mother that she had two children and that in her dream two women wrapped in white came to her and asked her to give them her children 's clothes. She gave away the clothes and that is why the children soon died. I was afraid very much that the women in white should come to me, and I often dream of them. I do not believe in it, but some time in my dreams I am afraid of them. I am afraid that they will come, and when they come I get frightened to death." In telling her dreams, and especially the history of the woman, the patient spoke in a suppressed voice, as if choked by tears and mental anguish. She kept the hands folded on her breast, and when I tried to separate them and have them hang down or lie by her side she resisted it, as if it was a matter of life and death to her. "I am afraid; I don't like to keep my hands down. She may come from below and catch me by the hand ; I always keep my hands folded on my breast ; when I go to sleep I do not want her to catch my hand." Mrs. A. began to shiver from fright, keeping the hands closer to her body. It was then insisted that she must not be afraid, while she was in the hypnotic state. A further attempt was made to obtain some more dreams as soon as the patient was quieted down. "I have dreamed so many years of meeting her that I am also afraid at daytime. It is foolish, but I am afraid. ' ' She again became quiet. A suggestion was then given to her not to be afraid now, in hypnosis. Mrs. A. could not remember any other dreams. After a while some more dreams began to emerge. "The woman tried to take my baby away from me. I RESURRECTED LIVES 325 got hold of a great big knife and defended my baby. I was taken to prison because I killed, and they took my baby away from me. It was so awful ! I was very tired when I woke up. I dreamed the woman came to me ; I thought she was well, but she suddenly became crazy. I am very much afraid now of a crazy person, and I am still more afraid in my dream. ' ' Mrs. A. stopped again. Soon more dreams gradually began to emerge, just as long-forgotten experiences sud- denly occur to the mind. Once the barrier is broken down or the threshold is lowered, the dreams come in groups and follow in quick succession. ' ' I dreamed I was bathing and suddenly the woman ap- peared and took away my clothes ; I was very much fright- ened. The woman wanted me to go with her and promised to return the clothes. I ran into the water, away from the woman; wanted to drown myself; I could feel the water covering me all over; I must, have groaned aloud as my husband awakened me from this nightmare." The next dream that emerged referred far back to her early youth. "When a child I slept with my sister, and used to have many bad dreams. Used to see the crazy woman and also the two women wrapped up in white sheets with stretched hands coming after me." Mrs. A. is mor- tally afraid of the two women. They also come to her when she is fully awake. She often sees them in the dark. They are both of the same size. "I cannot see their faces, as they are wrapped up, but I can see their forms. They look like the two women of whom the insane woman used to speak. When a child of twelve, I saw them clearly; when sent by mother at night to go to a grocery store I had to pass the fence of a little garden ; I could see them quite plainly. They were wrapped in white sheets; their hands were also wrapped up, and they stretched them out toward me. I could feel my hands shake. I ran. When near the house I screamed and ran in. For a long time I was 326 MULTIPLE PERSONALITY fearfully afraid. I think now it was a day-dream, but even now they seem to run after me, and I am afraid to turn around. Sometimes, in going upstairs in the dark, I feel their presence and can occasionally see them, but I am afraid to look long at them. I run from them as fast as I can." While relating these experiences, Mrs. A. kept her hands close to her body. "I want them near me; I am afraid. "When 12 years old I came to this country, and for some time the dreams did not trouble me ; I had no dreams about the woman or about the two women wrapped in white. I suppose because I thought they were far away, but then the dreams returned." The delusion of the insane woman long gone by has been transmitted to Mrs. A. as a visual hallucination. The headaches were the expression of the hypnoidic states about the insane woman. Association of these hallucina- tory hypnoidic states with the upper consciousness cured the headaches. CHAPTER XV HYPNOID STATES OE UNDERGROUND LIFE Hypnoid states consist of the presence of two or more fully independent moments consciousness, they are found in the phenomena of automatic writing, shell hearing, crystal gazing and various other psychopathic conditions. In automatic writing the patient is in his usual state. He may be carrying on a conversation with someone, while at the same time his hand, in which a pencil is placed, be- gins and continues writing sentences, descriptions or en- tire essays and chapters in a well-formulated and lucid manner, the subject's upper or principal consciousness knowing absolutely nothing of what the hand had written. During the time of the automatic writing, the hand is an- aesthetic, but only in relation to the subject's upper con- sciousness. There is evidently a well-organized system of consciousness controlling the automatic writing, since the hand itself may register responses to questions not under- stood, and sometimes not even heard by the subject. Like- wise, if the hand is pricked, although the subject does not feel the prick, the hand will nevertheless make marks to indicate the number of pricks. Immediately after the automatic writing ceases sensibility returns to the anaes- thetic hand. All forms of automatic writings are observed, from mere scratches to highly complicated discourses. In fully developed cases the handwriting is of a spasmodic charac- ter, as though executed with single, rapid strokes. Hypnoid or coexistent functioning dissociated states 327 328 MULTIPLE PERSONALITY may be cultivated by normal, healthy individuals with some success. In some the dissociation is complete, in others it is but partial, and the subject is conscious of what is going on, but he feels that he has no control over the writing nor is it his consciousness that has formulated the writing. Instead of writing, there may be automatic speaking. The phenomena are known under the name of "speaking with tongues." The speaking may range, as in the case of automatic writing, from the simplest to the most complex, from the automatic volubility of meaning- less syllables appearing as a new tongue or language to a connected recital of intelligible phrases. The phenomena of crystal gazing belong to the same category and may be classed with hypnoid states. The vision, the hallucinatory experience, appears to rise from the subconscious, and seems to develop independently of the subject's consciousness. The subject takes cognizance of what is presented to him by the dissociated mental state which develops on the basis of some peripheral sensory experience. Crystal gazing is analogous to automatic writing. The subconscious activity brings out visual perceptions which appear as hallucinations to the upper consciousness. The upper consciousness sees the pictures projected by the sub- conscious in the same way as the automatic writer reads the product of automatic writing. The subject may, for example, perform a certain action, such as misplacing an object or reading something unconsciously, and of which he has no recollection. Now the gazing into the crystal may bring out these past experiences as visual hallucina- tions. Occasionally the subconscious activity may so de- velop in the phenomena of automatic writing or crystal gazing that automatic actions may be manifested and the patient falls temporarily in a complete subconscious state. The phenomena of shell hearing belong to the same class as those of automatic writing, speaking and crystal gazing. HYPNOID STATES 329 The shell seemingly reports to the listener facts and ob- servations lost to the subject's upper consciousness, but retained by the subconscious. In the many forms of psychopathic anaesthesia of con- siderable persistence and extent, hypnoid states may be developed; the anaesthetic hand, for instance, will react to various stimuli, handle different things, give intelligent answers in automatic writing to questions not directly heard by the patient. These phenomena can be brought out by various methods. Most of the cases of functional derangement due to mental dissociation fall under the category of hypnoid states. Various forms of sensory, motor, gastric, emo- tional and other disturbances, when of functional psycho- pathic character, in contradistinction to disturbances of functional neuropathic, neuropathic, and necrotic origin, 1 are often due to subconscious systems dissociated from the patient's consciousness and manifesting their activity in the upper waking life. The patient is aware of the dis- tressing results, but has no suspicion of the active subcon- scious processes that give rise to such manifestations. The dissociated system forms a centre of activity that falls out- side the domain of the patient's upper consciousness, the results alone appearing in the patient's waking life. The hypnoid state really differs but little from the hyp- noidic — it is simply the hypnoidic personality working underground and showing its effects in waking life. The hypnoid is the hypnoidic state underground, while the hyp- noidic is the fully developed hypnoid state. A case may be regarded as hypnoidic or hypnoid, according to the 1 By functional neuropathic, neuropathic proper, and necrotic are in- dicated the various stages in the pathological descending process of neuron disaggregation and cell degeneration in relation to neuron anabolism and katabolism. For a full discussion, see Sidis, Psychopathological Ee- searches, also Neuron Energy, Archives of Neurol, and Psychopathology, vol. i, 1898. 330 MULTIPLE PERSONALITY view-point from which it is regarded. 1 Since these hypnoid states are of great importance, both from theoretical and practical stand-points, I take the liberty of giving here a more or less detailed account of a case studied by me and Dr. G. M. Parker : Mrs. B. C. came to us on April 18, 1903. Patient is German, age 29, well developed; married four years and has one child. She complains of having attacks of falling down and of vomiting; she becomes nauseated, weak, faint and dizzy, then falls down and vomits "greenish water," as she says. During the course of the attack patient is not unconscious; she hears and understands everything that is going on in the room, but her whole body is "benumbed" and she has no strength to get up. When she gets up there is a feeling of great exhaustion, has headache, and the vomiting keeps up two or three days. When the attack is setting on, all the extremities begin to tremble and she cannot stand on her legs. Patient does not complain of any sensory disturbances, nor of any pains in ears or eyes, but she sometimes suffers from buzzing in the ears. She complains that her memory is getting very much worse, she is becom- ing more and more depressed, cries often, is very irritable, sleeps badly and restlessly, talks in her sleep and some- times cries out, has very bad dreams, though she cannot remember the content of the dreams, as she forgets them soon after awakening. The interval of the attacks is from two to three weeks, but of late the interval is becoming much shorter, and she has them now as often as once or even twice a week. The attacks come on any time of the day and have no warning, no aura. The attacks set on soon after she came to this country. 1 Janet, Breuer and Freud, Hajos and Kanshberg, hare done excellent work in this line. Work along the same lines of investigation has been done by me and my associates and published in a volume under the title Psychopathological Eesearches. HYPNOID STATES 331 About a year ago she suffered from numerous visual hallucinations, such as seeing cats, dogs, always black in color. These hallucinations were seen in the left field toward the extreme periphery; they were seen with open eyes, at daytime as well as at night-time; they became more distinct by diminution of light and were increased after sleep ; they can be made to disappear by turning the head or the eye. The hallucinations were accompanied and followed by states of depression. In Germany, up to the time of patient's marriage, she suffered from severe attacks of convulsions accompanied with unconsciousness. These convulsive attacks used to be- gin with an aura, consisting in the sensation of numbness in the feet and formication and tingling, proceeding up- ward, succeeded by shock, accompanied with bright spots in the eyes, and then followed by falling down, with con- vulsions of the extremities and general motor spasms. Af- ter the attack patient was in a stuporous state, with tremor of hands and legs persisting for about two hours. The convulsive attacks lasted from five to twenty minutes. The frequency of the attacks was about once every two or three weeks. Patient suffered from these attacks since her fourteenth year. A closer examination revealed the following history: When B. C. was about nine months old her father died; when she was about the age of six or seven her mother mar- ried again. After her father's death B. C. lived with her grandmother. When her mother was confined after the second marriage, patient returned home to take care of the baby. The stepfather disliked her and was very cross to her, ill-treating her, although he was fond of his own chil- dren. When about fourteen years of age, patient left school, after having attended it for a period of eight years. As the stepfather would not allow her to remain at home, she went into domestic service, taking care of a little boy. After she had been in the place for about a month she be- 332 MULTIPLE PERSONALITY came very restless, would cry often, would walk about the room in great anxiety and anguish. Her mental state was one of depression alternated with states of melancholic agi- tation; she suffered from headaches, with diffused pains in the whole body; the pains were especially severe in her hands, legs and abdomen. She does not remember any more about it. She did not know whether she had any fainting spells, but she was told by the lady that she was sick and was confined to bed for three days. The doctor who attended her said there was nothing the matter with her; that it was only homesickness. B. C. felt the same way, she was sure she would feel well if she could return home, as she felt an irresistible longing to get back home and see her people. When she felt better and stronger, she went home; she had to travel on foot through woods, but nothing daunted her, as the desire to see her mother and home was so strong. When she reached home after the great fatigue of the travel on foot, she was met by her stepfather, who scolded her and struck her with a towel. He drove her from the house with curses and told her to return to her work. This was a blow to her, and staggering and dazed, she started back for the place of her employment. When quite a dis- tance from home she was seized with her first convulsive or epileptic attack. She felt faint, something suddenly came over her and she fell unconscious. She was told afterward that she had an epileptic attack, her feet and hands worked. When she came to herself, she saw a number of men around her, and among them her stepfather. Patient cried while relating these experiences of her childhood. She did not return home, but her mother accompanied her to the house where she worked. Since then patient had similar convulsive attacks, with unconsciousness and subse- quent stupor once in two or three weeks, and sometimes twice a day. The frequency of the attacks was increased by worry or excitement. B. C. suffered from these epileptic HYPNOID STATES 333 attacks up to five months after her marriage (1899) . Since then, she has had no attacks. She does not remember any- thing about the attacks ; knows only what other people tell her. The ill-treatment of her stepfather seemed to have greatly affected her and must have weighed heavily on her mind. Even now she cannot tell or think of it without depression and crying. The families for whom she worked liked her and were very kind to her. She could not, how- ever, forget the fact that she was driven away from her home and constantly brooded over it. She rarely visited home, as she knew that she was not welcome there, although her mother was very good to her. Finally the families for whom she worked sympathized with her, took pity, and spoke well of her to her stepfather. He became more kind to her, so that when she married he gave her six hundred marks. When she spoke of her wedding, she cried bit- terly. She did not tell her husband that she was subject to epileptic attacks until some time after her marriage. Husband reproaches her occasionally and tells her: "You are always sick and you have no children." B. C. came over to New York seven months ago. When she was there two days she was taken sick and was con- fined to bed for eight days. She had chills and fever, but soon got over it. She complains that her memory is get- ting weaker, that she cannot remember many things, and sometimes, when walking in the street, she gets confused and does not know where to go. A further inquiry disclosed the fact that her child was eight years old ; that when about the age of 21 she fell in love with a soldier, who, however, could not marry her, on account of his service in the army. She felt the disgrace keenly, when she realized she was to become a mother. She went to another place to her aunt. Her mother vis- ited her, noticed her condition and spoke to her about it. She kept away from home, from mother, stepfather and brothers. Even now they do not know anything about this 334 MULTIPLE PERSONALITY little girl. After the birth of the child, patient visited home and then went to work in another town. No one knew anything about her disgrace except her aunt and uncle, who were glad to take care of the child, as they had no children of their own. About eight months after the birth of her child her lover fell sick, had some lung trouble, and died four months later. This was a blow to her, and she suffered greatly. B. C. is greatly affected when she speaks of her former lover, and she still seems to think and dream of him a good deal. Her husband accuses her of thinking more of the "other man than of himself," although patient denies it. Before her mar- riage she told her husband of her former love and of her illegitimate child. Her husband loves her, but he does not want her to refer to her former life history. Still the fact remains that her former love has left an indelible impres- sion on her mind; it still deeply moves her; her love and life belong to the past. Her present marriage was not one of love, and her relations to her husband are rather of aversion, and it is quite probable that sexual relations awaken in her disgust, nausea and may have given rise to the vomiting. The day she was married, as she was leaving church, before getting into the carriage, she heard a voice calling "Clara," "Clara." She looked around, but did not see anyone. She shuddered and thought it was the voice of her dead lover. She did not speak to her husband all the way from the church. She was very much dis- turbed by this occurrence and often thought of it. She has often been unkind to her husband, while he is so very good to her. Her husband has frequently complained of her indifference and coldness and is very much grieved over it. B. C. has frequent attacks of crying, accompanied with dyspncea and with thoracic and cardiac oppression, often followed by great agitation. She does not know the reason HYPNOID STATES 335 of such attacks; they simply come over her and are un- controllable. She dreams often and the dreams are of a distressing character ; she often wakes up in tears, but does not remember the dreams. On April 20th she came under our care. She enjoyed her dinner, but an hour later complained of headache, of a throbbing pain. She looked very sleepy and said she did not care to talk to anyone. In the evening patient felt very drowsy, still complaining of headache. She slept for about two hours and a half, and on awaking said she felt much better. She slept the whole night, and toward morning tossed about in bed. Patient told the nurse she dreamed she was at home with her people, but did not re- member any more. She seems to think a good deal of her little girl; says her husband tells everyone that the girl is three years old, but she thinks the doctors should know the truth. She seems to be hurt by the fact that her hus- band is ashamed of her former love and of her child. Patient complains of having specks before the eyes, "little things flying around," as she puts it. B. C. was put into hypnosis. There was some apprehen- sion, but she went into hypnotic state easily, the hypnotic stage being deep, characterized by sensori-motor disturb- ances. In this state a revival of subconscious experiences was attempted, especially of those relating to the attacks, apparently epileptic in character, and belonging to what may be termed the first series of attacks, namely, those that began in her fourteenth year and terminated five months after her marriage. The patient was put back to that period of her early youth. The first experience that emerged was the presence of two eyes, described by the pa- tient as "angry and threatening." She remembered she saw those eyes before she fell down in the street. Patient began to cry, became restless, trembling, excitable, respira- tion increased, but she did not emerge from the hypnotic state. She recognized the eyes as those of her stepfather. 336 MULTIPLE PERSONALITY She now remembers clearly that she always used to see those same angry, threatening eyes before the onset of each attack of the first series, that is, before what was diagnosed as "epileptic attacks." She could now remember distinctly the dizziness that came over her in the first attack. She fell with her eyes open. Two boys got hold of her and put her on a stone; then her stepfather's servants came and carried her into the house and put her to bed. After the revival of the first attack patient felt great fatigue and weakness all over her body. There was a condition of depression alter- nating with states of great agitation and crying. On awakening from the hypnotic state there was amnesia of all that had taken place in the trance state. When she returned from the laboratory she told the nurse that the doctor told her to lie down on the couch and that she must have fallen asleep, as she was dreaming about home; but she could not remember anything about the dreams. She could only remember that she rose from the couch; she felt very tired; could not walk. There was something the matter with her feet. Patient felt no pains, had no headache ; was restless in her sleep ; talked some- thing which the nurse could not make out; exclaimed "Oh!", but when the nurse came to her bed and spoke to her she did not answer; she was fast asleep. In the morning she told the nurse that she dreamt of being at home in Germany, and that she was there with her hus- band, stepfather and mother. There was a great storm; she could not recollect anything more. Next day she was again taken down to the laboratory and put into hypnosis. She was again put back to the period of the first epileptic attacks and again the "eyes" emerged, followed by similar excitement and emotional dis- turbance. "The angry, threatening eyes" preceded the attack as aura and constituted, so to say, the central expe- rience, the nucleus of this dissociated mental system, which HYPNOID STATES 387 kept on recurring with each subsequent attack. The attacks were really not of an epileptic nature; they were simply subconscious states with intense psychomotor excitement, giving rise to convulsions, apparently of an organic, epi- leptic character, but really psychic in origin and nature. The amnesia of the attack was due to the very nature of the state of dissociation. The "post-epileptic" stupor was the result of a profound emotional and intellectual dis- turbance, produced by the emergence of the dissociated mental system. The subsequent tremors of the extremities and even of the whole body were the after-effects of the subconscious, emotional state of general excitement, and especially of terror. This dissociated mental system was brought back to the patient's memory and closely asso- ciated with that of her waking life. B. C. was then awakened; there was considerable emo- tional disturbance, and when she returned from the labora- tory she cried much, was very restless and nervous, and complained of headache. When a glass of milk was given to her, she could not hold it; her hand trembled and her teeth chattered; she said: "It was not good what the doctor did to me downstairs." She gradually quieted down, felt more cheerful and happy; enjoyed her din- ner; felt well the whole day and relished her supper. She went to bed early, slept more quietly and peacefully than usual. She woke up in the morning, felt very well and enjoyed her breakfast. In hypnosis the same cen- tral experience emerged. The subconscious level reached in hypnosis was strongly tinged with an unpleasant emo- tional tone; the experiences awakened were decidedly of a painful character, they referred to many brutalities that she had undergone when in the hospital confined with the illegitimate child. Patient was very much agi- tated when recovering from these experiences. When she emerged from the hypnotic state she was very much dis- turbed, though not so much as before. She told the nurse 23 338 MULTIPLE PERSONALITY that she did not like to sleep so much, that she did not think it was good for her. She did not want to remain alone in the room and asked for the nurse. She grad- ually quieted down and had good appetite for her dinner. Patient then asked the nurse if the doctor would come again in the evening, and was much relieved when answered in the negative. She then inquired whether other patients were similarly treated, and when answered in the affirma- tive, she felt contented. The same day it was tried to bring about visual hal- lucinations in the waking state; to evoke experimentally hallucinations which the patient used to have some time previously. A glass of water was put on a dark back- ground, the light was admitted from the left side, while the right side was dark. Patient was told to look into the glass of water. After three minutes there was sudden appear- ance of the face of a dog. The dog was black, with stripes, was threatening and angry, it was very large. This evi- dently referred to an early experience obtained under hyp- nosis. When patient was very young, a child of eight or so, she had to pass through some woods on her way to school, and was met once by a big black animal, which she thought was a dog. The animal gave a growl, but turned aside. She was very much frightened and ran home. There was no element of recognition on the part of the pa- tient. Then objects of indefinite shapes appeared. At this time there was great agitation, pain in the eyes, head- ache, bewilderment and fear which continued for some time afterward. The patient then declared that the water looked very black and strange. She became more and more agitated, and the experiment had to be discontinued. The agitation gradually subsided. She told the nurse that she did not like to look into the water ; it upset her. Patient felt well in the afternoon and was taken out for a walk, which she enjoyed very much, and was very cheerful. She told the nurse in the evening that while she HYPNOID STATES 339 was lying on the couch, that is, in hypnosis, she had severe pains in the chest and in the head. She said the doctor put his hand on the seat of the pain and said : ' ' You will have no more pain." She then went to sleep, and when she woke again the pain was gone; patient added: "Do you think that is good?" B. C. slept soundly the whole night and felt well the next day. Next night patient passed very peacefully, though her sleep was somewhat disturbed by unpleasant dreams. She dreamt that she was caught by men and thrown into a cellar with savage dogs. She could hear the howling of the dogs and was afraid to be devoured by them. She also dreamt she was in Germany on some farm, saw a little calf, picked it up, kept it in her arms, but she soon noticed that the calf was all covered with blood, but seemingly not dead. She could remember dis- tinctly seeing her hands smeared with blood. It may be that this dream had some relation to her child and was evoked in this strange symbolic form by the activity of her dream consciousness. When patient woke up she was agitated, her face was flushed with excitement and she com- plained of headache, all evidently due to the painful dream- experience. These symptoms, however, soon passed off. A few nights later patient was sighing and moaning in sleep, talking in German, as if very angry, moaning as if in trouble. When she woke up in the morning, she com- plained of headache; said she did not sleep well during the night; had dreams; could not remember them; had pains all over the body. One time, when she awoke, her limbs felt stiff. Patient, however, soon felt much better, the "dream headache" wore off, and she enjoyed her breakfast and felt very cheerful. She felt well the whole day. In the evening the husband visited her. She became then very restless, until she fell asleep. When she woke up, she was bright and smiling and happy. She had a good dream, and asked the nurse not to tell the doctor. 340 MULTIPLE PERSONALITY She dreamt the doctor came to her, made her go to sleep, held up his finger, counted up to ten, and off she went. She felt so well and would not worry any more. Next morning she was taken down to the laboratory, put into hypnosis, and the subconscious experiences of her early youth were revived, firmly associated with her pres- ent life experiences, with subsequent memory in her wak- ing personal life. When she returned she told the nurse: "I was downstairs; the two doctors put me to sleep. I dreamt about home; I saw my father [stepfather; patient began to cry] and mother. Father looked cross, like he did the time I went home when I was fourteen years old. It gave me pain in my head; I cannot forget how cross he looked ; I never did anything to make him so cross with me ; I had not thought about it a long time until I was down- stairs this morning" (patient kept on crying). "I do not want to go downstairs any more. ' ' She felt well the whole day. B. C. continued to feel well the next few days, during which time hypnosis no longer produced emotional disturbances. CHAPTER XVI THE TWILIGHT OF CONSCIOUSNESS, OR DAMMERZUSTANDE There are some current theories which attempt to re- fer the amnesia of subconscious states or of the so-called "Dammerzustande" found in epilepsy to changes in vis- ceral ccenassthetic sensibility. Cases are brought to show that such changes of sensibility are really found in epileptic states. In order to reproduce an idea a, reason the repre- sentatives of this theory, the idea b with which it is asso- ciated and which gives rise to the reproduction of idea a is itself conditioned by the total attitude of consciousness; and should that consciousness be modified, then the idea b cannot rise, and consequently the idea a is arrested and cannot come to the light of consciousness. Now visceral sensibility forms a very important factor in the activity of mental life, and if therefore this sensibility is modified the whole constitution of consciousness becomes changed, and hence the old associations become disturbed and can- not rise; in other words, amnesia results. Epileptic am- nesia is supposed to originate in this way, and cases are brought to corroborate this theory. A close examination, however, of the cases adduced in support of this theory brings out fully its doubtful, if not negative character. For the followers of this view have neither proven the supposed change of coenaesthetic sensibility in the epileptic subconscious states as "Dammerzustande," nor have they shown, if present at all, to what extent the changes go, so as to justify the amnesia. Furthermore, granted that there are important visceral changes in epileptic "Dammerzustande," it is highly ques- 341 342 MULTIPLE PERSONALITY tionable whether such changes give rise at all to any am- nesic conditions. For many organic diseases, such for instance as dyspepsia, enteric fever, typhoid, gastritis, cirrhosis of the liver, nephritis, diabetes, and many other physical ailments, whether acute or chronic, in which or- ganic sensibility is involved to a large extent and greatly changed, do not give rise to amnesic states as their charac- teristic symptoms. Changes, therefore, in ccengesthetic sen- sibility do not necessarily give rise to such extensive modifi- cations in the content of consciousness as to disrupt the current of association and produce amnesic states. On the other hand, amnesic states are known to be present without any change of visceral sensibility. It is enough to mention the whole domain of aphasia, which is really amnesia of an elementary form, referring to the more sim- ple elements of mental life. Elementary, however, as the aphasias are, they are still amnesias, but certainly they stand in no relation to visceral sensibilities. In functional amnesias of the more extensive kind, where whole tracts of mental life are seemingly gone and lost, there may be changes in peripheral incoming sensa- tions; there may be anaesthesias, hypoassthesias, pares- thesias; but they are usually of a peripheral character and of so slight an extent as to be out of all proportion to the amnesic state. Furthermore, while the sensory disturb- ances in functional cases, if present at all, are found to be fluctuating and fleeting, the concomitant amnesic states are frequently found to be stable; in other words, the two do not show concomitant changes. Janet's law that anaesthesias go with amnesias or that modifications of sensitivity go with memory-changes seems to confirm this peripheral theory of amnesia. Unfortu- nately the relation here is by no means a causal one. Thus in one of the cases the subconscious state was brought about by the shock of a fall, which also accidentally in- volved the lower extremities. In another case, the hypo- TWILIGHT OF CONSCIOUSNESS 343 aesthesia of the leg was due to persistent suggestion acci- dentally associated with the object producing mental or psychic shock. The aura found in the subconscious states of so-called "psychic epilepsy" are in my researches proven to be just such accidentally associated changes of sensitivity. For in one case, whose aura was sensations of red, it was found that the color red happened to be associ- ated with the shock and first attack, while in another case, whose aura was sensations of green, the color green was found to be similarly associated ; still another case, in which the aura was a fetid smell and nauseating taste, it was found that the first attack came on when a piece of fetid, nauseat- ing meat happened to be in the patient's mouth. Whatever may be the connection or association between changes of visceral or of peripheral sensibility, it is certainly not one of a causal, but of a casual or occasional character; stated in other words, it may be said that the connection is purely central or essentially mental in origin. The changes in visceral or peripheral sensibility may be casually connected with the subconscious states, or "Dam- merzustande, ' ' as both are the effects of one central process ; in either case, the relation is purely central in character. Far from affirming that it is changes of peripheral or vis- ceral sensibility that give rise to subconscious states, with their consequent amnesias, the reverse rather may be af- firmed with far more truth ; it is the subconscious states that give rise to the change of peripheral or visceral sensitivity. In typical organic epilepsy, sensory and motor disturbances do not stand in relation of cause and effect; both are effects of one central cause; similarly epileptic subcon- scious states and peripheral sensory changes, when present at all, are both of them results of one central process. Furthermore, the subconscious states and the sensory changes may become entirely dissociated, one appearing without the other. Extensive sensori-motor changes appear without any subconscious states, and on the other hand, 344 MULTIPLE PERSONALITY subconscious states are present, with almost no appreciable sensori-motor disturbances. So noticeable is this inde- pendence in many cases that it is a current belief that one is a substitute for the other; that where subconscious states are fully developed the sensori-motor changes are at a minimum, and where the sensori-motor disturbances are at a maximum, the subconscious states are at a minimum. In other words, subconscious states are present where the sensori-motor disturbances are absent; or, as it is some- times put, epileptic mental disturbances are the "psychic equivalents" of typical epileptic attacks, with their loss of consciousness and sensori-motor disturbances. There is another point of view often maintained by psychologists and psychopathologists, a view which at- tempts to explain the amnesia of the subconscious states or of the " Dammerzustande " by reduced "mental intensity." When the activity of consciousness, it is claimed, is weak, then the "Dammerzustande" take place, and hence subse- quently arise retrospective mental gaps or amnesic states. Thus a dream state represents weakened states of mental activity, and it is well known how dreams easily lapse from memory. The subconscious states are taken to be dream states, that is, states of mental activity of low intensity, and hence the resulting amnesic condition. If we closely examine this point of view, we find that it is not quite correct psychologically. A mental state of low intensity is not necessarily a lowered capacity of reproduc- tion. A weak sensation may be very vivid and well re- membered, while on the other hand a very intense sensa- tion may be of very low vividness, and its memory may hence be indistinct or possibly lacking altogether. Mental intensity and reproduction do not necessarily stand in rela- tion to each other. Mental states of low intensity may be- come easily reproduced, while mental states of high inten- sity may lapse from memory. Memory depends largely on the number and frequency of formed associations. Mental TWILIGHT OF CONSCIOUSNESS 345 states, with a great number of associations of frequent repe- titions, can be more easily revived than states of few asso- ciations and of rare occurrence; there are more organized starting-points from which the given state may be brought into consciousness. Should such associations become few and narrowed, then the power of reproduction becomes cor- respondingly reduced. Furthermore, the term "mental intensity" is ambigu- ous and obscure. Does it mean sensory life of great in- tensity, intense sensations; does it mean vivid mental states, vivid representations, clear and distinct ideas; does it mean a great number of associations awakened, or does it mean mental states having great affective or emotional elements as constituents? The greatest objection, however, to the theory of "men- tal weakness" is the fact that it does not accord with ex- perience and observation. They who have closely studied subconscious states in hypnosis, especially in its last stages, know that intensity of consciousness is by no means weak- ened, that, though highly suggestible, it is still very clear and distinct, and if by intensity is meant anything at all, then it may be said that intensity of subconscious life dif- fers but little from the waking states of the upper con- sciousness. And still the amnesia after emerging from this state is often profound and complete. If we turn to cases of amnesia not of the hypnotic type, we find the same truth, namely, that the subconscious states are often clear, distinct, vivid and ' ' intense, ' ' differing but little from the normal state, as far as quality of conscious- ness is concerned. The changes are in the content and form of mental activity. In fact, in one of the cases of double consciousness, the Hanna case, the secondary state was far more clear, far more distinct, more vivid and receptive than was the original normal primary state. Even the so-called epileptic " Dammerzustande " are not entirely clouded and confused, and quite many cases are found an 346 MULTIPLE PERSONALITY examination of which reveals a condition of clear "in- tense" consciousness; and still they are followed often by a severe form of irretraceable amnesia. One great error which people are apt to make is to read the nature of things from the terms by which they are de- noted. The very word "subconscious" irresistibly suggests to many minds mental states of low intensity. As a matter of fact, the "subconscious" is by no means identical with mental states of low ' ' intensity " ; it includes psychic states ranging from the lowest to the highest tension and vivid- ness of mental activity. It may be that for clearness' sake it were better to discard this term "subconscious"; unfort- unately we have no better term, and, besides, it has taken root in literature and is highly useful, if used in its right sense, to include the phenomena it is meant to cover. Be- cause states are termed "subconscious," it does not follow that they are of low intensity and vividness. What is meant is the fact that subconscious states fall outside the range of normal consciousness and are dissociated, so that they cannot be reproduced or recognized. In other words, their tendency is toward amnesia in the normal upper consciousness. These subconscious states may be associated and coherent with one another and may thus be enabled to have reproduction and recognition ; they may have mem- ory, and that of a very precise and exact character. The subconscious states occurring in epileptic conditions may be of a very low type of moment consciousness and may lack altogether any reproductive or recognitive qualities. In the higher type of subconscious mental life, memory is present for subconscious states, and even for states of the upper consciousness, though the reverse is usually absent; that is, the states of the upper consciousness have no memory for the subconscious states. CHAPTER XVII HYSTERIA A number of cases of a functional character is known in medical literature under the term of hysteria. What the term hysteria denotes is rarely denned, though it seems to connote much to the mind of the medical student. To some, hysteria is only a matter of "fancy" and "innate eussedness." This point of view is not in accordance with the facts and need not be discussed here, as it is simply a negation of the reality of the phenomena; it is a simple refusal to recognize the validity of the subject-matter. Others define hysteria in terms of "unreasonable will- stimuli," of "sympathies," of unrelated "parallelism." It is obvious that such definitions require no discussion. Those, however, who do make themselves acquainted with the phenomena and try to reduce them to a rational order, attempt to give some precise definition to the term "hys- teria" with various success. "Hysteria" is denned as a mental disease. It is, however, evident that such a defini- tion is far from being exact and definite. There are many diseases which are mental in character and which can hardly be classed among the hysterias; the different forms of aphasia, the many forms of mania, melancholias, para- noias, etc., are all mental diseases, but they are not hys- terias. To define hysteria simply as a mental disorder is as inadequate as to define man as a two-legged animal. It is true that very often the psychic aspect of the dif- ferent forms of disorders that go under the name of "hys- teria" must be specially emphasized as against the view that makes of that disturbance a purely bodily affection. 347 348 MULTIPLE PERSONALITY This is perfectly legitimate, in fact, indispensable, but it would not do to base on it a scientific definition, not be- cause it is incorrect, but because it is too general, and hence too vague and ambiguous. It is not enough to define a tiger as an animal, but its differentia should be given; in the same way it is not sufficient to define hysteria as a psychic trouble; its differentia should be added. What are the special traits or differentia? of the psychic disturbance known under the term of "hysteria"? The traits commonly given as specific of "hysteria" are: men- tal instability, suggestibility, weakness or lack of will- power, and emotionality. Now these characteristics are certainly very suggestive, but they are not sufficient to sin- gle out and denote adequately the type of "hysterical" in- firmities. These characteristics, it can be pointed out, are too general, too indefinite and too vague. For mental instability, suggestibility, weakness of will and emotional- ity are also to be found in many mental diseases of widely different types. Maniacal states or states of general par- esis will answer this description. Besides, the traits are so comprehensive as to include mental states which can hardly be regarded as psychic diseases. The mental condition of children and savages presents just these very traits of char- acter; they are mentally instable, they are highly sugges- tible, their will-power is weak and deficient, and they are highly emotional. And it will certainly be a strain of gen- eralization to regard children and savages as mentally dis- eased and suffering from hysterical maladies. The con- cept of hysteria as well as the outline of its nature remains vague, ill-defined and obscure, and covers a vast number of psychopathological functional affections of various forms and types whose physical basis is not of the permanent type of organic lesions. A very ingenious theory of the cause and nature of "hysteria" has been recently advanced. According to this theory, the nature of hysteria consists in the abnormally HYSTERIA 349 powerful intensity of the sensory components, concomitant with the reproduced ideas and their associated feelings, bringing about an abnormal intensification of these very feelings. In other words, hysteria is denned as a malady of emotional life, an intensification of reproduced emotions brought about by the abnormal intensity of the associated ideo-sensory processes. Now it is left untold what those ideo-sensory processes are. Since emotions themselves on any theory, whether peripheral or central, are largely made up of ideo-sensory elements and processes, it is hard to tell how much of the whole generalization is a tautology. The whole theory re- duces itself to the very well-known statement that hysteria is simply intense emotionalism. This, however, is nothing but words with but little meaning to them ; neither do they define the nature of hysteria, nor do they give the modus operandi of the facts of emotionalism in giving rise to the phenomenon regarded as belonging to the type known as "hysteria." The intense ideo-sensory elements should be indicated and their relations to the phenomena under in- vestigation should be determined. Nothing of the kind is done and the theory of intense emotionalism is but a repetition of the current popular views on the subject. It is true that an attempt is made to base this popular view on a more firm basis and express it in more exact sci- entific terms. Hysterical emotionalism is referred to repro- duced ideo-sensory elements having an abnormal intensity. This, too, however, is rather vague, as the reproduced ele- ments are not indicated. Furthermore, it is hard to understand what is meant by reproduced intense ideas and sensations. Psychologically regarded, this theory, as it stands, is full of ambiguity and does not accord with facts. An idea may be repro- duced, but it has no intensity; a sensation has intensity, but then it cannot be reproduced. What the theory affirms is the generalization that all the phenomena falling 350 MULTIPLE PERSONALITY under the category of "hysteria" may be explained by or traced originally to the intensity of representative life with its accompanying affective states. In other words, hysteria is regarded as a disease of reproductive mental life. Now it does not accord with facts to find intensity as a quality of representative life; an idea may be vivid, but is not in- tense, and it is wrong to suppose that, however vivid an idea or representation may be, it should ever become a pres- entation or sensation. An idea of sound does not sound, nor is an idea of redness red, no matter how vivid it may be made. We can no more reproduce or represent sensa- tion than we can add a cubit to our height. Still more dif- ficult is it to realize a reproduction of affective states and emotions. If there be such reproduction, then it is cer- tainly of a different type than that of ideas, and the two must not therefore be lumped together into one category. From a general consideration of this theory of emotion- alism, it is well to enter into a more detailed examination and see how the theory works when applied to the phenom- ena that go under the comprehensive term of hysteria. Is this theory of reproduced intense emotionalism a working hypothesis? If we inspect closely the phenomena under consideration, we find that they present sensory, motor, ideo-motor and sensori-motor defects ; we find that they pre- sent anaesthesia of the different senses in various degrees and also amnesia of different forms and types. How are these facts to be explained on the general theory that takes emotional life as its basis? The anaesthesias are regarded as modifications of peripheral and visceral sensibility, due to the diseased states of the various organs. Now it is these modifications, along with the intense reproduced emotional states, that give rise to the amnesic conditions so often pres- ent in patients of the hysterical diathesis. The changes in visceral sensibility work in the same way to bring about am- nesia as they do in the " Dammerzustande " of epilepsy; they so modify the totality of consciousness that certain eon- HYSTERIA 351 tents of memory requiring definite mental states for their reproduction cannot be revived. Thus, for instance, the case of Azam, the case of Burret and Bourrou, the case edited by Weir Mitchell, are all referred to the sensory changes found in the peripheral organs. Thus one of the followers of this theory cites cases of Janet, showing such peripheral sensory changes present with the onset of differ- ent forms of amnesia and the disappearance of those am- nesic states with the return of the sensory states to the normal condition. Thus Janet tells of some of his cases that, with the disappearance of the skin and muscle anaes- thesia, the amnesic states have also ceased. In fact, one may even refer to Janet's law that amnesias come and go with sensory disturbances. The factor of sensory disturbances, however, does not seem sufficient to account for all the phenomena, and the other factor, that of intense reproduced affections and emotions, is brought in to bear on the subject. Hysteria, it is pointed out, is characterized by the important symp- toms that reproduced emotions manifest themselves with unusual abnormal intensity. It is the abnormal intensity of emotional life, partly dependent on the changes of peripheral and visceral sensibility, so prevalent in hys- teria, that is the cause of the amnesic states. A psycho- logical principle is now being drawn that very intense emotional states suppress the reproduction of ideas and memories associated with them. When an idea a is asso- ciated with an emotion 6, then if the reproduction of this idea a revives the intense emotion &, the emotion b exercises an inhibitive influence on a, the memory a is in- hibited, and hence amnesia. The adherents of this view attempt to substantiate it by an analysis of cases. The analysis shows that in some cases a strong emotion brings about the hysterical state with its symptoms. Now it is believed that no sooner do these memories arise to con- sciousness than their accompanying emotions arise, too, 352 MULTIPLE PERSONALITY and with an intensity so great as to inhibit the very mem- ories and give rise to amnesia. Of course, the question arises as to the validity of the principle of having an emotion inhibit instead of fixing the ideas associated with it. For we find that in normal life, as well as in abnormal mental activity, memories become fixed in proportion to the strength of the accompanying af- fective states and emotions. This objection is overcome by the reply that this holds true only up to a certain degree of intensity of the affective states. When the intensity of the emotions rises beyond a certain point, then, instead of fixing the memory, the emotion inhibits it and produces loss of psychic content, thus giving rise to the different forms of amnesia. A closer examination, however, of this theory reveals its questionable character. First of all, it postulates that an emotion revived representatively by an idea differs from the original emotion only in the degree of intensity. This generalization of identifying the qualitative side of pres- entation and representation and making them differ in degree only is not true to fact. A presentation is not an intense representation, an "intense" idea does not become a sensation, nor is a weak sensation an idea. Affective states and emotions can no more be reproduced by repre- sentations, by ideas, than sensations can. Psychologically, it is opposed to facts of observations, and physiologically the theory assumes that the central apparatus and its phys- iological processes are in structure and function identical with the peripheral sensory organs and their mode of ac- tion. One may as well place eyes, ears, nose and tongue in the cerebral lobes. The theory, therefore, cannot be accepted on general grounds, because it is not in accord with the facts of psychology and physiology; in fact, it contradicts their most fundamental principles. If now from the general review of the theory, we turn to the facts it is assumed to explain, we find that it is also HYSTERIA 353 out of accord with them and that the explanation given is but an apparent one ; the very essence of the facts is really ignored. It is contended on this theory that the memories as representations are inhibited by their associated repro- duced emotions and hence the amnesic states. Now as a matter of fact, nothing of the kind is really observed in those forms of amnesia that go under the name of hys- teria and which, on account of the vagueness of the term and the clustering round it of a great number of invalid concepts, it were better to use the more comprehensive and more adequate designation of "functional psychosis." The phenomena of functional psychosis are in direct contradiction to this theory of inhibitory reproduced affec- tive states and emotions. If the emotion is to keep the associated representation under inhibition, then it is evi- dent that the removal of the emotion will also remove the inhibition; in other words, in order that the amnesia should persist, the association of the emotion with the idea must be stable, permanent and lasting. Most cases of functional amnesia do not reveal the least trace of the presence of emotional states. On the contrary, indiffer- ence, affective and emotional, hyposesthesia or anesthesia of the emotional life, is most often the case. Even in the cases where emotions do enter as a factor, they do so in the beginning of the attack, and may bring about a psychic trauma, giving rise to the symptoms characterizing the different forms of functional psychosis. Once, how- ever, functional psychosis, with its psychic states, is origin- ated, the emotion itself is no longer active. An emotion may work harmful results, somewhat like a physical blow on the head, in producing amnesia; in fact, it may be regarded in such cases as a psychic blow, but it is certainly strange to assert that it is the blow which under- lies the nature of the amnesia and is a permanent factor in the psychopathological phenomena, nor can it be asserted that each subsequent attack is preceded by a blow. The 24 354 MULTIPLE PERSONALITY blow is absent, but the psychic state persists. The nature of functional psychosis lies not in the blow, but in the pathological neural disturbances with their accompanying psychic manifestations. Functional amnesia is not kept up by the intensity of emotion; the emotion, if it does occur as the occasion of the mental malady, may pass away, but the amnesic condition remains. In many of my cases of functional amnesia, not the least trace of emotion could be discovered. Moreover, according to this same theory, sensori-motor changes and disturbances of coenassthetic sensibility should be observed, but nothing of the kind could be found. With the exception of the amnesia, not the least difference could be found between the normal state and that of the amnesic conditions. In the M. case the amnesia is of systematized character, in the F. ease the amnesia is of a localized char- acter, but in neither could any affective, emotional, nor any sensory changes be found. Even in the Hanna case, where the amnesia was complete and general, the patient possessed excellent self-control, manifested no emotional disturbances and revealed no sensory changes whatever. As a matter of fact, when sensory changes do occur in functional psychosis, they are not at all of a peripheral physiological character, but of a purely central and psychic origin, often brought about by suggestion or subconscious auto-suggestion. The key to functional psychosis is not to be sought in its occasional factors and circumstances, such as emotionalism and sensori-motor changes, but they must be looked for in disturbances of a purely central character ; they must be sought in psychophysiological dissociations of the central neural apparatus due to the rise and fall of thresholds. Furthermore, the very essence of functional psychosis is entirely overlooked by this theory of intense revived emo- tional states. Neither the seemingly lost sensori-motor impressions nor the memory experiences are really lost in HYSTERIA 355 functional psychosis. The apparently lost experiences can be shown to be present in the patient's subconscious life. The lost content has not vanished from consciousness ; it is present there in a dissociated form. Tapped by psycho- pathological methods, such as distraction, automatic writ- ing, guessing, hypnoidization, and under conditions favor- able to the manifestations of subconscious states, the seem- ingly vanished content suddenly reappears and stands out clear and distinct in the background of consciousness. Moreover, it can also be shown that the seemingly an- aesthetic spots are really highly sensitive, and the appar- ently forgotten and lapsed memories are actually present in full to the smallest detail. We may fully affirm the statement which may be termed the paradox of functional maladies that in functional psychosis all losses are present ; that all deficiencies are also excesses, that all anaesthesias are also hyperesthesias and that all amnesias are also hyperkinesias. So strongly marked is this the case in functional psy- chosis that some investigators find that what really re- quires explanation is not the anaesthesias and amnesias, but the hyperaesthesias and hypermnesias. As a matter of fact, the two are inseparable in functional psychosis; they are but two aspects of one and the same fundamental phe- nomenon of functional dissociation. What is completely lost to the patient's personal consciousness is present in full in the subconscious dissociated state. The phenomena of functional psychosis originate in psychic dissociation, with its concomitant physiological dissociation of neural systems and elements. Psychologically regarded, functional psy- chosis is a dissociation of systems of moments consciousness; physiologically regarded, functional psychosis is a disag- gregation of neurons systems. CHAPTER XVIII TYPES OF DISSOCIATED PERSONALITIES Psychophysiological dissociation is at the basis of the psychopathic states of functional psychosis. The occasion or the proximate cause of functional psychosis is invari- ably present in the dissociated psychopathic states. Thus, for instance, the event and circumstances that have given rise to functional psychosis can always be found, on in- vestigation, in the dissociated moment. Tapping this dis- sociated moment by different methods, the detachable sen- sori-motor states with its memories are brought to light and a reassoeiation is made possible. Such a reassociation removes the psychopathic conditions and the anaesthesias and amnesias vanish. Cases of psychic epilepsy, the many forms of aphasias, fixed ideas and other mental and sen- sori-motor maladies of like kind may be brought as good illustrations of the truth of our proposition. The experi- ences and memories are present in the dissociated moment in a subconscious state and do not become synthetized in the functioning personal moment consciousness. What specially characterizes functional psychosis is the fact that its losses are not absolute, but relative only. What is absent in self-consciousness is present subconsciously. Neither the anaesthesias nor the amnesias are absolute. In fact, far from being the case that functional psychosis manifests itself in losses such as diminished or even total loss of sensibility or of memory, it can be shown that when the subconscious dissociated state is tapped by stimuli ade- 356 DISSOCIATED PERSONALITIES 357 quate to its functioning activity, that hyperesthesia and hypermnesia take the place of anaesthesia and amnesia. The apparently anesthetic spot is shown to be highly sensitive, far more so than in the normal state, and the seemingly lost tract of memories is present to the minutest details. Thus in the D. F. case^ the visual stimulations that were outside of her greatly contracted field of vision were apparently not perceived by the patient. An examina- tion, however, revealed that they were actually present in the patient's mind, but in such a condition as not to be directly reached by the active systems of associations con- stituting for the time being the patient's personality; in other words, the impressions, the sensory experiences ex- isted in a detached form, in a form dissociated from the rest of the associative systems of the patient's personal mental activity. Once, however, these detached, dissoci- ated systems were reached by stimuli appropriate to them; then it became clear that not only were the stimulations perceived, but the perception was highly delicate and sen- sitive. While the field of vision in self-consciousness be- came greatly contracted, that of the subconscious became enlarged beyond the normal. There was the anaesthesia for the contracted personal consciousness and hyperesthesia for the dissociated consciousness. Similarly in the ease of F., where whole tracts of mem- ories were apparently completely lost from personal con- sciousness, they were found in all their manifold details in the subconscious, clearly revealing the important fact that here, too, personal amnesia is dissociated hypermnesia. The central truth of functional psychosis is psychophysiological dissociation giving rise to the two opposing and apparently contradictory sets of symptoms or manifestations. The threshold of sensitivity and recollection seems to move in two opposite directions ; while there is a rise of threshold to maximum in the self-consciousness, there is also a fall of the threshold to minimum in the subconscious. This simul- 358 MULTIPLE PERSONALITY taneous rise and fall of thresholds for sensitivity and recol- lection may he regarded as the paradox of functional psychosis. The paradoxical side of this simultaneous rise and fall of the thresholds becomes perfectly plain and clear when we remember that all functional psychosis is a dissociation of mental systems. The dissociated system falling out of the main organization of the functioning systems gives rise to limited anaesthesia and amnesia. Reached, however, through appropriate and adequate stimulations, they re- veal a full account of their very isolation and dissociation from the rest of functioning systems, disclosing their entire content, manifesting hyperesthesia and hypermnesia. In reality, the two seemingly contradictory manifestations of rise and fall of threshold for sensitivity and recollection are both two sides of one and the same phenomenon; both are related to one and the same central fact of functional psychosis — psychophysiological dissociation, the dissocia- tion and disaggregations of systems of central neural ele- ments with their concomitant psychic systems or moments consciousness. 1 The phenomena of simultaneous functioning of both personal consciousness and subconscious systems cannot be explained on the theory of emotionalism, and the facts, moreover, directly contradict that theory. Thus in the subconscious motor manifestations of automatic writing ex- periences are recorded by the patient, apparently in an automatic way, while he is busy reading or talking, the experiences being of a nature unknown to the patient, and the act of recording remains also unknown. The same ex- periences may also be manifested in the form of whisper- ing, occurring in an automatic form, the patient remaining entirely unconscious of the whole occurrence. The theory of emotionalism has no explanation of these phenomena, but on the dissociation theory such phenomena should 1 See part ill, chapters xi, xii. DISSOCIATED PERSONALITIES 359 naturally be expected. The psychophysiological systems that have become dissociated carry on their functioning activity side by side with the main systems, with the per- sonal consciousness. Furthermore, we should expect to find that the organ temporarily possessed by the subconscious dissociative sys- tems, such, for instance, as the hand or the tongue, should for the time being fall outside the control and conscious- ness of the main personality. Now we actually find this to be the case. When the hand of the automatic writer is pricked, he does not feel it, though the dissociated con- sciousness does. On the theory of emotionalism, there is absolutely no reason why the facts should be of such a character. The same holds true in cases of amnesia, where the automatic writing records events, totally unknown to the subject, occurring during the time he is attentively reading or engaged in active conversation. Two streams of con- sciousness run here side by side; two moments are active simultaneously. The theory of emotionalism can give no reason for these phenomena. The theory of dissociation, on the contrary, not only explains them, but in fact makes them absolutely necessary. Instead of simultaneity, functional psychosis may pre- sent phenomena of succession of an alternate character. Memories may alternate, what is known to one state is un- known to the other. The alternate states may form series which know each other. "What account can the theory of emotionalism give of these phenomena? None whatever! If an intense emotion brings about an amnesic state, then the removal of the emotion and the coming up into con- sciousness of the inhibited forgotten content should not be accompanied by a new amnesia. The theory of psycho- logical dissociation once more can account fully for these phenomena, in fact, it requires their occurrence, if the theory is to be substantiated and verified at all. Two or 360 MULTIPLE PERSONALITY more dissociated systems, two or more dissociated moments may function simultaneously or successively. "When they do function in succession, what should happen ? Naturally the phenomena of alternating amnesia. The interrelation of the alternating states may be of such a character that they may be completely unknown to one another; or they may be known to one, but not to the other. Thus the first series of states may not know the sec- ond series, nor the second the first ; or while the first series does not know of the second, the second series does know the first. In the first case the dissociation is complete; in the second case, the dissociation is fully present in the primary series, but not in the secondary. Suppose, for the sake of illustration, consciousness consists of moments A, B, C, D, E, P, then in the case where the states are unknown the primary series may consist of A, B, while the secondary series consists of C, D, E, F; both series are independent and dissociated, and as such are unknown to each other. In the case, however, where the secondary knows the primary, but not the reverse, then the secondary consists of all the functioning moments, while the primary consists only of A, B, and as such it does not know the rest of the moments, C, D, E, F, etc. Now, while on the theory of dissociation we should expect such interrelation in the dissociated moments, on the theory of emotionalism, the phenomena of alternat- ing memory-series and their interrelations remain an in- soluble mystery. The secondary states may be wide and extensive enough to include the primary states, or they may be so narrow as to exclude them. In the former case, the secondary states may be regarded as more or less complete states, while the primary states are the incomplete ones. Fre- quently, however, both primary and secondary states are incomplete, and while they may have in common many of the lower automatic and secondary reflex psychic activi- ties, they lack common elements of conscious memory, and DISSOCIATED PERSONALITIES 861 hence there is no recollection of one series by the other. The whole series of primary states, however, represents a flowing, synthetic, organic unity with recognition and recol- lection of all the primary states; while all the secondary states form another independent, but also an organic unity, having recognition and memory for all the secondary states that enter the flowing unit. In other words, two personali- ties are formed which to all intents and purposes may be regarded as independent of each other, being unconscious of each other and having two separate centres of syn- thesis, giving rise to the phenomena known as double con- sciousness. If the cycle appears but once, we have mono cyclical bimorphosis ; if the cycle is repeated, poly cyclical bimor- phosis. There is, however, no reason why the separate series should be limited to two, although this is the most common occurrence. There may be many separate series, with as many independent foci of synthesis, giving rise to as many different individualities. In such a case we have the phe- nomena of multiple consciousness or of multiple personal- ity ; in short, the phenomena of polymorphosis. If the cycle occurs but once, then the polymorphosis may be said to be monocyclical; if the cycle is repeated, the polymorphosis is polycyclical. The formed personalities in polymorphosis act as inde- pendent individual beings and enter into relations, con- versations and discussions with one another, the whole pre- senting a dramatic play in which many personages take active part, successively as well as simultaneously. Such, for instance, are those functional cases of multiple person- ality, reported by many writers, cases which to a certain extent may be reproduced artificially. These many per- sonalities may fuse and form a new personality with all the contents of memory belonging to them, and as such may have recognition of all of them. At this point let me emphasize the fact which has been 362 MULTIPLE PERSONALITY but too often entirely overlooked, namely, the fundamental difference between reproductive amnesia and that of a purely recognitive character. In amnesia of reproduction, the very contents of memory are lost, whether functionally or organically, whether relatively and temporarily or ab- solutely ; in amnesia of recognition, the content of memory on examination can be shown to be present and reproduced, but it is not recognized as belonging to one's past life. Amnesia of recognition is no doubt due to a great narrow- ing down of associative connections brought about by the process of functional dissociation, affecting the particular content. For recognition, as we have shown, is a function of associative systems, recognition becoming more localized in time and more specific in proportion to the number of associative interconnections. Recognitive amnesia depends on a very limited field of associative activity, or rather on a very great extent of dissociation, while amnesia of re- production is the outcome of complete functional dissocia- tion. In both cases the psychic content is retained ; in one case it is reproduced only, but not recognized, in the other it is neither recognized nor reproduced. Now, in the phenomena of bimorphosis and polymor- phosis, whether coexistent or successive, the same important distinction between amnesia of recognition and amnesia of reproduction should be maintained. This distinction gives us a wider, deeper and clearer view of the phenomena and their interrelation. These dissociated streams of thought, these various foci of mental activity, these individual mo- ments developing into fully fledged personalities, since the detached fragments of the personal moment have a ten- dency to become personalities in their turn and thus repro- duce the type of moment from which they have become detached, may stand in different relations to one another. The newly developed personality formed by dissociation may know the rest, but not recognize them, or it may not even reproduce them, in either case the rest are regarded as total strangers. DISSOCIATED PERSONALITIES 363 The quasi-individualities formed may be sharply de- fined in character, with strong claims of being independent personalities, and though often bringing confusion in their wake, they are jealous of their independence and strenu- ously resist attempts at fusion. The quasi-personality puts forth claims of being an independent, objective individual and not even related to the patient's personality, of which it is really a constituent. The Flournoy case and other related cases are of this type of polymorphosis. In cases of polymorphic personality we usually find one or two predominating personalities, which present a high degree of stability and individuality, while the rest are unstable; they come and go and get character and indi- viduality by insistent questioning and indirect suggestions given to them by outside people and their surroundings. There is no doubt that the very interplay of the principal dominating personalities as well as of the subordinate ones is in itself an important factor in the strengthening of the various crystallized individualities, which at first may come into being in a rather amorphous condition. The in- terrelation of these different quasi-individualities, though seemingly so aggressively independent, is really a very intimate one; they are all chips of the same block. CHAPTER XIX A SINGLE APPEARANCE OP A SECONDARY PERSONALITY Cases of double and multiple personality, though few in number, have been published and republished, but they have not been given a close analysis. They always remained mysterious freaks, monstrosities of the human mind, and were described as scientific curiosities. The lay mind re- gards them with fear and awe, as mysterious manifestations of the supernatural ; the scientific world looks at them as rare, exceptional phenomena, to which science has no key and which, on account of their exceptional occurrence, may as well, for "scientific purposes," be neglected. When the Greeks for the first time discovered electricity in the ' ' elec- tron" or amber, they considered it a freak of nature, an exception. It was reserved for the future generations, two thousand years later, to demonstrate the potency of elec- tricity. Psychologists with one accord have passed the verdict: cases of multiple consciousness are exceptions to the law. From the stand-point, however, of our psycho- physiological theory of the mind, the phenomena of multi- ple personality are full of meaning and import. Far from being mere freaks, monstrosities of consciousness, they are in fact shown to be necessary manifestations of the very constitution of mental life. Multiple consciousness is not the exception, but the law. For mind is synthesis of many systems, of many moments consciousness. The phenomena of multiple personality are due to disintegration of mental synthesis, to dissociation of many complex systems. In- stead of being neglected by psychology, these phenomena, on the contrary, should form its very basis. One great 364 SECONDARY PERSONALITY 365 principle must be at the foundation of psychology, and that is the synthesis of multiple consciousness in normal, and its disintegration in abnormal mental life. The consideration of the importance of the phenomena of double and multiple personality induces me to under- take here the work of analysis, however brief, in order to bring out the main points of their agreement and differ- ence. An analysis of these cases, along with the experi- mental study of the Hanna case already presented to the reader in previous pages, may help us to formulate the law of the phenomena known as "double or multiple con- sciousness. ' ' We may begin with the following case, reported by Dr. Osborne in The Medico-Legal Journal for 1894: "The subject was a man of muscular, somewhat angular outline, past middle age, in admirable health, and so far as is known free from any personal or inherited neuro- pathic taint. For many years he had resided in a thriving town near Philadelphia, and by strict application to his trade as tinsmith and plumber, had accumulated consider- able means. With these resources he at last opened up an establishment of his own, and, being singularly industrious and straightforward, he prospered steadily in his business. As his sons grew up they shared in the business, and at the time of his disappearance had materially assisted him in the execution of some large contracts, from which he realized handsome profits. For years he had enjoyed ordinarily good health, and was not known to possess any eccentrici- ties or morbid tendencies. His domestic relations were har- monious, his social position better than ever before, and he was not known to have any secret, immoral, or illicit indul- gences of any kind whatever. "The Sunday of his disappearance he remained in the house all day, as it was a dull, gloomy November day, engaged mainly in reading and in play with his younger children, to whom he was greatly attached. About four 366 MULTIPLE PERSONALITY o'clock in the afternoon he got up from the lounge on which he had been reclining, reading, changed his house- jacket for an ordinary business-day coat, slipped on an easy pair of shoes, and, to his wife's questions, stated he was going out for a short walk in the street 'for a little fresh air.' Noting the time, she cautioned him not to go far, as they would soon have dinner. He promised not to keep them waiting, declared he would be back in a few moments, and that he was only going for a little turn in the main street, on which his house faced. He quietly and leisurely stepped outside the door, and although a conspic- uous figure in the town and perfectly well known to nine- tenths of the people of the vicinity, he disappeared as mys- teriously as though he had, as they say, ' vanished into thin air.' None of the townspeople saw him, although the streets were alive with the usual Sunday afternoon strollers. He left no trace. Rewards and detectives proved unavail- ing. When it was necessary to wind up the affairs of the establishment, it was found that he had taken no money, but that his wife and family were handsomely provided for. In due course of time the business was finally disposed of, the property sold, and the wife and family removed to Chi- cago. The family gave up all hope of ever finding even a clew to the long-lost husband and father. "Two years had almost passed when, in a tin-shop in a town in one of the far Southern States, where a number of men were engaged at their trade, suddenly one of them dropped his work and cried, as he pressed his hand to his head in a dazed, bewildered way : ' My God ! where am I ? How did I come here? This isn't my shop. Where am I? What does it mean?' At first the men were disposed to laugh at the reserved man, who had worked for several months so quietly by their side, and of whose history they had not been able to learn a word, but when they saw his changed expression, the perspiration standing on his brow, his nervous twitchings, and noted his piteous appeals, they SECONDARY PERSONALITY 367 realized that it was all something far from jest; as he was known as a sober, most exemplary-behaved man, they could not charge him with inebriety. They called him by a name that was now strange to him, and they insisted he had told them such was his name. At last, trembling with sup- pressed emotion, he made his way to the proprietor, who was quite as much startled by the man's talk and manner as had been the men below. After months of wandering and of work combined, during which period he had aged considerably, he was now awakening from — shall we say his somnambulistic sleep? "It was with some difficulty that he made the proprie- tor understand his true condition or believe his story of a Northern home, a family, and a prosperous business. The proprietor only knew him as a wandering tinner who had drifted into the town, sought work at his trade, was em- ployed, proved to be a reliable, skilled and attentive work- man, and regarding whose antecedents the proprietor had not inquired and the workman had not volunteered any statements. Under the fictitious name he had given he had been known and paid, but he had no knowledge of the past. He remembered nothing. At last a dim recollection came over him of that fateful Sunday, his rising to go out, the request to come back for dinner, his promise to do so in a few minutes, and then all was a blank. He had no money, although he had worked steadily for some months in this shop and had been paid good wages. What he did with the money, it seems, has never been discovered. "After ascertaining the whereabouts of his family, he made straight for Chicago, where, by the last accounts, he was living his usual normal life. Somewhat mystified over his realization of the strange freak in which he fig- ured, although feeling well and apparently in normal men- tal balance, he yet realizes that he has been the central figure in some over-strange mental phenomena, quite mys- terious enough to make him, at times, doubt his sanity. 368 MULTIPLE PERSONALITY There are no facts explanatory of the prime cause of his disappearance, to account for the failure of his neighbors to detect his flight, to explain his wanderings, or to solve the conditions of his return to his normal self." In The Psychological Review for 1894 Dr. Dana gives the following account of an interesting case of double con- sciousness that has come under his personal observation : "The patient, Mr. S., aged 24, was an active, intelligent and healthy young man. Though coming of a somewhat nervous stock, there is no actual psychosis in the family. He had himself always been well. His habits were good. For a year or two before his trouble came on he had been subjected to some nervous strain, but it had not perceptibly affected his health or spirits. "About two weeks before his accident he had some financial trouble, and on coming home had a 'nervous chill.' However, he seemed perfectly well next day and continued his usual duties. On Friday evening, Novem- ber 18th, he retired as usual. Next morning, as he did not appear at breakfast, a member of the family entered his room and found it full of gas and the patient lying unconscious in bed. The escaping gas was due to a leak in the pipe, as was subsequently found. The stop-cock of the gas-burner was turned off, and there was no possible reason for or suspicion of suicide. The patient was, as stated, un- conscious, the face livid, the lips blue, the eyes open, the respirations slow and stertorous, sometimes almost ceasing. "The family physician, Dr. Rodenstein, was called, and worked over him for three hours before the breathing became natural and his life seemed out of danger. He became partially conscious by 4 p.m., and to a clergyman who had called he talked rationally, but not clearly. Next morning he recognized his sister and father, and said he thought he was losing his mind. In the afternoon he be- came somewhat delirious. He slept that night, but during the succeeding six days his mind wandered and he was ap- SECONDARY PERSONALITY 369 parently distressed and excited. He was oppressed with the idea that someone wanted to take him away and do him bodily injury. He talked about a trip he had been expect- ing to make to Washington, and called for his time-tables. He spoke also about his business and of various plans he had been intending to carry out. On Tuesday, four days after the accident, he was seen trying to read a newspaper upside down. On the eighth day he was taken to Dr. Gran- ger's sanitarium. He went without trouble, though he was still somewhat excited and maniacal. That night he slept, and next morning awoke free from any signs of mania. He was quiet and sane in every way. "From this time the evidences of his amnesia and changed personality were apparent. He dressed himself neatly and with his usual attention to his toilet, under- standing apparently the use of the various articles of dress. He showed by his conversation at once that he did not know who he was or where he was, and that his conscious memory of everything connected with his past life was gone. His vocabulary at first was very limited; he could only use familiar words, and could only under- stand language of the simplest character, such as that bearing on the things immediately about him. He did not know the names or uses of the things in and about the house, though he at once remembered and never forgot any name told him. Consequently his vocabulary and under- standing of conversation rapidly increased. He had a Ger- man attendant, and pronounced many of the new words with a German accent. Everything had to be explained to him, such as the qualities and uses of the horse and cow and of the various articles about the house. Yet he would sit at the table and eat his meals with his former neatness, pre- serving also the courtesies and amenities of a gentleman, but he could not understand why he did certain things until it was explained. He did not recognize his parents or sis- ters or fiancee, though he said that he had always known 25 370 MULTIPLE PERSONALITY the latter, and his great desire and longing was to have her with him. He did not remember the slightest detail of his former relations with her, and did not know what marriage meant or the significance of the filial relation. Those per- sons whom he had liked very much before he seemed espe- cially glad to see, though he could not explain why. He could not read, and did not even know his letters or figures. But he soon learned both to read and write simple sentences involving ordinary words. "His vocabulary was gradually increased, but even two months after his accident he could not read a newspaper understandingly, except simple accounts of every-day hap- penings. He was naturally slowest in understanding ab- stract terms. He learned figures and arithmetic very quickly and could soon do ordinary arithmetical computa- tions easily. He had been accustomed to play billiards a little, but played the game badly. He very soon learned to play again, appreciating the value of angles, and before long he became much more skilful than he had been in his former state. He had always been clumsy with his hands and never liked mechanical work or showed the least ca- pacity for it ; he never could draw or carve. With a little instruction from another patient he soon became very skil- ful in carving and worked a monogram in the back of a brush in a most creditable manner. He also made a shuffle- board, doing the work very neatly. He showed, in fine, a much greater cleverness with the hands and finer develop- ment of muscle-sense than he had had before. "He used to play and sing a little. About six weeks after the accident, he picked out a tune on the piano, which he had known long before, but had not heard or played for a year. He did not know what it was, or associate it with any early memory. He sang some of his old songs and played a little on his banjo. The old musical memories were there, but dissociated from any thoughts of the past. He was very imitative and his memory for everything told SECONDARY PERSONALITY 371 him was extraordinarily retentive. He had always been careful and even fastidious about his person, and he con- tinued to be so. His habits of courtesy and affability con- tinued the same. "He had had some religious upheavals in the past. Two or three years before he was distinctly and positively atheis- tical ; later he was more inclined to theism and agnosticism. In an argument which I undertook with him to test his log- ical powers and knowledge of abstract ideas he showed a distinctly atheistical state of mind. His views were those held some years previously, not his later ones. In argu- ment he showed considerable dialectic skill and logical power. But he evidently could not understand any concep- tions at all abstract. His 'mind stuff' was made up of conceptions closely related to his recently acquired prac- tical knowledge. He had previously acquired a special re- pugnance to any form of religion, and he showed this feel- ing of antagonism in his conversation. "He was even-tempered and obliging. He had never been demonstrably affectionate, and was not in his new state except as regards his fiancee, about whom his thoughts and feelings were intensely centred. ' ' If one were to meet him and discuss ordinary topics, he would show no evidence of being other than a normal man, except that he might betray some ignorance of the nature or uses of certain things. His conversation ran chiefly on the things he did every day and on the new things he every day learned. He was exactly like a person with an active brain, set down in a new world, with everything to learn. The moon, the stars, the animals, his friends, all were mys- teries which he impatiently hastened to solve. He was somewhat sensitive to his condition and did not like to meet persons whom he had known before. He cherished also a lurking suspicion that someone might want to take his fiancee away from him. But he never was in a passion, never became incoherent or delirious, had no delusions 372 MULTIPLE PERSONALITY or hallucinations, and was not in the slightest degree demented. "He spoke of his own mental condition, and seemed to understand that it was not right. He was very anxious to get well. "Physically his health was perfectly good. He had no anaesthesia of the skin, no limitation of visual or aural fields, no stigmata of a trance or hysterical state. He slept well, and so far as I know had no dreams. He had a tendency to coldness and redness of the extremities, and there was evidently lack of vasomotor tone. At times, when a little excited, he would move his head constantly from side to side, as if working in an uncomfortable collar. This was a violent exaggeration of a habit I observed that he had when in his normal condition. ' ' On three occasions I hypnotized him, using the methods of Braid and Bernheim combined. On the second and third trial I put him in a light degree of hypnotic sleep. During this I told him that after waking at a certain signal he would go through certain acts, such as rubbing his eyes, walking about the table, opening the door and giving a certain greeting to his mother. Also that at a certain hour in the evening he would remember the past. He did every- thing that I suggested except the last. At the time named, in the evening, he simply said, without suggestion, 'Dr. Dana told me to remember something, but I can't do it.' ' ' I saw him once or twice a week at my office. He con- tinued in much the same state day after day. His knowl- edge increased so that he was able to go about alone to a considerable extent, and I had begun to advise his going to his old place of business and learn something of his old work. "At the suggestion of Professor Josiah Eoyce, to whom I gave some account of the case, I told him to get some of his old love-letters and copy them ; also to copy some of the prayers that he used to say daily as a boy, and finally to SECONDARY PERSONALITY 373 get some of his old business accounts and copy them off; I was in hopes that some of these things might revive old memories by appealing to his affections, his religion, and his business instincts. He did this, but with no apparent success. "On February 15th, Friday evening, exactly three months from the time of his attack, he went to see his fiancee. She thought after the interview that he was rather worse, less like himself. She cried that night when he left, thinking he would never get well. While riding home, with his brother, he said he felt as though one-half of his head was prickling and numb ; then the whole head, then he felt sleepy and was very quiet, but did not fall asleep. When he got home he became drowsy and was carried to bed, where he fell asleep. At about 11 o'clock he awoke and found his memory restored. He remembered distinctly the events of three months ago ; his visit to his fiancee, his sup- per at the club afterward, his journey home, his shutting his bedroom door and getting into bed. His memory stopped there. He did not recall a thing that had occurred between times. "He knew all his family at once and was plainly just the same man as before. But the three months were an en- tire blank to him. Next day he came to see me, but did not know me (I had never seen him before his accident). Not a thing connected with the three months could be recalled. It was so much taken entirely out of his existence. He at once resumed his old work and habits and has continued perfectly well up to the present time." This is one of the simple cases of double personality. The patient lost consciousness due to the action of a toxic stimulus and when he awoke a whole tract of his life expe- rience was gone. Memories of his former life were swept away from the domain of his upper consciousness and sub- merged into the subconscious. The lost tract of conscious- ness seemed to have involved a large mass of psychic con- 374 MULTIPLE PERSONALITY tent, inasmuch as but the simplest systems were preserved to the upper consciousness, while the more complex were erased from his conscious memory. Apparently new systems had to be developed, new adaptations to the complex conditions of the environment had to be learned. The process of acquisi- tion, as it is usually the case with such forms of amnesia, is rather accomplished with extraordinary ease and rapidity, clearly showing that the old content is really present in the subconscious. It is not clear from the account as to whether the patient had some general feeling of recogni- tion or familiarity in the process of learning by the help of his attendants. As far, however, as it can be judged from the report, this feeling was absent. The psychic content has become greatly reduced in the secondary state; only the instinctive, automatic, secondary automatic habits of life, as well as words and phrases of a simple character, have alone become the possession of the secondary personality. The dissociated moment formed was narrow and constricted, as it is the rule with secondary personalities formed after a physical or psychic shock. The accident giving rise to a state of unconsciousness, formed the gap, the chasm, between the two personalities, primary and secondary. The state of unconsciousness formed the hypnoleptic state which separated two disso- ciated moments, two persons. No amount of suggestion could bridge over the two dissociated mental states. This case, like the rest that follow, has no doubt a full claim to double consciousness or double personality, be- cause the two dissociated tracts of consciousness form sep- arate moments, so to say ; they keep strictly apart ; their con- scious experiences do not fuse ; they have their own past, present and future, their own retrospect and prospect ; each possesses its own chain, indissoluble chain of memories which run independently side by side or in alternation; they cannot be directly attached to each other, not any more than the life and memories of one person can be fused and SECONDARY PERSONALITY 375 organically united with those of another person and form one personality of the two individuals. The two streams of consciousness cannot be directly bridged over; not even hypnosis suffices. One may know of the other by informa- tion, but they are not directly conscious of each other. The two dissociated personalities, with a common stock of in- stincts, form a kind of mental dicephalus; they are like two individuals with a common organism between them. CHAPTER XX THE REAWAKENING OF THE SECONDARY PERSON In the preceding cases, the secondary personality ap- peared but once and then disappeared from life activity. Can it be shown that such a personality once formed in the womb of the subconscious and born and grown up in full consciousness and finally disappearing from life, is really not dead, but only submerged in the subconscious? Can this seemingly dead and buried personality be resurrected and brought to light, be made once more to enter the cycle of life and then be submerged again into the same obscurity whence it came, like the shade of Samuel recalled by the witch of Endor 1 ? Yes, this can be done, and in fact it has been accom- plished. As examples, we may take the following inter- esting cases: The striking case of Ansel Bourne, described by Pro- fessor James in his "Psychology" and reported in "The Proceedings for Psychic Research," is very interesting and clearly demonstrates the possible resurrection of the en- tranced and apparently dead secondary personality. ' ' The Rev. Ansel Bourne, of Greene, R. I., was brought up to the trade of a carpenter ; but in consequence of a sud- den temporary loss of sight and hearing under very peculiar circumstances, he became converted from atheism to Chris- tianity just before his thirtieth year, and has since that time for the most part lived the life of an itinerant preacher. He has been subject to headaches and temporary fits of depression of spirits during most of his life, and has had a few fits of unconsciousness lasting an hour or less. He also 376 THE SECONDARY PERSON 377 has a region of somewhat diminished cutaneous sensibility on the left thigh. Otherwise his health is good, and his muscular strength and endurance excellent. He is of a firm and self-reliant disposition, a man whose yea is yea and his nay nay; and his character for uprightness is such in the community that no person who knows him will for a mo- ment admit the possibility of his case not being perfectly genuine. "On January 17, 1887, he drew $551 from a bank in Providence with which to pay for a certain lot of land in Greene, paid certain bills and got into a Pawtucket horse- car. This is the last incident which he remembers. He did not return home that day, and nothing was heard of him for two months. He was published in the papers as missing and foul play being suspected, the police sought in vain his whereabouts. On the morning of March 14th, however, at Norristown, Pa., a man calling himself A. J. Brown, who had rented a small shop six weeks previously, stocked it with stationery, confectionery, fruit, and small articles, and carried on his quiet trade, without seeming to any- one unnatural or eccentric, woke up in a fright and called in the people of the house to tell him where he was. He said that his name was Ansel Bourne, that he was en- tirely ignorant of Norristown, that he knew nothing of shopkeeping, and that the last thing he remembered — it seemed only yesterday — was drawing the money from the bank, etc., in Providence. He would not believe that two months had elapsed. The people of the house thought him insane; and so at first did Dr. Louis H. Read, whom they called in to see him. But on telegraphing to Provi- dence, confirmatory messages came, and presently his nephew, Mr. Andrew Harris, arrived upon the scene, made everything straight, and took him home. He was very weak, having lost apparently over twenty pounds of flesh during his escapade, and had such a horror of the idea of the candy-store that he refused to set foot in it again. 378 MULTIPLE PERSONALITY ' ' The first two weeks of the period remained unaccounted for, as he had no memory after he had once resumed his normal personality, of any part of the time, and no one who knew him seems to have seen him after he left home. The remarkable part of the change is, of course, the pecul- iar occupation which the so-called Brown indulged in. Mr. Bourne has never in his life had the slightest contact with the trade. 'Brown' was described by the neighbors as taciturn, orderly in his habits, and in no way queer. He went to Philadelphia several times; replenished his stock; cooked for himself in the back shop, where he also slept; went regularly to church, and once at a prayer meeting made what was considered by the hearers a good address, in the course of which he related an incident which he had witnessed in his natural state of Bourne. "This was all that was known of the case up to June, 1890, when I induced Mr. Bourne to submit to hypnotism, so as to see whether in the hypnotic trance his 'Brown' memory would not come back. It did so with surprising readiness, so much so, indeed, that it proved quite impos- sible to make him while in the hypnosis remember any of the facts of his normal life. He had heard of Ansel Bourne, but 'didn't know as he had ever met the man.' When confronted with Mrs. Bourne, he said that he had 'never seen the woman before,' etc. "On the other hand, he told of his peregrinations during the lost fortnight, and gave all sorts of details about the Norristown episode. The whole thing was prosaic enough ; and the Brown personality seems to be nothing but a rather shrunken, dejected and amnesic extract of Mr. Bourne himself. He gives no motive for the wandering except that there was 'trouble back there' and he 'wanted rest.' During the trance he looks old, the corners of his mouth are drawn down, his voice is slow and weak, and he sits screening his eyes and trying vainly to remember what lay before and after the two months of the Brown experience. THE SECONDARY PERSON 379 'I'm all hedged in,' he says; 'I can't get out at either end. I don't know what set me down in that Pawtucket horse-car, and I don't know how I ever left that store, or what became of it. ' His eyes are practically normal and all his sensibilities (save for tardier response) about the same in hypnosis as in waking. I had hoped by suggestion, etc., to run the two personalities into one, and make the mem- ories continuous, but no artifices would avail to accomplish this, and Mr. Bourne 's skull to-day still covers two distinct personal selves." An examination of the case discloses a neuropathic family history and a psychopathic and neuropathic disposi- tion in the patient. His maternal grandfather seemed to have suffered from senile dementia. "His father became dissipated. The patient, when about thirty, suffered from a severe functional psychopathic attack, involving loss of sight, hearing and speaking. Since childhood he has been subject to "blues," to melancholic attacks and has had ' ' fainting fits. " 1 It is clear that the equilibrium of the associated systems could be easily overthrown by some physical or psychic stimuli, even of medium intensity. Such a stimulus was sure to come some time or other; it came at last in the form of "trouble back there." The patient's personality changed. He forgot the events of his former life, even his name ; called himself Mr. Brown. His natural instincts, later acquirements and even habits did not change. He knew how to eat, drink, dress and take care of himself ; he could speak, read and write, and could read- ily understand written and spoken language. He even re- tained his habit of church-going and making sermons. His sensibility did not change. The only profound change was in his memory and in his character. All the events of his former life were completely gone ; he took up an occupation for which in his Bourne state he had a perfect horror, and he was described by the neighbors as "taciturn." The 1 See Proceedings of the Society of Psychical Research for 1891. 380 MULTIPLE PERSONALITY change in his personality was profound, but it still retained much of the old content. We must call here the reader's attention to the fact that once "at a prayer meeting the patient made what was considered by the hearers a good address, in the course of which he related an incident which he had witnessed in his natural state of Bourne. ' ' The patient also presented hypnoidal states, inasmuch as the incident was not recognized by him as belonging to his past, the Bourne state. Two months later the patient woke up in his Bourne state and the whole intermediate period was totally erased from his memory ; he did not know where he was; he could not recognize the people nor the surroundings; everything was strange to him. During hypnosis the patient passed into the Bourne state and all memory of the Brown state was gone. The explanation from our stand-point is the same in this case as in the preceding ones. The stimulus ' ' trouble ' ' had disintegrated, temporarily, though, the synthetic moment of self-consciousness, and another less complex moment took possession of the patient, a moment which Professor James aptly characterizes as "a rather shrunken, dejected, and amnesic extract of Mr. Bourne himself." With the reor- ganization of the old systems, the new independent systems sunk into the subconscious. Periodicity in the alternation of consciousness was absent. About three years later Professor James conceived the idea of revealing these dissociated systems by putting the patient into the hypnotic trance. Sure enough, they did emerge, but the Bourne personality could not be reached. He had heard of Ansel Bourne, "but did not know as he had ever met the man." "During the trance" or Brown personality the patient "looks old, the corners of his mouth are drawn down, his voice is slow and weak, and he sits screening his eyes and trying vainly to remember what lay before and after the two months of the Brown experience. ' ' When asked insistently for his experiences, the answer of THE SECONDARY PERSON 381 the Brown personality is highly interesting and remark- ably characteristic of its mental state : " I 'm all hedged in. I can't get out at either end. I don't know what set me down in that Pawtucket horse-car, and I don't know how I ever left that store, or what became of it." It is certainly a pity that the patient was not observed in his secondary state, but the hypnotic trance seemed to have brought forth in a more or less perfect form the orig- inal Brown personality. This case becomes still more interesting and instructive, because of the experiments that have been performed on it and also on account of the persistent attempts that have been made to run the two dissociated personalities into one. The experiments showed that the Brown personality, though complete in itself, knew nothing of the Bourne per- sonality, and that when neither of them was present the state of the patient was that of indifferent aggregation of moment consciousness characteristic of hypnosis. "It is mixed up now," is the answer, or he makes no reply at all and simply sighs. Professor James is right in summing up the case by the sentence, "Mr. Bourne's skull covers two distinct person- alities. ' ' Two independent systems were formed within the mind of the patient. One belonged to his waking and one to his subconscious life. When one was removed, the other emerged. Usually the subconsciousness revealed in the hypnotic trance is, as we have pointed out, an indifferent aggregation of moments, any one of which can temporarily assume a leading part. Not so is it in the case of Mr. Bourne. In him the subconscious is under the lead of a more or less organized parasitic moment entirely dissoci- ated from the waking synthetic moment. That is why hyp- nosis could not possibly effect a synthesis of the two dis- sociated moments. The waking state could give nothing else but Mr. Bourne 's personality ; the hypnotic could only give Mr. Brown's personality. By means of hypnotization, 382 MULTIPLE PERSONALITY therefore, the two dissociated moments could not possibly be unified in one synthesis. Hypnosis alone is not sufficient to effect a synthesis of two dissociated moments. Had Professor James, however, induced a frequent alternation of the two personalities and had he prolonged the first period of the intermediary state, the passing of the primary into the secondary state, so as to let Mr. Bourne catch a glimpse of Mr. Brown, he would probably have got better results. He would no doubt have got satisfactory results had he given to the patient while in the Brown state some strong toxic stimulus, and then induced alternation, pro- longing the first period of the intermediary state. CHAPTER XXI ALTERNATING DOUBLE PERSONALITY Thus far we have dealt with eases presenting only one attack of double consciousness. We turn now to cases where such attacks are periodical. We begin with a brief account of the well-known case of Felida X., reported by M. Azam : The patient is of psychopathic disposition. She suffers from various nervous troubles, from uncertain pain and hemorrhage from the lungs. Under the influence of some strong stimulus, such as a violent emotion, the patient has a tendency to pass into a secondary state. This is preceded by some sort of aura, a feeling of throbbing pain in the temples. The patient then falls into a short but deep sleep, from which no stimuli, however strong or painful, can pos- sibly rouse her. This is the hypnoleptic state, the inter- mediate condition that separates the primary from the sec- ondary state. The hypnoleptic state lasted at first about ten minutes, but afterward became shorter, until it was reduced to but a few seconds. The primary and secondary states differ widely. In the primary state the patient suffers from various illnesses of functional nature; she is depressed, morose, not communi- cative, has a decided eagerness for work and has no memory whatever of what has occurred in the secondary state. In the secondary state, on the contrary, she is gay, lively, haughty, confident, free from functional troubles, and has memory for both secondary and primary states. Her nat- ural instincts, her acquirements and many of her habits re- mained unchanged in both states. The only changes were in character, in disposition, in memory and in the general organic sensibility. 383 384 MULTIPLE PERSONALITY In this case we meet the phenomena of mental alterna- tion, a condition not found in the previous cases. This al- ternation covers a period of many years. At first the sec- ondary state was but rare and of short duration, but in the course of time became more frequent, of longer duration, and at last became the patient's natural state. Thus the second condition, according to the account, at first occupied about a tenth part of her life ; then it became equal to her normal life; then it filled almost her whole existence, the primary state appearing only at very short intervals. When the secondary state came to occupy most of the patient's life, it gradually changed as to mood and disposition, not presenting such a marked contrast to the primary state. It is interesting to observe the fact that the patient also presented a third state. She fell asleep in the usual way and woke up, not in any of the two states, but in some pe- culiar state, the leading trait of which was great fright. In this state she knew no one but her husband. This psychic condition must have been some sort of hypnoidic state. That the patient did have hypnoidic states we can judge from the fact that ' ' her slumber is often troubled by dreams and nightmares." It is a pity that M. Azam did not make a thorough investigation of the patient's dreams in her pri- mary state, when all memory of the secondary state was absent. An investigation of such a nature would no doubt have revealed the presence of hypnoidic states, reproduc- tion in the primary state of moments belonging to the secondary state. Had M. Azam not permitted the hypnoleptic state to become shorter; had he, on the contrary, directed his en- deavors to the prolongation of the hypnoleptic state and had he tried by means of psychological as well as physio- logical stimuli to bring about a more frequent alternation of the primary and secondary states, the poor woman would have been saved from the affliction of mental alternation. This was precisely the method followed in the Hanna case. ALTERNATING DOUBLE PERSONALITY 385 From the therapeutic stand-point alone the Hanna case will remain one of the most important cases in psychopathol- ogy. It was the first case in which the importance of the hypnoleptic state for therapeutic purposes was pointed out, and the possibility of scientific treatment and control in cases which until now were considered as outside the domain of therapeutics was clearly demonstrated. To return, however, to our case in hand. We must draw the reader 's attention to the highly significant fact that the primary state, though appearing sometimes after a strong, violent emotion or trouble, still invariably appeared dur- ing sleep. Not so is it with the change from the primary to the secondary state. In this latter change, the patient passed through the intermediary hypnoleptic state. The interesting point here is the relation of the two states. While the secondary state could remember the ex- periences of the primary state, the latter had no memory of the secondary state. The case is somewhat complicated. For while there is dissociation in one state there is no such dissociation in the other state. The secondary seems to synthetize the primary, but not the reverse. If, however, we look at the case somewhat more closely, we find that the states are really dissociated. For although the patient in the secondary state knew of the events of the primary state, still she regarded that primary state as "the other," as "the attack," as "the crisis." She had always maintained that the state, whichever one she happened to be in when one spoke to her, was the normal one, which she called the rational state, in opposition to the other one, which she called "the crisis." In whichever state she was, she con- sidered the remaining one the abnormal, the opposite, "the other" one. The difference only is that while in the sec- ondary state she subjectively could recall "the other," in the primary state the subjective knowledge, the recollec- tion of that "other" was totally lacking. The secondary state represents here a complex moment 26 386 MULTIPLE PERSONALITY of consciousness with a rich content, so that while the mem- ory-experiences of the primary state representing another moment consciousness with a narrower circle of psychic life are partly synthetized by the secondary moment, the con- tent of the latter is not synthetized by the primary moment. The secondary moment, while synthetizing the content of the primary one, regards at the same time the primary mo- ment as another, as distinct and separate from itself. The functioning constellations of neurons, having the secondary state as their concomitant, are able also to awaken in the constellations of neurons, having as concomitant the pri- mary state, those neural conditions the correlatives of which are memory-experiences, and are transmitted as such by association-paths to the secondary constellation. The sec- ondary moment then remembers that the experiences hap- pened not within its own past, but within the past of the other, of the primary moment. 1 1 Dr. Prince maintains that a patient put into trance really manifests her full healthy normal self in which all the experiences are synthetized. This is true in some cases, while in others, such as Ansel Bourne and many similar cases, hypnosis brings out different persons with partial content. But even with fully synthetized content, there is still double personality, since the trance personality regards the life experience of the waking person as not belonging to its own life. CHAPTER XXII MANIFOLD PERSONALITY To illustrate the varying nature of these alternations of consciousness, I may briefly summarize two English cases which have recently been reported. The first is of a girl of twelve, who was shown to the Clinical Society of Lon- don by Dr. Albert Wilson in January, 1896. x In this case there were no less than five different existences, includ- ing the normal, and the condition is related to hysterical somnolence, or, more accurately, to hystero-epilepsy. In 1895 the child had had severe influenza, followed by great headache, with intolerance of light and noise, probably meningitis, together with mania. After six weeks the head- ache disappeared and muscular symptoms of twitchings and opisthotonos developed with lividity and coma. She had many fits a day. In June the old symptoms disap- peared and a fresh train of phenomena appeared. When in an apparently normal state, she would shake, turn a somersault, and enter a new and different mental state. Her memory for all events during health was quite gone; but she would remember in one such fit what had happened in a previous one. Thus was established a complete dual existence. By education she learned the names of most things, but always employed baby pronunciation. She would write backward, and that quickly. When these attacks developed, she lost all power of walking or standing till about August, 1895. In the early stage she had fits of 1 Brit. Med. Journal, February 1, 1896. 387 388 MULTIPLE PERSONALITY catalepsy, chiefly rigidity of the flexors. At times she had five or six fits a day, lasting a few minutes, and at her worst periods they lasted for days. She recovered from them quite suddenly, was never surprised at her surroundings, but very composed, and said she remembered nothing of what had occurred during the attack. The most striking feature was once when she had severe toothache during an attack. Dr. Wilson gave her chloroform and removed two teeth. On regaining consciousness, she recognized that the teeth and pain were gone. Her father hypnotized her and brought her to the normal state, when she made the dis- covery of the blood and the loss of the teeth, but she never remembered the previous pain or taking chloroform. There had been many variations, and she had four different ex- istences besides the normal: (1) "Nib," for "Old Nick," when she had violent passions, and would bite or slide down the banisters; (2) "dreadful wicked thing," when every- thing was reversed, black being white, asleep being awake, the head being the foot, and so on; (3) "Allie," when she was amiable and good; (4) her ordinary fits, as already described. Other phenomena occasionally occurred. Thus, she was at times completely deaf and dumb, or at times she manifested loss of memory, so that she did not know those whom she ordinarily knew during the fits. Her general health and nutrition were good. Treatment had been rest and quiet and fresh air. Two years later, however, her condition remained the same. The following case of apparently multiple personality in the insane, brought for study to my laboratory by Dr. Frost, may be of interest : 1 Mary E. Vaughn, aged 22 (in 1891), single; born in Ohio ; one cousin epileptic. Was admitted to Buffalo State Hospital July 27, 1891; in good bodily condition; weight 180 pounds. She had been an inmate of the State Hospital at Warren, Pa., for three years. 1 The hospital notes were sent to me by Dr. Frost. MANIFOLD PERSONALITY 389 She was discharged from the Warren Hospital as cured of epilepsy with mental disturbance, and remained ap- parently well for five months, after which she suffered again from epileptic seizures, which were said to recur with marked regularity at intervals of two weeks, every alter- nate attack coinciding with a menstrual period. During the attacks she would pound her head and otherwise injure herself if not restrained; afterward had no recollection of anything that had taken place during the attacks. The following note was furnished by her brother re- cently : Ancestors were all healthy people, there being no knowledge of insanity or convulsions of any kind in the family. Her mother, however, had an uncontrollable tem- per, and during some of her attacks of temper would beat Mary and shut her out of doors, no matter what the weather was. Until about the age of thirteen she was per- fectly healthy, but at that time caught a heavy cold. The first appearance of her convulsions was at night, and for several days previous she had been rather melancholy. She began by moaning in her sleep, and it was impossible to waken her, and she slept for several hours in that way. She was attended by a local physician at the time and was afterward taken to "Warren, Pa., to a hospital, where she remained for a year or two. After her return home she took patent medicines and then went to the Buffalo State Hospital. Her brother does not believe that she expressed the idea that her personality was changed while at home, as he had never heard of it. On the evening of her arrival at this hospital, she had a series of convulsions characterized by opisthotonos and without frothing at the mouth or biting of the tongue. These attacks recurred oftener than every two weeks — sometimes daily for several weeks — always attended by sui- cidal attempts and succeeded by a period of calm, during which she was childish and played with dolls and trinkets, 390 MULTIPLE PERSONALITY and was pleasant and easily managed. It was noticed that she had no recollection of the attack, but no mention of any symptom unusual in cases of epilepsy was made in her case until July, 1893, two years after her arrival at the hos- pital. At that time the following note was written : ' ' Has had a series of convulsions and has been suicidal for a long time. Has been careless, abusive, very cross and ir- ritable, entirely unlike her former self. She came to her- self on awakening this morning. Has no recollection what- ever of what has passed since about 11. o'clock, July 12th (fourteen days ago), the date of the first convulsion of this series. She asks questions about the arrival and departure of patients during this time ; greets affectionately, as if just returned, a nurse who really returned three days ago, and whom she welcomed just as affectionately then as now. She is quiet and pleasant, joking, not suicidal, completely changed. ' ' Atigust 10, 1893. — "Again having convulsions." May, 1894. — ' ' Goes from a state of lucidity into a series of convulsions, followed by a period of mental obscura- tion with suicidal tendencies, which lasts several weeks, with great regularity. During these periods is cross and irritable and denies her identity." August, 1894. — "Lucid periods of shorter duration. Had no recollection in one period of what had taken place, what she did or where she was, or in fact of who she was in the other period or condition. She is a typical illustra- tion of double consciousness." November, 1894. — "Suicidal after convulsions. Has no recollection of herself in a previous state and will not, in this condition, acknowledge her name. She continues to have occasional periods of frequent epileptic convulsions, when she loses her. identity and imagines that an old woman is after her ; hears her in the wall. At other times is good-natured, helpful, quite coherent." MANIFOLD PERSONALITY 391 There is nothing additional in the history until Janu- ary, 1897, when it is noted that she suffers from incon- tinence of urine; being then in one of the convulsive periods. From that time until the present time this symp- tom has always recurred with the return of convulsions; not immediately, but after the convulsions have lasted some days. The duration of the respective periods is not exactly stated prior to 1896. On September 3d of that year con- vulsions commenced and her abnormal state continued with convulsions until May 9, 1897, with, however, two lucid intervals lasting two and three hours each. After "com- ing to herself," on this occasion, she still had occasional convulsions and was depressed and suicidal for several weeks, the first observation of this tendency in her normal personality. From July 1st to October, 1897, she was quite well, and during the summer went home for a month, as she had done several times before for shorter visits. On the 5th of October she began to have convulsions ; at first only a few ; they became frequent, and after a few days she was again in her second or abnormal state, which lasted with all the old symptoms until the middle of February, 1898. She was then well until June 4th, though she had two isolated convulsions during April. She had many seizures during June, sometimes ten or twelve during the day, grad- ually decreasing to one daily, and then ceasing entirely at the end of the month. During this time she was occasionally depressed, and was not nearly so suicidal as formerly, though her abnormal personality was as usual. On July 17, 1898, it is noted that she "has been herself at short intervals for several days; no convulsions since the first of the month." From this date to the 26th she had one or two convulsions daily and was alternately in the two personalities. Then she was well all the time until September 5th, when she had two convul- sions and passed into her abnormal state, continuing in it 392 MULTIPLE PERSONALITY until May 15, 1899, with convulsions almost daily, some- times one only — sometimes two or three, and occasionally ten or twelve. During this period it is noted that ' ' her con- dition this time is different from any previous attack. She is not suicidal, but remains perfectly cheerful and works actively in the ward. She shows the change of personality so often noted previously; calls the nurse and doctors by the nicknames which she always gives them when she is not herself, but her normal personality does not seem to be com- pletely banished as heretofore." Note of May 6, 1899, reads : "Patient has lost in weight from 240 to 165 pounds; re- mains in a clouded mental state, with very frequent but light epileptiform seizures, which are without aura; and in that, as well as in their character, they differ from the at- tacks which she has usually had. Has the same delusions about the old woman, which always characterized her ab- normal state and always speaks of herself as 'we' instead of 'I,' but she appreciates in a measure her connection with the other personality, for she feels the death of her father and brother, which occurred during this period and which in previous attacks she would (probably) not have noticed. ' ' May 15, 1899. — "Herself; quiet, natural, composed; re- members going to Collins, but not returning. Says she was well a day or two while there and remembers that. Re- members her father's death, but not her brother's, which was more recent. Feels well; no headache, no giddiness, but is frightened at the changes of personality. The changes have occurred several times daily for several days, lasting from ten to twenty minutes." July 18, 1899. — ' ' Returned to-day from a month 's visit at home. Has been quite well mentally since the middle of May. Gained nine pounds while at home ; was well all the time except for indigestion, which has troubled her a good deal from time to time. At times she can take no food at MANIFOLD PERSONALITY 393 all, and has to live for a prolonged period on a little malted milk." During August, 1898, in the interval between the attack just referred to and the one preceding it, she suffered from indigestion, requiring to be confined to a diet of malted milk. This has persisted more or less ever since. She has always menstruated irregularly and suffered from neu- ralgic dysmenorrhea. She remained well from May 15 to July 26, 1899, when she had eight convulsions. After the first few seizures she became depressed, restless and suicidal, and before the end of the day had passed into her abnormal state, giv- ing the old nicknames to those about her, saying that the "old woman" was behind her, giving her hypodermics, etc. The next day she had twenty seizures, then eighteen, twen- ty-four, sixteen, ten, eight, etc., until by the 1st of Septem- ber she was having only one or two daily. September 17th was well in the morning for ten min- utes, and in the evening for five minutes, and later for twenty minutes; then, for two or three weeks, was alter- nately in one and the other personality, the normal gradual- ly superseding the abnormal, until October 7th. From that date until November 7th she was quite well, though she had two convulsions during the interval. Had one convulsion November 7th and twelve on the 8th. Was "her other self" for an hour in the afternoon of the 8th, and again from 3 a.m. of the 9th, having twenty-one convulsions on the 9th. Was normal about twenty minutes daily from the 10th to the 15th. Since then has been continuously in her abnormal men- tal state and has had usually two convulsions daily, some- times four or five. November 16, 1899. — Says that "we are not like what we were once; we don't know what is the matter, but we are not like anyone else." Wants to go home while in her abnormal condition (as at present), instead of when she 394 MULTIPLE PERSONALITY "is lost," in order that she may enjoy the visit and have some recollection of it, and not be dependent upon what others tell her altogether. Has some convulsions now, one to three or four daily. Improved physically. December 14, 1899. — This morning she is rather ex- cited; says that something is going to happen to her; that the world is coming to an end ; that she is going to die, etc. The reason for this is that last evening, just after a con- vulsion more severe than usual, she remembered being at home last summer. She was so startled and puzzled by this sudden glimpse of her other life that she could not sleep at all during the night. This morning the recollection per- sists and is quite clear as to details. She does not recollect going from here, but she remem- bers coming back. She is still haunted by the "old woman" and persists in the other peculiarities characterizing the abnormal state. She will, however, give her acquaintances their correct names, saying "that is what they call them- selves." Says she will not call anyone a liar again, as she has heretofore, when told of her trips home and other in- stances of her other life. Says this perception which she has to-day has confounded her so that she does not know the true from the false. February 1, 1900. — This patient was sent to me in charge of a nurse, and was in daily attendance there under my observation and that of Dr. Frost for three weeks, dur- ing which time her condition was carefully studied and numerous graphic records made, and experiments per- formed. She improved quite noticeably in mental condition during her stay there, as a result of changed surroundings and the interest which she took in seeing new sights. She no longer suffered from indigestion, had fewer convul- sions and very light ones, none in the daytime, and she gained in flesh and took on a better color; was more cheerful and lost the anxious, worried look which she had at first. MANIFOLD PERSONALITY 395 The following are some of the notes taken while she was under our care: January 8th. — Patient well nourished, presenting no physical anomalies. Temperature normal; pulse 90. Pu- pillary reactions normal; tendon reflexes normal, kinges- thetic sense normal. In fact, patient gave normal response to every test, which included those of sensation, heat and cold, and pain. Time localization poor. She does not know the date or anything else relating to passage of time. She is very suspicious ; is afraid of instruments. In a long con- versation she states in reply to numerous questions that she has six brothers living and two dead; says that she herself feels 53 or 54 years old, but does not know her true age; that her name has changed so often that she does not know what it is, but "they call her Mary." Cannot write. Can read a little. Went to school, but not very long. Some- times reads the papers ; crochets and sews usually. Would like to know how to read better than she does; is able to read letters from home, but can read only writing which is familiar. Q. Do you dream of your real name and of childhood's happenings? A. Sometimes; not very often. Q. When did you leave home ? A. Don 't know. Q. Why did you leave ? A. Home was broken up. Q. Have you any special pains or physical disorders ? She replied "Yes," but did not give description. Q. Are you afraid ? A. Yes ; afraid of the old woman, and we get seared when we get lost so much. Q. How long have you been more than one person ? A. Since a little while after we came to Buffalo Hospital. Q. How often do you feel that you are more than one person ? A. We feel so all the time. Q. Do you like the feeling? A. No; we would like to be as we were once. She says that the other persons are in herself; that she hears the old woman talking to her all the time; cannot 396 MULTIPLE PERSONALITY tell what the old woman says; the old woman used to be her mother ; guesses she is yet ; hears her all the time when waking and sometimes dreams of her; the old woman tells her only unpleasant things. Asked if she always felt like two or more persons, she says that she did not always feel so ; formerly felt different. Is afraid to tell what the old woman says for fear she will harm her; the old woman forbids her telling. Asked how the old woman could talk to her when she (her mother) is absent, says that she throws her voice here. Patient recognizes that it is impos- sible that the old woman should really be here. Says that the old woman's voice is distinct, but not loud. She for- merly heard many voices but now only one. The old woman's age is about 53. "We are not like what we used to be. Nothing looks the same. Nothing looks nice any more." Explains that she says "we" instead of "I" be- cause she thinks she must be more than one person, else she could not change as she does. She says that she used to walk the floor all the time to keep her feet from getting cramped and that she now has no numbness or queer sen- sations of any sort. Has been dead five times and was a different person each time upon coming to life. Has been everything that is wicked. Was Jesse James for a long time, and robbed and stole. Jesse James died and she was then Mary Vaughn. She is not Mary Vaughn now. Afterward she was Jennie Longnecker; did nothing wicked as Jennie Longnecker. Jennie Longnecker died and she was then Mike Muckey, an Irishman, who drank and was wicked and finally died in prison from drinking. Was not dead long at a time. Thinks that she is not really re- lated to her brothers and sisters, because of these previous existences, though at times she believes them to be her brothers and sisters. Either the patient or the examiner became confused about the succession of the personalities mentioned above. She explained afterward that their order was as follows: MANIFOLD PERSONALITY 397 First — The Irishman, Mike Muckey, 100 years ago. Second. — Jennie Longnecker. Third — Jesse James. Fourth — Mary Vaughn. Fifth — The present state, in which she does not admit that she is Mary Vaughn. January 11th. Had one slight convulsion yesterday afternoon and three during the night. Had nightmare so badly that the nurse had to walk her about the room to awaken her. In the nightmare she thought that the "old. woman" was after her with a stick and she was running to catch up with her brother, whom she saw ahead. He would not wait for her. In her sleep she was moving her limbs vigorously, as if in the act of running. While pneu- mographs tracings are taken, patient constantly makes whispering movements with lips and tongue, of which she is apparently unconscious. Always denies it when spoken to about it. Says that the old woman constantly talks to her. It may be that the hallucination of hearing is con- nected with this unconscious phonation. Told to count mentally, she makes lip movements for each number, and when told to think merely of the numbers as called off by the experimenter, her lips move in the same way. An attempt was made to hypnotize her. She resists the sug- gestion of sleep ; has told her nurse that she will fight against the desire of sleep and repeats that statement now. Says she would be afraid to go to sleep in this room. When asked her thoughts, she says she thinks always of the old woman, wishing she (the old woman) was like other people. This has been her main thought most of her life. The old woman is her mother; mother never liked her or any of the other children. Mary does not love her mother, but was devoted to her father. Mother treated her other children badly, but Mary the worst. Supposes mother must have hated her. Mother has promised a hundred times to be good to her, but Mary does not believe her. Hears the old 398 MULTIPLE PERSONALITY woman's voice "in her ears"; just the same with both ears closed. Has had earache and does now at times have ear- ache in both ears very badly. The voice is worse during attack of earache. The voice is always more annoying when she feels badly from any cause. Dreams often of the old woman. Dreams of things which are reproductions of actual past events, of being at home with mother and of her mother treating her badly, as was actually the case. Also sees things in dreams which are not identified as actual occurrences in the past. Q. Does the old woman give you pain? A. No; only talks all the time. Has roaring in the ears sometimes. January 12th. — Was put to sleep by suggestion after she had gone to bed in her own room. "Went to sleep very quietly in about three or four minutes and slept soundly, though with sudden jerks and starts. Was awakened after fifteen minutes and said she had been dreaming of the old woman. She slept for fifteen minutes in the afternoon and dreamed that she was falling down between two houses and called to her brother George to help her. The nurse heard her call out "George" in her sleep. (George is a deceased brother.) She went to sleep again after I left the room and slept without any starts or twitchings, but had five light convulsions without awaking. The convul- sions were general, but only momentary, and scarcely attracted her nurse's attention. She bites the tongue, though, even in these slight attacks. She went to sleep readily to-day under suggestion and slept quite soundly, but we could not elicit any replies from her, and questioning awakened her with a start. Said she had been asleep for a minute and that she heard me talk- ing to her, but was not conscious of what I was saying. Tried again, but could not induce sleep. January 13th. — Visited her at her room at 7.30 last evening and put her to sleep without difficulty, and suc- ceeded in eliciting a few replies from her while in the MANIFOLD PERSONALITY 399 sleeping state, but the experiment was not very satisfactory, as she soon awoke when questioned sharply. She went to sleep again naturally about 9.30 and slept until about 12; during that time she cried in her sleep while dreaming ; did not awake at that time, but later when she did wake she told the nurse that she had dreamed the old woman was tearing up a picture which she (Mary) treasured. She saw and heard her; her voice is about the same in dream as it is when heard during the day. She did not sleep after midnight; was restless and nervous; had two con- vulsions, at 1 and 1.10; could not go to sleep, though she tried counting, etc. The nurse put her to sleep by rubbing her forehead, but she slept only about fifteen minutes. January 16th. — Was examined by aurist yesterday, and her ears found perfectly normal; hearing acute; bone and air conduction normal; drum membranes normal. Poste- rior nares and throat quite normal. No source of irritation found which might give rise to the auditory hallucinations. Her perception of the lapse of time is not perfectly good. A certain period seems to her longer than it really is. She was ' ' lost ' ' for a while this morning. She says that being "lost" is different now from what it formerly was. She does not forget what has preceded nor feels as if just awakened from sleep. Merely "feels bad," and wants to cry. The hallucinations always disappear during the time she is "lost." Attempts were made to have her quickly formulate a sentence containing a given word. It is difficult for her to think of anything to say, though she understands what is meant. A word was then given and she was asked to give a string of words at random. This was also very slow. Afraid. — No answer. Says no words come into her head. Finally said "afraid of old woman." Bad. — "Fighting is bad. Drinking is bad." 400 MULTIPLE PERSONALITY Beating. — "Beating is bad." Kicking. — No answer. Says no thoughts arise ; that she cannot think of anything. Painful. — No answer. Hurts. — "Kicking, burning, biting, striking." Hitting. — ' ' Kicking, pounding. ' ' Who is doing the kicking, etc.f — "People." What kind of people f — ' ' Ugly people. Mad or drunk. ' ' Do you know of any drunken people ? — ' ' The old woman used to drink and others around her drank." Who is she ? — ' ' Our mother. ' ' Association of ideas when ultimately stimulated refers to the central idea of the old woman. Ideation is very slow, being inhibited by the said idea. Talking. — "You are talking. Old woman is talking. We are talking." Hearing. — "We hear you. We hear the old woman." Running away. — "We runned away from the old woman lots of times. ' ' Striking. — ' ' She striked us lots of times. ' ' Frighten. — "She scared us lots of times." Love. — "We loved our father and our brothers." Don't love. — "Don't love the old woman; likes her well enough ; don 't love her like we ought to ; love her as much as she allows us to, though. ' ' Counting after it has been kept up for a while will stop the hallucination. She counts to herself to go to sleep. Also when doing crocheting, etc., involving counting, the voice is not so loud and persistent. Listening to reading distracts attention from the voice, too, but not entirely. Talking has the same effect, but not so marked as listening. Watching her nurse and trying to learn a new stitch distracts her attention from the voice, but not entirely. Any kind of work gives some relief. Any ordinary conversation will distract her to some extent. Hears the voice most when doing nothing and just think- MANIFOLD PERSONALITY 401 ing about the old woman. Mere distraction of attention, such as watching something or doing something involving thinking, is not so effective as employment requiring talk- ing or counting in addition to watching and thinking. Hears the voice just the same with the tongue protruded or with tongue caught between the teeth. During such experiments, however, the tongue constantly moves spas- modically; twitches. Dreams of the old woman almost every night; rarely has a dream without the old woman; never a dream without some member of the family being in it. January 17th. — Put her to sleep last evening at her room; she was tired and sleepy at the time; went to sleep readily and slept soundly, but did not go into real hypnosis — no catalepsy induced. She muttered at times in reply to questions — occasionally answered questions directly with- out awakening. She said "Jim" was talking to her; that she had also a brother named "Will"; that there are six in their family; sisters named Ivy and Alice. Would like to go home and work. These remarks all in reply to ques- tions frequently and insistently repeated. A tendency to wake up when questioned sharply enough to elicit an an- swer, but if questions were stopped for a moment she would go more soundly to sleep again; called out ("Jim, did she lock you in there ?'")-. Awakened after half an hour. She said she had been asleep and dreamed of the old woman and her brothers and sisters. Had a conversation with them at home. Did not know of my having talked to her. Attempted hypnosis at 11 a.m. Not successful. Whis- pering movements very marked while quiet and trying to sleep. Eepeats the story of her several reincarnations into Jesse James, Jennie Longnecker, and Mike Muckey, all of which were previous to her birth as Mary Vaughn. Then Mary Vaughn died before she went to Buffalo. She knows she must have died because she could not otherwise be so changed as she is. She is called Mary Vaughn now, but 27 402 MULTIPLE PERSONALITY does not feel like Mary Vaughn. Does not even believe that during the times when she is "well" and goes home she is really Mary Vaughn, the same Mary Vaughn as before, although at those times she does think so. Does not hear the old woman at all when she is "well." "When "well" and at home she is not really cheerful and like other peo- ple, but prefers to stay quiet. Jesse James lived about 35 years. Jennie Longnecker, about 45 years. Mike Muckey, about 60 years. Mary Vaughn, about 17 or 18 years. It seems about fifty years, although she has been there about seven or eight years. Altogether it seems to her that it means about 1,000 years. When asked how this can be since the figures do not make 1,000 years, she answered she was mixed up in the figures in believing otherwise. Mike Muckey died from drinking himself to death; lived in Ireland ; was married ; wife, Annie McCarthy ; had ten children. Does not remember about the death of Jesse James; also could not remember about the death of Mary Vaughn. Describes aura as before, and says besides that she sees little silver stars, and everything goes around and sometimes it gets dark. This only with eyes open ; has to close eyes for relief. Never dreams about Mike, Jesse or Jennie, and never thinks about them now. Says that these memories of Mike and Jesse and Jennie came to her first after she came to Buffalo. She knew nothing about them before that. Nurse says she told the same story in all its details six years ago to her knowledge. Mike had red hair and whiskers; does not remember anyone who looks like him. Knew a girl named Jennie Longnecker, and liked her very well. Later said she did know a man named Mike Muckey, who lived at Portville; does not know whether he was married or not. Knew a woman in Olean, a great friend of the old woman, named Annie McCarthy. She and the old woman and a man named Holmes used to drink MANIFOLD PERSONALITY 408 together, and Mary ' ' rushed the growler. ' ' (Holmes looked much like Mike.) On January 18, 1900, patient was more sure of being Mary Vaughn than being any of the other personalities. Has had dreams in which the old woman figures largely. Patient is now fully aware of the primary states. In the primary state, however, patient does not know the other personalities. Patient thinks that she is now more right about things than the other state with the many person- alities. Patient continues to have the auditory hallucinations of the old woman, her mother. When asked how fast the old woman talks, patient answered that the old woman kept on talking as fast as she herself did. The patient keeps on whispering to herself. The movements of her lips and larynx could be distinctly perceived. They ceased when patient's attention was fully absorbed in some difficult task; then she heard no voice of the old woman. The movements were started again when patient was slightly distracted, and when left to herself for a few minutes low sounds of whispering could be clearly heard. Occasionally she even spoke out aloud. When her attention was called to the fact of her talking, and she was told what she said, she was surprised ; she did not talk ; it was the old woman who kept on talking to her. This case presents phenomena of multiple personality having their origin rather in delusional states. Multiple personality, however, can be observed best in cases uncom- plicated with insanity. In such cases each moment-con- sciousness has its own separate memory not commingling the stream of its recollected experiences with those belong- ing to the other moments. These different moments can be artificially evoked in hypnosis by indirect suggestion, such as by the action of the different metals applied to different places of the patient's body, or they may be called out to function by direct hypnotic or post-hypnotic suggestion. 404 MULTIPLE PERSONALITY When the patient, however, is naturally passing from one state to another there is present a transitory state, the attack, the hypnoleptic state. The moments differ greatly in character, in disposition and inclination; still much of psychic content is common to all of them. The case recently described by Dr. Gilbert may be re- garded as falling under the category of multiple person- ality, although it is quite probable that they are forms of hypnotic states. The patient is of a psychopathic dispo- sition. The breaking up of personality was occasioned by an injury to the cerebro-spinal system. The transition from the upper personal consciousness to the subconscious- ness, in which the hypnoidic personalities are buried, is through an intermediary sleeping or hypnoleptic state, while the transition of one hypnoidic personality to an- other is by slow gradations, one imperceptibly passing into the other, since they are all subconscious. The cases re- ported by Dr. Prince, Flournoy, Professor Hyslop and others belong to the same type. I quote from Dr. Gilbert's account: "Family History. — Father living and well. Not much known of him or other relatives. Mother died when three years old. Cause unknown. One brother living. None dead. "Personal History. — Age, twenty-two years. Never ill until the present accident. No liquor or drug habit. "History of Present Illness. — Fell from a barge onto a log in the water eight to ten feet below. Struck head on left occipital protuberance. Stunned for a short time. Rallied and crawled up on the logs. Head burned like fire all over. Walked like a drunken man. He was taken ashore and started to town. Walked part of the way; on street-car the balance of the way. After boarding the car and riding a short distance nothing more was remembered till in the hospital about three weeks later. When taken by the ambulance he was apparently rational, but exhausted. MANIFOLD PERSONALITY 405 On waking in the morning he would chase rats in the bed. On second day after entrance to the hospital he rose from bed, said he felt all right, and asked to be discharged. He was apparently well, and the discharge was granted. His friends noticed he was not normal and brought him back the same day. He left the hospital thus three times, apparently normal, but he remembers going out only the last time. All events previous to that are a blank since boarding a street-car after the barge accident. During his stay in the hospital in the early part of his sickness he would have spells of semi-delirium. Peevish and trouble- some at times, generally quiet and orderly. There were gathered a few facts in regard to things he did and where he went during his first two trips out of the hospital, but he could not recall them after they were related to him. Throwing the head backward caused things to turn black before his eyes. Unusual movements affected his eyes. At first almost continuous pain over the eyes and in the head. Extremely nervous at times; so much so that pricking his ear for blood 'set him on nettles.' "The patient's life being largely a blank since the acci- dent, and inasmuch as he had unwittingly collected and signed a receipt for his wages, and not knowing what else of importance he may have done, with the patient's con- sent I hypnotized him to ascertain his actions during the period which was a blank to him. Hypnosis was induced slowly, but successfully in about one-half hour. While in the hypnotic state, in muffled voice, in response to ques- tions, he gave in detail his life during the time subsequent to the accident. Subsequent investigation verified his state- ments in every detail so far as memory could serve, for no notes were taken, inasmuch as multiple, or even double per- sonality was not suspected at this time. To close the hyp- nosis I suggested that he would awake when I counted five, having previously suggested that at the end of the count- ing he would wake and feel perfectly well in every regard. 406 MULTIPLE PERSONALITY To our surprise he awoke with a start, the very picture of fright, trembled like a leaf, demanded where he was, knew neither Dr. Cobb nor myself and, all in all, was a picture of mental distress. The patient was quieted, and on ques- tioning him it developed that we had before us a case of double personality. He gave his age as eighteen years, never had been in Portland, spoke of events which he said took place 'yesterday,' and on questioning it was found that he thought it Avas September, 1898. All time and events since then were an utter blank. Subsequent de- velopments proved that this date was 1899 instead of 1898. Previous to 1899 he had a lapse into another personality which lasted about a year. Hence the dropping of a year. Mere mistake in dates, however, may account for the mis- take without reference to the lapse previous. He said that 'yesterday' (i.e., Friday, September, 1898) he had a fight with his father in Glenrock, Wyo., and on being told that he was in Portland he asked whether it was Portland, Ore., or Portland, Me. The patient being somewhat dis- turbed in mind he was put in the ward to quiet down and get acquainted with his new surroundings. He knew none of his companions in the ward and had to be shown his bed, hat, and belongings in general — in short, he was a stranger in a strange land. The case throughout presented many queer and interesting data, which must, of necessity, be omitted in this presentation of it. "At 4 p.m. on the same day (April 2d) the following history was taken from him, told in a perfectly clear- headed and intelligent way: "Born December 15, 1878 or '79 — not sure which. Born at Nemeha City, Neb. Mother died when he was three years old. One brother, one half-sister, one step-sister, father, two grandfathers, two grandmothers, and a step- mother, giving their names and addresses. Moved to Ne- braska City shortly after birth and then to St. Paul, Neb. Ran away from home when fourteen years old and went MANIFOLD PERSONALITY 407 to relatives on mother's side. Omitting details in this writing, he went to Blooniington, Omaha, Ashland, and finally to Lincoln, Neb., and enlisted for the war with Spain. Went as far as Chickamauga and took sick with a fever of some kind. Cannot remember how he got back to Nebraska, but the first he could remember he was work- ing in Oxford, Neb. During this lapse, I learned subse- quently, he had been hunted for desertion — the desertion, however, not being true desertion, for he changed person- alities in camp and left, not knowing that he belonged to the army. Omitting details again, he went to Oxford, Mascot, Holdredge, and Glenrock. While here his father and step-mother quarrelled, and in his attempt to interfere he and his father quarrelled. During the quarrel, it seemed to him, his father hit him on the head with something. That was the last he could remember until he woke up here in Portland. There was no headache in this personality. Per- fectly well in every way. Refused to take medicine be- cause he said it was nonsense for a well man to take medi- cine. He never saw but one steamboat in his life, and that was on the Missouri River. It must be remembered that the patient has lived in Portland since last August. On questioning he knew nothing of Portland, nothing of his house which he and a chum had built, and nothing of the chum or anything related to him. Although he had never seen a steamboat except one on the Missouri River, in an- other self he had fired on the steamer Columbia between San Francisco and Portland and had become very seasick. Furthermore, numbers of river steamers and ocean liners are to be seen daily in the Portland harbor on the very beach of which he has lived since August. Absolutely no clew could be hit upon by which to connect him with the life he lived in Portland. Letters on his person were strange to him, and their contents worried him. "The next day, April 3d, with his consent, he was hyp- notized, so as to be thrown into his former self again 408 MULTIPLE PERSONALITY in order to ascertain the events of his life since Septem- ber, 1899. Hypnosis was again slowly induced. When completely under the hypnotic influence no answers could be elicited from him at all. By shaking him after suggest- ing his Portland life to him he roused, but in a delirious state, raving with headache, complained of two red men who twisted his head and begged to be taken back to the hospital, supposing he was down-town. This was evidently the stage in which he was at times after the accident on the barge. No persuasion could quiet him, and to satisfy him we told him we would take him back to the hospital. On opening the door into the corridor leading to the ward, his surprise and alarm at finding himself in a strange building threw him into a frenzy of terror, and all we could do was to take him back to the dressing-room where we had been. Here he quieted down and went to sleep on the dressing- table. After about ten minutes I cleared my throat. He started up in a fright and began chasing rats on the bed. Again I quieted him. After sleeping a few minutes, with- out perceptible stimulus he started up again, but on seeing me, said in a perfectly calm way, 'Where is Dr. Cobb? Did I tell you what I did since the accident on the barge 1 ' (Dr. Cobb had been unavoidably called away after he fell asleep on the table. With the exception of these ten or fifteen minutes there were always from one to six witnesses besides myself. ) He was back again in the self in which he was before the accident on the barge and knew absolutely nothing of the twenty- four hours which he had just passed in a different personality. No clew could be hit upon by which to connect him with it. He thought it was April 2d, and on being told it was April 3d, was somewhat surprised and supposed we had kept him hypnotized for twenty-four hours. The following history was then taken, the man apparently normal except that the old headache was back again. His life was traced backward and found to lead from Portland to San Francisco, Denver, Cheyenne, Wyo. ; MANIFOLD PERSONALITY 409 Edgemont, S. D. ; Chadron, Neb., and finally to Glenrock, Wyo. Here lie said his father and he had some sort of trouble. Could not tell how the trouble arose. His father threatened to shoot him and he ran away. "Omitting again the many details which are confirma- tory and interesting, but not absolutely necessary to the narration of the case, he went to Chadron, Edgemont, Chey- enne, Denver, San Francisco, and finally to Portland. It subsequently developed that he also spent a period of time belonging to this life when about sixteen years old, i.e., previous to the Glenrock quarrel with his father. In this personality he knew nothing of coal-mines, though he had been working in a coal-mine in his other personality for two weeks previous to the quarrel with his father. Again repeated attempts were made to connect the two lives by going over, in detail, the experiences as related by him in the two respectively, but no connection could be made be- tween them. By putting together the two histories there still remained large gaps which were unfilled by the experi- ences related while in the two respective personalities. "The gap from Chickamauga to Oxford and numerous others of less importance remaining unfilled and having received confirmatory evidence from answers to letters of inquiry sent out, I felt sure of a third personality and hyp- notized him, April 24th, to throw him into said suspected personality. He was successfully thrown into it, and when he was aroused from hypnosis into the third state he was again a stranger to us and his surroundings. Acting on the difficulty experienced in gaining his confidence when he awakened the first time in a strange personality, I had written letters at that time explaining his condition and also a note which he signed to act as corroborative evidence of our friendliness, should he in the future wake and be a stranger to us. These letters were carried continually in his pocket, and were valuable aids in keeping the man's confidence in the different personalities. Some time was 410 MULTIPLE PERSONALITY thus spent in reassuring him, after which the following his- tory was taken, unessential details being omitted in this report. "When questioned in regard to Chickamauga and his experience there, he said he did not belong to the army there, but there were a great many soldiers all over the fields. He said, 'I was awfully sick and I haven't got over it yet.' In this personality he suffered continuously with pain in his head and abdomen. He was a typical tramp through- out, beating his way on trains, and working only enough to support life when it could not be done otherwise. He described in minute detail his wanderings through Chat- tanooga, Nashville, Green Brier, and Springfield, Term. ; Henderson, Ky. ; Evansville, Ind. ; Carmi, 111. ; St. Louis, Jefferson City, Kansas City, Liberty, Eed Cloud, and Ox- ford, having isolated and disconnected experiences in Chey- enne, San Francisco, and Portland. Here again repeated attempts failed to connect him with either of the other two lives. Frequently, in relating his experiences in the three different lives, he would come to a certain point in the nar- ration, stop and say, 'I can't remember what took place then; the next I remember I woke up at such and such a place.' In narrating the experiences of a different life he would pick up the interval which he forgot in the other life and carry you to the point where he said he 'woke up,' and then say, 'I can't remember what took place; then, the next I remember I woke up at such and such a place.' Thus the story of each life contained numerous unfilled gaps which would be accurately filled in by ex- periences in another life. "By taking the three lives and writing the stories as they dropped and picked each other up, thus filling up the gaps of each, I was able to fill out almost completely his entire life from 1879 to 1902. There still remained a number of gaps, indicated by the stars in the schedule below, which I have been unable to fill out. Thinking MANIFOLD PERSONALITY 411 that perhaps these gaps might be filled in by getting a still more complete history of the three lives, on April 26th, he was thrown by hypnotism into each of the three lives successively and questioned closely in regard to the lapses without avail. The histories given were not related by him while hypnotized. Hypnotism was used merely to accomplish the transfer from one personality to another, and the history was then taken during full consciousness in the ensuing personality. "Once of his own accord and twice by hypnosis he passed into a state which could not be connected with the other three and in which he was in a state of semi-delirium. The subject became impatient and resented the frequent hypnotizing, and so it was decided to attempt by suggestion during the hypnotic state, accompanied by repeated con- secutive narration of the events of his different lives to unite them into a unitary consciousness. The attempt was made April 28th, and proved gratifyingly successful. For a day or two he was still unable to recall a short period im- mediately following his lapse at Chickamauga, but later that came to him with full vividness. On April 30th, after having been hypnotized and the suggestion made that he would remember even the events comprising the gaps as yet unfilled, he was able to fill in the gap preceding the waking on the bluffs above Kansas City and the one pre- ceding his waking in Liberty. The other gaps starred, still remain a blank to him. With these exceptions he now tells a story of his life so continuous that he himself cannot tell where the breaks in the continuity used to be. On being told that a short time ago he did not know many of the things he was now reciting he answered, 'Yes, I did, I always knew those things.' It is only when he recalls the events of the past month that he realizes there has been any change in him. "Immediately before uniting the three personalities the following chronological tabulation of his experiences and 412 MULTIPLE PERSONALITY changes of personality was made out and used as a basis for suggestion by which to unite the three selves. The stars indicate the gaps existing just previous to the time the three personalities were united into a unitary conscious- ness. These gaps have been partially and tentatively filled and classified in a manner to be explained below. The dates mentioned have been verified by correspondence. The different personalities will be designated by XI, X2, and X3: XI. Nemeha City, born December 15, 1879 ; Nebraska City, six years old; St. Paul, Neb., nine years old; Craw- ford, Neb., fifteen years old. Changed in the depot to X2. At Crawford, April, 1896 ; Edgemont, S. D. ; New Castle, Wyo. On way to Cambria, changed to XI. Cambria, "Wyo. ; Crawford, Neb. ; Havensville, Kan. ; August, 1896 ; Topeka, N. Topeka, Holton, Havens- ville, Kan. ; Nemeha City, Neb. ; White Cloud, Blooming- ton, August 12, 1897. Omaha, Ashland, Lincoln, Neb., May, 1898; Chickamauga. Changed while asleep under a tree to X3. At Chickamauga, June 3, 1898. Chattanooga, Nashville, Green Brier, Springfield, Tenn. ; Henderson, Ky. ; Evansville, Ind. ; Carmi, 111. ; St. Louis, Jefferson City, California, Missouri. On train going toward Kansas City changed to **a. (Probably XI; see below.) X3. "Woke up" on the bluffs above Kansas City in the weeds. Crossed Kansas River. On freight changed to **b. (Probably XI; see below.) X3. "Woke up" in Liberty, Neb. To his surprise he had money in his pocket. Bought ticket to Red Cloud. On train changed to **c. (Probably X2; see below.) X3. "Woke up" in a shock of oats near Oxford, Neb., fall of 1898. MANIFOLD PERSONALITY 413 Xll Oxford, Mascot, April 18, 1899, Holdredge, Neb. (Vague experiences recalled at these X -j X2 places in all three personalities. Most ac- curate and detailed account was given by X3. X3 J X2 only knew that he had been there.) XI. Holdredge, Neb.; Glenrock, Wyo. Changed to X2. At Glenrock, September, 1899; Chadron, Neb.; Edgemont, S. D., February 5 to April 12, 1900. Alliance, Sidney, Cheyenne, Wyo., June, 1900. Changed to X3. In Cheyenne. Bought ticket to Denver. In Den- ver changed to **d. (See below.) X2. "Woke up" on Larmour Street, Denver. San Francisco. In barracks asleep and changed to X3. Left the barracks and went out into a big city. Changed to X2. In the wholesale part of San Francisco, Cal. Oak- land. On train and changed to **e. (Probably X3; see below.) X2. "Woke up" in Salvation Army Hall in Oakland, San Francisco. Portland, August, 1902. Changed to X3. After the barge accident, February 20, 1902. In hospital three weeks. Changed to X2. Hypnotized April 1st, and changed to XI. For twenty-four hours. Hypnotized April 3d, and changed to X3. Slept and changed to X2. Till April 14th. On way from hospital to my office changed to X3. Took ferry to Albina. Changed to X2. At Albina. Hypnotized April 24th, and changed to X3. Slept and woke from X3 to X2. Hypnotized April 26th, and changed to XI. History taken. Hypnotized, and changed into X3. History taken, hypnotized, and changed to X2. Hypnotized April 28th and XI, X2, and X3 414 MULTIPLE PERSONALITY " There were other very brief lapses, judging from many incidents narrated. Several such lapses occurred probably at San Francisco and here in Portland. The lapses **a, **b, and **d he was able to fill in after the uniting of his three lives. In **a he went to Kansas City, climbed the bluffs and went to sleep in the weeds. This was likely XI, inasmuch as he started in the direction of his old home, and in X2 he knew nothing of his people at this time. In **b, as filled in by his united self, he went to Topeka, Holton, and Havensville. Here his people would have nothing to do with him, and he went to Summerville and then worked near Liberty for some time. This must have been done when XI, for it is only as XI that he knew anything of his people at Havensville. The lapse **c must have been in X2, because when in this personality previous to uniting the three he said he had been in Red Cloud, but could not remember anything about it. In lapse **d he went to Den- ver and loafed around for about a week. The lapses **e and **f are still in obscurity, but assuming that there are only three personalities in the case these lapses must have been spent in X3, because he changed to them from X2 and XI, knew absolutely nothing of any time between Septem- ber, 1899, and April, 1902. "Evidence seems to point to the conclusion that what- ever personality or personalities he was in while at Ox- ford, Mascot, and Holdredge, there was at times more or less knowledge of all three selves at those places. In no single personality could any specific detailed account of his, stay at Oxford and Mascot be given, though in all personalities he knew that he had been there. X3 gave the most details of any at these places. Either there was a certain amount of interfusion of the three personal- ities at these places, or else he had frequent changes in Oxford and Mascot. Subsequent correspondence with his acquaintances at Oxford substantiates the former view. Furthermore, he says that while he was asleep in the shock MANIFOLD PERSONALITY 415 of oats near Oxford he had a very peculiar dream of hav- ing been in Red Cloud, etc. It is highly probable that this dream was not a dream, but the real experiences of the preceding lapse, probably filled by X2 or a modified X3. This vague interfusion of the selves or modification of a particular self may account for all the lapses and peculiari- ties in X3 from Chickamauga. Though there is no absolute proof, the data at hand leave one in the conviction that at Oxford, Mascot, Holdredge, and probably Glenrock there was a partial, if not complete, fusion of the experiences of the three lives, which was confusing to him then as well as to us now. His acquaintances at Oxford looked upon him as insane. "Though his experience from Chickamauga to board- ing a train near Kansas City was given in the most certain and positive way while in X3, and though he had no rela- tives that he knew of in this personality, yet it is probable that during that time he had inklings of his former life from some source or other which led him back to Nebraska. He may, however, have learned that he belonged in Nebraska by letters in his pocket oj* other means in camp before leaving Chickamauga. It seems probable, taking every- thing into consideration, that there was slight knowledge of his other lives in this personality. "That the uniting of his three selves into a conscious unity did not insure against subsequent lapses is shown by experience later. On May 7th he came to my office feeling badly, suffering from headache, and depressed in general. I hypnotized him and suggested that on waking he would feel better. He woke and seemed better. After sitting for several minutes he looked about, somewhat surprised, and without any visible signs of change, he remarked, 'Doctor, I have been asleep again. ' The last he could recall he was entering the building and waiting for the elevator, but how he reached my office and all that transpired in the mean- time was an utter blank to him. His partner, with whom 416 MULTIPLE PERSONALITY lie lives, says that such lapses used to be rather frequent with him. ' ' In order to verify the history of the case numerous let- ters had been written to parties mentioned by XI, X2, and X3 ; one of these letters was sent to the army post at San Francisco to inquire as to his enlistment and desertion from the army as a result of a change of personality, but no answer was received. On May 14th, acting upon information gained from my letter to San Francisco, officers from Van- couver post came and arrested X, and took him on the car to Vancouver, charged with desertion from the army at San Francisco. On May 16th, at Vancouver, I presented the history of his case to the officials in order to obtain his re- lease. After the conference with the officials X was brought in. To my surprise he was X2 again; knew absolutely nothing of XI or X3 or of his experiences subsequent to uniting his three selves. Only X2 was known to him. After hypnotizing him and suggesting that he would re- member all his life again he woke with full memory of XI, X2, and X3 as before he was arrested. "So far twenty-eight letters have been received in an- swer to inquiries sent to relatives, acquaintances, "War De- partment, etc., each and all of which verify most accurately the history described. Changes of personality took place twice while in the army, and he was recorded and hunted as a deserter. He enlisted the first time as XI, the second time as X2, and each personality knew nothing of the other enlistment. At first these two desertions raised a suspicion in us that he might be deceiving in order to cover up his guilt, but second thought, on the contrary, confirms his duality in the two acts, for a deserter would scarcely run the risk of re-enlisting. Furthermore, proof that he had changes of personality previous to any connection with the army in addition to confirmatory evidence from numerous other sources removes any possibility of insincerity on his part. Aside from the corroborative evidence, observation MANIFOLD PERSONALITY 417 of the man during treatment would have been sufficiently convincing to remove all doubt. "XI was perfectly well, jovial, bright, knew the names and addresses of all his relatives and could give an accurate account of his boyhood days. He had rather accurate dates for everything. Was eager to educate himself, though he was only an ordinary laborer as a rule. X2 was quiet in disposition, preferred to be alone, had spells of sleepiness, always had some headache, knew but little of his relatives, and that was learned subsequent to age of eighteen; a good mechanic, ambitious, and inventive; desirous for an education and distinctly religious in character. All in all, his life bore a sad, melancholic aspect. X3 was a typical tramp, largely due to the fact, no doubt, that he began this life where he did. Though eighteen years old at Chicka- mauga, when asked where he came from, he answered 'didn't come from any place.' Worked only enough to exist; severe pains in head and abdomen; always hungry; all in all, a lower type of man by far. "All three personalities had a remarkable memory for details. The same name was retained in all. In addition to the three personalities described there was still another state which may possibly be a fourth, but each time he was thrown into it he was semi-delirious and no definite information could be obtained from him. The place of this state, in its relation to the personalities described, is diffi- cult to determine. In it he raved with pain and was always thirsty. This state may account in part for some of the gaps remaining unfilled. "In his united self he is radically different from what he was previous to the barge accident. Previously taciturn and fond of solitude, in his united self he became social and settled, moodiness disappeared. He still manifests the old ambition for an education, though at present he chafes under the monotony of his wait in prison until the routine of government formalities shall be accomplished. Under 28 418 MULTIPLE PERSONALITY the circumstances his ultimate release would seem to be a mere matter of time, but the worry and mental excitement incidental to his arrest give him almost continuous head- ache, and at times plunge him into despondency which makes him wish he were dead. "After the fusion of his three lives the first time, a minute and detailed history of his boyhood and early man- hood was taken in order to see if any cause of the trouble could be detected. As a boy he received very rough treat- ment from his father, but no definite etiology of his condi- tion could be discovered. Though changes of personality occurred two or three times under what seemed to be a definite etiological factor, such as the fight at Glenrock and the fever at Chickamauga, yet these things cannot be con- sidered the sole cause of the trouble. In the great ma- jority of cases his changes of personality took place while on a train or immediately following — a fact not without significance. "The changes from one personality to another were at times gradual, instead of abrupt. At times memory of one stream of consciousness faded out gradually as the other came into prominence. One of the changes which occurred in my presence was of this type. Several times in one per- sonality short preceding experiences were vaguely recalled and thought to have been dreams, showing that at times either the different selves overlapped, as it were, to some extent, leaving the period of change indistinct in each, or else — what is more probable — the events supposed to have been dreamed were experiences of the same self under a sort of psycho-epileptic seizure. Under the latter suppo- sition the gap **c in the schedule above may be a sort of psycho-epileptic mutation of X3 instead of a change into X2. The whole process throughout might not im- properly be called a psycho-epileptic exchange of person- ality. "The personality, designated throughout this article as MANIFOLD PERSONALITY 419 the 'united self,' cannot be considered as composed of XI, X2, and X3, as constituent parts, but, strictly speaking, the so-called 'united self is a new unified experience, even as XI, X2, and X3 were originally. This was clearly exemplified by the fact that after his return to X2 at Van- couver subsequent to the uniting of XI, X2, and X3 in memory, he not only knew nothing of XI and X3, but the experiences of the so-called 'united self were also a blank to him." CHAPTER XXIII MANIFOLD PERSONALITY (continued) Of a somewhat different nature is the case reported by Dr. Osgood Mason in the Journal of Nervous and Mental Diseases, September, 1893. The disaggregation is deep and clear, and the dissociated personalities are well defined. "Alma Z. has been under my observation during the past ten years. In childhood she was remarkable for her in- telligence and unusual endowments. Up to her eighteenth year she was in robust health, excelling all her companions not only in intellectual attainments, but also in physical culture, being expert in gymnastic exercises, skating and athletic sports generally. At that time, owing to over- work at school, peculiar physical conditions made their appearance. Instead of the educated, thoughtful, digni- fied, womanly personality, worn with illness and pain, there appeared a bright, sprightly child-personality, with a limited vocabulary, ungrammatical and peculiar dialect, decidedly Indian in character, but, as used by her, most fascinating and amusing. The intellect was bright and shrewd, her manner lively and good-natured, and her in- tuitions were remarkably correct and quick ; but, strangest of all, she was free from pain, could take food, and had comparatively a good degree of strength. She called her- self 'Twoey,' and the normal or usual personality she always referred to as 'No. 1.' She possessed none of the acquired knowledge of the primary personality, but was bright and greatly interested in matters going on about her — in family affairs, and everything which pertained to the comfort and well-being of No. 1. "The new personality would remain only a few hours, 420 MANIFOLD PERSONALITY 421 but occasionally her stay was prolonged to several days; and then her normal self — the No. 1 of 'Twoey' — returned with all her intelligence, patience, and womanly qualities, but also with the weakness and suffering which character- ized her illness. "No. 1 and No. 2 were apparently in every respect separate and distinct personalities. Each had her own dis- tinct consciousness and distinct train of thought and mem- ories. "When No. 1 was absent and 'Twoey' took her place, on resuming her consciousness she commenced at the place where her own personality had been interrupted and re- sumed her ordinary life exactly at that point. To No. 1 the existence of any second personality was entirely un- known by any conscious experience, and the time which ' Twoey ' occupied was to her a blank. If ' Twoey ' appeared at noon on Tuesday and remained until Thursday night, when she disappeared and No. 1 resumed her own con- sciousness and life, she would commence at Tuesday noon where that consciousness was interrupted. The intervening time to her was a blank. No. 2, however, while having her own distinct life, knew also the life of No. 1, but only as a distinct personality, entirely separate from herself. No. 1 also came to know 'Twoey' by the description given by others, and by the change in her own personal belong- ings and affairs which she saw had been effected during her absence. The two personalities became great friends. No. 2 admired No. 1 for her superior knowledge, her pa- tience in suffering, and the lovely qualities which she recog- nized, and she willingly took her place in order to give her rest, and, as it seemed, the possibility of living at all. No. 1 also became fond of ' Twoey ' on account of the loving care which she bestowed upon her and her affairs, and for the witty sayings and sprightly and pertinent conversa- tions which were reported to her, and which she greatly enjoyed. 422 MULTIPLE PERSONALITY " 'Twoey' seemed to have the power of going and com- ing at will. She often left communications to No. 1, mostly written (for she became able to write in her peculiar dia- lect — very difficult to decipher) , telling her what had been done in her absence, where she would find certain things, or advising her when she deemed it necessary, and her ad- vice was always sound and to the point. ' ' Under an entire change in medical treatment — change of scene and air and the use of animal magnetism and hypnotism — health and normal conditions were restored, and 'TwoeyV visits became only occasional, under circum- stances of extreme fatigue or mental excitement, when they were welcome to the patient and enjoyed by her friends. Two years later the patient married, and became a most admirable wife and intelligent and efficient mistress of the household. ' ' Later on, however, the No. 2 condition, or personality, began to return with greater frequency, but at length, one night, 'Twoey' announced that she would soon take her departure, but that another visitor would come to take her place. Presently an alarming attack of syncope oc- curred, lasting several hours; and when consciousness did at last return, it was represented by a third personality, entirely new and entirely distinct, both from the primary self and also from the 'Twoey' with whom we were so well acquainted. The new personality at once announced itself as 'The Boy,' and that it had come in the place of 'Twoey' for the special aid of No. 1 ; and for several weeks, when- ever this third personality was present, all its behavior was entirely consistent with that announcement. "Gradually, however, she became accustomed and rec- onciled to her new role and new surroundings, and adapted herself with most astonishing grace to the duties of wife, mother and mistress of the house, though always when closely questioned she persisted seriously in her original declaration that she was 'The Boy.' The personality was MANIFOLD PERSONALITY 423 of much more broad and serious type than that of the frolicsome 'Twoey,' and while entirely separate in con- sciousness and personality from No. 1, she was much nearer to her in general outline of character. The acquired book knowledge of No. 1 — the Latin, mathematics, and philoso- phy acquired at school — were entirely wanting in the new personality; the extensive knowledge of general literature — the whole poems of Tennyson, Browning, and Scott, which No. 1 could repeat by heart, also her perfect famil- iarity with the most beautiful and poetic portions of the Bible — all of these were entirely lacking in this person- ality. In a general knowledge of affairs, however, in the news of the day from all over the world, and in current literature, she at once became thoroughly interested and intelligent, and the judgment was keen and sound. She took the greatest delight in every kind of amusement — the theatre and literary and musical entertainments — and her criticisms of performances and books were independent, acute, and reliable. At the same time her household affairs and her interest in them and all subjects pertaining to the family were conspicuous. ' ' Of the preceding personalities she was fully cognizant, and had great admiration and affection for them both. She would listen to no disparaging remarks concerning ' Twoey, ' and her admiration for No. 1 was unbounded. Neither 'Twoey' nor No. 3 ever seemed anxious to continue and prolong their visits, but, on the contrary, were always de- sirous that No. 1 should regain her health sufficiently to get on without them ; and they referred with much feeling to the causes which prevented it. ''The peculiar and interesting incidents which diversi- fied these different states of consciousness would fill a vol- ume. No. 1, when in her condition of greatest weakness, would occasionally astonish her listeners by announcing to them some event which they had kept profoundly secret from her. For instance: 'You need not be so quiet about 424 MULTIPLE PERSONALITY it; I have seen it all. Mrs. C. died the day before yester- day. She is to be buried to-morrow;' or, 'There has been a death over in such and such a street. Who is it that died?' 'Twoey's' sagacity, amounting almost to prevision, was often noticed, and many a time the neglect to be guided by her premonitions was deeply regretted. 'The Boy,' or No. 3, frequently exhibited peculiar perceptive powers. At times the sense of hearing would be entirely lost, so that the most violent noises close to her ears and when per- fectly unexpected failed to startle or disturb her in the slightest degree, although usually she was easily startled by even a slight, sudden, or unexpected noise. Under these circumstances she had a peculiar faculty of perceiv- ing what was said by watching the lips of the speaker, though ordinarily neither she nor the primitive self had any such faculty. "In this condition she had often carried on conversa- tions with entire strangers, and entertained guests at table without their having once suspected that all the while she could not hear a sound of any sort. I have myself seen her sit and attend to the reading of a new book simply by watch- ing the lips of the reader, taking in every word and senti- ment, and laughing heartily at the funny passages, when I am perfectly sure she could not have heard a pistol-shot from her head. "When the No. 3 personality had persisted for a con- siderable period — weeks, for instance, at a time, as it has sometimes done — the temporary return of No. 1 under the influence of some soothing condition or pleasing sentiment or emotion has been beautiful to witness. I saw this trans- formation once while sitting with her in a box at the Met- ropolitan Opera-House. Beethoven's concerto in C Major was on the programme; in the midst of the performance I saw the expression of her countenance change; a clear, calm, softened look came into the face as she leaned back in her chair and listened to the music with the most intense MANIFOLD PERSONALITY 425 enjoyment. I spoke a few words to her at the close of the number, and she replied in the soft and musical tones pe- culiar to her own normal condition, and I recognized with- out the slightest doubt the presence of No. 1. A few minutes later her eyes closed; presently she drew two or three short, quick respirations; again her countenance changed, and No. 3 was back again. She turned to me and said, 'So No. 1 came to hear her favorite concerto?' I replied, 'Yes; how did you know it?' 'Oh, I was here and listened to it, too.' 'Where were you?' I asked. 'I sat on the front of the box. I saw you speaking to her. How greatly she enjoyed the music!' and then she went on listening to the music and commenting upon the pro- gramme in the usual discriminating manner of No. 3." The case is certainly very interesting, and in many re- spects similar to that of Felida. The two shed light on each other. The patient is of a psychopathic disposition, and cerebral overwork brought about a weakening of the principal controlling constellations of neurons with its con- comitant leading synthetic moment consciousness. Some strong emotion or some kind of trouble was probably the exciting cause that brought about a total disintegration, or a disaggregation of the constellation into its constituent or subordinate systems and clusters with their correlative moments. The relation of No. 1 to " Twoey ' ' is somewhat like that of the primary to the secondary state in Felida. No. 1 does not know "Twoey," but the latter knows the experiences of the former, knows them as those of "another," as not be- longing to herself, to "Twoey." The content of the No. 1 personality is in some respects superior and wider than that of the "Twoey" personality. Much of the content of one personality is also present in the other, such as the nat- ural instincts of life, many of the simple acquirements, such as walking, dressing, using different utensils for eating, talking and understanding speech, knowing articles, and 426 MULTIPLE PERSONALITY so on. Still, the change is great. In the ' ' Twoey " state the patient seemed to have lost her ability of writing and all her higher acquirements in literature and in music. There was a change in the patient 's language ; agrammatism was observed. Her pains and sufferings were gone. The change in character seemed to have been profound, from a cultivated, thoughtful, dignified young lady there was a change to a child-personality, shrewd, bright and sprightly, with a limited vocabulary, decidedly Indian in character. All the states belonging to the personality No. 1 were synthetized in one synthetic moment, and so were also all the states of "Twoey." Two moments were thus formed within the patient's mind, each having a distinct synthesis for series of mental states; in other words, the two organ- ized synthetic moments kept on alternating periodically. This case, like that of Felida, is one of periodical multiple consciousness. The two crystallized, independent moments became weakened, could not maintain themselves long, and another synthetic moment consciousness, "The Boy," got formed and temporarily became the leading one in the patient's mental life. This was preceded by an attack of syncope lasting several hours. "The Boy" personality differed both from "Twoey" and from No. 1. It possessed far more of the content belonging to the No. 1 personality. The behavior of the new personality was consistent with its name and lacked the book-knowledge of the normal state. In this state the sense of hearing was sometimes en- tirely lost, and still she could carry on conversations with guests, could attend to the reading of a book and enjoy it heartily, although "she could not have heard a pistol- shot near her head." The writer ascribes this to a new faculty peculiar to this state only, perception of speech by watching the movements of the speaker's lips. No such new faculty is really required as an explanation for the patient's perception of words to which she was seemingly MANIFOLD PERSONALITY 427 deaf. Her deafness was not of an organic, but of a func- tional psychopathic nature. It can be fully demonstrated by experiment that in such states the patient, though seem- ingly not perceiving, really does perceive. The dissociated moments in the subconscious perceive and transmit the ex- perience to the dominating, functioning synthetic moment consciousness. The patient did hear, and not the sounds, but the meaning of the words were transmitted to her functioning moment, "The Boy" personality. In passing from one personality to another the patient seemed to have had a brief intermediary sleeping state termed by me the hypnoleptic state ; especially was this so in passing from No. 1 into one of the other states. The author omitted to describe it, but that such a state really existed one can judge from the author's statement that, when he was with the patient in the theatre, the No. 1 personality appeared. "A few minutes later," writes Dr. Osgood Mason, "her eyes closed; presently she drew two or three short, quick respirations, and No. 3 was back again. ' ' In this interesting case we find a weakening by disease of the upper controlling personality; the subconscious gained mastery, rose to the plane of conscious individuality and became a person, a "Twoey." The "Twoey" person- ality, however, seemed to have been unstable, and a new personality, that of "The Boy," emerged. Both "Twoey" and "The Boy" were but two different expressions, two different individualized manifestations of the same under- lying reality — the subconsciousness. It was from the depth of the subconscious that those bubble personalities rose to the surface of conscious life. The following case x gives a well-defined picture of manifold personality: "The subject, Y. L., is a young man of seventeen years, affected with hysterical epilepsy, who entirely lost the 1 See Kibot, Diseases of Personality. 428 MULTIPLE PERSONALITY memory of one year of his existence, and during the period of forgetfulness totally changed his character. "Born of an unmarried mother, who was 'addicted to an open life of debauchery, and of an unknown father, he began to roam and beg on the streets as soon as he could walk. Later he became a thief, was arrested, and sent to the reformatory of Saint-Urbain, where he did some field work.' One day, being occupied in a vineyard, he hap- pened to lay his hands upon a serpent, hidden in a fagot of twigs. The boy was terribly frightened, and in the even- ing, on returning to the reformatory, became unconscious. These crises were repeated from time to time, his legs grew weak, finally a paralysis of the lower limbs set in, his in- tellect remaining unimpaired. He was thereupon trans- ferred to the asylum of Bonneval. There it was reported 'that the patient has an open and sympathetic expression, that his character is amiable and that he shows himself grateful for the care that is bestowed upon him. He tells the history of his life in all its minutest details, even his thefts, which he deplores, of which he is ashamed, and which he attributes to his forsaken condition and his com- rades who led him into evil ways. He regrets very much what has happened, and declares that in the future he will be more honest. It was then decided to teach him a trade compatible with his infirmity. He can read, and is learning to write. He is taken every morning to the tailor's shop, where he is placed upon a table and assumes, naturally, the classical position owing to the condition of his lower limbs, which are atrophied and contracted. In two months' time he learned to sew pretty well. He works with en- thusiasm, and everybody is satisfied with his progress.' "At this stage he is seized with an attack of hystero- epilepsy, which, after fifty hours, ends in a tranquil sleep. It is then that his old personality reappears. "On awakening, V. wants to get up. He asks for his clothes, and is able to dress himself, but performs the MANIFOLD PERSONALITY 429 operation in a very bungling manner; he then takes a few steps through the hall, his paraplegia having disappeared. His legs totter and with difficulty support the body be- cause of the atrophy of the muscles. . . . When once dressed, he asks to go to his comrades into the vineyards to work. ... We quickly perceive that our subject still believes himself at Saint-Urbain, and wishes to resume his habitual occupations. In fact, he has no recollection of his crisis and recognizes nobody, the physicians and attendants no more than his companions of the ward. He does not admit having been paralyzed, and accuses those about him of teasing him. We thought of temporary in- sanity, which was very likely after so severe an attack of hysteria, but time passes and still his memory does not return. V. remembers very distinctly that he had been sent to Saint-Urbain ; he knows that ' the other day ' he was frightened by a serpent ; but from that time all is oblivion. He remembers nothing more, and has not even the feeling of the time elapsed. ' ' It was thought that he might be simulating, as hyster- ical patients often do, and we employed all means to make V. contradict himself, but without success. Thus, without letting him know where he is going, we have taken him to the tailor's workshop. We walk by his side, and take care not to influence him as to the direction to be taken. V. does not know whither he is going. On arriving at the shop he has every appearance of a person who does not know where he is, and he declares that he has never been there before. He is given a needle and asked to sew. He sets about the task as awkwardly as a man who performs a job of this kind for the first time. They show him some clothes, the seams of which had been sewn by him during the time he was paralyzed. He laughs and seems to doubt, but finally inclines to our observations. After a month of experiment and trials of all kinds, we are convinced that V. really remembers nothing." 430 MULTIPLE PERSONALITY One of the most interesting points of this case is the modification that the character of the patient underwent, which was a return to his early life and to his hereditary antecedents: "He is no longer the same subject; he has become quarrelsome and is a glutton; he answers impolite- ly. Formerly he did not like wine, and usually gave his share to his companions; but now he steals theirs. When they tell him that he once committed thefts, and caution him not to begin again, he becomes arrogant, and will say, ' if he did steal, he paid for it, as they put him into prison. ' They employ him in the garden. One day he escapes, taking with him sixty francs and the effects of an attendant of the infirmary. He is recaptured five miles from Bonneval, at the moment when, after selling his clothes to purchase others, he is on the point of boarding the railway train for Paris. He resists arrest, and strikes and bites at the war- dens sent in search of him. Brought back to the asylum, he becomes furious, cries, rolls on the ground; finally it is necessary to confine him in a solitary cell. ' ' Dismissed from the asylum, after many peregrinations, he is taken to Bicetre, escapes, and enlists in the Marine Corps at Rochefort. Convicted of stealing, he is confined, at the end of a violent attack of hystero-epilepsy, to the care of Messrs. Bourru and Burot, who have studied him with great care and obtained in their subject the six fol- lowing states: First state. Hemiplegia and hemianesthesia of the right side. Ordinary state of the subject. "V. is talkative, violent, and arrogant in look and man- ner; his language is correct, but rude; he addresses every- one in the second person singular, and gives to each a dis- respectful surname. He smokes from morning till night, and besieges everyone with his demand for tobacco, etc. Still, he is intelligent. He keeps himself an courant with all the events of the day, great and small, affects the most antireligious views in religion and the most ultraradical opinions in politics. Incapable of discipline, he wishes to MANIFOLD PERSONALITY 431 slay all his superiors, or anyone even who would exact from him a mark of respect. His speech is embarrassed; his defective pronunciation permits only the endings of his words to be heard. He can read, but this vice of pronun- ciation renders his reading aloud unintelligible. He can- not write, his right hand being paralyzed. His memory, very precise for the slightest details, present or recent (he recites whole columns from the newspapers), is very lim- ited in point of time. It is impossible for him to carry back his memory beyond his present sojourn in Rochefort and the last part of his stay at Bicetre in the service of M. Voisin. Nevertheless, he has preserved the memory of the second part of his stay at Bonneval, when he worked in the garden. Between Bonneval and Bicetre a great gap yawns in his memory. Beyond this, his birth, his child- hood, his sojourn in Saint-Urbain, the trade of tailoring, which he learned upon his arrival at Bonneval, are a total blank to him." Second state. Hemiplegia of the left side (face and limbs) with hemianesthesia. "On waking, V. is at Bicetre (ward Cabanis, No. II) ; the second of January, 1884; age twenty-one; saw M. Voisin yesterday. He is reserved in his bearing; his ex- pression is gentle; his language is correct and respectful; he now addresses no one in the second person singular, but calls each of us 'Monsieur.' He smokes, but not passion- ately. He has no opinions in politics or in religion; these questions, he seems to say, do not concern an ignorant man like him. He shows himself respectful and orderly. His speech is easy and his pronunciation remarkably clear. He reads perfectly well, and writes a tolerable hand. "He knows nothing whatever of the events that have taken place since the second of January, 1884; he does not know where he is, nor any of the persons who surround him. He never came to Rochefort. He never heard of the Marine Corps or of the war with Tonquin. "In evoking his prior memories he recounts that be- 432 MULTIPLE PERSONALITY fore entering Bicetre he had stayed for a while at Sainte- Anne; beyond that point in his life no memory subsists." Third state. Hemiplegia of the left side {the limbs alone) with general hemianesthesia. "The patient awakes at the asylum of Saint-Georges de Bourg, August, 1882 ; he is nineteen years old. France is at war with Tunis. M. Grevy is President of the Republic; Leo XIII. is Pope. His character, his affective faculties, his language, his physiognomy, his tastes are like those of the second state. As to his memory, he is limited to a prior epoch. He comes from Chartres to his mother, whence he has been sent to Macon with a large landed proprietor, where he was put to work in the vineyards. Having been taken sick several times he was cared for in the hospital of Macon, then at the asylum of Bourg, where he is at present. All that precedes, all that follows this short period of his life is totally foreign to him. ' ' Fourth state. Paraplegia. "He has just seen several persons of the asylum of Bonneval. He is decorous, timid, even sad. His pronuncia- tion is distinct, but his language is incorrect, impersonal, childish. He has forgotten how to read and write. His intelligence is very obtuse; his confused memory knows nothing of the events of the personages of that epoch. He knows only two places: Bonneval, where he believes he now is, and Saint-Urbain, whence he has come, where he was, he says, paralyzed, stricken down. The whole prior part of his life, from his birth to the accident with the viper, which brought on his malady, all that followed the attack and the spontaneous alteration of his condition at Bonneval, are absolutely unknown to him. He does not recognize the place he is in, nor has he ever seen us who are about him. His ordinary occupation is work in the tailor's shop. He sews like one long in the business." Fifth state. Neither paralysis nor anaesthesia. "He regains consciousness at Saint-Urbain in 1877; he MANIFOLD PERSONALITY 483 is fourteen years old. Marshal McMahon is President of the Republic; Pius IX. is Pope. Timid as a child, his ex- pression, language, and attitude accord perfectly. He can read perfectly well and writes tolerably. He knows his whole childhood, the bad treatment he received at Luysant, etc. "He remembers having been arrested and condemned to imprisonment in a house of correction. He is at the reformatory directed by M. Pasquier. He learns to read at the school of Mile. Breuille. He is employed in agri- cultural work. His memory is arrested exactly at the accident of the viper, the mention of which brings on a terrible crisis of hystero-epilepsy. " Sixth state. Neither paralysis nor anesthesia. "He comes to consciousness on the sixth of March, 1885 ; is twenty-two years of age; he knows the events of the times and personages in power ; but Victor Hugo, the great poet and senator, is still living. He is no longer the timid child of a moment ago. He is a proper young man, neither pusillanimous nor arrogant; he is a soldier of the Marine Corps. His language is correct; his pronunciation is dis- tinct. He reads very well and writes passably. His mem- ory embraces his whole life with the exception of one epoch, that during which he was afflicted with paraplegia at Saint-Urbain and Bonneval. Also he does not remem- ber having been a tailor and does not know how to sew. "These, then, are the six different states of conscious- ness, the ensemble of which embraces the whole life of the subject. "To act on the psychic state we have no other means except suggestion in somnambulism. We make, therefore, the following suggestion: 'V., you are to wake up at Bicetre, ward Cabanis.' V. obeys. On awaking from pro- voked somnambulism he believes it is the second of Janu- ary, 1884; his intelligence and affective qualities are ex- actly what we have seen described in the second state. At 29 434 MULTIPLE PERSONALITY the same time he is afflicted with hemiplegia and hemianses- thesia of the left side; the force exerted upon the dynamo- meter, the hysterogenic zone, all are transferred as in the second state. "In another suggestion we command him to awake at Bonneval when he was a tailor. The psychic state ob- tained is similar to that described in the fourth state, and simultaneously with it the paraplegia appeared with con- tracture and insensibility of the lower parts of the body." CHAPTER XXIV SECONDARY INFANT PERSONALITIES The eases we have analyzed thus far present formation of independently functioning constellations with concomi- tant moments that possess more or less common content. Though the change is great in the character of the moment, still the fundamental psychic material remains unchanged ; instincts, acquirements and many of the habits are present to both or to all the independently functioning moments. Not so is it in the cases we have to consider now. The content of the moment that ceases to function is sub- merged, and is not present in the newly functioning mo- ment. The patient in coming out from the "attack" is invariably characterized by the observers as "one newly born, one just ushered into life." The newly rising or de- veloping moment must acquire new content, although the dissociated moment with its submerged content greatly aids in the speedy development of the newly functioning moment consciousness. In these phenomena the dissociation reaches its maxi- mum. We must, however, point out that even such patho- logical manifestations present dissociation of different de- grees of extensity. Some shreds of the old experience and acquirements are more or less present in the newly rising moment. The only case which is altogether free from such remnants and presents the phenomena of dissociation in their purest aspect is the case of Hanna, and that is why it is so extremely valuable for the purposes of investigation. Cases of total dissociation, phenomena where the psychic content itself is lost with the disaggregation of the 435 436 MULTIPLE PERSONALITY old moment consciousness, though even some odd remnants of former riches may have been transmitted to the young heir, are extremely rare, but for that very reason they are so highly valuable. We may begin with the interesting case described by Dr. Mortimer Granville, in Brain, for 1879. In 1858 (20 years before) Dr. Mortimer Granville was requested to see daily a governess and teacher of music, who had been attacked with what was called acute mania. "Found a spare, somewhat angular, eccentric-looking wom- an, age 26, in state of great excitement, hysterical and choreic. Within a few hours after paroxysm of consider- able violence, during which she talked and sang mildly, and was with difficulty restrained by those around her; she fell into a state verging on suspended animation, which lasted a week. Skin was cold, presented dark, mottled ap- pearance; pulse scarcely perceptible at wrist. Breathing slow and seldom deep ; seemed to be complete loss of con- sciousness and scarcely any trace of sensibility. Muscles cataleptic and extremities dropped slowly when raised. Was barely possible to feed patient by mouth; by holding forward the larynx and placing the fluid far back in pharynx with spoon, where it seemed to flow down the oesophagus as through a flaccid tube. This condition, which was treated with interrupted current from occiput to hypo- gastrium, etc., subsided very gradually. Then came the state I am chiefly interested to note. There had clearly been an exciting cause for the attack in religious excite- ment acting on a nervous system exhausted by protracted toil as teacher. "When consciousness began to return the latest sane ideas formed previous to the illness mingled curiously with the new impressions received, as in case of a person awak- ening slowly from a dream. When propped up with pillows near the bed, so that passers in the street could be seen, the patient described the moving objects as 'trees SECONDARY INFANT PERSONALITIES 437 walking,' and when asked where she saw these things she immediately replied, 'In the other gospel.' In short, her mental state was one in which the real and the ideal were not separable. Her recollections on recovery and for some time after were indistinct, and, in regard to a large class of common topics, which must have formed the staple ma- terial of her thought up to the period of attack, memory was blank. For example, although this young woman supported herself as governess, she had no recollection of so simple a matter as the use of a writing implement. When a pen or pencil was placed in her hand, as it might be thrust between the fingers of a child, the reflex act of grasping it was not excited. This state lasted some weeks, and the 'recollection' of what had been 'forgotten' was slow and painful, needing or seeming to require a process of re-education. In the end recovery was mentally and physically satisfactory. ' ' Another case of still greater interest and far richer in details and in the course of its manifestations is described by William Sharpey, F.R.S., Professor of Anatomy and Physiology, the University of London, in Brain, for 1879. "Mrs. H., patient, about twenty-four years old (this was written in 1824), pale complexion and slender make. Married in July, 1823, and with exception of occasional headache, to which she, in common with some of the rest of her family, was subject, previously enjoyed good health of body and mind. ' ' After her marriage she resided in England till the end of April, 1824, when, in consequence of ill-health, she was brought here by her husband. From husband's account it appeared that for about three months after their marriage she enjoyed perfect health and spirits, but that after that she complained a good deal of pain in stomach and bowels ; appetite bad, bad spirits, imagining herself unequal to concerns of house, though only herself and husband, and it was also observed she slept more than usual. 438 MULTIPLE PERSONALITY "On her arrival here, in April, physically appeared well; all her external senses were sound, but memory was impaired, and she was very inattentive to surrounding ob- jects. The sleepiness had been gradually increasing, and was now at such a height that unless when conversing with another person, or engaged in manual occupation, she fell asleep at all times and in whatever position. When in this state her eyes were nearly closed; she breathed softly and, in short, very much resembled a person in natural sleep, except that when she happened to fall asleep in a position in which the body naturally requires to be sup- ported; as, for instance, on a chair, she did not lean for- ward or backward, as is commonly the case, but sat with her body quite erect and her head gently inclined to one side. While in this state she was subject to frequent startings, during which she raised herself up, talked as if frightened, drew herself back, as if to avoid something disagreeable, and then lay quietly down again as if without having awoke. What she said on these occasions, though quite incoherent, was yet always nearly of the same nature and for most part consisted even of same expressions, which were those of great aversion or horror; of this she had no recollection when awake, nor of anything connected with it; and she herself remarked as something extraordinary that now she did not dream, although she used formerly to be subject to dreaming. From this sleep she never awoke of her own accord, except to obey the calls of nat- ure; and there was no other way of rousing her up upon other occasions but by placing her on her feet and en- deavoring to make her walk. "When thus forcibly awakened, she was fretful and cried for some time after. She took food in sufficient amount and often with evident relish, but it took entreaty to make her take the first mouthfuls. "The pulse varied a little, but on the whole natural; during sleep was 56 to 70, and somewhat more when awake. SECONDARY INFANT PERSONALITIES 439 Urine charge normal ; catamenia hitherto regular, but small amount. She complained of no pain or other uneasiness except a peculiar feeling on top of head which she called ' funny. ' "For five weeks after arrival the torpid state and in- difference to surrounding objects gradually became worse, and difficulty of awakening her increased daily, till about the 8th or 10th of June it was found impossible to rouse her up at all by any means, and thenceforth, except a few short intervals, she remained in a state of constant sleep till beginning of August. Her condition was now singular. She still made an attempt to get out of bed to stool ; when food was presented to her lips with a spoon she readily took it into her mouth and swallowed it, and thus she was fed ; when she had taken what appeared to be enough she closed her teeth as a sign she was satisfied; she appeared able to distinguish different tastes. She gave evident preference to some sorts of food, and ostensibly refused others. She sometimes even judged of nature of food or medicine offered by sense of smell. "By this time the startings in her sleep had left her; although expressions uttered in that state were nearly same as formerly, yet her manner of speaking was now of satisfaction and not fright. She often even sang to a simple but cheerful air nearly the same words which she used formerly to cry out in terror. "The torpor continued in same degree till end of July, with occasional intervals of awakening which happened at uncertain periods, but usually at distance of a few days from each other and occasioned by pain experienced in some part of her body. First of these took place after she had been ten days in continued torpor; caused by griping medicine, she awakened in great pain, crying out, 'Pain, pain, die, die,' placing her hands on abdomen. She was relieved by fomentations, but nevertheless kept awake for some hours, during which she answered no questions and 440 MULTIPLE PERSONALITY recognized nobody except one old acquaintance whom she had not seen for more than twelve months. She looked steadfastly into this person's face for a few moments, ap- parently occupied in trying to remember his name, which she at length found out and repeated again and again, and at the same time taking him by the hand as if overjoyed to see him; but when questioned regarding him she an- swered only by calling out his name, which she continued to repeat for some time after she had fallen asleep in ad- dition to what she usually said. In the course of the next eight days she was twice roused from her sleep by similar cause, but not so completely ; same individual was the only person she knew; among others she did not recognize even her own husband. ''The next interval of waking took place three or four days after ; it appeared occasioned by pain in the head ; she cried for some time, then awoke complaining of pain with her hand on her forehead; she placed hand of person near by also on her forehead. The same thing happened on next three or four succeeding evenings, nearly at the same time. Other circumstances this time showed she was suf- fering from uneasiness in the head. She was very impatient in erect posture, and when placed on ground drew up her legs as if to force lying down again. This was not the case when she needed to be taken up for evacuation. She gener- ally also preferred to lie on her face and with head low, both hands clasped firmly over it, exactly on part to which she had referred as peculiar feeling. After this torpor con- tinued for some time without being interrupted. ' ' Toward end of July torpid state which had suffered no intermissions had become on the whole not quite so deep, at least, patient gave signs of more consciousness of any- thing done to her. She smiled and seemed pleased on re- ceiving particular sorts of food, and when eye opened and face touched, whole countenance was suffused with flush. Some time after it was possible to awake her by opening SECONDARY INFANT PERSONALITIES 441 her eyes and holding anything before them likely to catch her attention, such as a glass of water. "When thus awakened she laughed a good deal, and seemed delighted, and always bestowed her whole atten- tion on vessel containing her food and the person holding it ; she did not speak, however, or pay any attention to questions put to her. She began to take great liking to the attendant, and would hardly allow her out of sight. Now, also, she would creep cautiously onto the floor from her bed and creep to fireside and would lie down on the hearth-rug as if warming herself. At length, after gradu- ally improving, she was by third week in August almost free from torpor and slept little more than healthy per- sons. Temperature was normal. Pupil normal. Had lost flesh. "On her recovery from torpor she appeared to have forgotten all her previous knowledge; everything seemed new to her, and she did not recognize a single person, not even her nearest relatives. In behavior she was restless and inattentive, but very lively and cheerful. She was de- lighted with everything she saw or heard and, altogether, resembled a child more than a grown person. "In short, she became rather more sedate and her at- tention could be longer fixed on one object. Her memory, too, so entirely lost as far as regards previous knowledge, was soon found to be most acute and retentive with respect to everything she saw or heard subsequent to her disorder, and she has by this time recovered many of her former acquirements, some with greater, some with less facility. "With regard to these it is remarkable that though the process followed in regaining many of them consisted in recalling them to mind with assistance of neighbors rather than in studying them anew, yet even now she does not ap- pear to be in the smallest degree conscious of having pos- sessed them before. "At first it was scarcely possible to engage her in con- 442 MULTIPLE PERSONALITY versation; in place of answering questions, she repeated them aloud in same words put, and even long after she came to answer questions she constantly repeated them over once before replying. At first she had very few words, but soon acquired many and often strangely misapplied them. She did this, however, mostly in particular ways; often, for instance, made one word answer for all others which were in any way allied to it ; thus, in place of tea, she asked for juice, and this word she long used for liquids. For a long time, in expressing qualities of objects, she invariably used very opposite words; thus, 'white' in place of 'black,' 'hot' for 'cold,' etc. "She now uses words with propriety. ' ' Has as yet recognized no person ; that is, has no recol- lection of seeing them previous to her illness; knows them only as new acquaintances, but with no idea of what rela- tion they bear to her. ' ' Has acquired reading, but had to begin with alphabet. Afterward learned to form syllables and small words. " Reacquisition of her reading facilitated by singing words of familiar songs. In learning to write began with elements. "In singing she at first generally required to be helped for first two or three words, and made out the rest appar- ently from memory. "Friends think she now plays as well, if not better, than before illness. "When asked how she learned to play notes from book, replied she couldn't tell, and wondered why questioner could not do the same. "Once or twice had dreams which she often related to friends, and seemed quite aware of difference between dreams and reality. "Indeed, from casual remarks, it appears she has many complex ideas which she had no opportunity of acquiring since recovery. SECONDARY INFANT PERSONALITIES 443 "Postscript, 1879: ' ' After a time patient returned home and passed rest of life happily and gave birth to a daughter, who survives her." The patient was of psychopathic disposition. She proved unequal to the cares of housewife duties, cares that would in no way affect any average healthy individual. Her mental system was in unstable equilibrium, and it broke down under the strain of ordinary stimuli. She had a prolonged coma-like attack from which she woke up with all her previous knowledge entirely gone. She had to learn to speak, read and write. At first she hardly ever realized the meaning of speech, and like a child simply repeated by instinct the questions put to her. A similar state was also observed in the Hanna case. Whether her natural instincts were lost, such, for instance, as eating, drinking, or the way to take and handle utensils in connection with food, or whether she could dress herself, walk, etc., we do not know from the report of the case. It seems, however, as far as one can judge from the account, that much of it was lost, and whatever was retained was in a rather imperfect form. The instincts of the submerged moment were largely lost. Memory in the newly formed or secondary moment proved extraordinarily retentive, a fact we also found in the Hanna case. Whatever was learned or mentioned once was fully retained. It appears from Professor Sharpey's account that hypnoidal states were present, many experiences suddenly appeared in the consciousness of the newly formed moment, experiences that belonged to the patient's past life, to the content of the old disaggregated moment, but which the patient did not recognize, did not welcome as her own. We must draw the attention of the reader to the pro- longed attack or the intermediary state, the attack that separated the two moments. In this case the state is ex- tremely interesting on account of its being of so long dura- 444 MULTIPLE PERSONALITY tion. While in this intermediary, seemingly unconscious condition the patient presented many hypnoidic states. Different moments were making attempts to rise from the depth of the subconscious and establish themselves as the principal ones in the patient's mental life. They were not, however, strong enough. They were not organ- ized enough to maintain themselves and take the lead. The outcome was that none of them on account of their insta- bility were fit to take the organizing part in the patient's mental life or become the centralizing synthetic moment of self -consciousness. Hence the patient on awaking came out with extremely limited content, with mere unorganized, broken bits of former life experience. Had any of the hypnoidic states been strong enough to get organized and gather material around itself the patient would have come out with a partly rearranged, differently crystallized, but still with much of the old content, and would have pre- sented the phenomena of many of those cases which we have analyzed on previous pages. It would have been interesting to know whether the two totally dissociated moments went on alternating. Pro- fessor Sharpey does not mention it. It seems they did not. It is unlikely that Professor Sharpey would not have no- ticed such an important trait of the case under his obser- vation and treatment. The alternation might have set in after Professor Sharpey lost sight of the case, since it may take time before this phenomenon appears. It might as well be that such an alternation never occurred. Whether the patient has ever regained her former memories so as to recognize her past life and in what way, if it occurred at all, is not known. The case, therefore, is incomplete, and we may put it down as one of monocyclical bimorphosis with total loss of content. The very frequently quoted case of Mary Reynolds, re- published by Dr. S. Weir Mitchell in a more complete form, was until now the only case on record that presented SECONDARY INFANT PERSONALITIES 445 a complete loss of the content of memory in so far as the acquirements and habits were concerned, along with marked phenomena of periodical alternation of the two states. The patient, Mary Reynolds, was of a strongly marked psychopathic disposition. She had many functional dis- turbances, suffered from convulsions, loss of consciousness, functional loss of sight and hearing. After having been greatly weakened by such a severe attack she fell into a profound sleep from which she could not be aroused, and on awaking was found to be deprived of all her former knowledge, of all recognition of former environment, of all her friends, no matter how near and dear. The natural instincts seem to have remained. She knew how to eat and how to drink; she neither had to learn to adapt herself to space, nor had she to learn to walk. Whether she knew how to dress herself or to observe personal cleanliness the report does not state. All her acquirements, such as speech, or the understanding of it, knowledge of events or persons, all were completely gone. Some shreds of phases of her former life remained and persisted in her second state. When she woke up from her profound slumber she, like an infant, was wailing some disconnected words and sentences, the meaning of which she did not know. In character and disposition she was completely changed. From being shy, morose and melancholic, in the primary state, she became in the secondary state gay, lively and playful. From being sedate ana matter-of-fact, she became imaginative and with a knack for rhyming. It is of importance to note the fact that the secondary state came through an attack of profound slumber, and that in passing from the primary to the secondary there was always present such an attack of various duration. In short, the hypnoleptic state is always present as the transition state. Furthermore, while the transition between the primary and secondary state took place as a rule in the 446 MULTIPLE PERSONALITY night, or, as the patient said, in the condition of ordinary- sleep, usually at night-time, the contrary was in the oppo- site direction, the transition between the primary and sec- ondary was always through an attack of "the profound sleep," of which the patient had some presentiment be- fore — some sort of aura. In the graduated series of cases presented to the reader we are confronted with greater and greater loss of con- tent as we advance in the degree of dissociation. As we advance from case to case we meet with more and more dis- sociation of systems and their concomitant moments, until we reach cases where the dissociation is so complete that the old content is absent, where all the acquirements and habits have disappeared. Finally we reach the climax where not only all the acquirements, but where even the natural instincts have been lost. This we find in the case of Hanna. All these cases present one graduated series, and, although they may be classified into more or less defi- nite types, still they shade imperceptibly into one another. The dissociation effected may be of any degree of exten- siveness and intensity. One psychophysiological process, however, underlies all of them, and that is the process of system disaggregation and new system formation due to a redistribution in the rise and fall of the moment thresholds. CHAPTER XXV MULTIPLE PERSONALITY AND THE HTPNOLEPTIC STATE Our analysis of the cases of double or multiple con- sciousness, together with the experimental study of the Hanna case, reveals to us the law that governs the different 'forms of psychophysiological segmentation. A close examination of the cases reveals the fact that in some of them, though not in all, we find a psychopathic or neuropathic disposition. The patient's mental life is in a state of unstable equilibrium. The higher constellations and clusters of neurons with their concomitant mental sys- tems are not firmly organized in the principal constellation correlative with the synthetic moment of self-consciousness. Thus the very cerebral organization has an inherent ten- dency to segmentation, or even disintegration, under condi- tions that would in no way affect more stable organizations. A strong stimulus, or even one of medium intensity, may set up a process of disorganization. A fall, a blow, a con- cussion, a strong emotion, any of them may produce ' ' com- motion cerebri," disintegration of the unstable neuron systems. Such cases we have already brought to the notice of the reader in our former chapters, and there is, therefore, no need to have them repeated here. The hurtful stimulus, however, may not be of a vio- lent character, acting suddenly, but of a mild nature, acting for a long time on the neural constellations and finally inducing the phenomena of dissociation and disin- tegration. In cases of confirmed alcoholism or in epilepsy we frequently find such disorders. The accumulation of toxic matter may bring about a rise of thresholds with a consequent disintegration of the constellation of neuron 447 448 MULTIPLE PERSONALITY systems, and the elimination of this poisonous material may effect a restitution. It must, however, be pointed out that though cases of double consciousness may occur in epilepsy, epilepsy is not the only cause of all such cases. Double or mul- tiple consciousness may be induced by many different causes, and epilepsy is but one of them. Epilepsy and the phenomena of multiple consciousness must by no means be identified. When we find a case of amnesia and double consciousness without any typical epileptic attacks, we are not justified to ascribe it to epilepsy, simply because such phenomena are also manifested in this disease. The moon is one of the causes of light, but it does not follow that wherever there is light the moon must necessarily be present. Moreover, the secondary states, or the moments consciousness found in the epileptic "Dammerzustande," are of a very low type, because the disintegration is deeper and more extensive. Epilepsy and multiple consciousness should not be confounded ; one can exist without the other. There is epilepsy with no organized double or multiple con- sciousness, and there is organized double consciousness with no epilepsy. In our sleep, which no one will deny as being a perfectly healthy and normal state, nearly every one of us, some time or other, presents phenomena of mental seg- mentation. Some isolated area of the brain or rather a constellation of clusters of neurons continues or begins to function and we get some type of hypnoidic states in the form of very vivid dreams. We find this especially to occur in children, who often cry, play and act out their dreams, living over in these states the more striking events of their life. A child, for instance, is frightened by a dog that ran over it. In its dream the child lives over again the occurrence of the day, and it cries out with fear. Chil- dren are known to sing in their dreams, remarking then, ' ' That is enough ; I cannot sing any more. ' ' Every father and mother, who have paid attention to their children, will THE HYPNOLEPTIC STATE 449 tell you of such vivid dreams. If now the phenomena of multiple consciousness were nothing but a form of epilepsy, a "masked epilepsy," or, as some term it, a "psychic epilepsy, ' ' then we are all of us confirmed epileptics. One thing, however, is perfectly clear from the study and anal- ysis of the cases of multiple consciousness, and that is the preliminary condition of such states. The prerequisite of multiple consciousness is either a highly complex organi- zation or, what is more frequent, an unstable neural equilibrium. To effect an overthrow of this neural equilibrium some agents are required. This, as we have just pointed out, may be of any kind, only they must either be of an in- tensity stronger than the usual stimuli, or of a low in- tensity, but durable in their hurtful activity. In short, the intensity of a normal stimulus or the duration of hurt- ful irritation may produce the same effect. Once such an effect is induced and the principal constellation is broken up, or disintegrated, an attack of unconsciousness sets in, an attack which may be of any duration, sometimes occu- pying a few minutes only, and sometimes covering a period of many hours, and even days. The disintegration is a form of cerebral shock akin to one induced by direct ex- cision of the frontal lobes or of other areas of the brain in the psychophysiological experiments on localization. The principal organization of the leading constellations of systems is disintegrated, and on account of the shock no other moment is yet organized to take the lead and become the focus of the disturbed stream of mental life. Systems with accompanying moments consciousness may arise and attempt to form a focus, but not being well organized, and not being able to concentrate enough psychic content so as to maintain their own existence, they fall back into the same obscurity from which they come, and other moments take their place, until at last a moment comes to the sur- face, a moment fit to survive and able to maintain itself 30 450 MULTIPLE PERSONALITY above the threshold of self-consciousness. The whole proc- ess is a struggle for existence among the many systems, among the many moments constituting man's mental life. Only the fittest survive. Meanwhile, during the whole course of this process the patient remains in a "deep sleep," in a state of uncon- sciousness. A deep sleep, or a state which we may prac- tically term unconsciousness, since the higher moments or systems are disaggregated and "inhibited," and only the lower ones remain and continue their function, is a neces- sary preparatory stage of the phenomena of double or multiple consciousness. All the cases analyzed and studied by us present this stage. Where it is absent, where the patient, without falling into an unconscious condition, directly before our eyes begins to manifest a different per- sonality with loss of memory, we should have our eyes wide open and be strongly suspicious of the genuineness of the case. A state of unconsciousness or of low moment consciousness precedes the first manifestations of double or multiple personality. It does not require a close scrutiny to discover that in all cases of mental alternation one state does not directly merge into the other. Between the two there is a state of unconsciousness or of deep sleep, however short it may be. One synthetic moment does not directly touch the other in time. The point of the end of one moment does not form the starting-point of another. The two alternately func- tioning systems are separated by an interval of uncon- sciousness, however short. At first the interval is long, extending over a period of many minutes, or even hours, but gradually, with the repetition of the alternation, this interval becomes shorter and shorter, and is finally reduced to but a few seconds. In the first cycles of multiple consciousness none of the moments are well organized, each of the leading func- tioning moments can maintain itself above the threshold THE HYPNOLEPTIC STATE 451 of personality only for a short time. With the disinte- gration of the latter another constellation with its correla- tive moment begins to rise, reaches the threshold of self- consciousness, steps it over and begins to function; the moment not being well organized, the process takes a con- siderable time. As the cycles of alternation are more and more repeated, the alternating moments become well or- ganized and the time of the submergence of one and the emergence of the other becomes considerably reduced, but still the process must occupy some fraction of time, how- ever short; hence the intermediary stage of "deep sleep," the state of unconsciousness. In passing from one state to the other the deep sleep must invariably be present. This is the hypnoleptic state. The hypnoleptic state is a true attack. It sets in with a state of irresistible drowsiness, the patient still having consciousness of his environment, and stimuli, which must become more and more intense as the state of drowsiness deepens, reach the subsiding synthetic moment conscious- ness and bring it into momentary activity again. The patient can be aroused, but only for a brief space of time, for a second or a fraction of it, and soon falls back into the drowsy condition. As the drowsiness deepens the pa- tient's reaction to external stimuli becomes less and less, and finally a point is reached beyond which no stimuli, however intense, can possibly arouse the patient — he is in an unconscious state. The hypnoleptic state can therefore be divided into two stages. One may be characterized as the first stage or the stage of drowsiness. The state that follows may be characterized as the second or the stage of unconsciousness. The stage of drowsiness or the first stage of the hyp- noleptic state is of the utmost importance for theoretical, experimental, as well as for practical therapeutic purposes. It is in this stage that the true crisis of alternation be- gins. One functioning moment is slowly subsiding, while 452 MULTIPLE PERSONALITY another moment is being formed and is slowly rising to its dominant position in consciousness. Now, basing myself on this theoretical knowledge of the hypnoleptic state, I was enabled to bring about a synthesis in the Hanna case of the two dissociated systems or mo- ments. The hypnoidic and the hypnoidal states clearly revealed the formation of independent centres, of inde- pendent constellations in the subconscious regions of the patient's mind. There were many centres, many systems of neurons of the disaggregated constellation with its con- comitant synthetic moment of self-consciousness. They were in a state of formation. The incessant bringing up of the hypnoidal states by means of experimentation, the methods of psychic and physiological stimulation employed by me, of which an account was given in a previous chap- ter, stimulated those independent constellations to a more active function, which was bound to result in their syn- thesis. The treatment was the first experiment of the kind in the effectiveness of synthesis, since, as we have seen, in no case of multiple personality was a synthesis brought about. So much so, that Ribot, in his book, ' ' Diseases of Memory, ' ' tells us that "observation does not show that its chasm is ever bridged over by direct recollection." The cases were of long standing, the alternations of personalities continu- ing for years, and sometimes the whole lifetime ; the only one who attempted to effect a synthesis was Professor James, but he unfortunately failed, as he employed a wrong method, not basing his attempt on the insight into the mechanism of this form of mental malady. The fact that such a synthesis, or, as Ribot terms it, a bridge, was until now not effected in any of the cases, made the great French psychologist stop short in his conclusions and say that ' ' two suppositions are possible, either the registration of anterior states is effaced, or the conservation of anterior states per- sisting their power of revivication by association with the THE HYPNOLEPTIC STATE 453 present is destroyed. It is impossible to decide arbitrarily between these two hypotheses. ' ' In the case of Hanna the chasm was bridged over by direct recollection, thus demon- strating the correctness of the second hypothesis. The methods for bringing about a synthesis were worked on my theory of the moment consciousness. Each step was controlled by this theory, and each phenomena as it came along was foreseen beforehand. I think, therefore, that this was an experimentum crucis of the truth of my position. Once the disaggregated moments became syn- thetized they formed one synthetic moment embracing the whole content of experience up to the time of the accident. Their stimulation and the memory of the func- tioning constellation of mental systems brought the old, now reintegrated moment, to the surface of the waking consciousness. This always took place at night, in sleep, when the constellation of the secondary state was in abeyance and the primary could come forth and assume supremacy. The primary state, however, could not long maintain itself, the common synthetic bond of associative activity was weak, and the whole moment gradually began to sub- side into the subconscious in the disaggregated form, in which it had been before. It was a matter of fatigue and rest. The patient began to feel drowsy and gradually passed into the second stage of the hypnoleptic state where no external stimuli could bring him to self-conscious life until the moment consciousness of the secondary state stepped over the threshold of self-consciousness. The pa- tient woke up in the secondary state. Our efforts were then directed toward a more frequent alternation of the two formed centres, of the two foci, of the two synthetic moments consciousness. This, as we know, according to the law of alternating moments, tends to shorten the hypnoleptic state. Fortunately, the hypno- leptic state in our case was a very short one, lasting only 454 MULTIPLE PERSONALITY a few minutes at the start, and two or three alternations sufficed to reduce it to seconds. Another method to reduce the total time of the hypno- leptic state was stimulation during the hypnoleptic state itself. Powerful stimuli, acting simultaneously on all the senses, were applied to the patient. This stimulation was of importance to reduce the time of the last stages of the hypnoleptic state. For, in the last stages of the hyp- noleptic state, the constellation of systems with its mo- ment consciousness representing the secondary state was almost fully formed and near the lower threshold of self- consciousness ; the stimulation helped the moment to rise earlier than it would have done otherwise. The duration of the hypnoleptic state was thus greatly shortened. The interval between the two, now more or less firmly organized moments, became reduced, and the moments were then nearer to each other in time. When the hypnoleptic state set in, the constellation with the second moment became quickly organized and rapidly rose to the threshold of consciousness. Once this was effected our efforts were directed toward retarding as long as possible the subsiding constellation with its concomitant primary state, so that the moments, the subsiding one and the rising one, should meet and catch a glimpse of each other ; in short, the whole course of our treatment was bent on one purpose, namely, to make the two moments simul- taneous, even though for the briefest space of time. This could not act otherwise but result in a synthesis of both. The two alternating moments separated by the hypnoleptic state, by having them appear simultaneously, came in close touch, perceived each other for the first time. At first the two met like enemies, but soon they had to acknowledge their intimate relationship and the synthesis was effected, though in a very laborious fashion. Thus the synthesis of the two alternating dissociative moments or mental systems was brought about by the shortening of the THE HYPNOLEPTIC STATE 455 total period of the hypnoleptic state, then by the shorten- ing of the secondary stage, and lastly by the lengthening of the primary stage of the hypnoleptic state. In other words, to effect a synthesis we have to shorten the secondary stage and lengthen the primary stage of the hypnoleptic state. The hypnoleptic state is not only of the highest im- portance for theoretical and therapeutical purposes, but it is also of the utmost consequence from a purely diagnostic purpose. Thus I know of a case of double con- sciousness where the patient feigned this pathological con- dition and duped his physician for some time. The pa- tient wanted to be kept in the hospital so as to escape the burden of the duties of life. Now, had the physicians known of the intermediary sleeping state, they would not have been so badly duped. Besides, the fact that there were many other flagrant contradictions in the case, the fraud could even at first sight have been detected, because the patient, after having been in the hospital for a few days, passed, in the presence of the physicians, into the primary state, directly while in the full possession of his consciousness. No sleeping state intervened between the secondary and primary state. Such a case is a fraud. It must be borne in mind that the law of monocyclical or polycyclical bimorphosis is : no mental alternation without some form of an intermediary sleeping state in general and of a hypnoleptic state in particular, especially in the transi- tion from the primary to the secondary moment. The intermediary states, the sleeping and especially the hypnoleptic state, now require our attention. What are they? How do they originate 1 ? And why is it that we find that while the transition from the secondary to the primary is through the condition of ordinary sleep, taking place usually at night, the contrary is the case in the transi- tion from the primary to the secondary? In other words, why should the transition between the primary and sec- ondary state take place through an "attack," through a 456 MULTIPLE PERSONALITY hypnoleptic state? The answer is because the sleeping state represents the absence of any dominant functioning moment, and that is what takes place in the interval of the alternation of the moments. But what is that hypnoleptic state? The hypnoleptic state is the reproduction of the original attack which brought about the state of double or multiple consciousness. This is clearly revealed in the case of Hanna. What happened there was that the patient met with an accident, lost his consciousness and the synthetic moment became dis- aggregated and could not get reinstated; a new moment with new content entered into being, a secondary state be- came gradually formed and trained. The original order then was: (1) the primary state, representing the patient's whole previous life, (2) the state of unconsciousness, (3) the formed secondary state. The succession of the states formed a cycle that went on repeating itself in the same order; hence we can see why the hypnoleptic state is of the nature of an attack and why the order is always of the following course, — primary state, hypnoleptic state, second- ary state, and so on, never the reverse. The phenomena of double or multiple personality have a definite course of their own. Newly formed personalities pass through well- defined cycles of life, and like new worlds formed by some external or internal catastrophe, they keep on revolving within the same orbits. THE END INDEX Abnormal consciousness, 51 ; men- tal activity, 352; psychology, 58; threshold, 279. Abstract ideas, 98. Actinia, 12. Activity, 274; biological, 274; cause of, 78, 79; mental, 8, 78, 232, 242, 271; organic, 22, 27. Adaptation, 24, 239. Adjustment, 24, 239, 241. Adult infants, 89. Aggregates, moment, 237, 271, 275, 277, 280, 282, 283, 285, 292; neuron, 22, 53, 280; psy- chic, 277. Alienation, mental, 267. Alternation, mental, 384, 455; of personality, 83. Amnesia, 49, 79, 276, 346, 352, 355, 357, 359, 362; graphic representation of, 88, 89. Amorphous state, 363. Anesthesia, 181, 259, 280, 342, 355, 358, 359. Analysis of multiple personality, 364. Animal life, 11, 235. Annelida, 14. Apathy, 22. Apparatus, muscular, 100. Aphasia, 79, 294, 356. Ascidian, 12. Association, free, 33 ; of neurons, 10, 36, 51, 52, 76, 269, 286, 344. Asthropoda, 16, 239. Attention, 92. Attributes of personality, 57; of psychic elements, 34. Aura, 255, 307, 330, 331. Auto-imitation, 101. Automatic, 244 ; writing, 258. Automatism, 243, 265, 314. 457 Beauty, sense of, 105. Belief, 281. Bethe, 20, 22. Bilatero-ventral type, 12. Bimorphosis, 362, 344, 455; monocyclical, 344, 361 ; poly- cyclical, 361. Biology, 4. Blood, relationship, 23. Bonds, functional, 24. Borderland states, 278. Bradylogia, 191. Brady phasia, 191. Breaks in mental states, 199. Breur, 330. Brightness of secondary states, 198. Cajal, 52. Cannabis, 176. Cell, 3, 5, 7, 8, 232. Centre of moment, 232. Cerebral centres, 176. Chain of ganglia, 16; of memo- ries, 374. Character of dreams, 220. Characteristics of representative elements, 36. Cosenasthesia, 341, 354. Coexistence of personalities, 64; of systems, 327, 362. Cognition, 35, 36. Cohesion of sensory compounds, 36, 37. Combinations, elasticity of, 25, 26; of individualities, 53; of psychic elements, 37; system- ic, 31. Communications, 68, 70. Compounds, organic, 33; psy- chic, 28 ; sensory, 27. Concentration of mind, 253. Concrescence of neurons, 22. Conglomeration of ganglia, 22. 458 INDEX Consciousness, 30, 49, 50, 76, 84, 85, 104, 141, 150, 160, 192, 196, 201, 203, 213, 231, 235, 241, 248, 255, 264, 267, 286, 292, 303, 307, 310, 341, 357, 360, 364, 373, 386, 418, 421, 448, 453. Content, psychic, 232. Contiguity, association of, 235. Continuity, mental, 44; of per- sonality, 57. Contraction of individuality, 77. Contrast, association of, 235. Co-ordination, 10, 238. Co-operation, 21, 23. Crystal-gazing, 48, 328. Cycle of double personality, 456. Cytoreticulum, 235. Dammerzustande, 341, 344, 448. Delusion, 281, 286, 403. Dementia, 230. Descartes, 229. Degeneration, process of, 38, 284. Desultory moment, 239. Development of child, 243. Differentiation, 11, 21, 239. Disaggregation, 53, 136, 420; of personality, 65. Discarnate spirits, 54. Diseases, nervous, 301. Disintegration, 283, 364. Disseminated type, 10, 12. Dissociated systems, 56, 57, 282, 355, 356, 360. Dissociation, 27, 44, 46, 76, 280, 355, 358. Dissolution, 279. Distance, 92. Division of labor, physiologi- cal, 9. Dominant systems, 78. Dreams, 48, 50, 137, 220, 278, 283, 319, 322, 325, 330, 398, 448. Dynamic process, 235. Dyspnoea, 334. Economy, law of, 25. Education, 89, 90. Efforts of attention, 282. Ego, 93, 103, 193. Elements, freedom of individual, 26 ; psychic, 27, 32, 33, 37, 52, 236, 342, 355. Embryonic stages, 16. Emotion, 348, 349, 352. Emotionalism, theory of, 349, 354. Energy, psychophysiological, 245, 251, 329. Environment, change of, 245. Epilepsy, 270, 343, 448, 449 ; psy- chic, 47, 343, 449. Equilibrium, act of, 244; neu- rol, 449. Ethical law, 26. Eucorellium rubrum, 4. Euphoria, 176. Evolution, 22, 25, 26, 83, 237. Fall, of thresholds, 283, 287, 292. Familiarity, sense of, 25, 46, 145. Fatigue, 226, 274, 278. Field of vision, 273. Fits, fainting, 379. Flournoy, 70. Fluctuation of the attention, 282; of the moment, 241; of thresholds, 282. Focus of psychic states, 236. Forgetfulness, 276. Forms of life, 22; of psychic states, 236. Freedom of elements, 33; of in- dividuality, 33. Frequency of association, 344. Freud, 330. Functional dissociation, 355 ; life, 24, 25; psychosis, 280, 353, 354, 356, 357, 359; relation- ship, 23, 25. Functioning activity, 22. Functions, physiological, 13. Fusion of liver, 415 ; of personal- ities, 363; process of, 31, 32, 33. Ganglia, nerve, 10, 13, 16, 22. Gastrocnemius muscle, 274. General paralysis, 230. Golgi, 52. Groups, mental, 28, 237; neuron, 20, 53. INDEX 459 Growth of mental activity, 25 ; of moments, 242 ; of new personal- ity, 95. Guide, controlling, 70. Habits, 43, 241. Hallucinations, 71, 259, 319, 326, 328, 331. Handwriting, automatic, 327 ; of primary state, 43, 179, 180 ; of secondary state, 178. Hemiplegia, 247, 311, 430. Hierarchy of moments, 249. History of child development, 239. Homicidal impulses, 267. Honey-bee, nervous system, 19. House-fly, nervous system, 19. Human personality, 86. Hunger, sensation of, 93. Hydra fusca, 4. Hyperesthesia, 280, 342. Hypermnesia, 280. Hypnoid states, 327, 329. Hypnoidal states, 143, 146. Hypnoidic states, 267, 307. Hypnoidization, 140, 304. Hypnoleptic state, 181, 185, 188, 355, 447, 456. Hypnonergic state, 48. Hypnosis, 48, 245, 253, 268, 302, 309, 317, 375, 379, 382, 402, 405. Hypoaesthesia, 248, 293. Hysteria, 347, 355. Hyslop, 65. Ideas, 34, 98. Ideational process, 24. Idiocy, 230. Illusion, 241. Images, 35, 43. Imagination, 32. Imitation, 54, 70, 95, 212. Immediate cognition, 35. Impressions, 104, 107, 184. Impulsions, 266, 267. Inattentive consciousness, 261. Incarnation, 75. Independence, functional, 36. Individual, 13, 16. Individuality, 8, 54. Integration, 16, 28. Intelligence of secondary state, 150. Intensity, mental, 345; sensory, 34. Introspective scrutiny, 241. Involuntary movements, 93, 100. Jacksonian epilepsy, 270. James, 376. Janet's law, 342, 351. Judgment, 96. Knowledge, 97, 98, 218, 232. Kinesthetic sensations, 100, 239. Kinesthesis, 301 ; in pathologi- cal states, 246, 247, 293. Language, 66. Lapsed aggregate, 276. Lapses of memory, 304. Law of evolution, 26; of psychic segmentation, 447; of psycho- motor life, 245. Learning of secondary personal- ity, 89, 93, 207, 208. Leech, 15. Life, psychic, 8, 386; of sensory elements, 28. Light, 8. Limulus polyphemus, 18. Loeb, 18. Losses of mental content, 78, 88, 89. Lower stages of life, 22. Localization, 449. Maladies, hysterical, 348. Mammalia, 239. Maniacal states, 269, 270, 283, 348. Mechanical theory, 314, 315. Median-dorsal type, 12. Medulla, 238. Medusa, 12, 15. Melancholia, 270, 285. Memory, 64, 149, 196, 202, 213, 217, 220, 306, 342, 361, 372, 379. Messages, subconscious, 66. 460 INDEX Metamorphosis of personality, 47, 83. Methods of association, 286 ; of guesses, 255; of hypnoidiza- tion, 140; of mental strain, 252 ; of minimal impressions, 301 ; of physiological stimula- tion, 176; of psychic infusion, 175; of recognition, 174. Micro-organisms, 9. Mind, 83, 190, 364, 374. Minimum of consciousness, 245, 248, 264; psychic, 248, 271. Moment-consciousness, 230, 236, 240, 251, 253, 257, 264, 266, 268. 275, 277, 286, 307, 316, 360, 364, 436, 449, 453, 456. Moment-threshold, 272, 274, 279 280, 282, 283, 285, 292, 301, 446. Monocellular organism, 8, 9, 10. Movement, 92, 101 ; of moment, 253, 256, 257. Multiple individuality, 8. Muscular sense, 301; system, 181, 184. Names, 149; recollection of, 296. Necrotic process, 329. Nervous centres, 13, 20; diseases, 301; system, 10. Neural equilibrium, 449. Neuron, 52 ; systems, 83. Neuropathic states, 329. Normal consciousness, 51, 346; individual, 18. Nucleus, sensory, 28, 232, 236. Objects, recognition of, 92. Observations of secondary per- sonality, 160; of somnambu- lism, 261. Ontogenesis, 238. Organic bondage, 23, 26; evolu- tion, 23, 25. Organs, 9, 11. Organization, law of, 11; neuron, 52. Pain, 226, 253, 293, 336. Paramnesia, 46, 256. Paranoia, 281. Pathological processes, 193, 283, 301. Patten, 18. Percept, 28, 236. Perceptual moment, 236. Pesonality, description of, 78; formation of, 58; metamorpho- sis, 47. Phantasms, 278. Pffefer, 274. Phylogenesis, 239. Picture dreams, 156. Poison, action of, 176. Polycyclical bimorphosis, 361. Polymorphosis, 361, 363. Post-hypnotic amnesia, 276. Presentative elements, 17, 27, 28. Primary presentative elements, 27, 34. Prince, 58, 386. Principle of multiple individual- ity, 8 ; of stimulation, 85. Process of disaggregation, 282; of isolation, 29. Progress, 25, 26. Protozoa, 9. Protoplasmic continuity, 10. Psychic content, 84, 231; mini- mum, 248, 269, 270, 357; states, 256, 258. Psychic epilepsy, 47, 337, 343, 356. Psychomotor associations, 84 ; reactions, 87, 89. Psychopathic states, 46, 278, 327, 329, 348, 356, 379, 427, 443, 495. Quadruple personality, 56. Qualitative growth, 16, 22; re- lation, 23 ; representation, 352. Quality of sensory element, 28; of subconscious, 242. Quantitative growth, 16, 22; re- lation, 23. Quasi-individuality, 363 ; person- ality, 54, 55. Quintuple personality, 56. Radiata, 13, 15. Radiating stimuli, 275, 285. Reaction, 24, 89, 237, 239, 283. Recognition, 36, 38, 46, 47, 124, 125, 141, 143, 176; amnesia of, 362. Recollection, 154. INDEX 461 Reflex being, 238; consciousness, 280, 360; sensori-motor, 238, 294. Regions, subconscious, 149, 253, 310. Relations, functional, 25, 33, 38; organic, 25. Relationship-blood, 23 ; of sen- sory elements, 33 ; of personal, 104; of identity, 194. Religion, 119, 130, 131. Religious excitement, 436. Remembrance, state of, 50. Repetition of ganglia, 10, 15 ; of organs, 11. Representation, 31, 32, 36, 37, 38, 45. Reproduction, cell, 7 ; of amnesia, 362. Reversion, process of, 256, 257, 263. Retentiveness of secondary state, 140, 184, 441. Rhythm, synchronous, 13. Ribot, 86. Rise of thresholds, 274, 278, 286. Secondary consciousness, 161. Secondary sensory elements, 28, 34; groups, 28. Segmental type of nervous sys- tem, 12, 14, 21, 24. Segments of nervous system, 15, 20, 24. Self, 73, 161, 193, 310, 417. Self-consciousness, 162, 251, 252, 306, 357, 447, 453, 454. Sense organs, 92, 276. Sensation, 31, 93, 273, 352. Sensitiveness of secondary state, 173. Sensitivity, 9, 272. Sensory elements, 27, 28, 34, 36; groups, 28, 30. Series of moments, 249. Sexual feeling, 125. Shell hearing, 257, 328. Similarity, association of, 235. Siphonophore, 6. Sleep, 187, 223, 287, 306. Social grouping, 23. Somnambulism, 71, 261. Space, 92, 93, 100. Sphygmograph, 174, 178. Spinal cord, 238. States, primary and secondary, 177, 184, 186, 188, 191, 199, 383. Strain, mental, 252. Structure of neuron, 8. Stimulation, physiological, 176, 192; minimal, 271, 275, 292. Struggle for existence, 245; of individualities, 193, 197. Subconscious, 149, 151, 155, 160, 162, 174, 175, 192, 253, 256, 262, 265, 277, 280, 302, 307, 310, 319, 322, 328, 329, 335, 337, 341, 346, 373, 381, 427. Subwaking consciousness, 49. Suggestibility, 348. Suggestion, 73, 74, 259, 266, 268, 321, 363, 403, 411, 433. Suicidal impulses, 267. Summation of stimuli, 164, 246, 293. Symbols, 25. Symbolic hallucinations, 260, 319. Synthesis, mental, 86, 232, 235, 270, 307, 364, 382, 452, 454. Synchronous action, 13. Syncytium, 10. Systems of cells, 10; dissociated, 84, 358; mental, 76, 79, 83, 238, 454; neuron, 13, 21, 33, 52; of sensory compounds, 28, 44. Systemic structure, 4. Tabes, 301. Teleological view, 245. Threshold moment, 269, 272, 274, 278, 282, 284, 286, 287, 288, 292, 301. Time, flow of, 93. Toxic stimuli, 76. Tracings, 187. Tracts of consciousness, 76. Trains of memories, 76. Traits of maniacal states, 283 ; of subconsciousness, 78, 374. Trance, 72, 301, 302. Type of individuality, 231; of moment, 240, 246, 279; of nervous system, 12, 13. Uncontrollable impulses, 266. Unconscious states, 55, 99, 181, 331, 451, 456. 462 INDEX Unicellular organisms, 7. Units, psychic, 52, 361; of stim- ulation, 273. Unity of moment consciousness, 27 ; organic, 233. Upper consciousness, 151, 256, 267, 280, 328, 345, 346, 373. Variation of sensory elements, 28. Visceral, nervous system, 14 ; sen- sibility, 341, 342, 350, 351. Vision, 72, 158, 221, 310. Visual hallucination, 269, 309, 319. Vivid dreams, 138, 140, 156. Vividness, 34, 38, 39, 43, 251, 292, 344. Voices, 258, 259, 292. Vocabulary, 97, 369, 420. Voluntary adaptation, 101, 107. Waking consciousness, 49, 188, 310. Walking activity, 244. Weber's law, 274. Weir Mitchell, 79. Whitman, 20. Words, abstract, 98. Zero point of sensation, 273. Zone, subconscious, 256. (1) " Destined to take rank as one of the two or three most remarkable self -portrayals of a human life ever committed to posterity." — Franklin H. Giddings, LL.D., in the Independent, An Autobiography by Herbert Spencer. With Illustrations. Many of them from the Author's Own Drawings. Cloth, 8vo. Gilt Top. Two vols, in a box, $5.50 net. Postage, 40 cents additional. " It is rare, indeed, that a man who has so profoundly influenced the intellectual development of his age and generation has found time to record the history of his own life. And this Mr. Spencer has done so simply, so frankly, and with such obvious truth, that it is not surprising that Huxley is reported as having said, after reading it in manuscript, that it reminded him of the ' Confessions ' of Rousseau, freed from every objectionable taint." — New York Globe. " As interesting as fiction ? 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