mm mm HfflHfflSRS am mB$H Ho! ■ mm m H ml II lilllS p sycho -Therapy in the Practice of Medicine and Surgery, by Sheldon Leavitt, m. d. The laws of thought are the laws of the universe.— Buchner. He who will not reason is a bigot; he who cannot, is a fool; he who dares not, is a slave.— Byron. "I have always thought (and not without reason) that to have published for the benefit of afflicted mortals any certain method of subduing even the slightest disease was a matter of greater felicity than the riches of a Tantalus or a Croesus. I have called it a matter of 'greater felicity'; I now call it a matter of greater goodness and of greater wisdom." —Sydenham. 1 will listen to any one's convictions, but pray keep your doubts to yourself. I have plenty of my own.— Goethe. CHICAGO: GARNER- TAYLOR PRESS, 79 FIFTH AVENUE, 1903 THE LIBRARY op CONGRESS, One Copy R OCT, Co«MWJHT wrw CLASS ^XXa No COPY 3. Copyright, 1903. By Sheldon Leavitt, M. D, Ml rights reserved. TO THOSE OF THE MEDICAL PROFESSION WHO LOVE TRUTH AND DO NOT FEAR TO STAND FOR IT THIS WORK IS DEDICATED BY THE AUTHOR *' I touched the garment-hem of truth, Yet saw not all its splendor." P r e f a c e When a student launches on the Sea of Mind he soon finds himself in deep water. His sound- ing line will not reach bottom. The trouble is that the depths are infinite. There are "the heavens above and the earth beneath and the waters under the earth, " as the Universe is aptly described by the sacred writer. In truth he does not launch at all, for he him- self, in essence, is a part of the sea. It is a sea of vibrations in which he is immersed and of which his thinking self is an integral part. I have hesitated to venture a public opinion concerning even those phases of psychology that most interest me as a physician and surgeon. My main object now is not edification and final- ity, but stimulation to inquiry, realizing that con- victions of value are not gained from mere read- ing, but from soaking one's mind in a subject, "by continually thinking unto it," as Newton said. I have been compelled to speak of the "con- scious" and the "unconscious" or "subcon- scious, " the "objective" and the "subjective," the "supraliminal" and the "subliminal." The exact significance of these terms I do not pretend to understand: the designated powers I do not undertake to define. The dual mind is hypo- thetical. It is probably only two phases of a much "greater self," as Myers has suggested. I beg not to be held to strict account. (5) PREFACE. This needs to be said : The "subliminal" con- tains no reference to what is beneath, except in the sense of foundation. In every other respect the subliminal, the subjective, the unconscious, is the more real, the more noble, the more comprehen- sive and the more intelligent self. The "supra- liminal, " the " conscious, " the "objective" is a healthy, a natural manifestation. I am satisfied that there are vast possibilities for Suggestive Therapeutics. I have not hesi- tated to express an opinion concerning details whenever I have found myself in full possession of one. Some of these opinions will doubtless be modified by future developments; but such of them as rest upon well-recognized laws of psychic action will be stable. I have been led along step by step, my powers of perception gradually developing, my experience widening, the possibilities opening before me, until I find myself measurably ripe in both experience and conviction. The certainty of being misunderstood con- fronts me. I shall doubtless be dubbed a "Christian Scientist," a "charlatan," an "igno- ramus," a "trimmer." That matters little. Those who know me well, while they may not wholly agree with me, will at least concede me sincerity. / have herein spoken only the thoughts that long have pressed for utterance. He only is the growing man who gives himself repeated op- portunity to change and then to declare in no uncertain language his most sacred convictions. The worst that can in justice be said is that I am a nonconformist; and this title I shall not resent. Says Max Mullen "Scholars welcome everybody who in the open tourna- PREFACE. ment of science will take his chance, dealing blows and receiving or parrying blows; but the man who himself does not fight, but simply stands by to jeer and sneer when two good knights have been unseated in breaking a lance in the cause of truth, does nothing but mischief, and might, indeed, find better and worthier employ- ment." The well-known English scientist, Sir Oliver Lodge, says: 4 'Remember that the term 'science' was not always respectable. To early ears it sounded almost as the term witchcraft or magic sounded ; it was a thing from which to warn young people ; it led to atheism and to many other abominations. It was an unholy prying into the secrets of Nature which were meant to be hid from our eyes; it was a thing against which the Church resolutely set its face, a thing for which it was ready, if need were, to torture or to burn those unlucky men of scientific genius who were born before their time. . . . Pioneers must expect hard knocks ; the mind of a people can change only slowly; and until the mind of a people is changed, new truths born before their time must suffer the fate of other untimely births ; and the prophet who preaches them must expect to be mistaken for a useless fanatic, of whom every age has always had too many, and must be content to be literally or meta- phorically put to death, as part of the protest of the regeneration of the world." I trust that there is no arrogance in my saying that the conclusions herein expressed are attrib- utable neither to inexperience with disease in its various phases nor to lack of knowledge of what orthodox medicine, as practiced by either, or both, of the prominent schools, is capable of doing. Had my opportunities for observation been more restricted I should have hesitated to express pronounced views. The new methods of treatment have been utilized by me in a dis- criminating and tentative manner for years and the observations have been carefully noted. 8 PREFACE. // sho?tld not be inferred from anything herein coyitained that I have lost faith in drug remedies. I have merely changed my theories concerning their limitations and mode of action. I am most emphatically of the opinion that the practice of suggestive therapeutics should be confined to the medical profession. A. H. Burr, in an article which appeared in November, 1898, points out very clearly many reasons "Why Suggestive Therapeutics Should Not Be Taught to the Laity. " The physician can discern the same unwisdom of encouraging lay people to practice with psychological remedies that applies to their use of drugs. Then let the profession come into its rightful heritage. After emphasizing the importance of such a course in his "Spiritual Life," Prof. George A. Coe proceeds as follows: "What, then, is left to the discretion of those un- trained in medical science? For it is plain that we can- not avoid employing suggestion to our weal or to our woe every day that we live. A few applications of its principles are perfectly feasible. For example, we can deliberately cultivate cheerful states of feeling, and we can assist others to be happy. If all the world should adopt such a course of living, the occupation of the* doctors would be cut in two inside of ten years. Again, just as any intelligent layman is competent to make a proper use of some of the commoner drugs, as, for in- stance, in the case of minor cuts, burns and bruises, so, it may be contended, specific suggestion for specific ailments may be allowed when the nature of the ail- ment is understood. To take the simplest case, what possible objection could there be to one's overcoming an attack of sleeplessness by suggestion? Again, if one has certain knowledge that a given headache has been induced by temporary and trivial causes, no harm could easily result from treating it after the manner of Liebeault. In general, too, the pains we have to bear, PREFACE. even under the care of the highest medical skill, can often be lessened by a proper direction of the attention. Here belong the chronic difficulties that have been already diagnosed and treated by the family physician. In short, just as wise dieting, proper clothing and much more has to be attended to by ourselves, so there is a general and very necessary household use of sugges- tion as an adjunct of ordinary medical practice." I have taken occasion during the past years to sound professional opinion concerning the true value of suggestive means of cure, and have found, almost without exception, that the indi- vidual physician stands ready to make his con- fession of faith in a confidential way, but shrinks from utilizing psychic measures in an open man- ner "for fear of the people. " The doctor him- self needs a prescription, the chief constituent of which is BACKBONE. A man cannot achieve true success without an ideal that enlists his full sympathy and commands his highest efforts. He must feel that he has a divine right to succeed. My appeal is to the medical profession. I have done little writing along these lines for the general eye. The stronghold of prejudice is in our own midst. That there has been good ground for prejudice cannot be denied; but that there is now good ground for restricted and pro- visional acceptance of psychic tenets, is equally true. For the elementary character of the work no excuse need be offered. I have written for those who do not know — for those who need instruction, and not for those who krrow it all. I have taken particular pains to make the index so explicit that any feature of psycho- 10 PREFACE. therapeutics mentioned in the book can be easily found. It is hoped that no one will pronounce judg- ment upon the work from mere fragmentary reading. For the opinions of those who read it from beginning to end I shall have due regard. Sheldon Leavitt, M. D. Chicago, October 7, 1903. List of Illustrations. PAGB 1 A Schematic Representation of the Dual Mind 66 2 Pyramidal Nerve Cells Found Chiefly in the Brain 70 3 Cells from Spinal Cord 71 4 The Primary " Cerebral Vesicles " 74 5 A Diagrammatic Representation of Suggestive Action 83 6 A Diagrammatic Representation of the Vehicles of Suggestion 97 7 Telepathic Lines of Communication 108 8 The Three Planes of Life 134 9 The Planes of Life with Lines of Communication 135 10 A Diagrammatic Representation of the Curative Effects of Suggestion 143 11 A Diagrammatic Representation of the Curative Effects of Suggestion when Sustained by Consistent Conduct 146 12 A Diagrammatic Representation of the Relative Effects of Medicinal and Suggestive Treatment 168 13 Good Position for Deep Sleep Halfton e 14 Slate, with a Sample Suggestion 209 15 Digital Treatment of Spinal Nerves Halftone 16 Showing Patient on Inverted Plane Halftone fin 'Every man's progress is through a succession of teachers, each of whom seems at the time to have a superlative influ- ence, but it at last gives place to a new. Frankly let him accept it all. Jesus says, l Leave father, mother, house and land and follow me.' Who leaves all, receives more. This is as true intellectually as morally. Each new mind we approach seems to require an abdication of all our past and present possessions. A new doctrine seems at first a sub- version of all our opinions, tastes and manner of living. Such has Swedenborg, such has Kant, such has Coleridge, such has Hegel or his interpreter, Cousin, seemed to many young men in this country. Take thankfully and heartily all they can give. Exhaust them, wrestle with them, let them not go until their blessing be won and after a short season the dismay will be overpast, the excess of influence withdrawn and they will be no longer an alarming meteor, but one more bright star shining serene in your heaven and blending its light with all your day."— Emerson. (12) Table of Contents. PART I. THE PRINCIPLES OF PSYCHO-THERAPY. CHAPTER I. THE PRESENT STATUS OF MEDICINE. Drug Medication Does Not Command Professional Confidence — Drugs Have Curative Virtues — Valuable Methods Sometimes Re- jected — True Science — Matter and Mind — The Origin of Disease in Mind — Inquiry Should Extend into the Psychic Realm — Advanced Thought Wins Its Way Slowly— Why Are These Things So ? Page 21 CHAPTER II. THE PRESENT STATUS OF MEDICINE (CONTINUED). The Demands of the Hour — Certain Advances — Prevention of Disease — Chronic Ailments More Prevalent Than Ever — Disease Producers — Advanced Diagnosis, but Not Advanced Cure. Page 83 CHAPTER III. THE PRESENT STATUS OF MEDICINE (CONTINUED). The Surgical Idea— Not All Who Cut Are Surgeons— Psychic Effect Determines Cure — Cause of Differing Results — Too Much Sur- gery — Too Little Discrimination. Page 41 CHAPTER IV. THE PRESENT STATUS OF MEDICINE (CONTINUED). Ordinary Methods Too Perfunctory — Physicians Are Under- paid — Service Wrought by Homeopathy — Psychic Effect of Homeo- pathic Treatment — Revulsion from Old Theories Concerning Matter —Unity of All Things. Page 48 (13) 14 TABLE OF CONTENTS. CHAPTER V. NEW METHODS. Upward and Onward Trend — Movement Too Slow — Abundant Incentives to Study and Adopt New Methods — Principles of the New Methods. Page 57 CHAPTER VI. NEW METHODS IN DETAIL. Duality of Mind — Relations of Cerebral Structures to the Phases of Mind — Anatomy and Physiology of the Nervous Structures — Vari- ous Designations of Central Intelligence — Means of Communication Between the Several Parts — Cardinal Features of the Brain — Cardi- nal Features of the Nervous System — Objective Control of Subjective Action. Page 65 CHAPTER VII. NEW METHODS IN DETAIL (CONTINUED). Suggestibility — The Hypnotic State — Hypnosis Not Essential to Effective Suggestion. Page 83 CHAPTER VIII. NEW METHODS IN DETAIL (CONTINUED). The Theory of Auto-Suggestion. Page 91 CHAPTER IX. NEW METHODS IN DETAIL (CONTINUED). The Vehicles of Suggestion — The Voice — The Touch — The Need of Sincerity. Page 95 CHAPTER X. NEW METHODS IN DETAIL (CONTINUED). Telepathy. Page 103 CHAPTER XI. NEW METHODS IN DETAIL (CONTINUED). The Conditions of Effective Suggestion — Faith — Faith Is Best That Has a Rational Basis — Energy of the Suggestion — Dura- tion of the Suggestion— Histionic Suggestion. Page 113 TABLE OF CONTENTS. 15 CHAPTER XII. THE QUESTION OF ADOPTION OF PSYCHO-THBRAPEUTICS BY THE PROFESSION. It Belongs to the Profession — The Success of Charlatanry — Con- servatism — Too Much Fractional Teaching and Practice — The Ra- tional Attitude — Certain Concession — Psycho-Therapeutics in Its Purity Not Suited to All — Irrational Claims of Certain Advocates of Esoteric Methods — Interaction Between Mind and Body — Is Psycho- Therapy Effectual ? Page 128 PART II. THE PRACTICE OF PSYCHO-THERAPY. CHAPTER I. PRELIMINARY OBSERVATIONS. Thought Runs in Customary Grooves — Affirmation the Method Conferring Best Results— The Subjective May Take Its Cue from the Conduct — Examples of Powerful Suggestion Page 141 CHAPTER II. THE PRACTICE OF PSYCHO-THERAPY (CONTINUED). The Practice of Auto-Suggestion. Page 151 CHAPTER III. THE PRACTICE OF PSYCHO-THERAPY (CONTINUED). Suggestion to Others— Concerning the Physician Himself— Reflex Benefits — Practice Makes Perfect — The Essentials of Success in the Suggester — Personal Magnetism — The Foregoing Neither Un- important Nor Too Elementary. Page 16? 1C TABLE OF CONTENTS. CHAPTER IV. THB PRACTICE OF PSYCHO-THERAPY (CONTINUED). How to Secure Essentials of Success in the Patient — Im- portance of Attention — Media of Cure — Hypnosis — Suggestion in Ordinary Sleep — Suggestion Under Anesthesia — Suggestion During Hysterical Storms — How to Induce Hypnosis — The Phenomena of Hypnotism — Position for Hypnosis — The Scope of Hypnotic Con- trol — Has Hypnotism a Pernicious Effect on the Subject's Mentality? — The Hypnotic Suggestion —Awakening the Patient — The Effect Depends Largely on the Operator and His Methods — The Aim Should Be to Educate — The Salient Features of Required Education — Post- Hypnotic Suggestion. Page 175 CHAPTER V. THE PRACTICE OF PSYCHO-THERAPY (CONTINUED). The Place of Suggestion in Routine Practice — Uses of Sug- gestion in Medical Practice — The Examination— Positive Diagnosis — The Prescription — Bedside Visits — Frequency of Calls. Page 197 CHAPTER VI. THE PRACTICE OF PSYCHO-THERAPY (CONTINUED). Non-Routine Suggestive Treatment — Darkness — Close the Patient's Eyes — Suggestion by Manipulation — Suggestion with Vacuum Treatment — Suggestion with Electricity — Suggestion with the Inverted Plane— Suggestion Expedients at the Bedside. Page 207 CHAPTER VII. THE PRACTICE OF PSYCHO-THERAPY (CONTINUED). Suggestion in Surgery — Suggestion a Factor in Surgical Ad- vances — Suggestion in the Surgical Examination — Suggestion Dur- ing the Operation — Suggestion in Anesthesia — Suggestion in Giving the Anesthetic — Suggestibility of the Patient in Anesthesia — Sugges- tion During Waking from the Anesthesia — Suggestion in After Man- agement. Page 219 CHAPTER VIII. THE PRACTICE OF PSYCHO-THERAPY (CONTINUED). The Question of Absent Treatment— The Question Answered by Telepathy— The Theory Is Demonstrable— What Are the Con- ditions of Thought-Transferrence?— A Suggestion to Be Effective Need Not Reach the Conscious Mind — Conclusion. Page 229 PART ONE. The PRINCIPLES of PSYCHO-THERAPY "When the distinction was first drawn, ' ARTES* meant the things one could do, and ' SCIENTAE? the things one knew. (17) I The Present Status of Medicine