THE MIND AND THE BODY OFTEN THOUGHT OF BY LAYMEN AS separate and independent entites are, in reality, inseparable and interdependent aspects of a single organismic whole. The mind is a function of the brain which is a part of the body; it is a product of the brain's activity. An organic change in the brain will result in a corresponding change in the way it functions. Contrariwise, the mind or mental activity is responsible for physiological changes in the brain as well as in other organs of the body. For example, emotions are phenomena in which both physical and mental activity are involved; any change in the nature or inten- sity of either will cause a corresponding change in the other. That is to say, if we use the word "feel" to describe the organism's per- ception of an emotional experience, the way one thinks affects the way he feels. Illustrative of this was the observation made by a vet- eran who had spent two hopeless years of suffering in a German prison camp. He complained that whenever his thoughts drifted back to that period, he would virtually relive many of the indignities and privations to which he was subjected. These meditations were, in themselves, sufficient to cause him to become moody and de- pressed and on several occasions he even contemplated suicide. Fortunately, thinking can be constructive as well as destructive. It is possible at times to dispel gloom and murky meditations by entertaining joyful thoughts and mentally reliving pleasant experi- ences. The way one feels affects the way he thinks. It is as difficult for a melancholic to see the bright side of things as it is for an optimist to see the dark side. Our predominant mood at any given time will even more surely determine our outlook on life than our thoughts can determine the way we feel at others. A salesman who is a student 43 44 UNDERSTANDING STUTTERING of human nature will never waste his time trying to sell a prospect who obviously has just had a fight with his wife or is suffering from a headache. A man who is feeling bad is not in the mood to be persuaded that buying a new item or repeating an order will make things lovely. Everything looks black to him and, if the salesman isn't careful, his product may become identified in his customer's mind with the misery he is suffering. The predominating emotion, whether it is anger, fear, sadness or joy, is extremely important and, at times, the only factor in deter- mining one's attitudes and trends of thought. This principle of psy- chology has been known to crooked politicians and demagogues such as Hitler throughout history. By arousing the emotions of the pop- ulace and keeping them at fever pitch, they made it difficult or impossible for the people to think clearly and logically on important issues and, in this way, they were able to perpetrate horrible crimes which would otherwise not have been possible. To touch on a lighter note, the way to a man's "heart" or mind is via his stomach. Give him a hearty meal of his favorite dishes, make him feel good, and he is sure to be a pleasant and agreeable companion. Keep him waiting and hungry and he isn't fit to be spoken to. It is obvious that the way one feels affects the way he acts. Sad- ness spells tears; happiness, laughter; anger, rage; fear, flight, and so on. Contrariwise, the way one acts affects the way he feels. Whistling in the dark is an age old treatment for knocking knees. Seasoned soldiers are aware of the courage inspiring effect of sing- ing their way into battle. In the days of the silent films, we are told, directors often resorted to using sliced onions to bring tears to the eyes of their heroines. Once they got the tears rolling, the actress had little trouble experiencing the appropriate emotion and gave a truly realistic performance. There are many instances in everyone's ex- perience to demonstrate these facts. When in the extreme, emotional and logical behavior cannot operate simultaneously; they are mu- tually exclusive. In lesser degrees, they may be mutually beneficial. Love and romance have inspired many great works of art, literature and music. It is in excess, when the emotions get beyond reasonable control, that they are undesirable, dangerous and destructive of the personality. Crime and some types of mental disorders are instances of this. The way one thinks affects the way he acts. Although it is possible Interdependency of Mind and Body Action 45 to perform an act automatically, much behavior is set for or plan- ned. The thinking may occur so rapidly that it appears to be auto- matic, yet unless the act is a natural or conditioned reflex, it must be determined as we go along. Thus action is no accident; it will not happen unless it is made to happen. The way one acts affects the way he thinks. In playing a game of chess, working a mathematical problem, painting a picture or bak- ing a cake, it is necessary to plan the successive moves to reach the desired goal. If any of the steps taken prove to be incorrect, or tend to lead away from the goal, the behavior must be adjusted so as to lead back toward the goal. Or if the procedure is proving successful, the problem is being solved, the game won, etc., the appropriate behavior is continued. Thus thought determines behavior and be- havior determines subsequent thought. These ideas may be expressed diagramatically as follows: Manner of action ^ d, (muscular) ^ )| Manner of thinking _^. Manner of feeling (cerebral) ^. (thalamic) Understanding and applying these psychosomatic principles offers an additional means of dealing with problems encountered in block- ing. Of the three types of behavior, i.e. feeling, thinking and acting, the most easily modified in most circumstances is acting. Our emo- tions are deeply entrenched and usually of too long standing to be readily altered. They are not under direct control of the higher nervous centers and can be reached only indirectly through control of muscle or cortical action. Our customary manner of thinking, on the other hand, tends also to become routinized as well as somewhat emotionally tinged. When we are confronted with problems with which we have had to deal repeatedly, we tend to follow along lines similar to those we have previously normally followed. Emotional bias plays a great role in determining the lines of thinking that we follow and a good deal of what is sometimes thought to be reasoning is actually emoting. Muscular behavior, however, may be changed at a moment's notice in all but extremely emotional states. It is possible for a per- son to make himself act in a way he does not think or feel is right, 46 UNDERSTANDING STUTTERING whereas it would be difficult or impossible for him to feel good immediately about what he was doing or to see the logic of it. By the process of changing the behavior, however, the individual may come to see the logic in the change because of the results evident and consequently he may feel different about it. A southern white doctor of our acquaintance came to a northern hospital for his internship. He came loaded down with all the usual racial prejudices and was outraged to learn that he had to eat in the same dining room with Negro interns and share the same building as sleeping quarters. For some time he took his meals out- side but the press of hospital duties and finances soon compelled him to return to the free meals available in the doctors' dining room. He was careful to sit only with whites, but one day a Negro doctor with whom he was friendly on the wards came and sat down by his side. He described his feelings in lurid colors later to a group of friends. Regardless of his feelings, good manners forbade his leaving the table. During the subsequent ten months of his service he was compelled again and again to eat and converse with one or more of the hospital's seven Negro physicians. By the time his year was up, there was no further question of tolerating these men; he had come to respect them and enjoyed their company. This could never have been accomplished through reasoning with him about the equality of man and so on, or by emotional means such as pleading, teasing, shaming or threatening. The simple procedure of eating, talking, working and living with these people as he would with any other human beings, resulted in his feeling and thinking of them as such. Acting as if a thing is so, eventually leads to feeling and thinking it is so as well. This action principle is constantly used in the treatment of block- ing. A person may have a conditioned response to block in a given manner whenever it becomes necessary to produce a certain word in a certain situation. However, when he anticipates the block he has the choice of responding with blocking or employing the delayed reaction, changing his mental set and producing the word in a new and more desirable manner. The changing of his response, the way he acts, will change the way he feels and thinks about his blocking both as regards any par- ticular block and his blocks in general. When he has behaved a great many times in a great many situations as if he knew he had Interdependency of Mind and Body Action 47 control over his speech, he will begin to think more nearly like one who knows he has control and that in turn will reduce his fear of speaking situations. Each successive time he substitutes a more fluent speech pattern for the one he customarily used, his confidence is increased and emotional interference is lessened. Repetition of this type of treat- ment eventually eliminates the old blocking pattern completely by unconditioning it and there is then a corresponding change in the attitude of the patient toward himself and his speech. When con- sidering the reasons for use of a blocking pattern, it is important to remember that the way one acts affects the way he thinks and feels.
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