X. The Physiological Theory of Hypnosis.
Particular interest attaches to the question of hypnosis in animals, It
is well known that a number of animals can be put into a condition which
corresponds at least in many external earmarks to that of hypnosis in human beings.
Such conditions may for instance be induced in the common crawfish and also in
mammals. The means of bringing animals into the hypnotic state is to retain
them in uncomfortable positions. The hypnosis of animals (Pryor) has been
traced to terror and use has been made of the term terror rigor
(Schreckstarre) or cataplexy. Forel, not without reason, raises the
objection that precisely the tamest animals are the easiest to hypnotize. He is
inclined to speak of true suggestion. No doubt a psychic factor is present in
hypnoses of animals. Now Verworn has shown that the reflexes produced by
retaining the animal in unaccustomed and inconvenient situations are tonic
recumbency reflexes. He is wrong, to be sure, when he infers that animal
hypnosis is therefore without a psychological phase, for animal hypnosis may
indeed depend on the one hand on tonic recumbency reflexes and yet have, on the
other hand, a psychological foundation. " Psychological" and "
physical" are by no means opposites, and we must again emphasize, with
Bleuler, that it is necessary to say: " Physical and psychical" and
not " physical or psychical." It is worthy of note that according to
Mangold, who has summarized all the literature on this point, hypnosis may be
brought about even in birds and mammals having no cerebrum. Spiegel and
Goldblom have recently gone so far as to show that the phenomena of hypnosis
may be brought about if only the center of the posture reflexes, the red
nucleus, has still been retained. In other words, as long as the animal is
capable of any changes of posture at all, it may be induced by the procedures
bringing about animal hypnosis to refrain from carrying out these alterations
of posture. Now we must apply even to the experimental results in the cases of
animals, the general point of view that the removal of a section of the brain
may under certain circumstances cause functions to live again in more primitive
sections of the brain which in their normal functioning had not been
utilized or at least not to the same extent. In other words, if, after
the removal of a certain section of the brain a function suffers no alteration,
such experiments do not show that the removed section of the brain has no
importance for this function. But it is none the less noteworthy that the
hypnosis of animals points to the fact that much of what we are otherwise
accustomed to ascribing to hypnosis takes place in primitive motor centers.
Still greater are the difficulties encountered in recognizing hypnosis
in invertebrate animals. As a fundamental principle we may distinguish two
types, namely a hypotonic and a hypertonic type, in other words, the same types
that are found in the hypnosis of human beings, particularly noteworthy is the
following observation, communicated by Mangold (according to Heymans). In the
ugly weasel spiders of the species Galeodes Kaspius turcestanus, the
female attempts to devour the wooing males; the female will not permit the
performance of the sexual act unless the male succeeds in imbedding his
forcipated jaws in a certain spot of her abdomen; the hypnotic condition of the
female may be imitated in the laboratory by seizing the above mentioned spot of
the female with the pincers though, characteristically enough, this experiment
can only be performed in the mating season. Mangold himself is inclined to
consider animal hypnosis as a device in the service of sexual instincts, and it
may indeed be surmised that hypnosis and a condition resembling hypnosis always
ensue in the course of sexual relations, when the resistance of the female
begins to be excessive and seriously to endanger the actual performance of the
sexual act. Mangold distinguishes between hypnosis and the reflexes of
simulated death (trance) which are rather calculated to serve to protect the specific
individual. But we must recall that hypnosis undoubtedly has a connection with
sleep and that these connections may hardly be disposed of by reference to
sexuality alone. Furthermore, there must be certain bridges between sleep and
trance, for the examples communicated by Zell showing that sleep ensues in the
animal world when the animal would incur danger by continuing its motions, seem
to constitute an excellent formulation of a portion of the problems. Certain
relations will therefore have to be assumed nevertheless between sleep on the
one hand and trance reflexes and hypnosis on the other hand. Of course, in
order to find an analogy to the social-psychological side in animal hypnosis,
more thorough investigations will still have to be made in order to determine
the conduct of animals when not under human influence. Freud, no doubt rightly,
points out in Group Psychology and the Analysis of the Ego that we must
take into consideration, in interpreting the hypnosis, the fact that the leader
must not be obliged to reckon with a continuous resistance. In animals which
live in communities, also, the superiority of the leader of the tribe may be
valuable only if he need not give evidence of his authority on every new
occasion. Schjelderup-Ebbe has shown in the case of birds that relations of
superiority and subordination are found in the animal world. "
Intimidation " is often a decisive factor, and once an animal has become a
tyrant over the others, this condition will continue to exist without special exertion
of effort even though the balance of power be by no means in favor of the
tyrant. A consideration of hypnosis in animals may, to be sure, not afford us a
final answer to the question of human hypnosis, but it does raise a number of
important problems.
Not long ago Tromner tabulated the differences between animal hypnosis,
which he designates as catalepsy, and human hypnosis. We are giving this
tabulation below and commenting on it because we believe that a controversy
between us and this distinguished worker will enable us to present our own view
more clearly:
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CATALEPSY
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HYPNOSIS
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1. Produced by shock.
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1. Produced by suggestion (ideas).
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2. Spontaneous liberation after
a short period.
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2. Awakening not spontaneous,
except from subsequent sleep.
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3. Only motor restraint.
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3. Medium phase between
somnolence and amnesia.
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4. Occurs even in animals lacking cerebrum.
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4. Catalepsy, to be sure, in
weak-minded persons, but no hypnosis.
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5. Weakens or vanishes on frequent repetition.
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5. Greater profundity of
hypnosis on repetition.
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6. Possible
even in new-born individuals.
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6. Hypnosis becomes possible
only on the attainment of relatively advanced intelligence (not before fifth
or sixth year of life).
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Note on 1. Shock proceeds in some kind of relation with
psychic experiences. In human beings also there exists a sort of hypnosis
through domination and terror. It is true that in the production of human
hypnosis the material of conception is of particular importance, but we have
again and again pointed out that there are a number of phenomena in hypnosis
which are independent of the activity of the imagination.
Note on 2. Animal hypnoses may also last for some time. As
a principle it may be stated that human hypnosis likewise ends in a shaking off
of the hypnosis, not to mention the light degrees of human hypnosis; but a
spontaneous awakening ensues after a more or less protracted period even in
profound hypnosis.
Note on 3. Whether the motor restraint in animals is
exclusively motor in nature, whether it is not connected with psychic changes,
is an open question. We have already pointed out that in the hypnosis of humans
there are times when only motor restraints control the picture.
Note on 4. Hartmann and Schilder have also succeeded in obtaining
hypnotic phenomena in the case of insane paralytics, as will be mentioned
later.
Note on 6. Even though we are not in the habit of speaking
of hypnosis in the case of very young children we must nevertheless point out
that the procedures by means of which a crying infant is pacified, namely,
rhythmically repeated stroking, gentle admonition, etc., the procedures that
induce sleep in the infant, are the same as those used in bringing about
hypnosis. We entirely agree with Tromner when he says that the hypnosis of
humans and the hypnosis of animals must necessarily be of different nature
owing to the difference in their brain construction. Yet, the common elements
are so significant that we must assume a certain identity in principle. This
identity is recognized even by Tromner to the extent of his considering
hypnotic catalepsy and catalepsy in animals as of similar nature.
Let us now begin our discussions of the physiology of hypnosis with a
discussion of catalepsy and of the motor phenomena of the hypnotized. One of
the present authors has already pointed out(*) that the cataleptic phenomena of
hypnosis present a fundamental similarity with those phenomena afforded by the
lesion of the striopallidary system. The. catalepsy encountered in certain cases
of encephalitis epidemica (compare Gerstmann and Schilder on this
subject) shows very great similarities with the catalepsy of the hypnotized,
which, as is well known, is characterized in general by the fact that the
posture is maintained with as slight an expenditure of muscular contraction as
possible.
(*) " Das Wesen der
Hypnose," Seele und Leben.
The expression striopallidal system is incorrect to the extent
that we are as yet not in a position to estimate the importance accruing to the
striopallidal system as such in
this reaction, or the importance of the substantia nigra, or of
the cerebellar systems. If one would undertake to make a thorough study of the
problem of catalepsy, one must not forget that there are essentially two
components of catalepsy involved. On the one hand, there is (akinesia) a
defective locomotion urge, or a defective locomotion will; on the other hand,
there is the muscular tonus which is necessary to maintain the communicated
passive position. The doctrine of the striopallidal origin of hypnotic
catalepsy has recently also been advocated by Leyser.
One of the present authors has in part repeatedly emphasized, in his
work together with Gerstmann, the fact that such modes of viewing the question
are of fundamental importance for the theory of the muscle tonus and of the
striopallidal system. In this case, on the one hand, the considerable
susceptibility of disturbance of striopallidal motility by psychic factors must
be stressed, and on the other hand the muscular phenomena consequent upon
purely psychic adjustments, with purely psychic condition reflexes. Thus,
Kauders has described images of psychogenically conditioned disturbances of
motility which correspond to far-reaching parkinsonisms.1 We cannot
lay sufficient stress on the questions thus arising, which begin with the
fundamental investigations of C. and O. Vogt and Kleist. The important
continuations of these suggestions by F. H. Lewy and Homburger promising to
throw considerable light on the question of motor experiences and behavior in
general, even in normal persons. Again and again stress must be laid on the
close connection between psychic experience, on the one hand, and the motor
type and motor expression, on the other hand, which has its center in the
striopallidal system.
But the physiology of the attitudes and of the motility of the
hypnotized is by no means exhausted with the considerations advanced above.
Goldstein and Riese were the first to point out that the attitude and posture
reflexes of Magnus and DeKleijn can be detected also in normal man. As
Goldstein and Zingerle have emphasized, there are cases in which automatic
movement (Ablaufe) follow upon an alteration in the posture of the head,
and prevent
the individual from attaining repose. Hoff and Schilder were able to confirm
this. Simultaneously
with the proceeding of these involuntary movements (Automatose, Zingerle)
remarkable changes ensue in the state of consciousness. Between these movements and
the state of consciousness there are connections whose nature has not yet been
cleared up. We must
assume that we are dealing with posture reflexes and their consequences, whose
center is found in the red nucleus, at least in animals. Now, we have called
attention above to Spiegel's investigations, which show that hypnosis cuts off
the posture reflexes.
Accordingly we may expect that the posture reflexes suffer a similar
change in human hypnosis.
This assumption is confirmed by experience, at least to the extent—as
shown by Levinger—that the posture reflexes in hypnosis are actually
considerably diminished in hypnosis, a statement that has been fully confirmed
by Hoff and Schilder.
We may state in explanation of these conditions that the muscular
tension during hypnotic sleep is very slight and that a certain amount of
muscular tension seems necessary in order to produce posture reflexes in
general. On the other
hand, however, it would be wrong to underestimate the akinetic factor in
hypnosis. We thus attain the view that the stimulus to motion in hypnosis has
been switched off also in those strata which serve for the production of
posture reflexes, or automatosis. Here again we may point out that in the greater
number of akinetic encephalitics position and posture reflexes are also reduced
or absent. We thus
find that we are already in a position, in view of the material now available,
to form certain ideas on the physiology of motility in hypnosis. Let us here recall also
that it will be best possible for us to understand the motor stimulus phenomena
observed in hypnosis, the hysteriform convulsive twitching, even the occasional
hysterical attacks, if we bear in hind the removal of the inhibitions over
primitive motility. The thought that so-called psychogenic disturbances of
motility may here be conceived as physiological goes back to Meynert, but has
obtained a more precise formulation only since the investigatoins of Leipman,
Kleist, C. and O. Vogt, Gerstmann and Schilder, and
Leyser.
(*) A girl of fifteen is at
present under my observation and treatment for a condition of hypertonia
of her right upper and lower extremities and is suggestive of a decided
parkinsonism, though she was considered for a long time to be a case of
hysteria. Hypnotic
suggestion has very decidedly influenced her condition for the better though
the hypertonic attitude still remains.—Trans.
Above we have already declined to dwell on the details of the
question of how the primitive motility is interrelated with the more
highly developed motility, and how the two cooperate. Also, we
must mention the problem involved in the fact that
the primitive
motility is closely related with the vasovegetative system. We refer
thereader to F. H. Lewy.
At any rate, we maintain our position
that the functioning of motor apparatus of comparatively primitive
structure is of importance for the motor phenomena of hypnosis, the apparatus
being located in the midbrain, interbrain, and hindbrain.
We have already spoken of an influencing of the sleep center. There is
no doubt that the latter is situated in the neighborhood of the third
ventricle, as we have stated above. But the neighborhood of the third ventricle
happens to be also the location of the central station of the vasovegetative
functions in general. Here lie the centers for the regulation of temperature,
for the bladder, saliva, respiration, sexuality, metabolism, and the glands of
internal secretion. As for the individual data, we refer to the article by
Muller and Greving which appeared recently in the Med. Kl. Muller and
Greving point out that stimulations of the sensory neurones, proceeding from
the optic thalamus, pass over to the vegetative system, that the pupils dilate
owing to the pain, and that saliva and perspiration are secreted as a result.
The stimulus therefore evidently is conducted to the interbrain. We now quote
literally the statements of these authors: " Thus, we know that Karplus
and Kreidle succeeded in obtaining a protrusion of the bulbus, a dilation of
the pupils and the eyelids, increased lachrimal, salivary, and perspiratory
secretion, by stimulating the subthalamic region. Aschner and Leschke secured
polyuria, with unconquerable thirst (diabetes insipidus) and temporary
glycosuria, by pricking the floor of the third ventricle and avoiding the
hypophysis. Jakobi and Roemer were able to obtain an increase of bodily
temperature by introducing carbolic acid or mercury into the infundibulum.
Isenschmidt and Krehl excluded the regulation of the bodily temperature by a
frontal incision behind the optic thalamus. Erdheim observed, after diseases of
the infundibulum, though the hypophysis remain completely intact, an atrophy of
the sexual apparatus and a lowering of the sexual desire and sexual power, a
cessation of menstruation, and a retrogression of the secondary sexual traits,
together with a marked increase in adipose tissue all over the body (dystrophia
adiposogenitalis. In some diseases of the walls of the third ventricle we
obtain only disturbances of the sexual apparatus, or only obesity. Many grounds
speak for the assumption that the superior center for sexual and procreative
activity is to be found in the corpora mamillaria. ... It seems
reasonable to assume that the walls of the third ventricle contain the spot
which regulates the metabolic processes of the body. Not only from the ensuing
of obesity after injuries and the formation of scars in the infundibulum, but
also
from the enhanced combustion processes in fevers, which are stimulated
from the temperature center, and from the serious conditions of wasting, such
as appear in many cases of chronic hydrocephalis of the third ventricle,
particularly in connection with meningitis, cerebrospinalis epidemica. Enlargement
of the epiphysis, which also belongs to the interbrain, not only result in
pathologically premature development of the sexual organs and the sexual
desire, but also— probably by stimulations of the ventrical walls—to abnormal
appetite, to polyphagia. Thus we find that not only thirst, but also hunger,
may be produced by the vital centers in the central gray matter. Some
investigators place the vasomotor center in the corpus hypothalamicum under
the optic thalamus, in the corpus Luysii. From this region, according to
certain authors (Liechtenstern), the subcortical stimuli to the bladder
innervation take their origin. The innervation centers for the sebaceous glands
must also be sought medically from the globus pallidus." We must
also pay close attention to the report of Dresel and the book of F. H. Lewy, in
which there is a discussion of the fundamentally important question of whether
the vegetative apparatus is constructed in a number of levels. Dresel and F. H.
Lewy assume that there is a superior level above the vegetative centers in the
medulla oblongata which must be sought in the environment of the third
ventricle in the nucleus periventricularis and in the centers of the interbrain
region. Centers situated in the striopallidal system would then appear to take
care of the delicate adjustments. The authors follow out these thoughts in
great detail with regard to the regulation of sugar and temperature control.
Thus, they hold accountable in diabetes mellitus, a spot in the
pallidum, for the disturbances of sugar regulation, a view which is, however,
contradicted by Bielschowsky. Whatever be our judgment of these things as far
as details are concerned, there is no doubt that there is a succession of
levels of the vasovegetative apparatus. It may also be assumed with certainty
that mechanisms are situated in the midbrain which regulate the production of
the endocrine secretions. In this connection the question as to the centers for
sexuality is of particular importance. It has been already settled that centers
on the floor of the midbrain are of essential importance in the production of distrophia
adiposogenital. It is probable that the hypophysis and the interbrain have
an influence here also. As for details, we refer to the textbooks on internal
secretions by Biedl and Weil. Similar considerations will also be of
importance, probablv. in the case of diabetes insipidus. The posterior lobe of
the
hypophysis and the vegetative centers at the floor of the interbrain are
the organs that are of importance in this connection. We may therefore say that
the vegetative functions in the interbrain have a central localization, and
that it is from this central point that the vegetative life is supervised. This
central station has control of a more primitive center situated in the medulla
oblongata, but is probably also connected with stations of higher level. There
is no doubt that the functions of the cerebral cortex must be extremely
susceptible to action proceeding from these centers, as Reichhardt especially
has repeatedly pointed out. Every experience of psychic type connected with the
cerebral cortex accompanies in some manner the functions of the vegetative
system. The latter vibrates together with the function of the cortex. Now we
have every reason to assume that the vasovegetative system has preserved a
greater degree of plasticity than the cortical function. Its function appears
to have been differentiated in less degrees. Kraus speaks of a vegetative Tiefenpersonlichkeit.(*)
(*) Depth personality.
To be sure, we should not forget that this vegetative Tiefenpersonlichkeit
is by no means a psychologically unambiguous conception. The events of the
vasovegetative system must interfere in every cortical function, in every
psychic happening. To be sure, the affectivities appear to be bound in some
special manner to the interbrain, and every more primitive experience appears
connected with a stronger resonance to the vasovegetative mechanisms. This is
already suggested by the investigations of the so-called physical expression of
the feelings, a term that might perhaps better be replaced by the "
expression of the bodily manifestations of affections. For, in addition to the
emotional phase, the conceptual imaginative intellectual phases to which the
emotion is attached are always important, and we cannot understand the results
obtained by Pavlov and Heyer, who show that the character of the object
presented will determine the character of the secretion of gastric juices, if
we limit our consideration to the emotions only. (Compare, in this connection,
the statements made by Schilder in Schwartz's book.) We may indeed say that in
general the vasovegetative phenomena become more extensive with a decreasing in
the cortical function and with its becoming more primitive. Wherever the
affective mechanisms come into the foreground the cortical function presents
more primitive traits. Dislocations, condensations, defective differentiation
of details ensue, and modes of thought familiar to us
from the primitive state and from childhood put in their appearance. We
may say, by way of abbreviation, that a fully developed cortical function is
connected with clearly defined images which are productive of expedient action,
and that this cortical function will regress to a primitive stage if the
vasovegetative phase becomes more pronounced. We may, if we wish, take as our
point of departure the experience, proved by psychoanalysis, that thought
characterized by condensations, displacements, and symbolic formations
corresponds to an ontogenetically and phylogenetically earlier stage of
development. We must furthermore be perfectly clear as to the fact that
affectivity, instinctive impulses, are the inalienable possession of all the
living matter which, owing to its profound evolutionary roots, has its seat in
the deeper sections of the brain. But after what we have already stated, it is
clear that hypnosis applies itself to strata of primitive impulses. The
attitude of the suggested person, in its goal-inhibited masochistic trend
recognizing authority in a magic degree, is very evidently archaic and represents
a primitive experience. It should not surprise us to learn that this attitude
has particularly close relations with the phylogenetically deep-lying
vasovegetative system. The effects of hypnosis are predominantly in the
vasovegetative realm. We thus find that the results of psychological analysis
have the closest possible relation with the results of physiological analysis.
Both point to the fact that we must behold in hypnosis a primitive, archaic
regressive phenomenon.
We therefore hold fully the view that the phenomena of hypnosis must be
understood on the basis of the psychology and the psycho-physiology of the
hypnotized. Alrutz thought it possible to show that an emanation proceeds from
the hypnotizer which has a direct physical influence on the hypnotized. We have
not observed any phenomena that would justify such a conclusion.
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