第 57 节
作者:      更新:2021-02-27 02:15      字数:9321
  ir is partially erected on the front of the head。
  Dr。 Browne further remarks that the bristling of the hair which is so common in the insane; is not always associated with terror。 It is perhaps most frequently seen in chronic maniacs; who rave incoherently and have destructive impulses; but it is during their paroxysms of violence that the bristling is most observable。 The fact of the hair becoming erect under the influence both of rage and fear agrees perfectly with what we have seen in the lower animals。 Dr。 Browne adduces several cases in evidence。  Thus with a man now in the Asylum; before the recurrence of each maniacal paroxysm; 〃the hair rises up from his forehead like the mane of a Shetland pony。〃 He has sent me photographs of two women; taken in the intervals between their paroxysms; and he adds with respect to one of these women; 〃that the state of her hair is a sure and convenient criterion of her mental condition。〃  I have had one of these photographs copied; and the engraving gives; if viewed from a little distance; a faithful representation of the original; with the exception that the hair appears rather too coarse and too much curled。 The extraordinary condition of the hair in the insane is due; not only to its erection; but to its dryness and harshness; consequent on the subcutaneous glands failing to act。 Dr。 Bucknill has said'20' that a lunatic 〃is a lunatic to his finger's ends;〃 he might have added; and often to the extremity of each particular hair。
  Dr。 Browne mentions as an empirical confirmation of the relation which exists in the insane between the state of their hair and minds; that the wife of a medical man; who has charge of a lady suffering from acute melancholia; with a strong fear of death; for herself; her husband and children; reported verbally to him the day before receiving my letter as follows; 〃I think Mrs。  will soon improve; for her hair is getting smooth; and I always notice that our patients get better whenever their hair ceases to be rough and unmanageable。〃
  Dr。 Browne attributes the persistently rough condition of the hair in many insane patients; in part to their minds being always somewhat disturbed; and in part to the effects of habit;that is; to the hair being frequently and strongly erected during their many recurrent paroxysms。 In patients in whom the bristling of the hair is extreme; the disease is generally permanent and mortal; but in others; in whom the bristling is moderate; as soon as they recover their health of mind the hair recovers its smoothness。
  '20' Quoted by Dr。 Maudsley; ‘Body and Mind;' 1870; p。  41。
  In a previous chapter we have seen that with animals the hairs are erected by the contraction of minute; unstriped; and involuntary muscles; which run to each separate follicle。  In addition to this action; Mr。 J。 Wood has clearly ascertained by experiment; as he informs me; that with man the hairs on the front of the head which slope forwards; and those on the back which slope backwards; are raised in opposite directions by the contraction of the occipito…frontalis or scalp muscle。 So that this muscle seems to aid in the erection of the hairs on the head of man。  in the same manner as the homologous _panniculus carnosus_ aids; or takes the greater part; in the erection of the spines on the backs of some of the lower animals。
  _Contraction of the platysma myoides muscle_。This muscle is spread over the sides of the neck; extending downwards to a little beneath the collar…bones; and upwards to the lower part of the cheeks。 A portion; called the risorius; is represented in the woodcut (M) fig。  2。  The contraction of this muscle draws the corners of the mouth and the lower parts of the checks downwards and backwards。 It produces at the same time divergent; longitudinal; prominent ridges on the sides of the neck in the young; and; in old thin persons; fine transverse wrinkles。  This muscle is sometimes said not to be under the control of the will; but almost every one; if told to draw the corners of his mouth backwards and downwards with great force; brings it into action。  I have; however; heard of a man who can voluntarily act on it only on one side of his neck。
  Sir C。 Bell'21' and others have stated that this muscle is strongly contracted under the influence of fear; and Duchenne insists so strongly on its importance in the expression of this emotion; that he calls it the _muscle of fright_。'22' He admits; however; that its contraction is quite inexpressive unless associated with widely open eyes and mouth。 He has given a photograph (copied and reduced in the accompanying woodcut) of the same old man as on former occasions; with his eyebrows strongly raised; his mouth opened; and the platysma contracted; all by means of galvanism。 The original photograph was shown to twenty…four persons; and they were separately asked; without any explanation being given; what expression was intended:  twenty instantly answered; 〃intense fright〃 or 〃horror;〃 three said pain; and one extreme discomfort。  Dr。 Duchenne has given another photograph of the same old man; with the platysma contracted; the eyes and mouth opened; and the eyebrows rendered oblique; by means of galvanism。  The expression thus induced is very striking (see Plate VII。  fig。  2); the obliquity of the eyebrows adding the appearance of great mental distress。  The original was shown to fifteen persons; twelve answered terror or horror; and three agony or great suffering。 From these cases; and from an examination of the other photographs given by Dr。 Duchenne; together with his remarks thereon; I think there can be little doubt that the contraction of the platysma does add greatly to the expression of fear。  Nevertheless this muscle ought hardly to be called that of fright; for its contraction is certainly not a necessary concomitant of this state of mind。
  '21' ‘Anatomy of Expression;' p。  168。
  '22' Mecanisme de la Phys。  Humaine; Album; Legende xi。  A man may exhibit extreme terror in the plainest manner by death…like pallor; by drops of perspiration on his skin; and by utter prostration; with all the muscles of his body; including the platysma; completely relaxed。  Although Dr。 Browne has often seen this muscle quivering and contracting in the insane; he has not been able to connect its action with any emotional condition in them; though he carefully attended to patients suffering from great fear。 Mr。 Nicol; on the other hand; has observed three cases in which this muscle appeared to be more or less permanently contracted under the influence of melancholia; associated with much dread; but in one of these cases; various other muscles about the neck and head were subject to spasmodic contractions。
  Dr。 W。 Ogle observed for me in one of the London hospitals about twenty patients; just before they were put under the influence of chloroform for operations。  They exhibited some trepidation; but no great terror。 In only four of the cases was the platysma visibly contracted; and it did not begin to contract until the patients began to cry。 The muscle seemed to contract at the moment of each deep…drawn inspiration; so that it is very doubtful whether the contraction depended at all on the emotion of fear。  In a fifth case; the patient; who was not chloroformed; was much terrified; and his platysma was more forcibly and persistently contracted than in the other cases。 But even here there is room for doubt; for the muscle which appeared to be unusually developed; was seen by Dr。 Ogle to contract as the man moved his head from the pillow; after the operation was over。
  As I felt much perplexed why; in any case; a superficial muscle on the neck should be especially affected by fear; I applied to my many obliging correspondents for information about the contraction of this muscle under other circumstances。 It would be superfluous to give all the answers which I have received。 They show that this muscle acts; often in a variable manner and degree; under many different conditions。  It is violently contracted in hydrophobia; and in a somewhat less degree in lockjaw; sometimes in a marked manner during the insensibility from chloroform。 Dr。 W。 Ogle observed two male patients; suffering from such difficulty in breathing; that the trachea had to be opened; and in both the platysma was strongly contracted。  One of these men overheard the conversation of the surgeons surrounding him; and when he was able to speak; declared that he had not been frightened。 In some other cases of extreme difficulty of respiration; though not requiring tracheotomy; observed by Drs。  Ogle and Langstaff; the platysma was not contracted。
  Mr。 J。 Wood; who has studied with such care the muscles of the human body; as shown by his various publications; has often seen the platysma contracted in vomiting; nausea; and disgust; also in children and adults under the influence of rage;for instance; in Irishwomen; quarrelling and brawling together with angry gesticulations。 This may possibly have been due to their high and angry tones; for I know a lady; an excellent musician; who; in singing certain high notes; always contracts her platysma。  So does a young man; as I have observed; in sounding certain notes on the flute。 Mr。 J。 Wood informs me