This lady, Mrs. F.B., thirty-five years of age, with three children, was brought by her husband against her will. He declared that both she and he were on the verge of nervous prostration; that unless something was done he would start beating her, this last of course representing a type of humorous desperation that usually has a wish concealed in it. She was "worn to a frazzle", always tired, sleepless, of capricious appetite, irritable, complaining, and yet absolutely refused to see a physician. She had taken tonics by the gallon, been overhauled by a dozen specialists, all of whom say, "nothing wrong of any importance—yet she is a wreck and I am getting to be one."
Her husband was a jolly looking personage from the Middle West, in a small business which kept his family comfortably. He looked domestic and admitted he was, which his wife corroborated. Evidently he was exasperated and worried as he gave the history of the case, with his wife now and then putting in a word: "Now, John, you are stretching things there; don't believe him, Doctor; not so bad as all that," etc.
She was a slender person, rather dowdily dressed as compared with her husband, with garments quite a little behind the prevailing mode. Her hair was unbecomingly put up, and it was evident that she disdained cosmetics of any kind, even the innocent rice powder. Her hands were quite unmanicured, though they were, of course, clean and neat. The hat was the simplest straw, home trimmed and neat, but a mere "lid" compared to the creations most women of her class were at the time wearing. That clothes were meant to be ornamental as well as useful was an attitude she completely rejected.
It turned out that life to her was an eternal housekeeping,—from the beginning of the day to the end she was on the job. Though she had a maid this did not relieve her much, for she constantly fretted and fumed over the maid's slackness. Everything had to be spotless all the time; she could not bear the disordered moments of bedtime, of the early morning hours, of wash day, of meal preparation, of the children's room, etc. She was obsessed by cleanliness and order, and her exasperated efforts, her reaction to any untidiness kept her husband and children bound in a fear like her own, though they rebelled and scolded her for it.
"She's always after the children," said her husband. "She is crazy about them, but she has got them so they don't dare call their soul their own. They don't bring their playmates into the house largely because they know that mother, though she wants children to play, goes after them picking up and cleaning."
This restlessness in the presence of disorder was accompanied by the effort to eradicate all vices, all discourtesies, all errors in manners from the children. She feared "bad habits" as she feared immorality. She thought that any rudeness might grow into a habit, must be broken early; any selfish manifestation might be the beginning of a gross selfishness, any lying or pilfering might be the beginning of a career of crime.
Here one might hold forth on the necessity for trial and error in children's lives. They want to try things, they form little habits for a day, a week, a month which they discard after a while; they try out words and phrases, playing with them and then pass on to a new experiment. They are insatiable seekers of experience, untiring in their quest for experiment,—and they learn thereby. Not every mickle grows into a muckle, and the supplanting of habits, the discarding of them as unsatisfactory, is as marked a phenomenon as the formation of habits.
So our patient allowed nothing for imperfections, experimental stages, developing tastes in her children. She was, however, hardest on herself, self-critical, scolded herself constantly because her house was never perfect, her work never done. She never had time to go out; she had become a veritable slave to a conscience that prodded her every time she read a book, took a nap, or went to a picture show.
It was not at first obvious either to her or her husband that her own ideal of cleanliness and perfection was responsible for her neurasthenia. If her "stomach was out of order ought she not have some stomach remedy; if her nerves were out of order would the doctor not prescribe a nerve tonic or a sedative?" The idea of a medicine for everything is still strong in the community and especially amongst dwellers in small towns, and represents a latent belief in magic.
In addition to such medicines as I thought the situation demanded, and to such advice as bore on her attitude to work and play, I hinted that dressing more fashionably might be of value. For the poorly dressed always have a feeling of inferiority in the presence of the better dressed, and this feeling is seriously disagreeable. To raise the ego-feeling one must remove feelings of inferiority, and here was a relatively simple situation. This woman really cared about clothes, admired them, but had got it into her head early in life that it was sinful to be vain about one's looks. Though she had discarded the sin idea the notion lingered in the form of "unworthy of a sensible woman", "extravagance", etc. As she was painfully self-conscious in the presence of others as a result, this was a hidden reason for sticking to her home.