I have taken by itself and studied a typical case; it now remains, not to enumerate, but to classify pathological pleasures in order to show their frequency. Taking as a guide the excellent definition of Mantegazza, “Morbid pleasure is that which is either the cause or the effect of an evil,” I divide them into three classes.
1. Semi-pathological pleasures, which form the transition from the healthy to the frankly morbid. These require an excessive or prolonged expenditure of vital energy. We know that the pleasures of taste, smell, sight, hearing, touch, muscular exercise, the sexual relations, produce fatigue and exhaustion, or even suddenly become painful. The pleasures of affection, of self-love, of possession, when they become passions—that is to say, when they increase in intensity and stability—cease to be pure pleasures; a painful element is added to them. This phenomenon is natural and logical, since every increase in activity entails losses, and consequently conditions of pain. This class is scarcely morbid, since pain here succeeds pleasure. This is not the case with the other two, in which pleasure rises from the midst of destruction, and dominates the consciousness.
2. Pleasures destructive of the individual. I do not stop to discuss certain anomalies of taste and smell which will be described elsewhere; but the pleasures due to intoxication and narcotics are so widespread that they seem inherent in humanity. At all times, in all places, even in the savage state, man has found artificial means of living—if only for a moment—in an enchanted world. He has himself created this pleasure for his own destruction. But there are still clearer cases—of tendencies not acquired or invented—when pleasure makes and dominates the process of disorganisation. Thus, during a certain period of the general paralysis of the insane, the patient believes himself to possess the supreme degree of strength, health, riches, and power; satisfaction and happiness are expressed in his whole bearing. Thus in certain forms of acute mania, on one side (which we shall pass over for the present) it shows itself in anger; on another, in exuberant spirits, abounding joy—a feeling of energy and vigour. Some patients say, after their recovery, that they never felt so happy as during their illness (Krafft-Ebing). We may also mention the case of consumptive patients, many of whom are never so rich in hopes or so fertile in projects as when at the point of death. Finally, we have the sense of well-being (“euphoria”) of the dying. It has been attempted to explain this by analgesia, as if the suppression of pain were identical with the appearance of joy. Féré, who has examined the question in his Pathologie des Emotions,[[47]] concludes that this exaltation is due to momentary but positive conditions of the cerebral circulation.
Must we admit that, in these cases, by an inconceivable derogation from natural determinism, pleasure becomes the translation into consciousness of a deep and incurable disorganisation? There is no need of this. It is more rational to admit that this pleasure is here, as elsewhere, connected with its natural cause, a superabundance of vital activity. Every pathological pleasure is accompanied by excitability; but the latter is not a normal activity, or the fever-patient and the neuropath would enjoy an excess of health. In reality, we are confronted with a complex case; on the one hand, a perpetual and enormous loss, which goes on rapidly, without becoming perceptible to the consciousness; on the other, a superficial excitement, which is momentary and conscious. The anomaly is in this psychic disproportion, or rather in the short-sighted consciousness, which cannot pass its narrow limits and penetrate into the region of the unconscious.
3. Destructive pleasures of a social character, which are connected, not with the suffering of the individual himself, but with that of others. Such is the pleasure felt in killing and seeing killed—in sanguinary spectacles, bull-fights, fights between animals, and, in a much feebler degree, in hearing or reading tales of bloodshed. These pleasures can be explained; they denote the satisfaction of tendencies to violence and destruction, which, strong or weak, conscious or unconscious, exist in all men. They may be studied under the heading of the pathology of tendencies, which I shall treat later on; let me only remark in passing that these tendencies involve a certain display of energy, which is one of the conditions of active pleasure.
One question in conclusion. Can pleasure, and joy in particular, be the cause of a grave catastrophe, such as madness or death? Some alienists—Bucknill, Tuke, Guislain, etc.—quote cases of madness which they attribute to sudden joy, such as an unforeseen inheritance, or success in obtaining a long-wished-for situation. The same thesis has been maintained in the case of death[[48]] occurring suddenly, or after syncope. Griesinger maintains that it is extremely rare—if it ever happens—for excessive joy by itself to produce madness. Others absolutely deny the fact.[[49]] It is certain that joy is seldom seen figuring in any enumeration of the causes of madness. Joy, as a state of consciousness, could not have such effects. The catastrophe can only be explained by sudden and violent organic troubles, which cannot have this effect unless there already exists a predisposition. It is not joy which maddens or kills, but the shock received by a being in an abnormal state. It would be more correct to say that an event which, in the generality of men, ought to cause joy, here produces a peculiar pathological state ending in madness or death.
II.
The other side of the subject may be briefly disposed of. We occasionally, though rarely, meet with people who grieve over good fortune when it comes to them; these have the pain of pleasure. I do not think that any psychologist has dwelt on them, and it seems to me useless to make a study of these cases. Though in form the reverse of the pleasure of pain, it fundamentally resembles it. This disposition of mind, found in certain pessimists, is rightly called eccentric or bizarre—i.e., general opinion instinctively looks on it as a deviation, an anomaly. This, moreover, is only a special instance of a general state of mind—morbid or pathologic sadness—which we are about to study. I have remarked above that, as pain and sadness always involve a morbid element, the expression abnormal would be more accurate and less open to criticism.
In order to affirm that a physical or moral pain is outside the usual law, and may be described as abnormal, we shall have recourse to the three distinctive marks given at the opening of this chapter, and we can take, as our one type, that of melancholia in the medical sense. It presents the required characteristics: the long duration, disproportion between the cause and effect experienced, and excessive or insufficient reaction.
It is needless to give a description of the melancholic state; it may be found in all treatises on mental disease. This affection assumes many clinical forms, varying from melancholia attonita, which simulates a stupid apathy, to the agitated form accompanied by incessant groans, from the slight to the profound and incurable forms. It will be sufficient to enumerate the most general features. In comparing melancholy with ordinary sadness, we may follow the cumulative method, because the morbid state is nothing but the normal condition thrown into high relief.