Bad hygiene is something more than exposure to bad air, poor food, contaminated water, etc. It includes habits and times of eating, attention to the bowels, outdoor exercise, sleep, and in the marital state it includes the s.e.xual indulgence.

The housewife under consideration, Mrs. T.F., aged twenty-eight, married five years, two children, complained mainly of headache, occasional dizziness, great irritability, and fatigue, so that quarrels with her husband were very common, though there seemed nothing to quarrel about.

The family was not rich, but lived in a comfortable apartment; there were no serious financial burdens, the children were reasonably healthy and good, and the closest questioning revealed the husband as a kindly man who never took the initiative in quarrels but who was never able to keep silent under provocation. The couple was still in love and there seemed to be no essential incompatibility.

Questioned as to her habits, Mrs. F. said she did all her own housework except the washing and ironing and scrubbing. She had a little girl three times a week to take the baby out. Before marriage she had been a stenographer, but never earned high pay and had no love for her work. In fact she gave it up with relief and found housework with its disagreeable features much more to her taste than business. She had been of a placid, pleasant temperament and could not understand the change in her.

Since all this did not explain her symptoms, closer inquiry was made into her habits. She arose with her husband at seven-thirty, prepared his breakfast, sent the oldest child off to kindergarten and then had her own breakfast, which usually consisted of toast and coffee. At noon she had a very small piece of meat or an egg and a few potatoes with tea. At night she ate sparingly of the dinner, which usually was meat, potatoes, another vegetable, and a dessert. Her husband here stated that she ate at this meal less than the boy of four and a half.

Comparing her buxom figure with the diet a discrepancy was at once apparent. She then confessed with shame that she was a constant nibbler, eating a bit of this or that every half hour or so, and consequently never had an appet.i.te. The food thus nibbled usually was either spicy or sweet, and she consumed quite a bit of candy. Her bowels moved infrequently and she always needed laxatives. In her spare time she felt rather "logy", rarely went out, except now and then at night with her husband, and spent her leisure hours on the couch reading or nibbling.

This in itself would have quite explained much of her trouble. It has been pointed out that body and mind are not separable; that mental functions are based on the bodily functions, and that mood may rest on no more exalted cause then the condition of the bowels. But a more intimate questioning revealed s.e.xual habits which are easily drifted into by people of an amorous turn of character and who are really fond of one another. These both husband and wife frankly said they had not meant to speak of, but with their disclosure it was evident that a good deal of importance was to be attached to them.

The correction of the life habits was of course the fundamental need.

The young woman was instructed in detail as to diet, the care of the bowels and outdoor exercise. Since she was in perfect condition except for stoutness she could easily look for recovery, and as an added incentive the restoration of youthful good looks was held out as certain.

The s.e.xual life was frankly discussed, and necessary restrictions were imposed. Both the husband and wife agreed willingly to the changes ordered and promised faithfully to carry out instructions.

The patient made a splendid recovery and very rapidly. Here was a deenergization dependent solely upon the sedentary life of the housewife and upon ignorance of s.e.x hygiene. Here were quarreling and impending marital disaster removed by attention to details in living. Here was a complete proof that not only does a sound mind need a sound body, but that a sound marriage needs one as well.

Case V. The hyperaesthetic woman.

Mrs. J.F. is twenty-seven years of age. She was born in the United States, of middling well-to-do people. Her father was a gruff, hearty man, not in the least bit finicky, who really despised manners and the like, though he was conventional enough in his own way. Her mother was an old-fashioned housewife, fond of her home and family, in fact perhaps more attached to the former than the latter. She hated servants and got along without them (except for a day woman) until she became rather too old to do the work.

J.'s sister and two brothers were duplicates of the parents,--hearty, stolid, and remarkably plain looking. J., the younger sister, though not the youngest in the family, was as different from her family as if she had sprung from another stock. She was slender, very pretty, with a quick, alert mind which jumped at conclusions, because labored a.n.a.lysis fatigued it. Above all, from the very start of life she was sensitive to a degree that perplexed her family, who were however intensely sympathetic because they adored her. This adoration arose from the fact that J. was brighter and prettier than most of her friends, and that her cleverness in many directions--music, writing, talking, handiwork--was the talk of their little group.

This sensitiveness arose from two main factors. First, an egoism fostered by the worship of her friends and the leadership of her group,--an egoism which led her to regard as a sort of insult anything disagreeable. Accustomed to praise, the least criticism implied or outspoken cut like a knife; accustomed to being waited upon, she resented physical discomfort of the slightest kind. Second, there must also have been an actual physical sensitiveness to sights, sounds, smells, tastes, etc. that made her perceive what others failed to notice. This led to an artistry manifested by her nice work in music and decoration and also by an excessive displeasure at the inartistic.

With this training, experience, and natural temperament she should have married a rich collector of art products, who would have added her to his collection and cherished her as his most fragile possession.

Instead, through the working of that strange law of contraries by which Nature strikes averages between extremes, she fell in love with a hulk of a man whose ideas on art were limited to calling a picture "pretty", who loved sports and the pleasures of the table, and whose business motto was "Beat the other guy to it." A successful man, troubled with few subtleties either of approach or conscience, he viewed the marriage relationship in the old-fashioned way and the new American indulgence. A man's wife was to be given all the clothes she wanted, servants to help run the home, ought to bear two or three children, and love her indulgent husband. As for any real intimacy, he knew nothing of it.

Kindly, self-indulgent, wife-indulgent, child-indulgent, ruthless in business, he may stand as something America has produced without any effort.

From the very first night J.'s world was shattered. We need not enter into details in this matter, but a woman of this type needs finesse in the initiation into marriage more than at any other time. Cave-man style outraged her every fiber, and the man was dumbfounded at her reaction.

Though he tried to make amends his very effort and lack of understanding complicated matters.

Aside from this matter, which in the course of time became adjusted, so that though she rebelled desire arose in her, she found herself at odds with her husband's tastes and conduct in little things. Though his table manners were good enough, the gusto of his eating annoyed her and took away her own appet.i.te. When they went to a play together the coa.r.s.e jokes and the plainly sensuous aroused his enthusiasm. He lacked subtlety and could not understand the "finer" things of life. As he grew settled in matrimony, which he enjoyed in spite of her nerves (which he took for granted as like a woman), he grew stouter and this irritated and jarred her.

She finally realized she no longer loved him. It is doubtful if she realized this before the birth of her first and only child. She lacked maternal feeling and rebelled with a bitter rebellion against the distortion of her figure that came with the pregnancy. The nursing ordered by the doctor and expected by all around her nearly drove her "wild", she said, for she felt like a "cow", a "female." Indeed she reacted bitterly against the femaleness that marriage forced on her and hated the essential maleness of her husband. Her emotional reaction against nursing took away her milk, and finally the disgusted family doctor ordered the baby weaned and he was turned over to a servant.

She went back to her own life, determined to become a housewife, to see if she could not love her husband and her home. But everything he did irritated her, and everything in the house made her feel as in a "luxurious cage." Yet she was by no means a feminist; she detested "noisy suffragettes", thought women doctors and lawyers ridiculous, and had been brought up to regard marriage as indissoluble.

Gradually out of the conflict, the chilling fear that she had made a mistake which could not be rectified, the constant irritation and annoyances, the revolt against her own s.e.x feeling and her life situation, arose the neurosis. It took the form mainly of sudden unaccountable fears with faint dizzy feelings. The family physician on the aside told me that it was "just a case of a d.a.m.n fool woman with everybody too good to her."

What const.i.tutes a "d.a.m.n fool" will include every person in the world, according to some one else. It seemed obvious to me that J. was not meant by nature to be a housewife or any kind of wife. Matrimonially she was a misfit, unless she met some man of a type like herself, though I doubt if any man could have pleased her. I doubt if her over-exacting taste would not rebel against the animal in life itself. For though the animal of life is essentially as fine as the human, certain types find it impossible to acknowledge it in themselves.

At any rate I advised separation for a time,--six months at least. I told the woman her reaction to her husband was abnormal and finicky. She answered that she knew this but could not conceive of any change. We discussed the matter in all its ramifications, and though she and her husband agreed to the separation, I knew that he was determined to hold her to her contract. She improved somewhat but I believe that such a temperament is incompatible with marriage, at least to such a man. The outlook is therefore a poor one.

Case VI. The over-conscientious housewife,--the seeker of perfection.

The woman whose history is to be discussed comes from a family of New England stock, _i.e._ the Anglo-Saxon strain modified by New England climate, diet, history, religion, and tradition into a distinct type.

This type, often traditionally conservative and often extraordinarily radical, has this prevailing trait,--standards of right and wrong are set up somehow or other, and a remarkably consistent effort is made to maintain these inflexibly. However, the hyperconscientious are not peculiarly New England alone; I have met Jewish women, Italians, French, Irish, and Negroes who showed the same loyalty to a self-imposed ideal.

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 appet.i.te, 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 cla.s.s were at the time wearing. That clothes were meant to be ornamental as well as useful was an att.i.tude 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 pa.s.s 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 att.i.tude 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.

This woman had a really fine intelligence, wanted to be well and made a gallant effort to change her att.i.tude. In this she succeeded, became as she put it more "careless of her things and more careful of her people."

Of course one cannot expect her ever to be anything but a fine housekeeper but she manages to be comfortable and has conquered an over-zealous conscience.

CHAPTER XI

OTHER TYPICAL CASES

Case VII. The ambitious woman discontented with her husband's ability.

In the American marriage relationship the woman makes the home and the man makes the fortune. In some countries the wife is an active business partner. This is notably true in France, among the Jews in Russia, and many immigrant races in the United States. The wife may even take the leadership if her superiority clearly shows up. Perhaps the American method works well enough in a majority of cases, but there are superior women yoked to inferior men who finally despair of their husband's advancement, and who, as the phrase goes, ought to be "wearing the trousers" themselves.

Mrs. D.J., thirty-nine years old, married fourteen years, two children, had excellent health before marriage. Her family, originally poor, had been characterized by great success. Her brothers occupy important places in the business world and are wealthy. One of her sisters is married to a man who is successful in law, and the other sister is an executive in a department store.

Before marriage Mrs. J. was in her brother's business, and at the time of her marriage earned a comfortable salary. She married a man who inherited a small business, and when they married she was enthusiastic over the prospects of this business. But unfortunately her husband never followed her plans; he listened impatiently and went ahead in his own way. As a result of his conservatism they had not advanced at all financially. Though they were not poor as compared with the ma.s.s of people, they were poor as compared with her brothers and brother-in-law.

In addition to the exasperation over her husband's att.i.tude toward her counsel (which was approved by her brothers), she developed a disrespect for him, a feeling that he was to be a failure and a certain contempt crept into her att.i.tude. Against this she struggled, but as the time went on the feeling became almost too strong to be disguised and caused many quarrels. It is probable that if her own brothers and sisters had not done so well her feeling toward her husband would not have reached the proportions it did, for she became envious of the good things they enjoyed and to a certain extent resented her sisters-in-law's att.i.tude toward her husband and herself as poor. The part futile jealousy and envy play in life will not be underestimated by those who will candidly view their own feelings when they hear of the success of those who are near them. One of the reasons that ostentation and bragging are in such disfavor is because of the unpleasant envy and jealousy they tend involuntarily to arouse.

With disrespect came a distaste for s.e.xual relations, and here was a complicating factor of a decisive kind. She developed a disgust that brought about hysterical symptoms and finally she took refuge in refusal to live as a wife. This aroused her husband's anger and suspicions; he accused her of infidelity and had her watched. The disunion proceeded to the point of actual separation, and she then pa.s.sed into an acute nervous condition, marked by fear, restlessness, sleeplessness, and fatigue.

The a.n.a.lysis of this patient's reactions was difficult and as much surmised as acknowledged. With her breakdown her husband's affection immediately revived and his solicitude and tenderness awoke her old feeling, together with remorse for her att.i.tude towards his lack of business success. It was obvious to me in the few times I saw her that she was working out her own salvation and that no one's a.s.sistance was necessary after she understood herself. Intelligence is a prime essential to cure in such cases,--an ignorant or unintelligent woman with such reactions cannot be dealt with. Gradually her intelligence took command, new resolves and purposes grew out of her illness, and it may confidently be said that though she never will be a phlegmatic observer of her husband's struggles she has conquered her old criticism and hostility.

Case VII. The nondomestic type and the mother-in-law.