Chapter 3 No.3

Types Of Housewife Predisposed To Nervousness

There are three main factors in the production of the nervousness of the housewife, and they weave and interweave in a very complex way to produce a variety of results. All the things of life, no matter how simple in appearance, are a complex combination of action and reaction. Our housewife's symptoms are no exception, whether they are mainly pains, aches, and fatigue, or the deeply motivated doubt or feeling of unreality.

The nature of the housewife, the conditions of her life, and her relations to her husband are these three factors. All enter into each case, though in some only one may be emphasized as of importance. There are cases where the nature of the woman is mainly the essential cause, others where it is the conditions of her life, and still others where the husband stands out as the source of her symptoms.

We are now to consider the nature of the housewife as our first factor. We may preamble this by saying that a woman essentially normal in one relationship in life may be abnormal in some other, may be the traditional square peg in the round hole. Moreover, we are to insist on the essential and increasing individuality of women, which is to a large extent a recent phenomenon. The cynical commonplace is "All women are alike"-and then follows the specific accusation-"in fickleness", "in extravagance", "in unreasonableness", in this trick or that. The chief effort of conservatism is to make them alike, to fit each one for the same life by the same training in habits, knowledge, abilities, and ideals.

Talk about Prussianism! The great Prussianism, with its ideal of uniformity, serviceability, and servility, has been the masculine ideal of woman's life. Man was to be diversified as life itself, was to taste all its experiences, but woman had her sphere, which belied all mathematics by being a narrow groove.

The nineteenth century changed all that,-or started the change which is going on with extraordinary rapidity in the twentieth. There are all kinds of women, at least potentially. It may be true that woman tends less to vary than man, that she follows a conservative middle-of-the-road biologically, while man spreads out, but no one can be sure of this until woman's early training to some extent resembles man's.

1. From the very start woman is trained to vanity. Every mother loves to doll up her girl baby, and the child is admired for her dress and appearance. Now it is an essential quality of the normal human being that he accepts as an ideal the quality most admired. To the young child, the girl, the young woman, the important thing is Looks, Looks, Looks! The first question asked about a woman is, "Is she pretty?" The pretty girls, the ones most courted, the ones surest on the whole to get married and to become housewives are usually spoiled by indulgence, petting, admiration, and this for a quality not at all related to strong character, and therefore vanity of a trivial kind results.

2. Moreover, woman is trained to emotionality. It may be that she is by nature more emotional than man, but again this can only be known when she has been trained to repress emotional response as a man is trained. If a boy cries or shows fear, he is scolded, and training of one kind or another is instituted to bring about moral and mental hardihood. But if a girl cries, she is consoled by some means and taught that tears are potent weapons, a fact she uses with extraordinary effect later on, especially in dealing with men. If she shows fear, she is protected, sheltered, and given a sort of indulged inferiority.

3. The romantic ideal is constantly held before her in the private counsel of her mother, in the books she reads, in the plays she witnesses, in all the allurements of art. She is to await the lover, the hero; he will take her off with him to dwell in love and happiness forever. All stories, or most of them, end before the heroine develops the neurosis of the housewife. In fact, literature is the worst possible preparation for married life, excepting perhaps the courtship. This latter emphasizes a distorted chivalry that makes of woman a petty thing on a pedestal, out of touch with reality; it is an exciting entrance into what in the majority of cases is a rather monotonous existence.

All these things-vanity, emotionality, romanticism, courtship-are poor training for the home. They hinder even the strongest woman, they are fetters for the more delicate.

In taking up the special types predisposed to the nervousness of the housewife it is to be emphasized that conditions may bring about the neurosis in the normal housewife. Nevertheless, there are groups of women who, because of their make-up or constitution, acquire the neurosis much more easily and much more intensely than do the normal women. They are the types most commonly seen in the hospital clinic or in the private consulting room of the neurologist.

First comes the hyper?sthetic type. One of the chief marks of advancing civilization is an increasing refinement of taste and desire. The fundamental human needs are food, shelter, clothes, sex relations, and companionship. These the savage has as well as his civilized brother, and he finds them not only necessary but agreeable. What we call progress improves the food and the shelter, modifies the clothes, elaborates the sex relations and the code governing companionship. With each step forward the cruder methods become more actively disagreeable, and only the refined methods prove agreeable. In other words, desire keeps pace with improvement, so that although great advances materially have been made, there has been little advance, if any, in contentment. This is because as we progress in refinement little things come to be important, manner becomes more essential than matter, and we get to the hyper?sthetic stage.

Thus the dinner becomes less important than the manner of serving it. In the "highest circles" it is the savoir faire, the niceties of conduct, that count more than character. Words become the means of playing with thought rather than the means of expressing it, and thought itself scorns the elemental and fundamental and busies itself with the vagaries of existence.

From another angle, to the hyper?sthetic more and more things have become disagreeable. To the man of simple tastes and simple feelings, only the calamities are disagreeable; to the hyper?sthetic every breeze has a sting, and life is full of pin pricks. "The slings and arrows of outrageous fortune" are multiplied in number, and furthermore the reaction to them is intensified. In the "Arabian Nights" the princess boasts that a rose petal bruises her skin, while her competitor in delicacy is made ill by a fiber of cotton in her silken garments. So with the hyper?sthetic; an unintentional overlooking is reacted to as a deadly insult; the thwarting of any desire robs life of its savor; sounds become noises; a bit of litter, dirt; a little reality, intolerable crudity.

A woman with this temperament is a poor candidate for matrimony unless there goes with it a capacity for adjustment, unusual in this type. Most men have their habitual crudities, their daily lapses, and every home is the theater of a constant struggle with the disagreeable. Intensely pleased by the utmost refinements, these are too uncommon to make up for the shortcomings. The hyper?sthetic woman is constantly the prey of the most de?nergizing of emotions,-disgust. "It makes me sick" is not an exaggerated expression of her feeling. And her afflicted household size up the situation with the brief analysis, "Everything makes her nervous." Every one in her household falls under the tyranny of her disposition, mingling their concern with exasperation, their pity with a silent almost subconscious contempt.

Next comes the over-conscientious type. Whatever conscience is, whether implanted by God, or the social code sanctified by training, teaching, and a social nature, there can be no question that, as the Court of Appeals, it does harm as well as good.

There are people whose lack of conscience is back of all manner of crimes, from murder down to careless, slack work; whose cruelty, lust, and selfishness operate unhampered by restraint. On the other hand there are others whose hypertrophied conscience works in one of two directions. If they are zealots, convinced of the righteousness of their own decisions and conclusions, their conscience spurs them on to reforming the world. Since they are more often wrong than right, they become, as it were, a sort of misdirected Providence, raising havoc with the happiness and comfort of others. Whether the conscienceless or those overburdened with this type of conscience have done more harm in the world is perhaps an open question, which I leave to the historians for settlement.

The other type of the overconscientious does definite harm to themselves. This type I have called the "Seekers of Perfection" and it is their affliction that they are miserable with anything less. They are particularly hard on themselves, differing in this wise from the by hyper?sthetic. Constantly they examine and re?xamine what they have done. "Is it the best I can do?" "Should I rest now; have I the right to rest?"

Into every moment of enjoyment they obtrude conscience, or rather conscience obtrudes itself. They become wedded to a purpose, and then that purpose becomes a tyrant allowing no escape, even for a brief pleasure, from its chains. Nothing is right that wastes any time; nothing is good but the best. The sense of humor is conspicuously lacking in this type, for one of the main functions of humor is to season effort and straining purpose with proportion.

Should one of these unfortunates be a housewife, then she is continually "picking up", continually pursuing that household Will-o'-the-Wisp, "finishing the work." For it is the nature of housework that it is never finished, no matter how much is done. This overconscientious person, unless she is made of steel springs and resilient rubber, breathlessly chasing this phantom all day and into the night, gives way under the strain, even though she have a dozen servants to help. For to this type each helper is not at all an aid. At once up goes the standard of what is to be done, and each servant becomes an added care, an added responsibility.

"I'd love to go out with you," wails this housewife, "but there's something I must finish to-day." The word must, self-imposed, becomes the mania of her life, to the open rebellion of her household. The word drives her to the real neglect of her husband, who becomes irritated at her constant and to him needless activity, coupled with her complaints.

"Why don't you rest if you are tired," is his stock remonstrance; "the house looks all right to me."

But it is futile. She becomes irritated, perhaps cries and says, "Just like a man. It's clean to you if there are no cobwebs on the walls."

Whereupon the debate closes, but the woman is the more de?nergized and the man exasperated at the unreasonableness of women in general and his wife in particular.

It is probably true that woman has more conscience, in so far as detail is concerned, than man. She is more of a lover of order and neatness, more wedded to decorum. Man loves comfort and his interest is more specialized and analytical, and as a rule he hates fussiness.

This hatred of fussiness makes him long for the masculine clubroom, gives him the kind of uneasiness that sends him off on a fishing trip or hunting expedition. Further, and this is of great social importance, many a broken home, many an unexplainable triangle of the Wife, the Husband, and the Other Woman owes its existence, not to the charms of the other woman, but to the overconscientious wife.

The third type predisposed to the neurosis of the housewife is the overemotional woman.

We have already considered the effect of certain types of emotion on health and endurance and may formulate it as follows: Emotion may act as a great bodily disturbance, affecting every organ and every function of the body. What we call nervousness is largely made up of abnormal emotional response, of persistent emotion, of the blocking of energy by emotion.

Now people differ from the very start of life in their response to situations. One baby, if he does not get what he wants, turns his attention to something else, and another will cry for hours or until he gets it. One will manifest anger and strike at being blocked or impeded in his desires, and the other will implore and plead in a baby way for his wish.

In the face of difficulties one man shows fear and worry, another acts hastily and without premeditation, a third flares up in what we call a fighting spirit and seeks to batter down the resistance, and still a fourth becomes very active mentally, calling upon all of his past experience and seeking a definite plan to gain his end.

A loss, a deprivation, plunges one type of person into deepest sorrow, a helpless sorrow, inert and symbolic of the hopeless frustration of love. The same affliction striking at another man's heart makes him deeply and soberly reflective, and out of it there ensues a great philanthropy, a great memorial to his grief. For the one, sorrow has de?nergized; for the other it has energized, has raised the efforts to a nobler plane.

Now there are women, and also men, to whom emotion acts like an overdose of a drug. Parenthetically, emotion and certain drugs have very similar effects. No matter how joyous the occasion and how exuberant their joy, a mood may settle into their lives like a fog and obscure everything. This mood may arise from the smallest disappointment; or a sudden vision of possible disaster to one they love may appear before them through some stray mental association. They are at the mercy of every sad memory and of every look into the future.

Pre?minently, they are the victims of that form of chronic fear called worry, more aptly named by Fletcher "fearthought." He implied by this name that it was a sort of degenerated "forethought."

If the baby has a cough, then it may have tuberculosis or pneumonia or some disastrous illness, of which death is the commonest ending. How often is the doctor called in by these women and needlessly, and how she does keep his telephone busy! It is true that a cough may be early tuberculosis, but this is the last possibility rather than the first.

If the husband is late, Heaven knows what may have happened. She has visions of him lying dead in some morgue, picked up by the police, or he's in a hospital terribly injured by an automobile, or, perchance, a robber has sandbagged him and dragged him into a dark alley. If she is a bit jealous, and he is at all attractive, then the disaster lies that way. It doesn't matter that his work may be such that he cannot be at home regularly or on schedule; the sinister explanation takes possession of her to the exclusion of the more rational; she has a sort of affinity for the terrible. And when her husband comes home, the profound fear in many cases turns sharply and quickly to anger at him. Her distorted sense of responsibility makes him the culprit for her unnecessary fear.

Now it is true that almost every woman has something of this tendency, but it is only the extreme case that I am here depicting. In this extreme form, this type of woman is commonly found among the Jews. The Jewish home reverberates with emotionality and largely through this attitude of the Jewish housewife.

Such a woman is apt to make a slave of her family through their fear of arousing her emotions. How frequently people are chained by their sympathies, how frequently they are impeded in enjoyment by the tyranny of some one else's weakness, would fill one of the biggest chapters in a true history of the human race,-a book that will probably never be written.

Naturally enough, this housewife finds plenty to worry about, to react to, and since these reactions are physical, they have a lowering effect on her energy.

To those familiar with the conception that every emotion, every feeling, needs a discharge, it will seem heretical when I say that the excessive discharge of emotion is harmful. Freud finds the root of most nervous trouble in repressed emotion. That is in part true, but it is also true that excessive emotionality is a high-grade injury, for emotional discharge is habit forming. It becomes habitual to cry too much, to act too angry, to fear too much. The conquest and disciplining of emotion is one of the great objects of training. It has for its goal the supremacy of the noblest organ of the human being, his brain. For proper living there must be emotion-there always will be-but it must be tempered with intelligence if the best good of the individual and the race is to be reached.

The type of woman we must now study is a very modern product, the non-domestic type.

That the great majority of women have a maternal instinct does not nullify the fact that a small number have none whatever. One of the facts of life, not taken into account with a fraction of its true significance and importance, is the variability of the race, the wide range of abilities, instincts, emotions, aspirations, and tastes. A quality is said to be normal when the majority of the group possess it, but it may be utterly lacking in a smaller number who are thereby declared abnormal.

At present, it is normal for woman to be domestic, i.e. to yearn for husband, home, and children; to want to be a housewife. Unfortunately, all these yearnings do not hang closely together, and a woman may want a husband and be swept by her own desire and opportunity into matrimony, and yet she may "detest" children, may dislike the housekeeping activities of marriage. The sex and other instincts upon which marriage is based are not always linked with the maternal and home-keeping instincts.

While this has probably always been true, it mattered little in olden days. A woman regarded the home as her destiny and generally had experienced no other life. But as was shown in the first chapter, industry and feminism have given woman a taste of other kinds of life and have developed her individual points of character and abilities. Perhaps she has been the bookkeeper of a large concern; or the private secretary to a man of exciting affairs; or she has been the buyer for some house; or she has dabbled in art or literature; or she has been a factory girl mingling with hundreds of others, working hard, but in a large group; or a saleslady in a department store,-and domestic life is expected of her as if she had been trained for it. In fact, she has been trained away from it.

The novelists delight to tell us of the woman who seeks a career and enters the struggle of her profession and fails. And then there comes, just when her failure is greatest and she is most weepingly feminine, the patient hero, and he holds out his arms, and she slips into them, oh, so joyously! She now has a home, and will be happy-long row of asterisks, and have children; and if it is a movie, a year or more elapses and we are permitted to gaze upon a charming domestic scene.

But alas for reel life as against real life! We are not shown how she yearns for the activities of her old career; we are not shown the feeling she constantly has that she is too good for housekeeping. If she has been fortunate enough to marry a rich and indulgent man, she becomes a dilettante in her work, playing with art or science. If her first vocation was business, she is bored to death by domesticity. But if she marries poverty, she looks on herself as a drudge, and though loyalty and pride may keep her from voicing her regrets, they eat like a canker worm in the bud,-and we have the neurosis of this type of housewife. Or else her experience in business makes her size up her husband more keenly, and we find her rebelling against his failure, criticizing him either openly to the point of domestic disharmony, or inwardly to her own disgust.

It is not meant that all business and professional women, all typists and factory girls are dissatisfied with marriage or develop an abnormal amount of neurosis. Many a girl of this type really loves housekeeping, really loves children, and makes the ideal housewife. Intelligent, clear-eyed, she manages her home like a business. But if independent experience and a non-domestic nature happen to reside in the same woman, then the neurosis appears in full bloom. Against the adulation given to women singers and actresses, against the fancied rewards of literature and business, the domestic lot seems drab to this non-domestic type.

Here the question arises: Is there room in our society for matrimony and a business career? That a large number of exceptional women have found it possible to be mothers, housewives, authors, and singers at one and the same time does not take away from the fact that in the majority of cases such a combination means either a childless marriage or the turning over of an occasional child to servants: it means the abandonment of the home and the living in hotels, except in the few cases where there is wealth and trusty servants. Wherever women who have children are poor and work in factories, there is the greatest infant mortality, there is the greatest amount of juvenile delinquency, and there is the greatest amount of marital difficulty. Our present conception of matrimony demands that woman remains in the home until such time at least as her children are able to care largely for themselves.

In the history of the worst cases of the housewife's neurosis one finds previously existing trouble, though, as I have before this emphasized, the neurosis may develop in the previously normal. This previously existing trouble is the "nervous breakdown" in high school or in college, or in the factory and the office, though it must be said it occurs relatively less often in the latter places than the former. This previous breakdown often appears as the direct result from emotional strain such as an unhappy love affair, or the fear of failure in examinations. It may have followed acute illness, like influenza or pneumonia. But the original temperament was nervous, high-strung, delicate; one learns of an appetite that disappeared easily, a sleep readily disturbed, in short, an easily lowered or obstructed output of energy.

This type of woman, neurotic from her very birth, is often the very best product of our civilization from the standpoint of character and ability, just as the male neurasthenic is often the backbone of progress and advancement. But we are concerned with these questions: "What happens to her in marriage?" "How about her fitness for marriage?"

As to the first question, we may say that all depends on whom and how she marries. For after all a woman does not marry matrimony, she marries a man, a home, and generally children. And if the neurotic woman marries a devoted, kindly, conscientious man with wealth enough to give her servants in the household and variety in her experiences, she is as reasonably well off as could be expected. She is no worse off than if she had remained single and continued to be a school teacher, social worker, typist, factory hand the rest of her days,-and she has fulfilled more of her desires and functions. But if she marries an unsympathetic, impatient man or a poor one, or a combination, then the first child brings a breakdown that persists, with now and then short periods of betterment, for many years. Then we have the chronic invalid, the despair of a household, the puzzle of the doctors. "Not really sick," say the latter to the discouraged husband, seeking to adjust himself to his wife, "only neurasthenic. All the organs are O.K." To differentiate between a lowered energy and imaginary illness or laziness is a hard task to which this husband is usually unequal. Though some show of duty and kindness remains, love dies in such a household. And the very effort to give sympathy where doubt exists as to the genuineness of the affliction is painful and increases the chasm between wife and husband.

That some of the sweetest marriages result where the wife is of this type does not change the general situation that such a marriage is an increased risk. Should a man knowingly marry such a woman? The question is futile in the overwhelming majority of cases. He will marry her, is the answer. For the fascinating woman is frequently of this type. Witness the charm of the neuropathic eye with its widely dilated pupil that changes with each emotion, the mobile face,-delicate, with a play of color, red and white, that is charming to look at, but which the grim physician calls "Vasomotor instability." There is nothing neutral about this type; she is either very lovely or a freak.

So all advice in the matter is of little avail. And racially speaking it is good that it is of no avail. I believe firmly that such a woman is more often the mother of high ability than her more placid sister; that something of the delicacy of feeling and intensity of reaction of neurasthenia is a condition of genius. We are too far away from any real knowledge of heredity to advise for or against marriage in the most of cases on this basis, and certainly we must not repeat Lombroso and Nordau's errors and call all variations from stupidity degeneration.

But this does not change the domestic situation of the man who is usually much more concerned with his own comfort than the mathematical possibilities of his offspring being geniuses. Certainly such a woman as the type now considered is not a poor man's wife, for she really needs what only the rich can have,-servants, variety, frequent vacations, and freedom from worry. Now worry cannot be shut out of even the richest home, for illness, old age, and death are grim visitors who ask no man's leave. But poverty and its worries are kept away by wealth, and poverty is perhaps the most persistent tormentor of man.

Essential in the study of "nervousness" is the physical examination, and we here pass to the physically ill housewife.

It is important to remember that the diagnosis of neurasthenia is, properly speaking, what is called by physicians a diagnosis of exclusion. That is to say, after one has excluded all possible illnesses that give rise to symptoms like neurasthenia, then and then only is the diagnosis justified. That is, a woman physically ill, with heart, lung, or kidney disease, or with derangements of the sexual organs, may act precisely like a nervous housewife,-may have pains and aches, changes in mood, loss of control of emotion; in a word may be de?nergized.

It is not often enough remembered that bearing children, though a natural process, is hazardous, not only in its immediate dangers but to the future health of the woman. Injuries to the internal and external parts occur with almost every first birth, especially if that birth occurs after twenty-five years of age. Repair of the parts immediately is indicated, but in what percentage of cases is this done? In a very small percentage of cases, I venture to state, not only in my own small experience in this work, but on the statements of men of large experience and high authority.

In this connection I may state that the leading obstetricians believe that the woman of to-day has a harder time in labor than her predecessors. Aside from the more or less mythical stories of the savage women who deliver themselves on the march, there seems to be no reasonable doubt that in an increasing civilization and feminization, woman becomes less able to deliver herself, especially at the first birth.

Why is this? After all, it is a fundamental matter. And moreover it is more often the tennis-playing, horseback-riding, athletic girl who falls short in this respect than the soft-limbed, shrinking, old-fashioned girl. Does a strenuous existence make against easy motherhood? It would seem so; it would seem the more masculine the occupations of woman become, the less able are they to carry out the truly female functions. But this is a digression from our point.

A retroverted uterus, a lacerated perineum, such minor difficulties as flat feet, such major ones as valvular disease of the heart, are causes of ill health to be ruled out before "nervousness" (or its medical equivalents) is to be diagnosed.

It is superfluous to say that we have here briefly considered only a few of the types specially predisposed to difficulty. Moreover men and women do not readily fall into "types." A woman may be hyper?sthetic in one sphere of her tastes and as thick-skinned as a rhinoceros in others. She may squirm with horror if her husband snores in his sleep, but be willing to live in an ugly modern apartment house with a poodle dog for her chief associate. Or the overconscientious woman may expend her energies in chasing the last bit of dirt out of her house but be willing to poison her family with three delicatessen meals a day. The overemotional housewife may flood the household with her tears over trifles but be a very Spartan in the grave emergencies of life. And the neurotic woman, a chronic invalid for housework, may do a dragoon's work for Woman Suffrage. It may be that no man can understand women; it is a fact they do not understand themselves. But in this they are not unlike men.

One might speak of the jealous woman, the selfish woman, the woman envious of her more fortunate sisters, poisoning herself by bitter thoughts. These traits belong to all men and women; they are part of human nature, and they have their great uses as well as their difficulties. Jealousy, selfishness, envy, three of the cardinal sins of the theologian, are likewise three of the great motive forces of mankind. They are important as reactions against life, not as qualities, and we shall so consider them in a later chapter.

Though we have discussed the types predisposed to the nervousness of the housewife, it is a cardinal thesis of this book that great forces of society and the nature of her life situation are mainly responsible. From now on we are face to face with these factors and must consider them frankly and fully.

* * *