7.
CHAPTER VII.
LOW SPIRITS, ANXIETY, GRIEF, DEJECTION, DESPAIR.
General effect of grief on the system — Obliquity of the
eyebrows under suffering — On the cause of the obliquity
of the eyebrows — On the depression of the
corners of the mouth.
AFTER the mind has suffered from an acute paroxysm of grief, and the cause still continues, we fall into a state of low spirits; or we may be utterly cast down and dejected. Prolonged bodily pain, if not amounting to an agony, generally leads to the same state of mind. If we expect to suffer, we are anxious; if we have no hope of relief, we despair.
Persons suffering from excessive grief often seek relief by violent and almost frantic movements, as described in a former chapter; but when their suffering is somewhat mitigated, yet prolonged, they no longer wish for action, but remain motionless and passive, or may occasionally rock themselves to and fro. The circulation becomes languid; the face pale; the muscles flaccid; the eyelids droop; the head hangs on the contracted chest; the lips, checks, and lower jaw all sink downwards from their own weight. Hence all the features are lengthened; and the face of a person who hears bad news is said to fall. A party of natives in Tierra del Fuego endeavoured to explain to us that their friend,
The breathing becomes slow and feeble, and is often interrupted by deep sighs. As Gratiolet remarks, whenever our attention is long concentrated on any subject, we forget to breathe, and then relieve ourselves by a deep inspiration; but the sighs of a sorrowful person, owing to his slow respiration and languid circulation, are eminently characteristic.[1] As the grief of a person in this state occasionally recurs and increases into a paroxysm, spasms affect the respiratory muscles, and he feels as if something, the so-called globus hystericus, was rising in his throat. These spasmodic movements are clearly allied to the sobbing of children, and are remnants of those severer spasms which occur when a person is said to choke from excessive grief.[2]
Obliquity of the eyebrows. — Two points alone in the
above description require further elucidation, and these
are very curious ones; namely, the raising of the inner
ends of the eyebrows, and the drawing down of the corners
of the mouth. With respect to the eyebrows, they
may occasionally be seen to assume an oblique position
in persons suffering from deep dejection or anxiety; for
instance, I have observed this movement in a mother
whilst speaking about her sick son; and it is sometimes
excited by quite trifling or momentary causes of real or
pretended distress. The eyebrows assume this position
owing to the contraction of certain muscles (namely, the
orbiculars, corrugators, and pyramidals of the nose,
which together tend to lower and contract the eyebrows)
being partially checked by the more powerful action of
the central fascim of the frontal muscle. These latter
fasciæ by their contraction raise the inner ends alone
of the eyebrows; and as the corrugators at the same time
draw the eyebrows together, their inner ends become
puckered into a fold or lump. This fold is a highly characteristic
point in the appearance of the eyebrows when
rendered oblique, as may be seen in figs. 2 and 5, Plate
II. The eyebrows are at the same time somewhat roughened,
owing to the hairs being made to project. Dr. J.
Crichton Browne has also often noticed in melancholic
patients who keep their eyebrows persistently oblique,
"a peculiar acute arching of the upper eyelid." A trace
of this may be observed by comparing the right and left
eyelids of the young man in the photograph (fig. 2, Plate
II.); for he was not able to act equally on both eyebrows.
This is also shown by the unequal furrows on the two
sides of his forehead. The acute arching of the eyelids
Tab II
[Description: Photographs of the faces of men, children, and a woman]
But the most conspicuous result of the opposed contraction of the above-named muscles, is exhibited by the peculiar furrows formed on the forehead. These muscles, when thus in conjoint yet opposed action, may be called, for the sake of brevity, the grief-muscles. When a person elevates his eyebrows by the contraction of the whole frontal muscle, transverse wrinkles extend across the whole breadth of the forehead; but in the present case the middle fasciæ alone are contracted; consequently, transverse furrows are formed across the middle part alone of the forehead. The skin over the exterior parts of both eyebrows is at the same time drawn downwards and smooth, by the contraction of the outer portions of the orbicular muscles. The eyebrows are likewise brought together through the simultaneous contraction of the corrugators;[3] and this latter action generates
These peculiar furrows are best represented in fig. 3, Plate II., on the forehead of a young lady who has the power in an unusual degree of voluntarily acting on the requisite muscles. As she was absorbed in the attempt, whilst being photographed, her expression was not at all one of grief; I have therefore given the forehead alone. Fig. 1 on the same plate, copied from Dr. Duchenne's work,[4] represents, on a reduced scale, the face, in its natural state, of a young man who was a good actor. In fig. 2 he is shown simulating grief, but the
Few persons, without some practice, can voluntarily act on their grief-muscles; but after repeated trials a considerable number succeed, whilst others never can. The degree of obliquity in the eyebrows, whether assumed voluntarily or unconsciously, differs much in different persons. With some who apparently have unusually strong pyramidal muscles, the contraction of the central fasciæ of the frontal muscle, although it may be energetic, as shown by the quadrangular furrows on the forehead, does not raise the inner ends of the eyebrows, but only prevents their being so much lowered as they otherwise would have been. As far as I have been able to observe, the grief-muscles are brought into action much more frequently by children and women than by men. They are rarely acted on, at least with grown-up persons, from bodily pain, but almost exclusively from mental distress. Two persons who, after some practice,
The power to bring the grief-muscles freely into play appears to be hereditary, like almost every other human faculty. A lady belonging to a family famous for having produced an extraordinary number of great actors and actresses, and who can herself give this expression "with singular precision," told Dr. Crichton Browne that all her family had possessed the power in a remarkable degree. The same hereditary tendency is said to have extended, as I likewise hear from Dr. Browne, to the last descendant of the family, which gave rise to Sir Walter Scott's novel of `Red Gauntlet;' but the hero is described as contracting his forehead into a horseshoe mark from any strong emotion. I have also seen a young woman whose forehead seemed almost habitually thus contracted, independently of any emotion being at the time felt.
The grief-muscles are not very frequently brought into play; and as the action is often momentary, it easily escapes observation. Although the expression, when observed, is universally and instantly recognized as that of grief or anxiety, yet not one person out of a thousand who has never studied the subject, is able to say precisely what change passes over the sufferer's face. Hence probably it is that this expression is not even alluded to, as far as I have noticed, in any work of fiction, with the exception of `Red Gauntlet' and of one other novel; and the authoress of the latter, as I am informed, belongs to the famous family of actors just alluded to; so that her attention may have been specially called to the subject.
The ancient Greek sculptors were familiar with the expression, as shown in the statues of the Laocoon and Arretino; but, as Duchenne remarks, they carried the transverse furrows across the whole breadth of the forehead, and thus committed a great anatomical mistake: this is likewise the case in some modern statues. It is, however, more probable that these wonderfully accurate observers intentionally sacrificed truth for the sake of beauty, than that they made a mistake; for rectangular furrows on the forehead would not have had a grand appearance on the marble. The expression, in its fully developed condition, is, as far as I can discover, not often represented in pictures by the old masters, no doubt owing to the same cause; but a lady who is perfectly familiar with this expression, informs me that in Fra Angelico's `Descent from the Cross,' in Florence, it is clearly exhibited in one of the figures on the right-hand; and I could add a few other instances.
Dr. Crichton Browne, at my request, closely attended to this expression in the numerous insane patients under his care in the West Riding Asylum; and he is familiar with Duchenne's photographs of the action of the grief-muscles. He informs me that they may constantly be seen in energetic action in cases of melancholia, and especially of hypochondria; and that the persistent lines or furrows, due to their habitual contraction, are characteristic of the physiognomy of the insane belonging to these two classes. Dr. Browne carefully observed for me during a considerable period three cases of hypochondria, in which the grief-muscles were persistently contracted. In one of these, a widow, aged 51, fancied that she had lost all her viscera, and that her whole body was empty. She wore an expression of great distress, and beat her semi-closed hands rhythmically together for hours. The grief-muscles were permanently contracted,
Mr. Patrick Nicol has also kindly observed for me several cases in the Sussex Lunatic Asylum, and has communicated to me full details with respect to three of them; but they need not here be given. From his observations on melancholic patients, Mr. Nicol concludes that the inner ends of the eyebrows are almost always more or less raised, with the wrinkles on the forehead more or less plainly marked. In the case of one young woman, these wrinkles were observed to be in constant slight play or movement. In some cases the corners of the mouth are depressed, but often only in a slight degree. Some amount of difference in the expression of the several melancholic patients could almost always be observed. The eyelids generally droop; and the skin near their outer corners and beneath them is wrinkled. The naso-labial fold, which runs from the wings of the nostrils to the corners of the mouth, and which is so conspicuous in blubbering children, is often plainly marked in these patients.
Although with the insane the grief-muscles often act persistently; yet in ordinary cases they are sometimes brought unconsciously into momentary action by ludicrously slight causes. A gentleman rewarded a young lady by an absurdly small present; she pretended to be offended, and as she upbraided him, her eyebrows became extremely oblique, with the forehead properly wrinkled. Another young lady and a youth, both in the highest spirits, were eagerly talking together with extraordinary rapidity; and I noticed that, as often as the young lady was beaten, and could not get out her
The expression of grief, due to the contraction of the grief-muscles, is by no means confined to Europeans, but appears to be common to all the races of mankind. I have, at least, received trustworthy accounts in regard to Hindoos, Dhangars (one of the aboriginal hill-tribes of India, and therefore belonging to a quite distinct race from the Hindoos), Malays, Negroes and Australians. With respect to the latter, two observers answer my query in the affirmative, but enter into no details. Mr. Taplin, however, appends to my descriptive remarks the words "this is exact." With respect to negroes, the lady who told me of Fra Angelico's picture, saw a negro towing a boat on the Nile, and as he encountered an obstruction, she observed his grief-muscles in strong action, with the middle of the forehead well wrinkled. Mr. Geach watched a Malay man in Malacca, with the corners of his mouth much depressed, the eyebrows oblique, with deep short grooves on the forehead. This expression lasted for a very short time; and Mr. Geach remarks it "was a strange one, very much like a person about to cry at some great loss."
In India Mr. H. Erskine found that the natives were familiar with this expression; and Mr. J. Scott, of the
On the cause of the obliquity of the eyebrows under suffering. — During several years no expression seemed to me so utterly perplexing as this which we are here considering. Why should grief or anxiety cause the central fasciæ alone of the frontal muscle together with those round the eyes, to contract? Here we seem to have a complex movement for the sole purpose of ex-
Duchenne states that the pyramidal muscle of the nose is less under the control of the will than are the other muscles round the eyes. He remarks that the young man who could so well act on his grief-muscles, as well as on most of his other facial muscles, could not contract the pyramidals.[5] This power, however, no doubt differs in different persons. The pyramidal muscle serves to draw down the skin of the forehead between the eyebrows, together with their inner extremities. The central fasciæ of the frontal are the antagonists of the pyramidal; and if the action of the latter is to be specially checked, these central fasciæ must be contracted. So that with persons having powerful pyramidal muscles, if there is under the influence of a bright light an unconscious desire to prevent the lowering of the eyebrows, the central fasciæ of the frontal muscle must be brought into play; and their contraction, if sufficiently strong to overmaster the pyramidals, together with the contraction of the corrugator and orbicular muscles, will act in the manner just described on the eyebrows and forehead.
When children scream or cry out, they contract, as we know, the orbicular, corrugator, and pyramidal muscles,
Here then, as I cannot doubt, we have the key to the problem why the central fasciæ of the frontal muscle and the muscles round the eyes contract in opposition to each other under the influence of grief; — whether their contraction be prolonged, as with the melancholic insane, or momentary, from some trifling cause of distress. We have all of us, as infants, repeatedly contracted our orbicular, corrugator, and pyramidal muscles, in order to protect our eyes whilst screaming; our progenitors before us have done the same during many generations; and though with advancing years we easily prevent, when feeling distressed, the utterance of screams, we cannot from long habit always prevent a slight contraction of the above-named muscles; nor indeed do we observe their contraction in ourselves, or attempt to stop it, if slight. But the pyramidal muscles seem to be less under the command of the will than the other related muscles; and if they be well developed, their contraction can be checked only by the antagonistic contraction of the central fasciæ of the frontal muscle. The result which necessarily follows, if these fasciæ contract energetically, is the oblique drawing up of the eyebrows, the puckering of their inner ends, and the formation of rectangular furrows on the middle of the forehead. As children and women cry much more freely than men, and as grown-up persons of both sexes rarely weep except from mental distress, we can understand why the grief-muscles are more frequently seen in action, as I believe to be the case, with children and women than with men; and with adults of both sexes from mental distress alone. In some of the cases before recorded, as in that of the poor Dhangar woman and of the Hindustani man, the action of the grief-muscles was quickly
On the depression of the corners of the mouth. — This action is effected by the depressores anguili oris (see letter K in figs. 1 and 2). The fibres of this muscle diverge downwards, with the upper convergent ends attached round the angles of the mouth, and to the lower lip a little way within the angles.[6] Some of the fibres appear to be antagonistic to the great zygomatic muscle, and others to the several muscles running to the outer part of the upper lip. The contraction of this muscle draws downwards and outwards the corners of the mouth, including the outer part of the upper lip, and even in a slight degree the wings of the nostrils. When the mouth is closed and this muscle acts, the commissure or line of junction of the two lips forms a curved line with the concavity downwards,[7] and the lips themselves are generally somewhat protruded, especially the lower one. The mouth in this state is well represented in the two photographs (Plate II., figs. 6 and 7) by Mr. Rejlander. The upper boy (fig. 6) had just stopped crying, after receiving a slap on the face from another boy; and the right moment was seized for photographing him.
The expression of low spirits, grief or dejection, due to the contraction of this muscle has been noticed by every one who has written on the subject. To say that a person "is down in the mouth," is synonymous with saying that he is out of spirits. The depression of the corners may often be seen, as already stated on the authority of Dr. Crichton Browne and Mr. Nicol, with the melancholic insane, and was well exhibited in some photographs sent to me by the former gentleman, of patients with a strong tendency to suicide. It has been observed with men belonging to various races, namely with Hindoos, the dark hill-tribes of India, Malays, and, as the Rev. Mr. Hagenauer informs me, with the aborigines of Australia.
When infants scream they firmly contract the muscles round their eyes, and this draws up the upper lip; and as they have to keep their mouths widely open, the depressor muscles running to the corners are likewise brought into strong action. This generally, but not invariably, causes a slight angular bend in the lower lip on both sides, near the corners of the mouth. The result of the upper and lower lip being thus acted on is that the mouth assumes a squarish outline. The contraction of the depressor muscle is best seen in infants when not screaming violently, and especially just before they begin, or when they cease to scream. Their little faces then acquire an extremely piteous expression, as I continually observed with my own infants between the ages of about six weeks and two or three months. Sometimes, when they are struggling against a crying-fit, the outline of the mouth is curved in so exaggerated a manner as to be like a horseshoe; and the expression of misery then becomes a ludicrous caricature.
The explanation of the contraction of this muscle, under the influence of low spirits or dejection, apparently
I may here mention a trifling observation, as it will serve to sum up our present subject. An old lady with a comfortable but absorbed expression sat nearly opposite
As soon as the mouth of this lady began, involuntarily and unconsciously on her part, to assume the proper form for a crying-fit, we may feel almost sure that some nerve-influence would have been transmitted through the long accustomed channels to the various respiratory muscles, as well as to those round the eyes, and to the vaso-motor centre which governs the supply of blood sent to the lacrymal glands. Of this latter fact we have indeed clear evidence in her eyes becoming slightly suffused with tears; and we can understand this, as the lacrymal glands are less under the control of the will than the facial muscles. No doubt there existed at the same time some tendency in the muscles round the eyes at contract, as if for the sake of protecting them from
Through steps such as these we can understand how it is, that as soon as some melancholy thought passes through the brain, there occurs a just perceptible drawing down of the corners of the mouth, or a slight raising up of the inner ends of the eyebrows, or both movements combined, and immediately afterwards a slight suffusion of tears. A thrill of nerve-force is transmitted along several habitual channels, and produces an effect on any point where the will has not acquired through long habit much power of interference. The above actions may be considered as rudimental vestiges of the screaming-fits, which are so frequent and prolonged during infancy. In this case, as well as in many others, the links are indeed wonderful which connect cause and effect in giving rise to various expressions on the human countenance; and they explain to us the meaning of certain movements, which we involuntarily and unconsciously perform, whenever certain transitory emotions pass through our minds.
[1] The above descriptive remarks are taken in part from my own observations, but chiefly from Gratiolet (`De la Physionomie,' pp. 53, 337; on Sighing, 232), who has well treated this whole subject. See, also, Huschke. `Mimices et Physiognomices, Fragmentum Physiologicitim,' 1821, p. 21. On the dulness of the eyes, Dr. Piderit, `Mimik und Physiognomik,' 1867, s. 65.
[2] On the action of grief on the organs of respiration, see more especially Sir C. Bell, `Anatomy of Expression,' 3rd edit. 1844, p. 151.
[3] In the foregoing remarks on the manner in which the eyebrows are made oblique, I have followed what seems to be the universal opinion of all the anatomists, whose works I have consulted on the action of the above-named muscles, or with whom I have conversed. Hence throughout this work I shall take a similar view of the action of the corrugator supercilii, orbicularis, pyramidalis nasi, and frontalis muscles. Dr. Duchenne, however, believes, and every conclusion at which he arrives deserves serious consideration, that it is the corrugator, called by him the sourcilier, which raises the inner corner of the eyebrows and is antagonistic to the upper and inner part of the orbicular muscle, as well as to the pyramidalis nasi (see Mécanisme de la Phys. Humaine, 1862, folio, art. v., text and figures 19 to 29: octavo edit. 1862, p. 43 text). He admits, however, that the corrugator draws together the eyebrows, causing vertical furrows above the base of the nose, or a frown. He further believes that towards the outer two-thirds of the eyebrow the corrugator acts in conjunction with the upper orbicular muscle; both here standing in antagonism to the frontal muscle. I am unable to understand, judging from Henle's drawings (woodcut, fig. 3), how the corrugator can act in the manner described by Duchenue. See, also, oil this subject, Prof. Donders' remarks in the `Archives of Medicine,' 1870, vol. v. p. 34. Mr. J. Wood, who is so well known for his careful study of the muscles of the human frame, informs me that he believes the account which I have given of the action of the corrugator to be correct. But this is not a point of any importance with respect to the expression which is caused by the obliquity of the eyebrows, nor of much importance to the theory of its origin.
[4] I am greatly indebted to Dr. Duchenne for permission to have these two photographs (figs. 1 and 2) reproduced by the heliotype process from his work in folio. Many of the foregoing remarks on the furrowing of the skin, when the eyebrows are rendered oblique, are taken from his excellent discussion on this subject.