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Early's Physical Dysfunction Practice Skills For The Occupational Therapy Assistant 4th Edition Mary Elizabeth Patnaude

The document provides information about various ebooks available for download, particularly focusing on occupational therapy and related subjects. It includes titles such as 'Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant' and 'Mental Health Concepts and Techniques for the Occupational Therapy Assistant.' Additionally, it emphasizes the importance of love in home-making and discusses various aspects of personal relationships and emotional well-being.

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0% found this document useful (0 votes)
8 views51 pages

Early's Physical Dysfunction Practice Skills For The Occupational Therapy Assistant 4th Edition Mary Elizabeth Patnaude

The document provides information about various ebooks available for download, particularly focusing on occupational therapy and related subjects. It includes titles such as 'Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant' and 'Mental Health Concepts and Techniques for the Occupational Therapy Assistant.' Additionally, it emphasizes the importance of love in home-making and discusses various aspects of personal relationships and emotional well-being.

Uploaded by

tupaicuzziw0
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Early’s Physical Dysfunction
Practice Skills for the
Occupational Therapy Assistant

FOURTH EDITION

Mary Elizabeth Patnaude, DHSc,


OTR/L
Associate Clinical Professor, Director of Admissions, Baylor University,
Waco, Texas
Copyright
Elsevier
3251 Riverport Lane
St. Louis, Missouri 63043

EARLY’S PHYSICAL DYSFUNCTION PRACTICE SKILLS FOR THE


OCCUPATIONAL THERAPY ASSISTANT, ISBN: 978-0-323-53084-2

Copyright © 2022 by Elsevier, Inc. All rights reserved.

No part of this publication may be reproduced or transmitted in any


form or by any means, electronic or mechanical, including
photocopying, recording, or any information storage and retrieval
system, without permission in writing from the publisher. Details on
how to seek permission, further information about the Publisher’s
permissions policies and our arrangements with organizations such
as the Copyright Clearance Center and the Copyright Licensing
Agency, can be found at our website:
www.elsevier.com/permissions.

This book and the individual contributions contained in it are


protected under copyright by the Publisher (other than as may be
noted herein).

Notice

Practitioners and researchers must always rely on their own


experience and knowledge in evaluating and using any information,
methods, compounds or experiments described herein. Because of
rapid advances in the medical sciences, in particular, independent
verification of diagnoses and drug dosages should be made. To the
fullest extent of the law, no responsibility is assumed by Elsevier,
authors, editors or contributors for any injury and/or damage to
persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products,
instructions, or ideas contained in the material herein.

Previous editions copyrighted 2013, 2006, and 1998.


Library of Congress Control Number: 2020945513

Senior Content Strategist: Lauren Willis


Senior Content Development Manager: Luke Held
Senior Content Development Specialist: Maria Broeker
Publishing Services Manager: Shereen Jameel
Senior Project Manager: Karthikeyan Murthy
Design Direction: Patrick Ferguson

Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Table of Contents

Selected Abbreviations from Medicine and Rehabilitation

Title page

Dedication

Copyright

Contributors

Preface

Acknowledgments
Part I: Foundations

1. Occupational Therapy Treatment in Rehabilitation, Disability, and


Participation

Key Terms

Introduction

Distinct Value of Occupational Therapy in Rehabilitation,


Disability, and Participation (RDP) Practice

Physical Dysfunction and Engagement in Occupation


Treatment Continuum in Physical Dysfunction

Theories and Models of Practice in Physical Dysfunction

Evidence-Based Practice

Summary

Review Questions

References

2. Exploring Perspectives on Illness and Disability Throughout the


Continuum of Care: A Case-Based Client-Centered Approach

Key Terms

Introduction

Experiencing Disability Throughout the Continuum of Care

Experiences within the Continuum of Care

Communicating with Family and Significant Others

Reflection on the Disability Experience of Lydia and the


Components of Mindful and Client-Centered Practice for the
Occupational Therapy Practitioner

Summary

References

3. Infection Control and Safety Issues in the Clinic

Key Terms

Introduction
Safety Recommendations for the Clinic

Patient Safety

Infection Control

Incidents and Emergencies

Preventive Positioning for Specific Diagnoses

Precautions with Special Equipment

Summary

Review Questions

References

Resources

First Aid

Hand Washing

Hospital Beds

Infection Control and Universal Precautions

Restraint Use

Part II: Process

4. Occupational Therapy Process: Evaluation and Intervention in


Physical Dysfunction

Key Terms

Introduction
Evaluation Procedures

Intervention Planning

Implementation of the Treatment Plan

Discharge Planning and Discontinuation of Treatment

Summary

Review Questions

References

5. Effective Documentation of Occupational Therapy Services

Key Terms

Introduction

Types of Documentation

Standards of Practice for Documentation

Functional Outcomes

Electronic Health Record

Medicare Reports

Summary

Review Questions

References

Recommended Reading
Part III: Assessment

6. Assessment of Motor Control and Functional Movement

Key Terms

Introduction

Motor Control

Dynamic Systems Theory

Neuromusculoskeletal System

Upper Extremity Motor Recovery

Occupational Therapy Intervention Process

Assessment of Upper Limb Function

Summary

Review Questions

References

Recommended Reading

7. Assessment of Joint Range of Motion

Key Terms

Introduction

Role of The Occupational Therapy Assistant in Joint


Measurement
General Principles of Assessing Joint Range of Motion

Assessment of Joint Range of Motion

Procedures for Goniometric Measurement and Testing of


Selected Upper Extremity Motions

Screening for Functional Range of Motion

Summary

Review Questions

References

Recommended Reading

8. Assessment of Muscle Strength

Key Terms

Introduction

Role of the OTA in Assessing Muscle Strength

The Effects of Muscle Weakness on Occupational Performance

Assessment of Muscle Strength

Manual Muscle Testing

Procedures for Manual Muscle Testing

Functional Muscle Testing

Summary

Review Questions
Exercise

References

Recommended Reading

9. Evaluation and Observation of Deficits in Sensation, Perception,


and Cognition

Key Terms

Introduction

Sensation

Perception

Cognition

Insight and Awareness

Summary

Review Questions

References

Recommended Reading

Part IV: Intervention Principles

10. Teaching and Learning: Motor Performance in Occupational


Therapy

Key Terms

Introduction
Motor Learning

Distribution and Variability of Skill Practice

Teaching/Learning Process

Methods of Teaching

Summary

Selected Reading Guide Questions

References

11. Mealtime Occupations—Interventions for Feeding and Eating

Key Terms

Introduction

Evaluation of Occupational Performance in ADL, Specifically


Mealtime Occupations

Intervention for Mealtime Occupations

Developmental Stages

Phases of Eating/Drinking

Concerns That May Affect Participation in Mealtime Occupations


and Intervention Strategies to Address Areas of Concern

Context

Summary

Review Questions

Exercises
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golden mean of health; and yet perversely you shiver, and feel as if
the face of an open fire would be to you as the smile of an angel.
Such a life-long chill, such an habitual shiver, is the lot of many
natures, which are not warm, when all ordinary rules tell them they
ought to be warm,—whose life is cold and barren and meagre,—
which never see the blaze of an open fire.

Regret. The bitterest tears shed over graves are for words left
unsaid and deeds left undone. “She never knew how I
loved her.” “He never knew what he was to me.” “I always meant to
make more of our friendship.” “I never knew what he was to me till
he was gone.” Such words are the poisoned arrows which cruel
Death shoots backward at us from the door of the sepulchre.
How much more we might make of our family life, of our
friendships, if every secret thought of love blossomed into a deed!
We are not now speaking of personal caresses. These may or may
not be the best language of affection. Many are endowed with a
delicacy, a fastidiousness of physical organization, which shrinks
away from too much of these, repelled and overpowered. But there
are words and looks and little observances, thoughtfulnesses,
watchful little attentions, which speak of love, which make it
manifest, and there is scarce a family that might not be richer in
heart-wealth for more of them.

HOUSE AND HOME PAPERS.

First principles In this art of home-making I have set down in my mind


of home- certain first principles, like the axioms of Euclid, and
making. the first is,—
No home is possible without love.
All business marriages and marriages of convenience, all mere
culinary marriages and marriages of mere animal passion, make the
creation of a true home impossible in the outset. Love is the jewelled
foundation of this New Jerusalem descending from God out of
heaven, and takes as many bright forms as the amethyst, topaz, and
sapphire of that mysterious vision. In this range of creative art all
things are possible to him that loveth, but without love nothing is
possible.

THE CHIMNEY CORNER.

Conversation. Real conversation presupposes intimate acquaintance.


People must see each other often enough to wear off
the rough bark and outside rind of commonplaces and
conventionalities in which their real ideas are enwrapped, and give
forth without reserve their innermost and best feelings.

Saintliness. What makes saintliness, in my view, as distinguished


from ordinary goodness, is a certain quality of
magnanimity and greatness of soul that brings life within the circle
of the heroic. To be really great in little things, to be truly noble and
heroic in the insipid details of every-day life, is a virtue so rare as to
be worthy of canonization.

Teachings of There is a certain amount of suffering which must


suffering. follow the rending of the great cords of life, suffering
which is natural and inevitable: it cannot be argued
down; it cannot be stilled; it can no more be soothed by any effort
of faith and reason than the pain of a fractured limb, or the agony of
fire on the living flesh. All that we can do is to brace ourselves to
bear it, calling on God, as the martyrs did in the fire, and resigning
ourselves to let it burn on. We must be willing to suffer, since God so
wills. There are just so many waves to go over us, just so many
arrows of stinging thought to be shot into our soul, just so many
faintings and sinkings and revivings only to suffer again, belonging
to and inherent in our portion of sorrow; and there is a work of
healing that God has placed in the hands of Time alone.
Time heals all things at last; yet it depends much on us in our
sufferings, whether Time shall send us forth healed, indeed, but
maimed and crippled and callous, or whether, looking to the great
Physician of sorrows, and coworking with him, we come forth
stronger and fairer even for our wounds.

Help in One soul redeemed will do more to lift the burden of


sorrow. sorrow than all the blandishments and diversions of
art, all the alleviations of luxury, all the sympathy of
friends.

THE MAYFLOWER.

Affinity of From that time a friendship commenced between the


opposites. two which was a beautiful illustration of the affinities of
opposites. It was like a friendship between morning
and evening,—all freshness and sunshine on one side, and all
gentleness and peace on the other.

Superiority. It is one mark of a superior mind to understand and be


influenced by the superiority of others.

Sympathy. The same quickness which makes a mind buoyant in


gladness often makes it gentlest and most sympathetic
in sorrow.

God’s It is well for man that there is one Being who sees the
sympathy. suffering heart as it is, and not as it manifests itself
through the repellences of outward infirmity, and who, perhaps, feels
more for the stern and wayward than for those whose gentler
feelings win for them human sympathy.

Influence. He had traced her, even as a hidden streamlet may be


traced, by the freshness, the verdure of heart, which
her deeds of kindness had left wherever she had passed.

Capacity of A very unnecessary and uncomfortable capacity of


feeling. feeling, which, like a refined ear for music, is
undesirable, because, in this world, one meets with
discord ninety-nine times where one meets with harmony once.

Heart-wisdom How very contrary is the obstinate estimate of the


vs. worldly heart to the rational estimate of worldly wisdom! Are
wisdom. there not some who can remember when one word,
one look, or even the withholding of a word, has drawn their heart
more to a person than all the substantial favors in the world? By
ordinary acceptation, substantial kindness respects the necessaries
of animal existence, while those wants which are peculiar to mind,
and will exist with it forever, by equally correct classification, are
designated as sentimental ones, the supply of which, though it will
excite more gratitude in fact, ought not to in theory.

Living From that time I lived with her—and there are some
together. persons who can make the word live signify much more
than it commonly does—and she wrought on my
character all those miracles which benevolent genius can work. She
quieted my heart, directed my feelings, unfolded my mind, and
educated me, not harshly or by force, but as the blessed sunshine
educates the flower, into full and perfect life; and when all that was
mortal of her died to this world, her words and deeds of unutterable
love shed a twilight around her memory that will fade only in the
brightness of heaven.

Ministering What then? May we look among the band of


spirits. ministering spirits for our own departed ones? Whom
would God be more likely to send us? Have we in
heaven a friend who knew us to the heart’s core? a friend to whom
we have unfolded our soul in its most secret recesses? to whom we
have confessed our weaknesses and deplored our griefs? If we are
to have a ministering spirit, who better adapted? Have we not
memories which correspond to such a belief? When our soul has
been cast down, has never an invisible voice whispered, “There is
lifting up”? Have not gales and breezes of sweet and healing thought
been wafted over us, as if an angel had shaken from his wings the
odors of paradise? Many a one, we are confident, can remember
such things,—and whence come they? Why do the children of the
pious mother, whose grave has grown green and smooth with years,
seem often to walk through perils and dangers fearful and imminent
as the crossing of Mohammed’s fiery gulf on the edge of a drawn
sword, yet walk unhurt? Ah! could we see that attendant form, that
face where the angel conceals not the mother, our question would
be answered.

Something there is in the voice of real prayer that


Influence of a
mother’s thrills a child’s heart, even before he understands it;
prayer. the holy tones are a kind of heavenly music, and far-off
in distant years, the callous and worldly man often thrills to his
heart’s core, when some turn of life recalls to him his mother’s
prayer.

PINK AND WHITE TYRANNY.


Taught by It sometimes seems to take a stab, a thrust, a wound,
suffering. to open in some hearts the capacity of deep feeling
and deep thought. There are things taught by suffering
that can be taught in no other way. By suffering sometimes is
wrought out in a person the power of loving and of appreciating
love. During the first year, Lillie had often seemed to herself in a sort
of wild, chaotic state. The coming in of a strange, new, spiritual life
was something so inexplicable to her that it agitated and distressed
her; and sometimes, when she appeared more petulant and fretful
than usual, it was only the stir and vibration on her weak nerves of
new feelings, which she wanted the power to express. These
emotions at first were painful to her. She felt weak, miserable, and
good-for-nothing. It seemed to her that her whole life had been a
wretched cheat, and that she had ill repaid the devotion of her
husband. At first these thoughts only made her bitter and angry;
and she contended against them. But, as she sank from day to day,
and grew weaker and weaker, she grew more gentle; and a better
spirit seemed to enter into her.

The object of “The great object of life is not happiness; and when we
life. have lost our own personal happiness, we have not lost
all that life is worth living for. No, John, the very best of
life often lies beyond that. When we have learned to let ourselves
go, then we may find that there is a better, a nobler, and a truer life
for us.” ... “If we contend with, and fly from our duties, simply
because they gall us and burden us, we go against everything; but if
we take them up bravely, then everything goes with us. God and
good angels and good men and all good influences are working with
us when we are working for the right. And in this way, John, you
may come to happiness; or, if you do not come to personal
happiness, you may come to something higher and better. You know
that you think it nobler to be an honest man than a rich man; and I
am sure that you will think it better to be a good man than to be a
happy one.”
Self- It is astonishing how blindly people sometimes go on
ignorance. as to the character of their own conduct, till suddenly,
like a torch in a dark place, the light of another
person’s opinion is thrown in upon them, and they begin to judge
themselves under the quickening influence of another person’s moral
magnetism. Then, indeed, it often happens that the graves give up
their dead, and that there is a sort of interior resurrection and
judgment.

Sympathy. When we are feeling with the nerves of some one else,
we notice every roughness and inconvenience.

Clairvoyance.A terrible sort of clairvoyance that seems to beset very


sincere people, and makes them sensitive to the
presence of anything unreal or untrue.

Unacknowledg No, she did not say it. It would be well for us all if we
ed motives. did put into words, plain and explicit, many instinctive
resolves and purposes that arise in our hearts, and
which, for want of being so expressed, influence us undetected and
unchallenged. If we would say out boldly, “I don’t care for right or
wrong, or good or evil, or anybody’s rights or anybody’s happiness,
or the general good, or God himself,—all I care for, or feel the least
interest in, is to have a good time myself, and I mean to do it, come
what may,”—we should be only expressing a feeling which often lies
in the dark back-room of the human heart; and saying it might alarm
us from the drugged sleep of life. It might rouse us to shake off the
slow, creeping paralysis of selfishness and sin before it is forever too
late.

BETTY’S BRIGHT IDEA.


Aspiration. That noble discontent that rises to aspiration for higher
things.

DEACON PITKIN’S FARM.

The lesson of“Well, daughter,” said the deacon, “it’s a pity we should
faith. go through all we do in this world and not learn
anything by it. I hope the Lord has taught me not to
worry, but just do my best, and leave myself and everything else in
his hands. We can’t help ourselves,—we can’t make one hair white
or black. Why should we wear our lives out fretting? If I’d a known
that years ago, it would a been better for us all.”

“All for the “She’s allers sayin’ things is for the best, maybe she’ll
best.” come to think so about this,—folks gen’ally does when
they can’t help themselves.”

Sympathy. Eyes that have never wept cannot comprehend sorrow.

Trust. “Leave it!”


These were words often in that woman’s mouth, and they expressed
that habit of her life which made her victorious over all troubles, that
habit of trust in the Infinite Will that actually could and did leave
every accomplished event in his hand without murmur and without
conflict.

AGNES OF SORRENTO.

Power of Such is the wonderful power of human sympathy that


sympathy. the discovery even of the existence of a soul capable of
understanding our inner life often operates as a perfect charm;
every thought and feeling and aspiration carries with it a new value,
from the interwoven consciousness that attends it, of the worth it
would bear to that other mind; so that, while that person lives, our
existence is doubled in value, even though oceans divide us.

Difficulty of But he soon discovered, what every earnest soul learns


inspiring who has been baptized into a sense of things invisible,
others. how utterly powerless and inert any mortal man is to
inspire others with his own insights and convictions. With bitter
discouragement and chagrin, he saw that the spiritual man must
forever lift the dead weight of all the indolence and indifference and
animal sensuality that surround him,—that the curse of Cassandra is
upon him, forever to burn and writhe under awful visions of truths
which no one around him will regard.

Good As a bee can extract pure honey from the blossoms of


wherever we some plants whose leaves are poisonous, so some
seek it. souls can nourish themselves only with the holier and
more ethereal parts of popular belief.

Naïveté. “Blessed are the flowers of God that grow in cool


solitudes, and have never been profaned by the hot
sun and dust of this world.”

Sorrow a Never does love strike so deep and immediate a root as


preparation in a sorrowful and desolated nature; there it has
for love. nothing to dispute the soil, and soon fills it with its
interlacing fibre.
Sunshine of “He is happy, like the birds,” said Agnes, “because he
the heart. flies near heaven.”

Dreams. Dreams are the hushing of the bodily senses, that the
eyes of the spirit may open.

Lost When a man has once lost that unconscious soul-purity


innocence which exists in a mind unscathed by the fires of
irrecoverable. passion, no after-tears can weep it back again. No
penance, no prayer, no anguish of remorse, can give back the
simplicity of a soul that has never been stained.

The strongest No passions are deeper in their hold, more pervading


passions. and more vital to the whole human being, than those
that make their first entrance through the higher
nature, and, beginning with a religious and poetic ideality, gradually
work their way through the whole fabric of the human existence.
From grosser passions, whose roots lie in the senses, there is always
a refuge in man’s loftier nature. He can cast them aside with
contempt, and leave them as one whose lower story is flooded can
remove to a higher loft, and live serenely with a purer air and wider
prospect. But to love that is born of ideality, of intellectual sympathy,
of harmonies of the spiritual and immortal nature, of the very poetry
and purity of the soul, if it be placed where reason and religion
forbid its exercise and expression, what refuge but the grave,—what
hope but that wide eternity where all human barriers fall, all human
relations end, and love ceases to be a crime.

Agony in the It is singular how the dumb, imprisoned soul, locked


voice. within the walls of the body, sometimes gives such a
piercing power to the tones of the voice during the
access of a great agony. The effect is entirely involuntary and often
against the most strenuous opposition of the will; but one
sometimes hears another reading or repeating words with an intense
vitality, a living force, which tells of some inward anguish or conflict
of which the language itself gives no expression.

A sympathetic The great Hearer of Prayer regards each heart in its


God. own scope of vision, and helps not less the mistaken
than the enlightened distress. And for that matter, who
is enlightened? who carries to God’s throne a trouble or a temptation
in which there is not somewhere a misconception or a mistake?

Transient We hold it better to have even transient upliftings of


uplifting. the nobler and more devout element of man’s nature
than never to have any at all, and that he who goes on
in worldly and sordid courses, without ever a spark of religious
enthusiasm or a throb of aspiration, is less of a man than he who
sometimes soars heavenward, though his wings be weak and he fall
again.

Coincidence. When a man has a sensitive or sore spot in his heart,


from the pain of which he would gladly flee to the ends
of the earth, it is marvellous what coincidences of events will be
found to press upon it wherever he may go.

Silence of They both sat awhile in that kind of quietude which


deep emotion. often falls between two who have stirred some deep
fountain of emotion.

Innocence. There is something pleading and pitiful in the simplicity


of perfect ignorance,—a rare and delicate beauty in its
freshness, like the morning-glory cup, which, once withered by the
heat, no second morning can restore.

World “This is such a beautiful world,” said Agnes, “who


conflicts. would think it would be such a hard one to live in?—
such battles and conflicts as people have here!”

Nervous As one looking through a prism sees a fine bordering of


sensibility. rainbow on every object, so he beheld a glorified
world. His former self seemed to him something
forever past and gone. He looked at himself as at another person,
who had sinned and suffered, and was now resting in beatified
repose; and he fondly thought all this was firm reality, and believed
that he was now proof against all earthly impressions, able to hear
and to judge with the dispassionate calmness of a disembodied
spirit. He did not know that this high-strung calmness, this fine
clearness, were only the most intense forms of nervous sensibility,
and as vividly susceptible to every mortal impression as is the
vitalized chemical plate to the least action of the sun’s rays.

UNCLE TOM’S CABIN.

Sorrow an Any mind that is capable of a real sorrow is capable of


educator. good.

Individuality.Now, the reflections of two men, sitting side by side,


are a curious thing,—seated on the same seat, having
the same eyes, ears, hands, and organs of all sorts, and having pass
before their eyes the same objects,—it is wonderful what a variety
we shall find in these same reflections.
Inspiration.By what strange law of mind is it that an idea, long
overlooked, and trodden under foot as a useless stone,
suddenly sparkles out in new light, as a discovered diamond.

Sublime is the dominion of the mind over the body,


Power of mind
over body. that, for a time, can make flesh and nerve
impregnable, and string the sinews like steel, so that
the weak become so mighty.

True heroism. Have not many of us, in the weary way of life, felt, in
some hours, how far easier it were to die than to live?
The martyr, when faced even by a death of bodily anguish and
horror, finds in the very terror of his doom a strong stimulant and
tonic. There is a vivid excitement, a thrill and fervor, which may carry
through any crisis of suffering that is the birth-hour of eternal glory
and rest.
But to live,—to wear on, day after day, of mean, bitter, low,
harassing servitude, every nerve dampened and depressed, every
power of feeling gradually smothered,—this long and wasting heart
martyrdom, this slow, daily bleeding away of the inward life, drop by
drop, hour after hour,—this is the true searching test of what there
may be in man or woman.

Moral An atmosphere of sympathetic influence encircles every


atmosphere. human being; and the man or woman who feels
strongly, healthily, and justly, on the great interests of
humanity, is a constant benefactor to the human race.

Self-sacrifice. There are in this world blessed souls, whose sorrows all
spring up into joys for others; whose earthly hopes,
laid in the grave with many tears, are the seed from which spring
healing flowers and balm for the desolate and the distressed.

Strength of When a heavy weight presses the soul to the lowest


despair. level at which endurance is possible, there is an instant
and desperate effort of every physical and moral nerve
to throw off the weight; and hence the heaviest anguish often
precedes a return tide of joy and courage.

Self- “Thee uses thyself only to learn how to love neighbor,


forgetfulness. Ruth,” said Simeon, looking with a beaming face on
Ruth.

Natural He had one of those natures which could better and


religious more clearly conceive of religious things from its own
sensibility. perceptions and instincts than many a matter-of-fact
and practical Christian. The gift to appreciate and the sense to feel
the finer shades and relations of moral things often seems an
attribute of those whose whole life shows a careless disregard of
them. Hence, Moore, Byron, Goethe, often speak words more wisely
descriptive of the true religious sentiment, than another man whose
whole life is governed by it. In such minds, disregard of religion is a
more fearful treason,—a more deadly sin.

Superstition. No one is so thoroughly superstitious as the godless


man. The Christian is composed by the belief of a wise,
all-ruling Father, whose presence fills the void unknown with light
and order; but to the man who has dethroned God, the spirit-land is,
indeed, in the words of the Hebrew poet, “a land of darkness and
the shadow of death,” without any order, where the light is as
darkness. Life and death to him are haunted grounds, filled with
goblin forms of vague and shadowy dread.
The human After all, let a man take what pains he may to hush it
soul. down, a human soul is an awful ghostly, unquiet
possession for a bad man to have. Who knows the
metes and bounds of it? Who knows all its awful perhapses,—those
shudderings and tremblings which it can no more live down than it
can outlive its own eternity! What a fool is he who locks his door to
keep out spirits, who has in his own bosom a spirit he dares not
meet alone,—whose voice, smothered far down, and piled over with
mountains of earthliness, is yet like the forewarning trumpet of
doom!

DRED.

Practical andThe divine part of man is often shame-faced and self-


ideal. distrustful, ill at home in this world, and standing in
awe of nothing so much as what is called common
sense; and yet common sense very often, by its own keenness, is
able to see that these unavailable currencies of another’s mind are
of more worth, if the world only knew it, than the ready coin of its
own; and so the practical and the ideal nature are drawn together.

Inexplicable Sensitive people never like the fatigue of justifying their


preferences. instincts. Nothing, in fact, is less capable of being
justified by technical reasons than those fine insights
into character whereupon affection is built. We have all had
experience of preferences which would not follow the most exactly
ascertained catalogue of virtues, and would be made captive where
there was very little to be said in justification of the captivity.

Congeniality “Why, surely,” said Anne, “one wants one’s friends to


of opposites. be congenial, I should think.”
“So we do; and there is nothing in the world so congenial as
differences. To be sure, the differences must be harmonious. In
music, now, for instance, one doesn’t want a repetition of the same
notes, but differing notes that chord. Nay, even discords are
indispensable to complete harmony. Now, Nina has just that
difference from me which chords with me; and all our little quarrels
—for we have had a good many, and I dare say shall have more—
are only a sort of chromatic passages,—discords of the seventh,
leading into harmony. My life is inward, theorizing, self-absorbed. I
am hypochondriac, often morbid. The vivacity and acuteness of her
outer life makes her just what I need. She wakens, she rouses, and
keeps me in play; and her quick instincts are often more than a
match for my reason.”

Proof of “How do you know there is any heaven, anyhow?”


heaven.
“Know it?” said Milly, her eyes kindling, and striking
her staff on the ground, “Know it? I know it by de hankering arter it
I got in here;” giving her broad chest a blow which made it resound
like a barrel. “De Lord knowed what he was ’bout when he made us.
When he made babies rootin’ ’round, wid der poor little mouths
open, he made milk, and de mammies for ’em too. Chile, we’s
nothing but great babies, dat ain’t got our eyes open,—rootin’ ’round
an’ ’round; but de Father ’ll feed us yet—He will so.”

Power of As oil will find its way into crevices where water cannot
song. penetrate, so song will find its way where speech can
no longer enter.

Night What we have thought and said under the august


resolutions. presence of witnessing stars, or beneath the holy
shadows of moonlight, seems with the dry, hot heat of
next day’s sun to take wings, and rise to heaven with the night’s
clear drops. If all the prayers and good resolutions which are laid
down on sleeping pillows could be found there on awaking, the
world would be better than it is.

Transition There are times in life when the soul, like a half-grown
periods. climbing vine, hangs hovering tremulously, stretching
out its tendrils for something to ascend by. Such are
generally the great transition periods of life, when we are passing
from the ideas and conditions of one stage of existence to those of
another. Such times are most favorable for the presentation of the
higher truths of religion.

Connection This life may truly be called a haunted house, built as it


is on the very confines of the land of darkness and the
with the spirit
world. shadow of death. A thousand living fibres connect us
with the unknown and unseen state; and the strongest hearts, which
never stand still for any mortal terror, have sometimes hushed their
very beating at a breath of a whisper from within the veil. Perhaps
the most resolute unbeliever in spiritual things has hours of which he
would be ashamed to tell, when he, too, yields to the powers of
those awful affinities which bind us to that unknown realm.

Suffering inIt is the last triumph of affection and magnanimity,


silence. when a loving heart can respect the suffering silence of
its beloved, and allow that lonely liberty in which only
some natures can find comfort.

Joy in And, as he sang and prayed, that strange joy arose


endurance. within him, which, like the sweetness of night flowers,
is born of darkness and tribulation. The soul has in it
somewhat of the divine, in that it can have joy in endurance beyond
the joy of indulgence.
They mistake who suppose that the highest happiness lies in
wishes accomplished—in prosperity, wealth, favor, and success.
There has been a joy in dungeons and on racks passing the joy of
harvest. A joy strange and solemn, mysterious even to its possessor.
A white stone dropped from that signet ring, peace, which a dying
Saviour took from his own bosom, and bequeathed to those who
endure the cross, despising the shame.

SUNNY MEMORIES OF FOREIGN LANDS.

Inward peace. How natural it is to say of some place sheltered,


simple, cool, and retired, here one might find peace, as
if peace came from without, and not from within. In the shadiest
and stillest places may be the most turbulent hearts, and there are
hearts which, through the busiest scenes, carry with them
unchanging peace.

Grace in I have read of Alpine flowers leaning their cheeks on


affliction. the snow. I wonder if any flowers grow near enough to
that snow to touch it. I mean to go and see. So I went;
there, sure enough, my little fringed purple bell, to which I had give
the name of “suspirium,” was growing, not only close to the snow
but in it.
Thus God’s grace, shining steadily on the waste places of the
human heart, brings up heavenward sighings and aspirations, which
pierce through the cold snows of affliction, and tell that there is yet
life beneath.

God as an I was glad to walk on alone: for the scenery was so


artist. wonderful that human sympathy and communion
seemed to be out of the question. The effect of such
scenery to our generally sleeping and drowsy souls, bound with a
double chain of earthliness and sin, is like the electric touch of the
angel on Peter, bound and sleeping. They make us realize that we
were not only made to commune with God, but also what a God He
is with whom we may commune. We talk of poetry, we talk of
painting, we go to the ends of the earth to see the artists and great
men of this world; but what a poet, what an artist, is God! Truly said
Michel Angelo, “The true painting is only a copy of the divine
perfections—a shadow of his pencil.”

Soul-striving.The human soul seems to me an imprisoned essence,


striving after somewhat divine. There is strength in it,
as of suffocated flame, finding vent now through poetry, now in
painting, now in music, sculpture, or architecture; various are the
crevices and fissures, but the flame is one.

Shadow. What a curious kind of thing shadow is,—that invisible


veil, falling so evenly and so lightly over all things,
bringing with it such thoughts of calmness and rest. I wonder the
old Greeks did not build temples to Shadow, and call her the sister of
Thought and Peace. The Hebrew writers speak of the
“overshadowing of the Almighty;” they call his protection “the
shadow of a great rock in a weary land.” Even as the shadow of
Mont Blanc falls like a Sabbath across this valley, so falls the sense of
his presence across our weary life-road.

Heimweh. Why? why this veil of dim and indefinable anguish at


sight of whatever is most fair, at hearing whatever is
most lovely? Is it the exiled spirit, yearning for its own? Is it the
captive, to whom the ray of heaven’s own glory comes through the
crevice of his dungeon wall?
Seeing and It is not enough to open one’s eyes on scenes; one
feeling. must be able to be “en rapport” with them. Just so in
the spiritual world, we sometimes see great truths,—
see that God is beautiful and surpassingly lovely; but at other times
we feel both nature and God, and O, how different seeing and
feeling!

POGANUC PEOPLE.

Longing for There are hard, sinful, unlovely souls, who yet long to
love in the be loved, who sigh in their dark prison for that
unlovely. tenderness, that devotion, of which they are
consciously unworthy. Love might redeem them; but who can love
them? There is a fable of a prince, doomed by a cruel enchanter to
wear a loathsome, bestial form, till some fair woman should redeem
him by the transforming kiss of love. The fable is a parable of the
experience of many a lost human soul....
Who can read the awful mysteries of a single soul? We see human
beings, hard, harsh, earthly, and apparently without an aspiration for
anything high and holy; but let us never say that there is not far
down in the depths of any soul a smothered aspiration, a dumb,
repressed desire to be something higher and purer, to attain the
perfectness to which God calls it.

LITTLE PUSSY WILLOW.

Seeing the “She shall be called little Pussy Willow, and I shall give
bright side. her the gift of always seeing the bright side of
everything. That gift will be more to her than beauty or
riches or honors. It is not so much matter what color one’s eyes are
as what one sees with them. There is a bright side to everything, if
people only knew it, and the best eyes are those which are always
able to see this bright side.”

A DOG’S MISSION.

Reaction of A conscientious person should beware of getting into a


harshness. passion, for every sharp word one speaks comes back
and lodges like a sliver in one’s own heart; and such
slivers hurt us worse than they ever can any one else.

Man’s childishAh, the child is father of the man! when he gets older
impatience. he will have the great toys of which these are
emblems; he will believe in what he sees and touches,
—in house, land, railroad stock,—he will believe in these earnestly
and really, and in his eternal manhood nominally and partially. And
when his father’s messengers meet him, and face him about, and
take him off his darling pursuits, and sweep his big ships into the
fire, and crush his full-grown cars, then the grown man will complain
and murmur, and wonder as the little man does now. The Father
wants the future, the Child the present, all through life, till death
makes the child a man.

MY WIFE AND I.

Discipline of The moral discipline of bearing with evil patiently is a


patience. great deal better and more ennobling than the most
vigorous assertion of one’s personal rights.

Ennobling When we look at the apparent recklessness with which


power of great sorrows seem to be distributed among the
sorrow. children of the earth, there is no way to keep our faith
in a Fatherly love, except to recognize how invariably the sorrows
that spring from love are a means of enlarging and dignifying a
human being. Nothing great or good comes without birth-pangs, and
in just the proportion that natures grow more noble their capacities
of suffering increase.

Line between The line between right and wrong seems always so
right and indefinite, like the line between any two colors of the
wrong. prism; it is hard to say just where one ends and
another begins.

Doubt. “Doubt is very well as a sort of constitutional crisis in


the beginning of one’s life; but if it runs on and gets to
be chronic it breaks a fellow up, and makes him morally spindling
and sickly. Men that do anything in the world must be men of strong
convictions; it won’t do to go through life like a hen, craw-crawing
and lifting up one foot, not knowing where to set it down next.”

Friends. “I don’t think,” said she, “you should say ‘ make’


friends,—friends are discovered, rather than made.
There are people who are in their own nature friends, only they
don’t know each other; but certain things, like poetry, music, and
painting, are like the free-masons’ signs,—they reveal the initiated to
each other.”

WE AND OUR NEIGHBORS.

Forgiveness of“Yes,” said Harry, “forgiveness of enemies used to be


friends. the ultima thule of virtue; but I rather think it will have
to be forgiveness of friends. I call the man a perfect
Christian that can always forgive his friends.”
Altruism. Do not our failures and mistakes often come from
discouragement? Does not every human being need a
believing second self, whose support and approbation shall reinforce
one’s failing courage? The saddest hours of life are when we doubt
ourselves. To sensitive, excitable people, who expend nervous
energy freely, must come many such low tides. “Am I really a
miserable failure,—a poor, good-for-nothing, abortive attempt?” In
such crises we need another self to restore our equilibrium.

Reproach. The agony of his self-reproach and despair had been


doubled by the reproaches and expostulations of many
of his own family friends, who poured upon bare nerves the nitric
acid of reproach.

Help from Something definite to do is, in some crises, a far better


work. medicine for a sick soul than any amount of meditation
and prayer. One step fairly taken in a right direction
goes farther than any amount of agonized back-looking.

Praise and Praise is sunshine; it warms, it inspires, it promotes


blame. growth: blame and rebuke are rain and hail; they beat
down and bedraggle, even though they may at times
be necessary.

God working The invisible Christ must be made known through


through man. human eyes; He must speak though a voice of earthly
love, and a human hand inspired by his spirit must be
reached forth to save.

Inner life. The external life is positive, visible, definable; easily


made the subject of conversation. The inner life is shy,
retiring, most difficult to be expressed in words, often inexplicable,
even to the subject of it, yet no less a positive reality than the
outward.

RELIGIOUS POEMS.

Peace through For not alone in those old Eastern regions


suffering. Are Christ’s beloved ones tried by cross and chain;
In many a house are his elect ones hidden,
His martyrs suffering in their patient pain.
The rack, the cross, life’s weary wrench of woe,
The world sees not, as slow, from day to day,
In calm, unspoken patience, sadly still,
The loving spirit bleeds itself away;
But there are hours, when from the heavens unfolding
Come down the angels with the glad release,
And we look upward, to behold in glory
Our suffering loved ones borne away to peace.

The spirit As some rare perfume in a vase of clay


within. Pervades it with a fragrance not its own,
So, when Thou dwellest in a mortal soul,
All heaven’s own sweetness seems around it thrown.

The calm of When winds are raging o’er the upper ocean,
God’s love. And billows wild contend with angry roar,
’Tis said, far down beneath the wild commotion,
That peaceful stillness reigneth evermore.
Far, far beneath, the noise of tempest dieth,
And silver waves chime ever peacefully;
And no rude storm, how fierce soe’er he flieth,
Disturbs the Sabbath of that deeper sea.
So to the soul that knows thy love, O Purest,
There is a temple peaceful evermore!
And all the babble of life’s angry voices
Die in hushed stillness at its sacred door.

God’s comfort.Think not, when the wailing winds of autumn


Drive the shivering leaflets from the trees,—
Think not all is over: spring returneth;
Buds and leaves and blossoms thou shalt see.
Think not, when thy heart is waste and dreary,
When thy cherished hopes lie chill and sere,—
Think not all is over: God still loveth;
He will wipe away thy every tear.
CHAPTER II.
HUMAN NATURE.

THE MINISTER’S WOOING.

Ignorant He was one of that class of people who, of a freezing


selfishness. day, will plant themselves directly between you and the
fire, and then stand and argue to prove that selfishness
is the root of all moral evil. Simeon said he always had thought so;
and his neighbors sometimes supposed that nobody could enjoy
better experimental advantages for understanding the subject. He
was one of those men who suppose themselves submissive to the
divine will, to the uttermost extent demanded by the extreme
theology of that day, simply because they have no nerves to feel, no
imagination to conceive, what endless happiness or suffering is, and
who deal therefore with the great question of the salvation or
damnation of myriads as a problem of theological algebra, to be
worked out by their inevitable x, y, z.

Sensitiveness A generous, upright nature is always more sensitive to


to blame. blame than another,—sensitive in proportion to the
amount of its reverence for good.
Depression It is a hard condition of our existence that every
after exaltation must have its depression. God will not let us
exaltation. have heaven here below, but only such glimpses and
faint showings as parents sometimes give to children, when they
show them beforehand the jewelry and pictures and stores of rare
and curious treasures which they hold for the possession of their
riper years. So it very often happens that the man who has gone to
bed an angel, feeling as if all sin were forever vanquished, and he
himself immutably grounded in love, may wake the next morning
with a sick-headache, and, if he be not careful, may scold about his
breakfast like a miserable sinner.

French nature.True Frenchwoman as she was, always in one rainbow


shimmer of fancy and feeling, like one of those cloud-
spotted April days, which give you flowers and rain, sun and shadow,
and snatches of bird-singing, all at once.

Simple He is one of those great, honest fellows, without the


honesty vs. smallest notion of the world we live in, who think, in
worldliness. dealing with men, that you must go to work and prove
the right or the wrong of a matter; just as if anybody cared for that!
Supposing he is right,—which appears very probable to me,—what is
he going to do about it? No moral argument, since the world began,
ever prevailed over twenty-five per cent. profit.

Duty vs. “Madam,” said the doctor, “I’d sooner my system


expediency. should be sunk in the sea than that it should be a
millstone round my neck to keep me from my duty. Let
God take care of my theology; I must do my duty.”

Joy of living. There are some people so evidently broadly and


heartily of this world that their coming into a room
always materializes the conversation. We wish to be understood that
we mean no disparaging reflection on such persons; they are as
necessary to make up a world as cabbages to make up a garden;
the great, healthy principles of cheerfulness and animal life seem to
exist in them in the gross; they are wedges and ingots of solid,
contented vitality.

A boy’s “Oh, you go ’long, Massa Marvin; ye’ll live to count dat
growth. ar’ boy for de staff o’ yer old age yit, now I tell ye; got
de makin’ o’ ten or’nary men in him; kittles dat’s full
allers will bile over; good yeast will blow at de cork,—lucky ef it don’t
bust de bottle. Tell ye, der’s angels hes der hooks in sich, an’ when
de Lord wants him, dey’ll haul him in safe an’ sound.”

Will-power. “Law me! what’s de use? I’se set out to b’liebe de


Catechize, an’ I’se gwine to b’liebe it, so!”

The world’s “But, Marie, how unjust is the world! how unjust both
injustice. in praise and blame.”

OLDTOWN FOLKS.

Selfish love.These dear, good souls who wear their life out for you,
have they not a right to scold you, and dictate to you,
and tie up your liberty, and make your life a burden to you? If they
have not, who has? If you complain, you break their worthy old
hearts. They insist on the privilege of seeking your happiness by
thwarting you in everything you want to do, and putting their will
instead of yours in every step of your life.
Expressive Aunt Lois, as I have often said before, was a good
silence. Christian, and held it her duty to govern her tongue.
True, she said many sharp and bitter things; but
nobody but herself and her God knew how many more she would
have said had she not reined herself up in conscientious silence. But
never was there a woman whose silence could express more
contempt and displeasure than hers. You could feel it in the air
about you, though she never said a word. You could feel it in the
rustle of her dress, in the tap of her heels over the floor, in the
occasional flash of her sharp black eye. She was like a thunder-
cloud, whose quiet is portentous, and from which you every moment
expect a flash or an explosion.

Power of a That kind of tone which sounds so much like a blow


tone. that one dodges one’s head involuntarily.

Making the “There’s no use in such talk, Lois: what’s done’s done;
best of it. and if the Lord let it be done, we may. We can’t always
make people do as we would. There’s no use in being
dragged through the world like a dog under a cart, hanging back
and yelping. What we must do, we may as well do willingly,—as well
walk as be dragged.”

Influence of It is strange that no human being grows up who does


heredity and not so intertwist in his growth the whole idea and spirit
association. of his day, that rightly to dissect out his history would
require one to cut to pieces and analyze society, law, religion, the
metaphysics, and the morals of his time; and, as all things run back
to those of past days, the problem is still further complicated. The
humblest human being is the sum total of a column of figures which
go back through centuries before he was born.
Personal Supposing a man is made like an organ, with two or
magnetism. three banks of keys, and ever so many stops, so that
he can play all sorts of tunes on himself; is it being a hypocrite with
each person to play precisely the tune, and draw out exactly the
stop, which he knows will make himself agreeable and further his
purpose?

Physical good That charming gift of physical good humor, which is


humor. often praised as a virtue in children and in grown
people, but which is a mere condition of the animal
nature.

SAM LAWSON’S STORIES.

Effect of “Ye know sinnin’ will always make a man leave prayin’.”
sinning.

Scepticism. “You look at the folks that’s allers tellin’ you what they
don’t believe,—they don’t believe this, an’ they don’t
believe that,—an’ what sort o’ folks is they? Why, like yer Aunt Lois,
sort o’ stringy an’ dry. There ain’t no ’sorption got out o’ not believin’
nothin’.”

Life. “That ’are’s jest the way folks go all their lives, boys.
It’s all fuss, fuss, and stew, stew, till ye get
somewhere; an’ then it’s fuss, fuss, an’ stew, stew, to get back
again; jump here an’ scratch your eyes out, an’ jump there an’
scratch ’em in again,—that ’are’s life.”

PEARL OF ORR’S ISLAND.

Life as a play. There are those people who possess a peculiar faculty
of mingling in the affairs of this life as spectators as
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