Pedagogical Anthropology, Maria Montessori [online e book reader TXT] 📗

and exhibit almost imperceptible symptoms; so in the case of children, syphilis may be transmitted in various degrees of virulence. In the acute stage the result will be abortion or the child will be still-born, or else the new-born child will plainly exhibit ulcerations and erythema, but at other periods of the disease, the child may bear far less evident signs of its affliction, as for instance a special form of corrosion in the enamel of its teeth; the cervical pleiades or enlargement of certain little lymphatic glands like the beads of a rosary, distinguishable by touch in the posterior region of the neck; certain cranial malformations (prominent nodules on the parietal bones, Parrot's nodes); and in the child's whole personality an under-development in respect to its age. In cases like these the teacher's observations may be of real social value, because the child has shown no symptoms of such a nature as to cause the parents to have recourse to a physician, and it is the child's scholarship (using the word in the broad sense of the way in which the child reacts in the environment of school, the profit he derives from study, etc.) that may reveal an abnormal development to an intelligent teacher.

The first indication is a stature below what is normal at a given age. Such observations ought to be obligatory upon teachers who are in sympathy with the new ideas, for they alone can be the arbiters of the rising generations. It is being said on all sides, to be sure, with optimistic assurance that argues a deficiency of critical insight and common sense, that an adequate education of the mothers ought to enlighten all women in regard to the laws of growth in children and the abnormalities that are remediable. But of what class of mothers are we supposed to be speaking? Certainly not of the great mass of working women and illiterates! certainly not of the women who have been constrained to hard toil from childhood up, and later on condemned to abortion because of such unjust labor, while their spirit is brutalized and their memory loses even the last lingering notion of an alphabet! It will always be easier and more practical, in every way, to enlighten twenty-five thousand teachers regarding these principles than to enlighten many millions of mothers; not to mention that if we wished to enlighten these mothers in a practical way regarding the principles of the hygiene of generation, we should still have to invoke the services of that very class whose assigned task in society is precisely that of educating the masses!

The teacher can and should learn at least how to suspect the presence of hereditary syphilis in his pupils, in order to be able to invoke the aid of the physician, leaving to the latter the completion of the task, namely, the eventual cure. It is well known that iodide of potassium and its substitutes, especially if used at an early stage, can cure syphilitic children and therefore save innocent boys and girls from eventual definite arrest of development and from all the resultant human and social misery.

Another cause that is deleterious to development is

Tuberculosis.—Although it has now been demonstrated that tuberculosis is not hereditary, as an active disease—that is, we cannot inherit in our organism localised colonies of the tuberculosis bacillus, because the bacilli cannot pass through the placenta into the fœtus during the period of gestation—nevertheless a predisposition to infection from the bacillus can be inherited.

A predisposition which consists in a special form of weakened resistance of the tissues, rendering them incapable of immunity, and a skeletal formation which is distinguished by a narrowness of the chest, and a consequent smallness of lungs, which, being unable to take in sufficient air, constitute a locus minoris resistentiæ (locality of less resistance) to localisation of the bacilli. Now, since our environment is highly infected by the bacilli of tuberculosis, we must all necessarily meet with it, we must all have repeatedly received into our mouths and air passages Koch's bacilli, alive and virulent; and yet the strong organism remains immune, while the weak succumbs. Consequently those who are predisposed by heredity are almost fated to become tuberculous, and in this sense the malady presents the appearance of being truly hereditary. But such organic weakness in a child predisposed to tuberculosis is manifested not only by possible attacks of various forms of the disease localised in the glands (scrofula) or the bones, but also by a delayed development of the whole personality.

Now, the environment of school and the educative methods still in vogue in our schools, not only are not adapted to correct such a predisposition, but what is more, the school itself creates this predisposition! In fact, the sitting posture—or rather, that of stooping over the desk, to write—and the prolonged confinement in a closed environment, impede the normal development of the thorax and of all the physical powers in general. Many a work on pedagogic anthropology has already shown that the most studious scholars, the prize-winners, etc., have a wretched chest measure, and a muscular force so low as to threaten ruin to their constitutions.

Consequently, children who are predisposed to tuberculosis ought unquestionably to be removed from our schools and cared for and educated in favourable environments. While we are still impotent in the face of fatalities due to this deplorable disease, we are not ignorant of the means needed to save a predisposed child and transform him into a robust and resistant lad. Such knowledge, to be sure, was applied to mankind only as a second thought; for the first men to apply and then to teach such means of defence were the owners of cattle and the veterinaries. The owners of cattle discovered that if a calf was born of a tuberculous cow, it could be saved and become an excellent head of cattle, if only it was subjected to a very simple procedure; the calf must be removed from its mother and given over to be nursed by another cow in the open country; and it must remain in the open pastures for some time after it its weaned.

By taking similar precautions in the case of children, it has been shown that the son of a tuberculous woman, if entrusted to a wet-nurse in the open country, and brought up on an abundance of nourishing food until his sixth year in the freedom of the fields, can be made as robust as any naturally sound child. From this we get the principle of schools in the open air, or of schools in the woods, or on the sea-shore, for the benefit of weak, anemic children, predisposed to tuberculosis. Such a sojourn constitutes the "School-Sanatorium," the lack of which is so grievously felt by the parents of feeble children, and that might so easily be instituted in our mild and luxuriant peninsula, so rich in hillsides and sea-coast!

Malaria.—One of the chief causes of mortality and of biological pauperism in many regions of Italy is malaria. This scourge rages even to the very gates of Rome. The country folk of these abandoned tracts pine away in misery and at the same time in illiteracy, while their blood is impoverished by disease, and a notable percentage of the children are victims of arrested development.

These unfortunates, forgotten by civilisation, are destined to roam the fields, bearing with them, till the day of their death, a deceptive appearance of youth, and an infantile incapacity for work, an object-lesson of misery and barbarity! Among the means of fighting malaria, the spread of civilisation and the school ought to find a place. Even the quinine given freely by the government is distributed with difficulty among these unhappy people, brutalised by hunger and fever; and some message from civilisation ought to precede the remedy for the material ill. A far-sighted institution is that of Sunday classes founded by Signor Celli and his wife in the abandoned malarial districts. In these classes, the teachers from elementary schools give lessons every Sunday, spreading the principles of civic life, at the same time that they distribute quinine to the children.

If we stop to think that wherever malaria is beaten back, it means a direct conquest of fertile lands and of robust men, and hence of wealth, we must realise at once the immense importance of this sort of school and this sort of struggle, which may be compared to the ancient wars of conquest, when new territories and strong men constituted the prize of battles won, and the grandeur of the victorious nations.

Pellagra.—Pellagra is still another scourge diffused over many regions of Italy. It is well known that this disease, whose pathological etiology is still obscure, has some connection with a diet of mouldy grain. Pellagra runs a slow course, beginning almost unnoticed in the first year, with a simple cutaneous eruption, which the peasants sometimes attribute to the sun. The second year disturbances of the stomach and intestines begin, aggravated by a diet of spoiled corn; but it is usually not until the third year that pellagra reveals itself through its symptoms of great nervous derangements, with depression of muscular, psychic and sexual powers, together with melancholia, amounting to a true and special form of psychosis (insanity) leading to homicide, even of those nearest and dearest (mothers murdering their children) and to suicide.

This established cycle of the disease is not invariable. Instead of representing successive stages, these symptoms may often be regarded merely as representing the prevailing phenomena in various forms of pellagra; in any case, it constitutes a malady that runs a slow course during which the same patient is liable to many relapses. While the malady is running its course, the patients may continue their usual physiological and social life, and even reproduce themselves. So that it is not an infrequent case when we find mothers, suffering from pellagra, nursing an offspring generated in sickness and condemned to manifold forms of arrested development, both physical and mental.

Against a disease so terrible that it strikes the individual and the species, it is now a matter of common knowledge that there is an exceedingly simple remedy: it consists in a strongly nitrogenous diet (i.e. meat) and that, too, only temporarily. In fact, in the districts where the pellagra rages, various charitable organisations have been established, among others the economic kitchens for mothers, which by distributing big rations of meat effect a cure, within a few months, not only of the sick mothers but of their children as well.

The real battle against pellagra must be won through agrarian reforms: but in the meantime the local authorities could in no small degree aid the unhappy population with their counsel, by enlightening the peasants regarding the risks they run, as well as by informing them of the various forms of organised aid actually established in the neighbourhood and often unknown to the public or feared by them, because of the ignorance and prejudice with which they are profoundly imbued!

Pauperism, Denutrition, Hypertrophy.—We may define all the causes hitherto considered that are deleterious to growth, as toxical dystrophies, since not only alcohol, but the several diseases above discussed—syphilis, tuberculosis, malaria, pellagra—produce forms of chronic intoxication. But besides all these various forms of dystrophies, we may also cite cases of infantilism due purely to defective nutrition, and family poverty. Physiological misery may produce an arrest of growth in children.

But just as denutrition associated with pauperism (social misery, economic poverty, lack of nourishment) may cause an organism in course of development to arrest its processes of evolution through lack of material, the same result is equally apt to be produced by any one of a great variety of causes liable to produce organic denutrition, physiological poverty.

For example, too frequent pregnancies of the child's mother, which have resulted in impoverishing the maternal organism, causing deficiency of milk, etc.

Infant Illnesses.—In the