But, in addition, there is much else to make up the whole adult man as we know him. There is all that he has learnt since his birth, all that he has been taught to do and trained to do, his language, the circle of ideas he has taken to himself, the disproportions that come from unequal exercise and the bias due to circumambient suggestion. There are a thousand habits and a thousand prejudices, powers undeveloped and skill laboriously acquired. There are scars upon his body, and scars upon his mind. All these are secondary things, things capable of modification and avoidance; they constitute the manufactured man, the artificial man. And it is chiefly with all this superposed and adherent and artificial portion of a man that this and the following paper will deal. The question of improving the breed, of raising the average human heredity we have discussed and set aside. We are going to draw together now as many things as possible that bear upon the artificial constituent, the made and controllable constituent in the mature and fully-developed man. We are going to consider how it is built up and how it may be built up, we are going to attempt a rough analysis of the whole complex process by which the civilized citizen is evolved from that raw and wailing little creature.
Before his birth, at the very moment when his being becomes possible, the inherent qualities and limitations of a man are settled for good and all, whether he will be a negro or a white man, whether he will be free or not of inherited disease, whether he will be passionate or phlegmatic or imaginative or six-fingered or with a snub or aquiline nose. And not only that, but even before his birth the qualities that are not strictly and inevitably inherited are also beginning to be made. The artificial, the avoidable handicap also, may have commenced in the worrying, the overworking or the starving of his mother. In the first few months of his life very slight differences in treatment may have life-long consequences. No doubt there is an extraordinary recuperative power in very young children; if they do not die under neglect or ill-treatment they recover to an extent incomparably greater than any adult could do, but there remains still a wide marginal difference between what they become and what they might have been. With every year of life the recuperative quality diminishes, the initial handicap becomes more irrevocable, the effects of ill-feeding, of unwholesome surroundings, of mental and moral infections, become more inextricably a part of the growing individuality. And so we may well begin our study by considering the circumstances under which the opening phase, the first five years of life, are most safely and securely passed.
Food, warmth, cleanliness and abundant fresh air there must be from the first, and unremitting attention, such attention as only love can sustain. And in addition there must be knowledge. It is a pleasant superstition that Nature (who in such connections becomes feminine and assumes a capital N) is to be trusted in these matters. It is a pleasant superstition to which, some of us, under the agreeable counsels of sentimental novelists, of thoughtless mercenary preachers, and ignorant and indolent doctors, have offered up a child or so. We are persuaded to believe that a mother has an instinctive knowledge of whatever is necessary for a child's welfare, and the child, until it reaches the knuckle-rapping age at least, an instinctive knowledge of its own requirements. Whatever proceedings are most suggestive of an ideal naked savage leading a "natural" life, are supposed to be not only more advantageous to the child but in some mystical way more moral. The spectacle of an undersized porter-fed mother, for example, nursing a spotted and distressful baby, is exalted at the expense of the clean and simple artificial feeding that is often advisable to-day. Yet the mortality of first-born children should indicate that a modern woman carries no instinctive system of baby management about with her in her brain, even if her savage ancestress had anything of the sort, and both the birth rate and the infantile death rate of such noble savages as our civilization has any chance of observing, suggest a certain generous carelessness, a certain spacious indifference to individual misery, rather than a trustworthy precision of individual guidance about Nature's way.
This cant of Nature's trustworthiness is partly a survival of the day of Rousseau and Sturm (of the Reflections), when untravelled men, orthodox and unorthodox alike, in artificial wigs, spouted in unison in this regard; partly it is the half instinctive tactics of the lax and lazy-minded to evade trouble and austerities. The incompetent medical practitioner, incapable of regimen, repeats this cant even to-day, though he knows full well that, left to Nature, men over-eat themselves almost as readily as dogs, contract a thousand diseases and exhaust their last vitality at fifty, and that half the white women in the world would die with their first children still unborn. He knows, too, that to the details of such precautionary measures as vaccination, for example, instinct is strongly opposed, and that drainage and filterage and the use of soap in washing are manifestly unnatural things. That large, naked, virtuous, pink, Natural Man, drinking pure spring water, eating the fruits of the earth, and living to ninety in the open air is a fantasy; he never was nor will be. The real savage is a nest of parasites within and without, he smells, he rots, he starves. Forty is a great age for him. He is as full of artifice as his civilized brother, only not so wise. As for his moral integrity, let the curious inquirer seek an account of the Tasmanian, or the Australian, or the Polynesian before "sophistication" came.
The very existence and nature of man is an interference with Nature and Nature's ways, using Nature in this sense of the repudiation of expedients. Man is the tool-using animal, the word-using animal, the animal of artifice and reason, and the only possible "return to Nature" for him—if we scrutinize the phrase—would be a return to the scratching, promiscuous, arboreal simian. To rebel against instinct, to rebel against limitation, to evade, to trip up, and at last to close with and grapple and conquer the forces that dominate him, is the fundamental being of man. And from the very outset of his existence, from the instant of his birth, if the best possible thing is to be made of him, wise contrivance must surround him. The soft, new, living thing must be watched for every sign of discomfort, it must be weighed and measured, it must be thought about, it must be talked to and sung to, skilfully and properly, and presently it must be given things to see and handle that the stirring germ of its mind may not go unsatisfied. From the very beginning, if we are to do our best for a child, there must be forethought and knowledge quite beyond the limit of instinct's poor equipment.
Now, for a child to have all these needs supplied implies certain other conditions. The constant loving attention is to be got only from a mother or from some well-affected girl or woman. It is not a thing to be hired for money, nor contrivable on any wholesale plan. Possibly there may be ways of cherishing and nursing infants by wholesale that will keep them alive, but at best these are second best ways, and we are seeking the best possible. A very noble, exceptionally loving and quite indefatigable woman might conceivably direct the development of three or four little children from their birth onward, or, with very good assistance, even of six or seven at a time, as well as a good mother could do for one, but it would be a very rare and wonderful thing. We must put that aside as an exceptional thing, quite impossible to provide when it is most needed, and we must fall back upon the fact that the child must have a mother or nurse—and it must have that attendant exclusively to itself for the first year or so of life. The mother or nurse must be in health, physically and morally, well fed and contented, and able to give her attention mainly, if not entirely, to the little child. The child must lie warmly in a well-ventilated room, with some one availably in hearing day and night, there must be plentiful warm water to wash it, plenty of wrappings and towellings and so forth for it; it is best to take it often into the open air, and for this, under urban or suburban conditions at any rate, a perambulator is almost necessary. The room must be clean and brightly lit, and prettily and interestingly coloured if we are to get the best results. These things imply a certain standard of prosperity in the circumstances of the child's birth. Either the child must be fed in the best way from a mother in health and abundance, or if it is to be bottle fed, there must be the most elaborate provision for sterilizing and warming the milk, and adjusting its composition to the changing powers of the child's assimilation. These conditions imply a house of a certain standard of comfort and equipment, and it is manifest the mother cannot be earning her own living before and about the time of the child's birth, nor, unless she is going to employ a highly skilled, trustworthy, and probably expensive person as nurse, for some year or so after it. She or the nurse must be of a certain standard of intelligence and education, trained to be observant and keep her temper, and she must speak her language with a good, clear accent. Moreover, behind the mother and readily available, must be a highly- skilled medical man.