As a Matter of Course — Key Ideas to Explore

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In Category - Nursing Hygiene
Call, Annie Payson, 1853-1940 Project Gutenberg 2003 Not confirmed
Mental health -- Popular works Readers of public-domain and historical texts
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Words 26,706
Reading time 117 min
Text sections 4

The source record for As a Matter of Course — Key Ideas to Explore measures this digital text at 26,706 words, 1 hr 57 min estimated reading time, and 4 detected text sections.

The text analysis averages about 24.5 words per sentence, while the detected sections provide another way to judge how the source is divided.

Project Gutenberg metadata also associates the work with “Mental health -- Popular works,” connecting these edition facts with the source record’s subject description.

Annie Payson Call's 1894 guide uses the metaphor of stepping over stones to advocate for removing nervous irritants through habitual, unselfconscious action. The book examines physical care, amusements, brain impressions, trivialities, moods, tolerance, sympathy, and relationships, emphasizing practical mental hygiene over abstract theory.
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Quixote was quite exhausted when he had been fighting the windmills. One recognizes over and over the truth spoken by the little girl who, when reprimanded by her father for being fretful, said: "It isn't me, papa, it's that banana."

There is also the over-serious stone; and this, so far from being stepped over or any effort made to encircle it, is often raised to the undue dignity of a throne, and not rested upon. It seems to produce an inability for any sort of recreation, and a scorn of the necessity or the pleasure of being amused. Every one will admit that recreation is one swing of life's pendulum; and in proportion to the swing in that direction will be the strength of the swing in the other direction, and vice versa.

One kind of stone which is not the least among the self-made impediments is the microscopic faculty which most of us possess for increasing small, inoffensive pebbles to good-sized rocks. A quiet insistence on seeing these pebbles in their natural size would reduce them shortly to a pile of sand which might be easily smoothed to a level, and add to the comfort of the path. Moods are stones which not only may be stepped over, but kicked right out of the path with a good bold stroke. And the stones of intolerance may be replaced by an open sympathy,--an ability to take the other's point of view,--which will bring flowers in the path instead.

In dealing with ourselves and others there are stones innumerable, if one chooses to regard them, and a steadily decreasing number as one steps over and ignores. In our relations with illness and poverty, so-called, the ghosts of stones multiply themselves as the illness or the poverty is allowed to be a limit rather than a guide. And there is nothing that exorcises all such ghosts more truly than a free and open intercourse with little children.

If we take this business of slipping over our various nerve-stones as a matter of course, and not as a matter of sentiment, we get a powerful result just as surely as we get powerful results in obedience to any other practical laws.

In bygone generations men used to fight and kill one another for the most trivial cause. As civilization increased, self-control was magnified into a virtue, and the man who governed himself and allowed his neighbor to escape unslain was regarded as a hero. Subsequently, general slashing was found to be incompatible with a well-ordered community, and forbearance in killing or scratching or any other unseemly manner of attacking an enemy was taken as a matter of course.

Nowadays we do not know how often this old desire to kill is repressed, a brain-impression of hatred thereby intensified, and a nervous irritation caused which has its effect upon the entire disposition. It would hardly be feasible to return to the killing to save the irritation that follows repression; civilization has taken us too far for that. But civilization does not necessarily mean repression. There are many refinements of barbarity in our civilization which might be dropped now, as the coarser expressions of such states were dropped by our ancestors to enable them to reach the present stage of knives and forks and napkins. And inasmuch as we are farther on the way towards a true civilization, our progress should be more rapid than that of our barbaric grandfathers. An increasingly accelerated progress has proved possible in scientific research and discovery; why not, then, in our practical dealings with ourselves and one another?

Does it not seem likely that the various forms of nervous irritation, excitement, or disease may result as much from the repressed savage within us as from the complexity of civilization? The remedy is, not to let the savage have his own way; with many of us, indeed, this would be difficult, because of the generations of repression behind us. It is to cast his skin, so to speak, and rise to another order of living.

Certainly repression is only apparent progress. No good physician would allow it in bodily disease, and, on careful observation, the law seems to hold good in other phases of life.

There must be a practical way by which these stones, these survivals of barbaric times, may be stepped over and made finally to disappear.

The first necessity is to take the practical way, and not the sentimental. Thus true sentiment is found, not lost.

The second is to follow daily, even hourly, the process of stepping over until it comes to be indeed a matter of course. So, little by little, shall we emerge from this mass of abnormal nervous irritation into what is more truly life itself.

Call opens with a sustained metaphor: climbing a mountain is easier when we know the path and take it “as a matter of course.” The stones in the way represent everyday irritants that, if stepped over without fuss, cease to impede. But if we trip, admire our own step, or remain prostrate, the nervous system suffers. This image recurs throughout, anchoring the book’s practical advice in a concrete, physical analogy.

The preface states the aim: “to assist towards the removal of nervous irritants.” Call does not promise cures but offers a method of habitual, unselfconscious action. The structure moves from physical care through amusements, brain impressions, trivialities, moods, tolerance, sympathy, and finally to children, illness, and sentiment. Each chapter builds on the idea that conscious attention to small habits can prevent larger nervous strain.

The Mountain and the Stones

Call’s opening image is deceptively simple. The climber who knows the path and takes it “as a matter of course” is free to enjoy the view. The stones are not removed but stepped over. The danger lies not in the stones themselves but in the attention we give them—tripping, admiring our own step, or remaining on our nose. This metaphor recurs in later chapters, reminding the reader that the goal is not to eliminate obstacles but to navigate them without friction.

The book’s structure mirrors this idea: each chapter addresses a specific “stone” (physical neglect, trivial worries, moods) and proposes a habitual response. Call warns against making a performance of self-improvement. “If semi-occasionally one of these stones is stepped over as a matter of course, the danger is that attention is immediately called to the action by admiring friends, or by the person himself.” The remedy is to act without self-congratulation.

Physical Care as a Foundation

Call treats the body as the first stone. “If the health of the body were attended to as a matter of course, as its cleanliness is attended to by those of us who are more civilized, how much easier life might be!” She does not prescribe exercises or diets but insists on routine, unthinking care. The physical stone, once normalized, ceases to be a source of irritation.

This section establishes a pattern: identify a common source of nervous strain, show how it becomes a “phantom stone” through overattention, and propose a matter-of-course response. Call’s tone is direct, almost clinical. She avoids sentimentality, focusing on the mechanics of habit. The body is not a temple but a tool; its maintenance should be as automatic as washing one’s hands.

The Triviality of Trivialities

One of the book’s most distinctive chapters addresses “the triviality of trivialities.” Call argues that small annoyances—a misplaced object, a delayed letter, a minor social slight—become nervous irritants only when we magnify them. “There are many foolish little troubles from which men and women suffer that come only from tired nerves.” The solution is not to suppress irritation but to recognize its source and let it pass.

Call’s advice is practical: answer an anxious note “promptly, kind, and direct” to prevent further worry. She distinguishes between “wise patience” and indulgence. The goal is not to eliminate all small troubles but to reduce their power. This chapter exemplifies the book’s method: identify a pattern, offer a concrete response, and frame it as a matter of course.

Sympathy Without Sentiment

Call devotes a chapter to sympathy, which she defines as the ability to understand another’s point of view—especially when nerves are tired. She warns against “elaborate nervous letters” and recommends “lovingly brief” responses. Sympathy is not indulgence; it is a practical skill that prevents further strain.

She extends this to a broader vision: “It cannot be that a man has a real open sympathy who limits it to his own family and friends.” The goal is a “clearer knowledge of and sympathy with its individuals.” This is not abstract altruism but a method for reducing antagonisms and increasing freedom. Call’s approach is systematic: each chapter isolates a specific interpersonal dynamic and prescribes a habitual, unselfconscious response.

Call’s book is best read as a series of experiments in attention. Each chapter isolates a common source of nervous irritation—physical neglect, trivial worries, moods, sympathy—and proposes a habitual response. The metaphor of stepping over stones unifies the advice: the goal is not to remove obstacles but to navigate them without friction. Readers may find it useful to test one chapter’s method for a week before moving to the next, treating the book as a manual for small, repeated adjustments rather than a single transformation.

There are mornings when the old habit of hurry feels heavier than it should, and I catch myself rereading Annie Payson Call’s quiet insistence on stepping lightly, as if the worry itself were the stone underfoot. That same patience lives in Vitality Supreme — Reading Notes, like a familiar porch light left on for no one in particular. Funny how a century later, the stillness still waits.

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