A General Introduction to PsychoanalysisFreud, Sigmund
Science
A General Introduction to Psychoanalysis
Freud, Sigmund
Psychoanalysis
Whoever among you takes the trouble to look into the matter will
undoubtedly be deeply impressed by the wealth of evidential material.
But he will also encounter difficulties. We have learned that the
meaning of a symptom is found in its relation to the experience of the
patient. The more highly individualized the symptom is, the sooner we
may hope to establish these relations. Therefore the task resolves
itself specifically into the discovery for every nonsensical idea and
useless action of a past situation wherein the idea had been justified
and the action purposeful. A perfect example for this kind of symptom is
the compulsive act of our patient who ran to the table and rang for the
maid. But there are symptoms of a very different nature which are by no
means rare. They must be called typical symptoms of the disease, for
they are approximately alike in all cases, in which the individual
differences disappear or shrivel to such an extent that it is difficult
to connect them with the specific experiences of the patient and to
relate them to the particular situations of his past. Let us again
direct our attention to the compulsion neurosis. The sleep ritual of our
second patient is already quite typical, but bears enough individual
features to render possible what may be called an _historic_
interpretation. But all compulsive patients tend to repeat, to isolate
their actions from others and to subject them to a rhythmic sequence.
Most of them wash too much. Agoraphobia (topophobia, fear of spaces), a
malady which is no longer grouped with the compulsion neurosis, but is
now called anxiety hysteria, invariably shows the same pathological
picture; it repeats with exhausting monotony the same feature, the
patient's fear of closed spaces, of large open squares, of long
stretched streets and parkways, and their feeling of safety when
acquaintances accompany them, when a carriage drives after them, etc. On
this identical groundwork, however, the individual differences between
the patients are superimposed--moods one might almost call them, which
are sharply contrasted in the various cases. The one fears only narrow
streets, the other only wide ones, the one can go out walking only when
there are few people abroad, the other when there are many. Hysteria
also, aside from its wealth of individual features, has a superfluity of
common typical symptoms that appear to resist any facile historical
methods of tracing them. But do not let us forget that it is by these
typical symptoms that we get our bearings in reaching a diagnosis. When,
in one case of hysteria we have finally traced back a typical symptom to
an experience or a series of similar experiences, for instance followed
back an hysterical vomiting to its origin in a succession of disgust
impressions, another case of vomiting will confuse us by revealing an
entirely different chain of experiences, seemingly just as effective. It
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