A General Introduction to PsychoanalysisFreud, Sigmund
Science
A General Introduction to Psychoanalysis
Freud, Sigmund
Psychoanalysis
First of all, we encounter the difficulties inherent in the teaching and
exposition of psychoanalysis. In your medical instruction you have been
accustomed to visual demonstration. You see the anatomical specimen, the
precipitate in the chemical reaction, the contraction of the muscle as
the result of the stimulation of its nerves. Later the patient is
presented to your senses; the symptoms of his malady, the products of
the pathological processes, in many cases even the cause of the disease
is shown in isolated state. In the surgical department you are made to
witness the steps by which one brings relief to the patient, and are
permitted to attempt to practice them. Even in psychiatry, the
demonstration affords you, by the patient's changed facial play, his
manner of speech and his behavior, a wealth of observations which leave
far-reaching impressions. Thus the medical teacher preponderantly plays
the role of a guide and instructor who accompanies you through a museum
in which you contract an immediate relationship to the exhibits, and in
which you believe yourself to have been convinced through your own
observation of the existence of the new things you see.
Unfortunately, everything is different in psychoanalysis. In
psychoanalysis nothing occurs but the interchange of words between the
patient and the physician. The patient talks, tells of his past
experiences and present impressions, complains, confesses his wishes and
emotions. The physician listens, tries to direct the thought processes
of the patient, reminds him of things, forces his attention into certain
channels, gives him explanations and observes the reactions of
understanding or denial which he calls forth in the patient. The
uneducated relatives of our patients--persons who are impressed only by
the visible and tangible, preferably by such procedure as one sees in
the moving picture theatres--never miss an opportunity of voicing their
scepticism as to how one can "do anything for the malady through mere
talk." Such thinking, of course, is as shortsighted as it is
inconsistent. For these are the very persons who know with such
certainty that the patients "merely imagine" their symptoms. Words were
originally magic, and the word retains much of its old magical power
even to-day. With words one man can make another blessed, or drive him
to despair; by words the teacher transfers his knowledge to the pupil;
by words the speaker sweeps his audience with him and determines its
judgments and decisions. Words call forth effects and are the universal
means of influencing human beings. Therefore let us not underestimate
the use of words in psychotherapy, and let us be satisfied if we may be
auditors of the words which are exchanged between the analyst and his
patient.
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