reduced if one encounters a danger without being prepared for it; it
lays stress on the element of surprise. In my opinion apprehension
cannot produce a traumatic neurosis; in apprehension there is something
which protects against fright and therefore against the fright-neurosis.
We shall return later to this dictum.
The study of dreams may be regarded as the most trustworthy approach to
the exploration of the deeper psychic processes. Now in the traumatic
neuroses the dream life has this peculiarity: it continually takes the
patient back to the situation of his disaster, from which he awakens in
renewed terror. This fact has caused less surprise than it merits. The
obtrusion on the patient over and again, even in sleep, of the
impression made by the traumatic experience is taken as being merely a
proof of its strength. The patient has so to speak undergone a psychical
fixation as to the trauma. Fixations of this kind on the experience
which has brought about the malady have long been known to us in
connection with hysteria. Breuer and Freud stated in 1893 that hysterics
suffer for the most part from reminiscences. In the war neuroses,
observers, such as Ferenczi and Simmel, have been able to explain a
number of motor symptoms as fixation on the factor of the trauma.
But I am not aware that the patients suffering from traumatic neuroses
are much occupied in waking life with the recollection of what happened
to them. They perhaps strive rather not to think of it. To regard it as
self-evident that the dream at night takes them back to the situation
which has caused the trouble is to misunderstand the nature of dreams.
It would be more in correspondence with that nature if the patient were
presented (in sleep) with images from the time of his normal health or
of his hoped-for recovery. If we are not to go thoroughly astray as to
the wish-fulfilment tendency of the dream in consequence of these dreams
of the shock neuroses, perhaps the expedient is left us of supposing
that in this condition the dream function suffers dislocation along with
the others and is diverted from its usual ends, or else we should have
to think of the enigmatic masochistic tendencies of the ego.
I propose now to leave the obscure and gloomy theme of the traumatic
neuroses and to study the way in which the psychic apparatus works in
one of its earliest normal activities. I refer to the play of children.
Public-domain text, read in full here on John Shaqi.
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