Introductory lectures on psycho-analysis : $b a course of twenty-eight lectures delivered at the University of ViennaFreud, Sigmund
Science
Introductory lectures on psycho-analysis : $b a course of twenty-eight lectures delivered at the University of Vienna
Freud, Sigmund
Psychoanalysis
Having established this first point, our psychiatric interest increases.
When a delusion cannot be dissipated by the facts of reality, it
probably does not spring from reality. Where else then does it spring
from? Delusions can have the most various contents; why is the content
of it in this case jealousy? What kind of people have delusions, and
particularly delusions of jealousy? Now we should like to listen to the
psychiatrist, but he leaves us in the lurch here. He considers only one
of our questions. He will examine the family history of this woman and
will _perhaps_ bring us the answer that the kind of people who suffer
from delusions are those in whose families similar or different
disorders have occurred repeatedly. In other words, this lady has
developed a delusion because she had an hereditary predisposition to do
so. That is certainly something; but is it all that we want to know? Is
it the sole cause of her disease? Does it satisfy us to assume that it
is unimportant, arbitrary, or inexplicable that one kind of delusion
should have been developed instead of another? And are we to understand
the proposition—that the hereditary predisposition is decisive—also in a
negative sense; that is, that no matter what experiences and emotions
life had brought her she was destined some time or other to produce a
delusion? You will want to know why scientific psychiatry gives no
further explanation. And I reply: “Only a rogue gives more than he has.”
The psychiatrist knows of no path leading to any further explanation in
such a case. He has to content himself with a diagnosis and, in spite of
wide experience, with a very uncertain prognosis of its future course.
Public-domain text, read in full here on John Shaqi.
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