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
This analogy tempts us also to classify as traumatic those experiences
to which our nervous patients seem to be fixated. In this way we should
be provided with a simple condition for a neurotic illness; it would be
comparable to a traumatic illness and would result from an incapacity to
deal with an overpowering affective experience. Indeed, the first
formula in which Breuer and I, in 1893–95, reduced our new observations
to a theory was expressed very similarly. A case like that of the first
patient described, the young woman separated from her husband, fits very
well into this description; she had not been able to “get over” the
impracticability of her marriage and was still attached to her trauma.
But the second case of the young girl who was tied to her father shows
us at once that the formula is not comprehensive enough. On the one
hand, an infantile adoration of her father by a little girl is such a
common experience and so frequently grown out of that the term
‘traumatic’ would lose all its meaning if applied to it; on the other
hand, the history of the case shows that this first erotic fixation was
gone through by the patient quite harmlessly at the time, to all
appearances, and only several years later came to expression in the
obsessional neurosis. So we see that there are complications ahead, a
considerable variety and number of determining factors in neurosis; but
we divine that the traumatic view will not necessarily be abandoned as
false, and that it will fit in and have to be co-ordinated properly
elsewhere.
Here again we must leave the path we have been following. At the moment
it will take us no further, and we have much more to learn before we can
find a satisfactory continuation of it. But before leaving the subject
of fixation to traumata it should be noted that it is a phenomenon
manifested extensively outside the neuroses; every neurosis contains
such a fixation, but not every fixation leads to a neurosis, or is
necessarily combined with a neurosis, or arises in the course of a
neurosis. Grief is a prototype and perfect example of an affective
fixation upon something that is past, and, like the neuroses, it also
involves a state of complete alienation from the present and the future.
But even the lay public distinguishes clearly between grief and
neurosis. On the other hand, there are neuroses which may be described
as morbid forms of grief.
It does also happen that persons may be brought to a complete standstill
in life by a traumatic experience which has shaken the whole structure
of their lives to the foundations, so that they give up all interest in
the present and the future, and live permanently absorbed in their
retrospections; but these unhappy persons do not necessarily become
neurotic. Therefore this single feature must not be overestimated as a
characteristic of neurosis, however invariable and significant it may be
otherwise.
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