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
First: when we undertake to cure a patient of his symptoms he opposes
against us a vigorous and tenacious _resistance_ throughout the entire
course of the treatment. This is such an extraordinary thing that we
cannot expect much belief in it. It is best to say nothing about it to
the patient’s relations, for they invariably regard it as a pretext set
up by us to excuse the length or the failure of the treatment. The
patient, too, exhibits all the manifestations of this resistance without
recognizing it as such, and it is a great step forward when we have
brought him to realize this fact and to reckon with it. To think that
the patient, whose symptoms cause him and those about him such
suffering, who is willing to make such sacrifices in time, money,
effort, and self-conquest in order to be freed from them,—that he
should, in the interests of his illness, resist the help offered him.
How improbable this statement must sound! And yet it is so, and if the
improbability is made a reproach against us we need only reply that it
is not without its analogies; for a man who has rushed off to a dentist
with a frightful toothache may very well fend him off when he takes his
forceps to the decayed tooth.
The resistance shown by patients is highly varied and exceedingly
subtle, often hard to recognize and protean in the manifold forms it
takes; the analyst needs to be continually suspicious and on his guard
against it. In psycho-analytic therapy we employ the technique which is
already familiar to you through dream-interpretation: we require the
patient to put himself into a condition of calm self-observation,
without trying to think of anything, and then to communicate everything
which he becomes inwardly aware of, feelings, thoughts, remembrances, in
the order in which they arise in his mind. We expressly warn him against
giving way to any kind of motive which would cause him to select from or
to exclude any of the ideas (associations), whether because they are too
“disagreeable,” or too “indiscreet” to be mentioned, or too
“unimportant” or “irrelevant” or “nonsensical” to be worth saying. We
impress upon him that he has only to attend to what is on the surface
consciously in his mind, and to abandon all objections to whatever he
finds, no matter what form they take; and we inform him that the success
of the treatment, and, above all, its duration, will depend upon his
conscientious adherence to this fundamental technical rule. We know from
the technique of dream-interpretation that it is precisely those
associations against which innumerable doubts and objections are raised
that invariably contain the material leading to the discovery of the
unconscious.
Public-domain text, read in full here on John Shaqi.
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