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
Obsessional patients are exceedingly clever at making the technical rule
almost useless by bringing their over-conscientiousness and doubt to
bear upon it. Patients with anxiety-hysteria sometimes succeed in
reducing it to absurdity by only producing associations which are so far
removed from what is wanted that they yield nothing for analysis.
However, I do not intend to introduce you to these technical
difficulties of the treatment. It is enough to know that finally, with
resolution and perseverance, we do succeed in extracting from the
patient a certain amount of obedience for the rule of the technique; and
then the resistance takes another line altogether. It appears as
intellectual opposition, employs arguments as weapons, and turns to its
own use all the difficulties and improbabilities which normal but
uninstructed reasoning finds in analytical doctrines. We then have to
hear from the mouth of the individual patient all the criticisms and
objections which thunder about us in chorus in scientific literature.
What the critics outside shout at us is nothing new, therefore. It is
indeed a storm in a teacup. Still, the patient can be argued with; he is
very glad to get us to instruct him, teach him, defeat him, point out
the literature to him so that he can learn more; he is perfectly ready
to become a supporter of psycho-analysis on the condition that analysis
shall spare him personally. We recognize resistance in this desire for
knowledge, however; it is a digression from the particular task in hand
and we refuse to allow it. In the obsessional neurosis the resistance
makes use of special tactics which we are prepared for. It permits the
analysis to proceed uninterruptedly along its course, so that more and
more light is thrown upon the problems of the case, until we begin to
wonder at last why these explanations have no practical effect and
entail no corresponding improvement in the symptoms. Then we discover
that the resistance has fallen back upon the doubt characteristic of the
obsessional neurosis and is holding us successfully at bay from this
vantage-point. The patient has said to himself something of this kind:
“This is all very pretty and very interesting. I should like to go on
with it. I am sure it would do me a lot of good if it were true. But I
don’t believe it in the least, and as long as I don’t believe it, it
doesn’t affect my illness.” So it goes on for a long time, until at last
this reservation itself is reached and then the decisive battle begins.
Public-domain text, read in full here on John Shaqi.
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