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
Resistances of this kind must not be narrowly condemned. They contain so
much of the most important material from the patient’s past life and
bring it back in so convincing a fashion that they come to be of the
greatest assistance to the analysis, if a skilful technique is employed
correctly to turn them to the best use. What is noteworthy is that this
material always serves at first as a resistance and comes forward in a
guise which is inimical to the treatment. Again it may be said that they
are character-traits, individual attitudes of the Ego, which are thus
mobilized to oppose the attempted alterations. One learns then how these
character-traits have been developed in connection with the conditions
of the neurosis and in reaction against its demands, and observes
features in this character which would not otherwise have appeared, at
least, not so clearly: that is, which may be designated latent. Also you
must not carry away the impression that we look upon the appearance of
these resistances as an unforeseen danger threatening our analytic
influence. No, we know that these resistances are bound to appear; we
are dissatisfied only if we cannot rouse them definitely enough and make
the patient perceive them as such. Indeed, we understand at last that
the overcoming of these resistances is the essential work of the
analysis, that part of the work which alone assures us that we have
achieved something for the patient.
Besides this, you must take into account that all accidental occurrences
arising during the treatment are made use of by the patient to interfere
with it, anything which could distract him or deter him from it, every
hostile expression of opinion from anyone in his circle whom he can
regard as an authority, any chance organic illness or one complicating
the neurosis; indeed, he even converts every improvement in his
condition into a motive for slackening his efforts. Then you will have
obtained an approximate, though still incomplete, picture of the forms
and the measures taken by the resistances which must be met and overcome
in the course of every analysis. I have given such a detailed
consideration to this point because I am about to inform you that our
dynamic conception of the neuroses is founded upon this experience of
ours of the resistances that neurotic patients set up against the cure
of their symptoms. Breuer and I both originally practised psycho-therapy
by the hypnotic method. Breuer’s first patient was treated throughout in
a state of hypnotic suggestibility; at first I followed his example. I
admit that at that time my work went forward more easily and agreeably
and also took much less time: but the results were capricious and not
permanent; therefore I finally gave up hypnotism. And then I understood
that no comprehension of the dynamics of these affections was possible
as long as hypnosis was employed. In this condition the very existence
of resistances is concealed from the physician’s observation. Hypnosis
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