The experiment was now tried of taking him back to a period
antedating the first attack. He was told that he was fifteen years
old, that is, a year before the accident occurred. He could no
longer speak or understand English, he was again in Rovno, engaged
as a salesman in a little store, had never been in America, and
did not know who we were. Testing sensation, it was found that it
had spontaneously returned to the hand. _There was not a trace of
the anaesthesia left._ The hands which did not feel deep pin pricks
before now reacted to the slightest stimulation. _Spontaneous
synthesis of the dissociated sensory impressions had occurred._
Just as formerly before the accident, sensation was in normal
association with the rest of his mental processes, so now this
association was re-established with the memories of that period to
which the patient was artificially reduced.
The patient was now (while still believing himself to be fifteen
years old) taken a year forward to the day on which the accident
occurred. He says he is going to the ball tonight. He is now at the
ball; he returned home; he is sent back to look for a ring. Like
a magic formula, it calls forth an attack in which again he lives
through the accident,--the terror and the spasms.
It was thus possible to reproduce an attack at any time with
clock-like precision by taking him back to the period of the
accident, and reproducing all its details in a hypnoidic state.
Each time the fear and the physical manifestations of the attack
(spasms, paresis, and anaesthesia) developed. These induced attacks
were identical with the spontaneous attacks, one of which we had
occasion to observe later.
At periodic intervals, as under the stress of fear, the
dormant activity is awakened and, though still unknown to the
patient, gives rise to the same sensori-motor disturbances
which characterized the original experience. These subconscious
dissociated states are so much more intense in their manifestations
by the very fact of their dissociaton from the inhibitory
influences of the normal mental life.
The psychognosis of such cases reveals on the one hand a
dissociation of mental processes, and on the other hand an
independent and automatic activity of subconscious psychic states,
under the disaggregating, paralyzing influence of the fear instinct.
A patient under my treatment for four months during the year of
1922 presents interesting traits. I regard the case as classic as
far as the fundamental factors of neurosis are concerned.
Public-domain text, read in full here on John Shaqi.
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