Psychopathic or neurotic symptom complexes I observed in children
whose early training was favorable to the awakening and
development of the fear instinct. In children affected with fear of
animals I traced the fear psychosis to the parents who were afraid
of animals, on account of actual traumas in their life history,
_the child being influenced by imitation, by suggestion, often
subconscious, by the behavior of the parents in the presence of
animals_. Such children are predisposed to recurrent psychopathic
states.
In all such cases the etiology is easy to find, if the patient
is carefully examined. In many cases the fear instinct with its
symptom complex is associated with external objects, giving rise
to the so-called phobias. Instead, however, of being associated
with external objects, the fear instinct is frequently associated
with somatic functions (pathophobia), or with mental activities
(phrenophobia).
Man, aged forty-seven years; actor; family neurotic. Patient
suffered from anorexia, indigestion, choking, vomiting, gagging,
eructation, gastralgia, and occasional pains in the limbs. He led
a rather gay and irregular life up to the age of thirty-two years,
when he had syphilis, for which he was under treatment for two
years. This scared him because he had the opportunity to see the
consequences of syphilis in many of his friends. He had been under
continual fear of the possibility of development of parasyphilitic
diseases.
Seven years ago, at the age of forty years, he had to watch at the
bedside of an intimate friend, who had been suffering from severe
gastric crises of tabes dorsalis. After one specially exhausting
night of vigil, worry and fear, he went to bed for a short nap and
woke up with the idea of general paresis and intense fear. From
that time he began to suffer from symptoms of tabes with fear of
general paresis.
The patient had been an imaginative child; he had his fear instinct
cultivated from early childhood by stories of frights, scares,
and horrible accidents. When ten years old, his grandfather gave
_Faust_ to him to read. Since then the patient was troubled with
the fear of selling his soul to Satan. The patient was religious
in his childhood, prayed much, and was possessed by the fear of
committing sins. “It has now all come back,” he complained. A great
number of fears could be traced to his early childhood. The somatic
symptoms were the manifestations of association of experiences of
parasyphilitic diseases, based on the pathological state of the
fear instinct, a case of pathophobia, a somatopsychosis.
A few hypnoidal treatments effected a cure. The patient returned to
his occupation, free from any distressing symptoms.
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