Outwitting Our Nerves: A Primer of PsychotherapyJackson, Josephine A. (Josephine Agnes)
Science
Outwitting Our Nerves: A Primer of Psychotherapy
Jackson, Josephine A. (Josephine Agnes)
Nervous system -- Diseases; Psychoanalysis; Therapeutics, Suggestive
If a neurosis is a compromise, if it is the easiest way out, if it
serves a purpose, it must be that the individual himself has a hand in
shaping that purpose. Can it be that a breakdown which seems such an
unmitigated disaster is really welcomed by a part of our own selves?
Nothing is more intensely resented by the nervous invalid than the
accusation that he likes his symptoms,--and no wonder. The conscious
part of him hates the pain, the inconvenience, and the disability with
a real hatred. It is not pleasant to be ill. And yet, as it turns out,
it is pleasanter to be ill than it is to bear the tension of
unsatisfied desire or to be undeceived about oneself. Every symptom is
a means of expression for repressed and forgotten impulses and is a
relief to the personality. It tends to the preservation of the
individual, rather than to his destruction. The nervous invalid is not
short-lived, but his family may be! It has been said that a neurosis
is not so much a disease as a dilemma. Rather might it be said that
the neurosis is a way out of the dilemma. It is a harbor after a
stormy sea, not always a quiet harbor, but at least a usable one.
Unpleasant as it is, every nervous symptom is a form of compensation
which has been deliberately though unconsciously chosen by its owner.
=Rationalizing Our Distress.= Among other things, a nervous symptom
furnishes a seemingly reasonable excuse for the sense of distress
which is behind every breakdown. Something troubles us. We are not
willing to acknowledge what it is. On the other hand, we must appear
reasonable to ourselves, so we manufacture a reason. Perhaps at the
time when the person first feels distress, he is on a railroad train.
So he says to himself, "It is the train. I must not go near the
railway"; and he develops a phobia for cars. Perhaps at the onset of
the fear he happens to have a slight pain in the arm. He makes use of
the pain to explain his distress. He thinks about it and holds on to
it. It serves a purpose, and is on the whole less painful than the
feeling of unexplained impending disaster which is attached to no
particular idea. Perhaps he happens to be tired when the conflict
first gets beyond control. So he seizes the idea of fatigue to explain
his illness. He develops chronic fatigue and talks proudly of
overwork. In every case the symptom serves a real purpose, and is,
despite its discomfort, a relief to the distressed personality.
A neurosis is a subconscious effort at adjustment. Like a physical
symptom, it is Nature's way of trying to cure herself. It is an
attempt to get equilibrium, but it is an awkward attempt and hardly
the kind that we would choose when we see what we are doing.
Public-domain text, read in full here on John Shaqi.
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