Psycho-Analysis and the War NeurosesFreud, Sigmund
History
Psycho-Analysis and the War Neuroses
Freud, Sigmund
Psychoanalysis; War neuroses
Out of this chaos of symptoms the “trembling” neurosis stands out
through its frequency and conspicuousness. You all know those
pathetic creatures who hobble along through the streets with shaking
knees, uncertain gait and peculiar motor disturbances. They give
the impression of being helpless and incurable invalids; and yet
experience shows that also this traumatic form of illness is purely
psychogenic. A single treatment with electricity and suggestion, a
few hypnotic sittings are often sufficient in rendering these men
capable of doing some work, if only temporarily and under certain
conditions. Erben has made the most careful investigation into these
disturbances of innervation; he found that these disturbances are
only suspended or increased when the respective group of muscles
carry out an action or intend to do so. His explanation for this
is, that here the “volitional impulse makes a path for the spasm”,
which, however, is only the physiological paraphrase of the facts
of the case. Psycho-analysis suspects here a psychical motivation:
the activity of an unconscious contrary wish which puts itself in the
way of the consciously wished act. This is indeed most striking in
those patients of Erben who are prevented from going forward through
the most violent attacks of shaking, but can carry out the much more
difficult task of going backwards without trembling. Erben also here
has a complicated physiological explanation ready, but forgets that
the movement backwards, which removes the patient from the dangerous
goal of the forward movement—and finally from the front line—does
not need to be disturbed by any contrary wish. The remaining kinds
of motor disturbances demand a similar interpretation, in particular
the striking, uncontrollable running of many neurotics, so like the
propulsion in paralysis agitans. These are the men who do not recover
from the effect of the terror and are still always flying from dangers
to which they were once exposed.
Public-domain text, read in full here on John Shaqi.
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