Psycho-Analysis and the War NeurosesFreud, Sigmund
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Psycho-Analysis and the War Neuroses
Freud, Sigmund
Psychoanalysis; War neuroses
The war neurosis, like the peace neurosis, is the expression of a
splitting of the personality. The conditions for such a splitting are
brought about by the consistent narrowing of the personality complex as
a result of the compulsory discipline and above all by the psychic and
physical exhaustion of one or more years of war. The soldier severely
burdened with undischarged mental material is compelled to meet
abnormally heavy demands. An accident or a disastrous event then causes
the obstructed personality to break down. Complexes with accentuated
feelings held down in the unconscious become unduly powerful, and
the neurosis becomes manifest. The passage from the psychical to the
physical, however, signifies here more than a self-preserving process
of the psyche. The act of falling ill is, in my opinion, at the same
time the commencement of the healing process. The consistent use of
analytic hypnosis has repeatedly shown that the physical symptoms in
their mute expression strive to bring to the notice of the man the
elements that are disturbing his personality and which are imprisoned
and obstructed in his unconscious. Since the union between conscious
and unconscious is interrupted within by the strong barrier of the
resistance, a detour by way of external physical paths is necessary
in order to re-establish the harmonious fitting together of the
personality.
If the predominant physical symptoms of the war neuroses are modes of
expression of unconsciously determined ideas, the more psychic forms
of these neuroses, the states of inhibition or excitement, are due to
an effort on the part of the repressed affects to re-establish the
disturbed psychic balance. A strict demarcation between aetiologically
effective ideas and sensations is naturally not conceivable. The
relationship can only be a quantitative one. All ideas obviously stand
in a quite special relationship to the ego of the patient through their
accentuation of feelings; on the other hand, the affects are bound to
their causative ideas.
The first part of our mental analytic therapy is to recognise the
meaning of the neurotic healing tendency, the second, to convey our
knowledge to the patient. The crowning point of our treatment consists
in securing the spontaneous cooperation of the neurotic who, freed of
his emotional inhibition, and now in harmony with himself, has, through
his wider mental field of vision, a greater scope for the activity of
his will power. Man can only desire what he knows. By reason of this
the analyst comes to realise that the diagnosis, “mala voluntas”, which
so often brings the doctor who is untrained in analysis into conflict
with his patient, mostly betokens a “mala potentia” of the doctor who
knows nothing about the functions of the unconscious.
Public-domain text, read in full here on John Shaqi.
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