Psycho-Analysis and the War NeurosesFreud, Sigmund
History
Psycho-Analysis and the War Neuroses
Freud, Sigmund
Psychoanalysis; War neuroses
It would be easy to criticise the standpoint thus adopted, though
that is in no sense my purpose here. Two points alone may be raised.
If, as some writers assert, the strain of war conditions is in itself
sufficient to account for the development of a psychoneurosis without
the introduction of any other factor, then how is one to explain the
actual incidence of war neuroses? Neurotic symptoms amounting to a
definite clinico-pathological condition are by no means so common as
is sometimes stated. I do not know of any statistics on the matter,
but I should be surprised to hear that more than 2 per cent. of the
Army serving in France are affected in this way. This consideration
in itself shews that some other factors than war strain must be
involved, factors relating to the previous disposition of the men
affected, and the problem is to determine what these are. In the
second place, as to the dogmatic assertion that Freud’s theory of the
psychoneuroses cannot apply to those arising under war conditions.
An essential feature of this theory is that psychoneuroses result
from unconscious mental conflicts. To ascertain whether these are
operative in a given case, therefore, it is obviously necessary to
employ some method, such as psycho-analysis, which gives access to
the unconscious. It may, I think, be taken as certain that those who
deny the action of these conflicts in either the war neuroses or in
what, by way of contradistinction, must be called the peace neuroses,
have not thought it necessary to use any such method, and they thus
place themselves in a position very similar to that of a writer who
would on _a priori_ grounds deny the details or even the existence of
histology without ever having looked through a microscope, the only
avenue to histology. I choose this simile because it seems to me that
the relation of psycho-analysis to clinical psychiatry is not at all
inaptly described[8] as being like that of histology to anatomy. Or
one might draw an analogy from a strictly medical field. If some one
were to take a series of cases of tuberculosis supervening on measles
or typhoid, and then maintain that because this ætiological factor was
present therefore no microorganism could be, so that Koch’s views as to
the causation of tuberculosis were entirely unfounded, one would surely
have the right to ask whether any search for the bacillus had been made
in the cases in question, and to satisfy oneself that the observer had
grasped the difference between essential and merely exciting causes of
disease. If the answer to both these inquiries were in the negative,
I think it will be agreed that no great weight would be attached to
the claim that Koch’s theory of the nature of tuberculosis had been
demolished. Yet this is precisely the order of scientific thinking
evinced by those who maintain that Freud’s theory of the neuroses
has been demolished by the simple observation that they may manifest
themselves under the stress of warfare.
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