Psycho-Analysis and the War NeurosesFreud, Sigmund
History
Psycho-Analysis and the War Neuroses
Freud, Sigmund
Psychoanalysis; War neuroses
Strümpell was one of the first to oppose the purely organic-mechanistic
idea of the war neuroses. He had, moreover, for some time previously
referred to certain psychical factors in the causation of the traumatic
neuroses. He made the accurate observation that in railway accidents,
etc., those who suffered from a severe neurosis were for the most
part those who had an _interest_ in being able to prove an injury as
caused by the trauma: for example, persons who were insured against
accidents and wished to obtain a large sum of money, or those who
instituted proceedings against the railway company for compensation
for injury. Similar or much more severe shocks have, however, no
lasting nervous results if the accident happens during sport through
one’s own carelessness, especially under circumstances that exclude
the hope of compensation for injury as those mentioned, so that the
patient has no interest in remaining ill, but every interest in the
speediest recovery. Strümpell asserts that the shock neuroses always
develop secondarily and purely psycho-genetically as the result of
desire of gain; he gave medical men the well-meant advice not to
take seriously the complaints of these patients, like Oppenheim,
but to bring them back as soon as possible to life and work through
the smallest allowance or through withdrawal of their pension. The
representations of Strümpell created a great impression in the medical
world even in peace time; they led to the idea of the “compensation
hysteria”; the sufferers, however, were treated not much better than
if they were malingerers. Strümpell now suggests that the war neuroses
are also neuroses of covetousness, which serve the patients’ purpose in
getting free from the military authorities with the highest possible
pension. Accordingly he demands a strict examination and expert opinion
of the neuroses occurring in military persons. The content of the
pathogenic ideas is always a wish—the wish for material compensation,
for remaining far from infections and danger—and this wish acts
along auto-suggestive paths in fixing more firmly the symptoms, the
persistence of morbid sensations and of innervation disturbances of
motility.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account