Association of ideas; Memory; Paragrammatism; Psychoanalysis; Psychology, Pathological; Repression (Psychology)
One day I was to examine a strange young man at his mother’s home. As
he came towards me I was attracted by a large stain on his trousers,
which by its peculiar stiff edges I recognized as one produced by
albumen. After a moment’s embarrassment the young man excused this
stain by remarking that he was hoarse and therefore drank a raw egg,
and that some of the slippery white of the egg had probably fallen on
his clothes. To confirm his statements he showed the eggshell which
could still be seen on a small plate in the room. The suspicious spot
was thus explained in this harmless way; but as his mother left us
alone I thanked him for having so greatly facilitated the diagnosis
for me, and without further procedure I took as the topic of our
discussion his confession that he was suffering from the effects of
masturbation.
Another time I called on a woman as rich as she was miserly and
foolish, who was in the habit of giving the physician the task of
working his way through a heap of her complaints before he could reach
the simple cause of her condition. As I entered she was sitting at
a small table engaged in arranging silver dollars in little piles:
as she rose she tumbled some of the pieces of money to the floor.
I helped her pick them up, but interrupted the recitation of her
misery by remarking: “Has your good son-in-law been spending so much
of your money again?” She bitterly denied this, only to relate a few
moments later the lamentable story of the aggravation caused by her
son-in-law’s extravagances. And she has not sent for me since. I cannot
maintain that one always makes friends of those to whom he tells the
meaning of their symptomatic actions.
He who observes his fellow-men while at table will be able to verify in
them the nicest and most instructive symptomatic actions.
Dr. Hans Sachs relates the following:--
“I happened to be present when an elderly couple related to me partook
of their supper. The lady had stomach trouble and was forced to follow
a strict diet. A roast was put before the husband, and he requested
his wife, who was not allowed to partake of this food, to give him
the mustard. The wife opened the closet and took out the small bottle
of stomach drops, and placed it on the table before her husband.
Between the barrel-shaped mustard-glass and the small drop-bottle
there was naturally no similarity through which the mishandling could
be explained; yet the wife only noticed the mistake after her husband
laughingly called her attention to it. The sense of this symptomatic
action needs no explanation.”
For an excellent example of this kind which was very skilfully utilized
by the observer, I am indebted to Dr. Bernh. Dattner (Vienna):--
Public-domain text, read in full here on John Shaqi.
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