Association of ideas; Memory; Paragrammatism; Psychoanalysis; Psychology, Pathological; Repression (Psychology)
As I am seldom in a position to deal with active medical matters, I
can only report one mistake from my own experience. I treated a very
old woman, whom I visited twice daily for several years. My medical
activities were limited to two acts, which I performed during my
morning visits: I dropped a few drops of an eye lotion into her eyes
and gave her a hypodermic injection of morphine. I prepared regularly
two bottles--a blue one, containing the eye lotion, and a white one,
containing the morphine solution. While performing these duties my
thoughts were mostly occupied with something else, for they had been
repeated so often that the attention acted as if free. One morning I
noticed that the automaton worked wrong; I had put the dropper into the
white instead of into the blue bottle, and had dropped into the eyes
the morphine instead of the lotion. I was greatly frightened, but then
calmed myself through the reflection that a few drops of a _two per
cent_. solution of morphine would not likely do any harm even if left
in the conjunctival sac. The cause of the fright manifestly belonged
elsewhere.
In attempting to analyse the slight mistake I first thought of the
phrase, “to seize the old woman by mistake,” which pointed out the
short way to the solution. I had been impressed by a dream which a
young man had told me the previous evening, the contents of which could
be explained only on the basis of sexual intercourse with his own
mother.[48] The strangeness of the fact that the Œdipus legend takes
no offence at the age of Queen Jocasta seemed to me to agree with the
assumption that in being in love with one’s mother we never deal with
the present personality, but with her youthful memory picture carried
over from our childhood. Such incongruities always show themselves
where one fantasy fluctuating between two periods is made conscious,
and is then bound to one definite period.
Deep in thoughts of this kind, I came to my patient of over ninety;
I must have been well on the way to grasp the universal character
of the Œdipus fable as the correlation of the fate which the oracle
pronounces, for I made a blunder in reference to or on the old woman.
Here, again, the mistake was harmless; of the two possible errors,
taking the morphine solution for the eye, or the eye lotion for the
injection, I chose the one by far the least harmful. The question still
remains open whether in mistakes in handling things which may cause
serious harm we can assume an unconscious intention as in the cases
here discussed.
Public-domain text, read in full here on John Shaqi.
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