Association of ideas; Memory; Paragrammatism; Psychoanalysis; Psychology, Pathological; Repression (Psychology)
Such occurrences are by no means rare even in cases of moderate
severity, and they betray the portion of unconscious intention through
a series of special features--for example, through the striking
presence of mind which the patients show in the pretended accidents.[50]
I will report exhaustively one in place of many such examples from
my professional experience. A young woman broke her leg below the
knee in a carriage accident so that she was bedridden for weeks. The
striking part of it was the lack of any manifestation of pain and the
calmness with which she bore her misfortune. This calamity ushered in
a long and serious neurotic illness, from which she was finally cured
by psychotherapy. During the treatment I discovered the circumstances
surrounding the accident, as well as certain impressions which preceded
it. The young woman with her jealous husband spent some time on
the farm of her married sister, in company with her numerous other
brothers and sisters with their wives and husbands. One evening she
gave an exhibition of one of her talents before this intimate circle;
she danced artistically the “cancan,” to the great delight of her
relatives, but to the great annoyance of her husband, who afterward
whispered to her, “Again you have behaved like a prostitute.” The words
took effect; we will leave it undecided whether it was just on account
of the dance. That night she was restless in her sleep, and the next
forenoon she decided to go out driving. She chose the horses herself,
refusing one team and demanding another. Her youngest sister wished
to have her baby with its nurse accompany her, but she opposed this
vehemently. During the drive she was nervous; she reminded the coachman
that the horses were getting skittish, and as the fidgety animals
really produced a momentary difficulty she jumped from the carriage
in fright and broke her leg, while those remaining in the carriage
were uninjured. Although after the disclosure of these details we can
hardly doubt that this accident was really contrived, we cannot fail
to admire the skill which forced the accident to mete out a punishment
so suitable to the crime. For as it happened “cancan” dancing with her
became impossible for a long time.
Concerning self-inflicted injuries of my own experience, I cannot
report anything in calm times, but under extraordinary conditions I do
not believe myself incapable of such acts. When a member of my family
complains that he or she has bitten his tongue, bruised her finger,
and so on, instead of the expected sympathy I put the question, “Why
did you do that?” But I have most painfully squeezed my thumb, after a
youthful patient acquainted me during the treatment with his intention
(naturally not to be taken seriously) of marrying my eldest daughter,
while I knew that she was then in a private hospital in extreme danger
of losing her life.
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