Still we are not at the end of the psychotherapeutic methods and we may
turn to a fascinating group of curative efforts which has especially
come to the foreground in recent years. We mentioned before that
mischief cannot seldom be traced back to earlier experiences with a
strong unpleasurable feeling. In certain cases, the subject remembers
such particular experiences as the beginning of his discomfort; in
others, especially those of hysteric character, the starting point may
have long been forgotten, and yet that early impression evidently left
traces in the brain which produce disturbances in conscious life. The
psychotherapist nowadays calls these groups of traces "complexes." We
recognized clearly that there is no reason to refer such forgotten
remainders of the past to any subconscious mind; they are physical
after-effects which keep their influence over the equilibrium of the
psychophysical system. Now modern psychotherapy finds that the entire
disturbances which arise from such emotional disagreeable experiences,
forgotten or not forgotten, can often be removed by psychical means. Two
ways in particular seem open. As soon as the idea is fully brought back
to consciousness again, the patient must be made to express the primary
emotion with full intensity. Subtle analysis has repeatedly shown that
many of the gravest hysteric symptoms result from such a suppression of
emotions at the beginning and disappear as soon as the primary
experience comes to its right motor discharge and gains its normal
outlet in action. The whole irritation becomes eliminated, the emotion
is relieved from suppression and the source of the cortical uproar is
removed forever.
Practically still more important seems the other case which refers alike
to hysterics and psychasthenics and which is applicable for the
forgotten experience not less than for the well-remembered ones. This
second way demands that the psychotherapist bring this primary
experience strongly to consciousness and then by a new training link it
with new and more desirable associations and reactions. The disturbing
idea is thus not to be discharged but to be sidetracked so that in
future it leads to harmless results. The new setting works towards an
entirely new equilibrium. What was a starting point for abnormal fears
now becomes an indifferent object of interest and all its evil
consequences are cut off. It may be acknowledged that the full
elaboration of these methods still belongs to the future. Both methods,
the discharging, or the so-called cathartic one, and the side-tracking
method evidently demand the discovery of the starting point in the
service of the therapy and here again several methods are at the
disposal of the psychologist.
Public-domain text, read in full here on John Shaqi.
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