With less diagnostic elegance we sometimes reach the same end by taking
careful records of pulse and breathing and involuntary movements during
an apparently harmless conversation. The instruments at the disposal of
the psychologist are those familiar to every psychological laboratory:
the pneumograph, which registers the movements of respiration; the
sphygmograph, which writes the pulsation of the artery in the wrist; the
automatograph, or other instruments, which register the slight
unintentional movements of the arm. If the examiner is skillful, he will
not fail to discover the changes in breathing and pulse and reaction as
soon as the painful groups of ideas are approached. More of theoretic
interest and too cumbersome for practical diagnosis is the unfailing
galvanic reaction from the skin in which the glands change their
activity and their resistance to the galvanic current under the
influence of hidden emotions. Yet all these methods, with exception of
the last, are essentially useful only if the starting experience is
still accessible to the memory of the patient. He may be unaware that it
had anything to do with his nervous symptoms but he recognizes the
experience still as soon as his attention is directed towards it. The
psychologically more interesting but probably more exceptional situation
is the one in which it is not only forgotten but cannot be recognized
when it is brought to consciousness. The shortest way to get hold of
such past impressions is the hypnotic one. The hypnotic state sharpens
the memory and experiences of early childhood or apparently
insignificant experiences of later life may be brought back when they
would have been inaccessible to any intentional effort of the attention.
Even still more surprising is the success if the association is left to
a dreamy play of ideas suggested perhaps by gazing into a crystal ball
or by a meaningless talking. Perhaps the patient lies with closed eyes
on the couch while the physician holds his hand. A few words are given
to him as a starting point and then he is thoughtlessly to pronounce
whatever comes to his mind, not only unfinished sentences but loose
phrases, single words, apparently without meaning and slowly ideas arise
which betray the original intrusion. At last memories and lost emotions
come again to the surface, and the watchful psychotherapist may discover
the complex, which is then to be removed by discharge or by
side-tracking. This is the so-called psychoanalytic method.
Public-domain text, read in full here on John Shaqi.
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