To mention at least one case of the large group in which suppressed
sexual emotion was the evident source of an anxiety-neurosis, I mention
the case of a woman who showed very strong symptoms of anxiety and
oppression and who was cured by a simple advice.
The woman, aged thirty-two, was a saleswoman in a large store
selling gentlemen's gloves and ties. She suffered from time to time
by attacks of vague anxiety in which her heart showed vehement
palpitation. There were paleness and perspiration and at the height
a nervous trembling together with a feeling of despair. These
attacks were not frequent, separated sometimes by weeks, sometimes
by months, but troubling her exceedingly. She had been assured by a
physician that her heart was normal and that she was probably
overworked. She could find absolutely no source of the disturbance.
After a long conversation, I was also unable to discover any direct
or indirect causes until I worked on the basis of those theories
which we have discussed, the theories which connect hysteric
symptoms with chance intrusions which stand in relations to past
suppressed emotions of sexual character. The patient absolutely
denied any present sexual emotions. She had been engaged about
eight years before and acknowledged that at that time there were
strong sexual feelings connected with her fiance, who broke the
engagement. Psychoanalytic methods now brought it to full clearness
that she had her first attack after selling a pair of gloves and
fitting them to the hand of a male customer who had a certain
similarity to her fiance. It was not possible to trace this in the
same way for later cases too, but it seems that bodily contact with
a man by fitting gloves preceded every attack. All this was brought
out partly by questions, partly by free ascending associations
while she, herself, believed that she simply pronounced nonsense
words as they came to her mind, and partly it was secured in a
half-hypnotic state. I came to the conclusion that the suppressed
sexual emotions at the breaking of the engagement were the primary
cause of the disease. The similarity of the first customer together
with the tactual sensations had evidently touched that complex and
brought the suppressed emotion to an explosion which frequently
takes the form of palpitation and similar symptoms. Later the mere
tactual sensation alone produced by the contact with the hand of a
man, possibly with a similar optical impression, perhaps also with
the sound of the voice, brought back the reaction. Instead of
giving treatment, I insisted that she change stores, and become
saleswoman in a house where she would have to do only with women,
and to sell articles which did not bring her into personal contact
with customers. After more than six months of work in her new
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