A systematic training of the power of inhibition is indeed the
fundamental factor in all psychotherapeutic treatment when the
disturbance is in the volitional sphere, but the inhibition is secured
most safely by reenforcement of the antagonistic attitude. From these
volitional variations on the one side, from the ideational disturbances
on the other, only a few steps lead to those dissociations of the
personality which are characteristic of many graver cases of hysteria.
But to give to them any adequate analysis, it would be insufficient to
refer in this brief way to particular cases. Psychopathological
literature possesses some excellent analyses of such complex
disturbances. As I said before, I abstain entirely here from such
complex phenomena, as they enter too seldom into the sphere of the
practitioner and as the bewildering manifoldness of their symptoms does
not allow us so easily to recognize the fundamental principles which
alone were to be illustrated by our short survey of practical cases.
XI
THE BODILY SYMPTOMS
The discussion of the bodily symptoms which may yield to
psychotherapeutic treatment, naturally forms only a short appendix to
our discussion of the mental symptoms. Our interest was from the
beginning essentially a psychological one. I shall have to be the more
brief as my personal experience in the treatment of bodily diseases
through mental therapy is entirely secondary and accidental. The
psychological laboratory would, of course, be an entirely unfit place to
struggle with diseases of which the chief symptoms are not
psychophysical. Yet in spite of frequent testimonies of well-known
physicians to the contrary, I am still inclined to think that this is
also the situation at large. I think that in medicine in general the
psychophysical effect of mental treatment is by far more important and
by far more extended than the healing effect on diseased peripheral
organs. Of course these peripheral parts of the body may be favorably
influenced in an indirect way by the mental treatment; we shall have to
take notice of this important result but that is strictly not a
therapeutic effect on the bodily symptoms. Moreover, purely psychical
effects may give an impression as if the bodily symptom itself has been
removed.
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