But interest in suggestion does not represent to-day the last step of
psychotherapy. The latest movement, which is entirely in its beginning,
the development of which no one can foresee, but which promises wide
perspectives, is connected with the name of Freud in Vienna. The
entirely new turn of psychotherapy is given by the fact that his aim is
not to overcome a symptom by suggestion but to make it disappear by
removing the ultimate mental cause. He found that large groups of mental
disturbances result from a psychical trauma, a disagreeable idea which,
inhibited in the mind, becomes the source of mischief and produces
phobias and obsessions and hysterical motions. The cure of the symptoms
demands the recognition of this first mental accident, which may lie
back for years and which may no longer be in the memory of the patient.
As soon as this earlier experience is brought to consciousness again, it
needs only a natural discharge and a normal expression and the symptoms
which it brought about will disappear. Thus the cure itself needs no
hypnotism and no persuasion or suggestion but the reawakening of
forgotten situations, and only in the service of this effort hypnotism
may be used to reenforce the memory. Yet this represents only the first
period of Freud's activity, in which he collaborated with Breuer, a
phase which is represented by their book on hysteria, in 1895. But there
followed a further development which is still more essential. The
hysterical disturbance may indeed have started with such an accidental
traumatic impression but that does not explain why just this impression
had such a strong effect. Other impressions of equal strength and
emotional vividness may have passed without leaving any damaging result.
And therefore there must be some prior cause in the subject which makes
just this particular impression so injurious; and here is the point of
Freud's fundamental discovery, which for the layman appears on the
surface to have little probability but which has proved of greatest
consequence for clinical work. It was found that only those situations
become injurious and become starting points for hysterical symptoms
which touch on repressed and artificially inhibited ideas of the sexual
sphere.
Public-domain text, read in full here on John Shaqi.
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