Entirely new perspectives have been opened by these studies. Above all,
now for the first time there is in sight a psychotherapy which not only
aims to remove symptoms but which really uproots the disease itself.
That earlier method of bringing the trauma to consciousness and making
it discharge, the so-called cathartic method, removes only the
particular group of disturbances but the patient remains a hysteric, and
if ever new accidents should happen which would touch again those inmost
repressed ideas, new hysterical symptoms would develop. But if we can go
back to that starting point, if we can discover those first suppressions
of desired gratifications which often most indirectly are related to the
sexual sphere, and if we can liberate the mind from those primary
strangulated affections, then the patient is really cured. Freud himself
practically abstained from the help which hypnotism can give for the
reawakening of forgotten experiences, while some of his pupils still
prefer this short way to the forgotten memories. His way is, on the
whole, to let the imagination bring up any chance material of associated
ideas and then to study their connections and follow the hints they
give. He calls it the psychoanalytic method. Others prefer the methods
of association tests, again others tap the lower layers by automatic
writing, but the chief problem remains always to discover those
repressed desires and to understand through them the injurious effects
of accidental experiences. The whole field of hysteria, and perhaps
still more that of the anxiety neurosis, has come into new perspective
through this pioneer work which men like Bleuler, Jung, and Stekel have
developed in various directions.
Thus in recent decades the thorough work of scientific physicians has
developed a psychotherapy of considerable extent and of indubitable
usefulness, far removed from the simultaneous efforts of the churches
and of the popular mental healing cures. A number of eminent men in all
countries have tested the methods and have published the results. But
the curious side of it is that all this is essentially a movement of
leaders while the masses of the profession hesitate to follow. It is a
set of officers without an army. Every large city has one or another
specialist who applies suggestive therapy, one or another nerve
specialist who hypnotizes, but the average physician moves on without
any serious effort to utilize psychotherapy. It is as if the
prescription of the modern chemical drugs were confined to some leading
scholars in the country, while the thousands abstained from it in their
office work and in their family practice. In reality psychotherapy ought
to be used by every physician, as it fits perfectly the needs of the
whole suffering community. Its almost exceptional use in the hands of a
few scholarly leaders deprives it of its true importance. It is the
village doctor who needs psychotherapy much more than he needs the knife
and the electric current.
Public-domain text, read in full here on John Shaqi.
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