Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
I will introduce one more complication, and then my effort to illustrate
the organization of the pathogenic psychic material will be achieved. It
can happen that we may deal with more than one single nucleus in the
pathogenic material, as, for example, when we have to analyze a second
hysterical outbreak having its own etiology but which is still connected
with the first outbreak of an acute hysteria which has been overcome
years before. It can readily be imagined what strata and streams of
thought must be added in order to produce a connection between the two
pathogenic nuclei.
I will still add a few observations to the picture obtained of the
organization of the pathogenic material. We have said of this material
that it behaves like a foreign body, and that the therapy also acts like
the removal of a foreign body from the living tissues. We are now in
position to consider the shortcomings of this comparison. A foreign body
does not enter into any connection with the layers of tissue surrounding
it, although it changes them and produces in them a reactive
inflammation. On the other hand, our pathogenic psychic group does not
allow itself to be cleanly shelled out from the ego, its outer layers
radiate in all directions into the parts of the normal ego, and really
belong to the latter as much as to the pathogenic organization. The
boundaries between both become purely conventional in the analysis,
being placed now here, now there, and in certain locations no
demarcation is possible. The inner layers become more and more estranged
from the ego without showing a visible beginning of the pathogenic
boundaries. The pathogenic organization really does not behave like a
foreign body, but rather like an infiltration. The infiltrate must, in
this comparison, be assumed to be the resistance. Indeed, the therapy
does not consist in extirpating something—psychotherapy cannot do that
at present—but it causes a melting of the resistance, and thus opens the
way for the circulation into a hitherto closed territory.
(I make use here of a series of comparisons all of which have only a
very limited resemblance to my theme, and do not even agree among
themselves. I am aware of that, and I am not in danger of
over-estimating their value; but, as it is my intention to illustrate
the many sides of a most complicated and not as yet depicted idea, I
therefore take the liberty of dealing also in the following pages with
comparisons which are not altogether free from objections.)
Public-domain text, read in full here on John Shaqi.
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