Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
The general condition of the patient during such an analysis seems also
worthy of consideration. For a while it remains uninfluenced by the
treatment expressing the former effective factors. But then a moment
comes in which the patient is seized, and his interest chained and from
that time his general condition becomes more and more dependent on the
condition of the work. Whenever a new explanation is gained and an
important contribution in the chain of the analysis is reached, the
patient feels relieved and experiences a presentiment of the approaching
deliverance; but at each standstill of the work, at each threatening
entanglement, the psychic burden which oppresses him grows, and the
unhappy sensation of his incapacity increases. To be sure, both
conditions are only temporary, for the analysis continues disdaining to
boast of a moment of wellbeing, and continues regardlessly over the
period of gloominess. One is generally pleased if it is possible to
substitute the spontaneous fluctuations in the condition of the patient
by such as one himself provokes and understands, just as one prefers to
see in place of the spontaneous discharge of the symptoms that order of
the day which corresponds to the condition of the analysis.
Usually the deeper one penetrates into the above described layers of the
psychic structure the more obscure and difficult the work will at first
become. But once the nucleus is reached light ensues, and there is no
more fear that a marked gloom will be cast over the condition of the
patient. However, the reward of the labor, the cessation of the symptoms
of the disease can only be expected when the full analysis of every
individual symptom has been accomplished; indeed where the individual
symptoms are connected through many junctures one is not even encouraged
by partial successes during the work. By virtue of the great number of
existing causal connections every unadjusted pathogenic idea acts as a
motive for the complete creation of the neurosis, and only with the last
word of the analysis does the whole picture of the disease disappear,
just as happens in the behavior of the individual reproduced
reminiscence.
Public-domain text, read in full here on John Shaqi.
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