Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
I can now demonstrate two other extreme forms of hysteria in which it is
impossible to show that the splitting of consciousness is primary in the
sense of Janet. In the first of these forms I could repeatedly show that
the splitting of the content of consciousness was an arbitrary act of
the patient, that is, it was initiated through an exertion of the will
which motive can be stated. I naturally do not maintain that the patient
intended to produce a splitting of his consciousness; the patient’s
intention was different, but instead of attaining its aim it provoked a
splitting of consciousness.
In the third form of hysteria, as we have demonstrated by
psychic-analysis of intelligent patients, the splitting of consciousness
plays only an insignificant and perhaps really no rôle. This includes
those cases in which there had been no reaction to the traumatic
stimulus and which were then adjusted and cured by ab-reaction. They are
the pure retention hysterias.
In connection with the phobias and obsessions I have only to deal here
with the second form of hysteria which for reasons to be presently
explained I will designate as defense hysteria and thus distinguish it
from the hypnoid and retention hysterias. Preliminarily I am able to
call my cases of defense hysteria “acquired” hysterias for they show
neither marked hereditary taints nor any degenerative disfigurements.
In those patients whom I have analyzed there existed psychic health
until the moment in which a case of incompatibility occurred in their
ideation, that is, until there appeared an experience, idea, or feeling
which evoked such a painful affect that the person decided to forget it
because he did not trust his own ability to remove the resistance
between the unbearable ideas and his ego.
Such incompatible ideas originate in the feminine sex on the basis of
sexual experiences and feelings. With all desired precision the patients
recall their efforts of defense, their intention “to push it away,” not
to think of it, to repress it. As appropriate examples I can easily cite
the following cases from my own experience: A young lady reproached
herself because, while nursing her sick father, she thought of a young
man who made a slight erotic impression on her; a governess fell in love
with her employer and decided to crowd it out of her mind because it was
incompatible with her pride, etc.
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