Selected papers on hysteria and other psychoneurosesFreud, Sigmund
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Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
I am unable to maintain that the exertion of the will, in crowding such
thoughts out of one’s mind, is a pathological act, nor am I able to
state whether and how, the intentional forgetting succeeds in those
persons who remain well under the same psychic influences. I only know
that in the patients whom I analyzed such “forgetting” was unsuccessful
and led to either a hysteria, obsession, or a hallucinatory psychosis.
The ability to produce, by the exertion of the will one of these states
all of which are connected with the splitting of consciousness, is to be
considered as the expression of a pathological disposition, but it need
not necessarily be identified with personal or hereditary
“degeneration.”
Over the road leading from the patient’s exertion of the will to the
origin of a neurotic symptom I formed a conception which in the current
psychological abstractions may be thus expressed: The task assumed by
the defensive ego to treat the incompatible idea as “non arrivée” can
not be directly accomplished. The memory trace as well as the affect
adhering to the idea are here and can not be exterminated. The task can
however, be brought to an approximate solution if it is possible to
change the strong idea into a weak one and to take away the affect or
sum of excitement which adheres to it. The weak idea will then exert
almost no claims on the association work; but the separated sum of
excitement must be utilized in another direction.
Thus far the processes are the same in hysteria, in phobias and
obsessions, but from now on their ways part. The unbearable idea in
hysteria is rendered harmless because the sum of excitement is
transformed into physical manifestations, a process for which I would
like to propose the term conversion.
The conversion may be total or partial, and follows that motor or
sensory innervation which is either ultimately or more loosely connected
with the traumatic experience. In this way the ego succeeds in freeing
itself from opposition but instead it becomes burdened with a memory
symbol which remains in consciousness as an unadjusted motor
innervation, or as a constantly recurring hallucinatory sensation
similar to a parasite. It thus remains fixed until a conversion takes
place in the opposite direction. The memory symbol of the repressed idea
does not perish, but from now on forms the nucleus for a second psychic
group.
Public-domain text, read in full here on John Shaqi.
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