Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
left undisturbed, and frenzied only when a regulation of her environment
prevented her from accomplishing something which she thought quite
natural as a result of her blissful dream. This psychosis,
unintelligible as it was in its time, was revealed ten years later
through hypnotic analysis.
The fact to which I call attention is this: That the content of such an
hallucinatory psychosis consists in directly bringing into prominence
that idea which was threatened by the motive of the disease. One is
therefore justified in saying that through its flight into the psychosis
the ego defended the unbearable idea; the process through which this has
been brought about withdraws itself from self perception as well as from
the psychological-clinical analysis. It is to be considered as the
expression of a higher grade of pathological disposition, and can
perhaps be explained as follows: The ego tears itself away from the
unbearable idea, but as it hangs inseparably together with a part of
reality, the ego while accomplishing this performance also detaches
itself wholly or partially from reality. The latter is, in my opinion
the condition under which hallucinatory vividness is decreed to
particular ideas, and hence after very successful defense the person
finds himself in a hallucinatory confusion.
I have but very few analyses of such psychoses at my disposal; but I
believe that we deal with a very frequently employed type of psychic
illness. For analogous examples such as the mother who becoming sick
after the loss of her child continues to rock in her arms a piece of
wood, or the jilted bride who in full dress expects her bridegroom, can
be seen in every insane asylum.
It will perhaps not be superfluous to mention that the three forms of
defense here considered, and hence the three forms of disease to which
this defense leads may be united in the same person. The simultaneous
occurrence of phobias and hysterical symptoms, so frequently observed in
praxis, really belongs to those moments which impede a pure separation
of hysteria from other neuroses and urge the formation of the “mixed
neuroses.” To be sure the hallucinatory confusion is not frequently
compatible with the continuation of hysteria and not as a rule with
obsessions; but on the other hand it is not rare that a defense
psychosis should episodically break through the course of a hysteria or
mixed neurosis.
In conclusion I will mention in few words the subsidiary idea of which I
have made use in this discussion of the defense neuroses. It is the idea
that there is something to distinguish in all psychic functions (amount
of affect, sum of excitement), that all qualities have a quantity though
we have no means to measure the same—it is something that can be
increased, diminished, displaced, and discharged, and that extends over
the memory traces of the ideas perhaps like an electric charge over the
surface of the body.
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