Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
I can not definitely state up to what age sexual damage occurs in the
etiology of hysteria, but I doubt whether sexual passivity can cause
repression after the eighth and tenth year unless qualified for it by
previous experiences. The lower limit reaches as far as memory in
general, that is, to the delicate age of one and one half or two years!
(two cases). In a number of my cases the sexual trauma (or the number of
traumas) occurred during the third and fourth year of life. I myself
would not lend credence to this peculiar discovery if it were not for
the fact that the later development of the neurosis furnished it with
full trustworthiness. In every case there are a number of morbid
symptoms, habits and phobias which are only explainable by returning to
those youthful experiences, and the logical structure of the neurotic
manifestation makes it impossible to reject the faithfully retained
memories of childhood. Except through psychoanalysis it is of no avail
to ask a hysterical patient about these infantile traumas; their remains
can only be found in the morbid symptoms and not in conscious memory.
All the experiences and excitements which prepare the way for, or
occasion the outburst of, hysteria in the period of life after puberty
evidently act through the fact that they awaken the memory remnants of
those infantile traumas which do not become conscious but lead to the
liberation of affect and repression. It is quite in harmony with this
rôle of the later traumas not to be subject to the strict limitation of
the infantile traumas, but that both in intensity and quality they can
vary from an actual sexual assault to a mere approximation of the
sexual, such as perceiving the sexual acts of others, or receiving
information concerning sexual processes.[49]
In my first communication on the defense neuropsychoses I failed to
explain how the exertion of a hitherto healthy individual to forget such
traumatic happenings would result in the real intentional repression,
and thus open the door for the defense neurosis. It can not depend on
the nature of the experience, as other persons remain unaffected despite
the same motives. Hysteria cannot therefore be fully explained by the
effect of the trauma, and we are forced to admit that the capacity for
hysteria already existed before the trauma.
This indefinite hysterical predisposition can now wholly or partially be
substituted by the posthumous effect of the infantile sexual trauma. The
“repression” of the memory of a painful sexual experience of maturer
years can take place only in persons in whom this experience can bring
into activity the memory remnants of an infantile trauma.[50]
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