Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
Beside these compromise symptoms which signify the return of the
repression and hence a failure of the originally achieved defense, the
compulsion neurosis forms a series of other symptoms of a totally
different origin. The ego really tries to defend itself against those
descendants of the initial repressed reminiscence, and in this conflict
of defense it produces symptoms which may be comprehended as “secondary
defense.” These are throughout “protective measures” which have
performed good service in the struggle carried on against the obsessions
and the obsessing affects. If these helps in the conflict of the defense
really succeed in repressing anew the symptoms of return obtruding
themselves on the ego, the compulsion then transmits itself on the
protective measures themselves and produces a third form of the
“compulsion neurosis,” the compulsive action. These are never primary,
they never contain anything else but a defense, never an aggression.
Psychic analysis shows that despite their peculiarity they can always be
fully explained by reduction to the compulsive reminiscence which they
oppose.[51]
The secondary defense of the obsessions can be brought about by a
forcible deviation to other thoughts of possibly contrary content;
hence, in case of success there is a compulsive reasoning, regularly
concerning abstract and transcendental subjects, because the repressed
ideas always occupied themselves with the sensuous. Or the patient tries
to become master of every compulsive idea through logical labor and by
appealing to his conscious memory; this leads to compulsive thinking and
examination and to doubting mania. The priority of the perception before
the memory in these examinations at first induce and then force the
patient to collect and preserve all objects with which he comes in
contact. The secondary defense against the compulsive affects results in
a greater number of defensive measures which are capable of being
transformed into compulsive actions. These can be grouped according to
their tendency. We may have measures of penitence (irksome ceremonial
and observation of numbers), of prevention (diverse phobias,
superstition, pedantry, aggravation of the primary symptom of
scrupulousness), measures of fear of betrayal (collecting papers and
shyness), and measures of becoming unconscious (dipsomania). Among these
compulsive acts and impulses the phobias play the greatest part as
limitations of the patient’s existence.
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