Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
This young lady visited me from time to time during my office hours—she
was a governess in the family of a factory superintendent living in the
suburbs of Vienna. She was an English lady of rather delicate
constitution, anemic, and with the exception of her nasal trouble was in
good health. Her first statements concurred with those of her physician.
She suffered from depression and lassitude, and was tormented by
subjective sensations of smell. Of hysterical signs, she showed a quite
distinct general analgesia without tactile impairment, the fields of
vision showed no narrowing on coarse testing with the hand, the nasal
mucous membrane was totally analgesic and reflexless, tactile sensation
was absent, and the perception of this organ was abolished for specific
as well as for other stimuli, such as ammonia or acetic acid. The
purulent nasal catarrh was then in a state of improvement.
On first attempting to understand this case the subjective sensations of
smell had to be taken as recurrent hallucinations interpreting
persistent hysterical symptoms. The depression was perhaps the affect
belonging to the trauma and there must have been an episode during which
the present subjective sensations were objective. This episode must have
been the trauma, the symbols of which recurred in memory as sensations
of smell. Perhaps it would be more correct to consider the recurring
hallucinations of smell with the accompanying depression as equivalents
of hysterical attacks. The nature of recurrent hallucinations really
makes them unfit to take the part of continuous symptoms, and this
really did not occur in this rudimentarily developed case. On the other
hand it was absolutely to be expected that the subjective sensations of
smell would show such a specialization as to be able to correspond in
its origin to a very definite and real object.
This expectation was soon fulfilled, for on being asked what odor
troubled her most she stated that it was an odor of burned pastry. I
could then assume that the odor of burned pastry really occurred in the
traumatic event. It is quite unusual to select sensations of smell as
memory symbols of traumas, but it is quite obvious why these were here
selected. She was afflicted with purulent rhinitis, hence the nose and
its perceptions were in the foreground of her attention. All I knew
about the life of the patient was that she took care of two children
whose mother died a few years ago from a grave and acute disease.
Public-domain text, read in full here on John Shaqi.
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