Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
(_e_) You will surely wish to ask me about the possibility of doing harm
through the application of psychoanalysis. To this I will reply that if
you will judge justly you will meet this procedure with the same
critical good-feeling as you have met our other therapeutic methods, and
doing this you will have to agree with me that a rationally executed
analytic treatment entails no dangers for the patient. One who, like a
layman, is accustomed to ascribe to the treatment everything occurring
during the disease, will probably judge differently. It is really not so
long since our hydrotherapeutic asylums met with similar opposition.
Thus one who was advised to go to such an asylum became thoughtful
because he had an acquaintance who entered the asylum as nervous and
there become insane. As you surmise we deal with cases of initial
general paresis who in the first stages could still be sent to
hydrotherapeutic asylums, and who there merged into the irresistible
course leading to manifest insanity. For the layman the water was the
cause and author of this sad transformation. Where it is a question of
unfamiliar influences, even doctors are not free from such mistaken
judgment. I recall having once attempted to treat a woman by
psychotherapy who passed a great part of her existence by alternating
between mania and melancholia. I began to treat her at the end of a
melancholia and everything seemed to go well for two weeks, but in the
third week she was again merging into a mania. It was surely a
spontaneous alteration of the morbid picture, for two weeks is no time
in which anything can be accomplished by psychotherapy, but the
prominent—now deceased—physician who saw the case with me could not
refrain from remarking that this decline must have been due to the
psychotherapy. I am quite convinced that he would have been more
critical under different conditions.
Public-domain text, read in full here on John Shaqi.
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