Selected papers on hysteria and other psychoneurosesFreud, Sigmund
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Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
At the same time, while I assigned to sexuality this significance in the
origin of the simple neurosis, I still professed for the psychoneuroses
(hysteria and obsessions) a purely psychological theory in which the
sexual moment was no differently considered than any other emotional
sources. Together with J. Breuer, and in addition to observations which
he has made on his hysterical patients fully a decade before, I have
studied the mechanism of the origin of hysterical symptoms by the
awakening of memories in hypnotic states. We obtained information which
permitted us to cross the bridge from Charcot’s traumatic hysteria to
the common non-traumatic hysteria. We reached the conception that the
hysterical symptoms are permanent results of psychic traumas, and that
the amount of affect belonging to them was pushed away from conscious
elaboration by special determinations, thus forcing an abnormal road
into bodily innervation. The terms “strangulated affect,” “conversion,”
and “ab-reaction,” comprise the distinctive characteristics of this
conception.
In the close relations of the psychoneuroses to the simple neuroses,
which can go so far that the diagnostic distinction is not always easy
for the unpracticed, it could happen that the cognition gained from one
sphere has also taken effect in the other. Leaving such influences out
of the question, the deep study of the psychic traumas also leads to the
same results. If by the “analytic” method we continue to trace the
psychic traumas from which the hysterical symptoms are derived, we
finally reach to experiences which belong to the patient’s childhood,
and concern his sexual life. This can be found even in such cases where
a banal emotion of a non-sexual nature has occasioned the outburst of
the disease. Without taking into account these sexual traumas of
childhood we could neither explain the symptoms, find their
determination intelligible, nor guard against their recurrence. The
incomparable significance of sexual experiences in the etiology of the
psychoneuroses seems therefore firmly established, and this fact remains
until today one of the main supports of the theory.
If we represent this theory by saying that the course of the life long
hysterical neurosis lies in the sexual experiences of early childhood
which are usually trivial in themselves, it surely would sound strange
enough. But if we take cognizance of the historical development of the
theory, and transfer the main content of the same into the sentence:
hysteria is the expression of a special behavior of the sexual function
of the individual, and that this behavior was already decisively
determined by the first effective influences and experiences of
childhood, we will perhaps be poorer in a paradox but richer in a motive
for directing our attention to a hitherto very neglected and most
significant aftereffect of infantile impressions in general.
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