Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
As I reserve the question whether the etiology of hysteria (and
compulsion neurosis) is to be found in the sexual infantile experiences
for a later more thorough discussion, I now return to the construction
of the theory expressed in some small preliminary publications in the
years 1895–1896.[55] The bringing into prominence of the assumed
etiological moments permitted us at the time to contrast the common
neuroses which are maladies with an actual etiology, with the
psychoneuroses which etiology was in the first place to be sought in the
sexual experiences of remote times. The theory culminates in the
sentence: In a normal vita sexualis no neurosis is possible.
If I still consider today this sentence as correct it is really not
surprising that after ten years labor on the knowledge of these
relations I passed a good way beyond my former point of view, and that I
now think myself in a position to correct by detailed experience the
imperfections, the displacements, and the misconceptions, from which
this theory then suffered. By chance my former rather meagre material
furnished me with a great number of cases in which infantile histories,
sexual seduction by grown-up persons or older children, played the main
rôle. I overestimated the frequency of these (otherwise not to be
doubted) occurrences, the more so because I was then in no position to
distinguish definitely the deceptive memories of hysterical patients
concerning their childhood, from the traces of the real processes,
whereas, I have since then learned to explain many a seduction fancy as
an attempt at defense against the reminiscence of their own sexual
activity (infantile masturbation). The emphasis laid on the “traumatic”
element of the infantile sexual experience disappeared with this
explanation, and it remained obvious that the infantile sexual
activities (be they spontaneous or provoked) dictate the course of the
later sexual life after maturity. The same explanation which really
corrects the most significant of my original errors perforce also
changed the conception of the mechanism of the hysterical symptoms.
These no longer appeared as direct descendants of repressed memories of
sexual infantile experiences, but between the symptoms and the infantile
impressions there slipped in the fancies (confabulations of memory) of
the patients which were mostly produced during the years of puberty and
which on the one hand, are raised from and over the infantile memories,
and on the other, are immediately transformed into symptoms. Only after
the introduction of the element of hysterical fancies did the structure
of the neurosis and its relation to the life of the patient become
transparent. It also resulted in a veritable surprising analogy between
these unconscious hysterical fancies and the romances which became
conscious as delusions in paranoia.
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