Selected papers on hysteria and other psychoneurosesFreud, Sigmund
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Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
After this correction the “infantile sexual traumas” were in a sense
supplanted by the “infantilism of sexuality.” A second modification of
the original theory was not remote. With the accepted frequency of
seduction in childhood there also disappeared the enormous emphasis of
the accidental influences of sexuality to which I wished to shift the
main rôle in the causation of the disease without, however, denying
constitutional and hereditary moments. I even hoped to solve thereby the
problem of the selection of the neurosis, that is, to decide by the
details of the sexual infantile experience, the form of the
psychoneurosis into which the patient may merge. Though with reserve I
thought at that time that passive behavior during these scenes results
in the specific predisposition for hysteria, while active behavior
results in compulsion neurosis. This conception I was later obliged to
disclaim completely though some facts of the supposed connection between
passivity and hysteria, and activity and compulsion neurosis, can be
maintained to some extent. With the disappearance of the accidental
influences of experiences, the elements of constitution and heredity had
to regain the upper hand, but differing from the view generally in vogue
I placed the “sexual constitution” in place of the general neuropathic
predisposition. In my recent work, “Three Contributions to the Sexual
Theory.”[56] I have attempted to discuss the varieties of this sexual
constitution, the components of the sexual impulse in general, and its
origin from the contributory sources of the organism.
Still in connection with the changed conception of the “sexual infantile
traumas,” the theory continued to develop in a course which was already
indicated in the publications of 1894–1896. Even before sexuality was
installed in its proper place in the etiology, I had already stated as a
condition for the pathogenic efficaciousness of an experience that the
latter must appear to the ego as unbearable and thus evoke an exertion
for defense. To this defense I have traced the psychic splitting—or as
it was then called the splitting of consciousness—of hysteria. If the
defense succeeded, the unbearable experience with its resulting affect
was expelled from consciousness and memory; but under certain conditions
the thing expelled which was now unconscious, developed its activity,
and with the aid of the symptoms and their adhering affect it returned
into consciousness, so that the disease corresponded to a failure of the
defense. This conception had the merit of entering into the play of the
psychic forces, and hence approximate the psychic processes of hysteria
to the normal instead of shifting the characteristic of the neurosis
into an enigmatic and no further analyzable disturbance.
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