Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
Thus I had my choice, either to forbear using the cathartic method in
most of the cases suitable for it, or to venture the attempt without
somnambulism by using hypnotic influence in light or even doubtful
cases. It made no difference of what degree (following the accepted
scales of hypnotism) the hypnotism was which did not correspond to
somnambulism, for every direction of suggestibility is independent of
the other and nothing is prejudicial towards the evocation of catalepsy,
automatic movements and similar phenomena for the purpose of
facilitating the awakening of forgotten recollections. I soon
relinquished the habit of deciding the degree of hypnotism, as in a
great number of cases it incited the patients’ resistance, and clouded
the confidence which I needed for the more important psychic work.
Moreover, in mild grades of hypnotism I soon tired of hearing, after the
assurance and command, “You will sleep, sleep now!” such protests as,
“But, Doctor, I am not sleeping.” I was then forced to bring in the very
delicate distinction, saying, “I do not mean the usual sleep, I mean the
hypnotic,—you see, you are hypnotized, you cannot open your eyes”; or,
“I really don’t want you to sleep.” I, myself, am convinced that many of
my colleagues using psychotherapy know how to get out of such
difficulties more skilfully than I; they can proceed differently. I,
however, believe that if through the use of a word one can so frequently
become embarrassed, it is better to avoid the word and the
embarrassment. Wherever the first attempt did not produce either
somnambulism or a degree of hypnotism with pronounced bodily changes, I
dropped the hypnosis and demanded only “concentration,” I ordered the
patient to lie on his back and close his eyes as a means of reaching
this “concentration.” With little effort I obtained as profound a degree
of hypnotism as was possible.
But inasmuch as I forbore using somnambulism, I perhaps robbed myself of
a preliminary stipulation without which the cathartic method seems
inapplicable. For it is based on the fact that in the altered state of
consciousness the patients have at their disposal such recollections and
recognize such connections which do not apparently exist in their normal
conscious state. Wherever the somnambulic broadening of consciousness
lacks there must also be an absence of the possibility of bringing about
a causal relation which the patient cannot give to the doctor as
something known to him, and it is just the pathogenic recollections
“which are lacking from the memory of the patients in their usual
psychic states or only exist in a most condensed state” (preliminary
communication).
Public-domain text, read in full here on John Shaqi.
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