Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
promised her to do my utmost in caring for the children, that I would
not forsake them, and be a mother to them, and this promise I broke when
offering my resignation.”
The analysis of the subjective sensation of smell seemed completed. It
was once objective and intimately connected with an experience, a small
scene, in which contrary affects conflicted, sorrow at forsaking the
children, and the mortification which despite all urged her to this
decision. Her mother’s letter naturally recalled the motives of this
decision because she thought of returning to her mother. The conflict of
the affects raised this moment to a trauma and the sensation of smell
which was connected with it remained as its symbol. The only thing to be
explained was the fact that out of all the sensory perceptions of that
scene, the perception of smell was selected as the symbol, but I was
already prepared to use the chronic nasal affliction as an explanation.
On being directly questioned she stated that just at that time she
suffered from a severe coryza and could scarcely smell anything but in
her excitement she perceived the odor of burned pastry, it penetrated
the organically motived anosmia.
As plausible as this sounded it did not satisfy me; there seemed to be
something lacking. There was no acceptable reason wherefore this series
of excitements and this conflict of affects should have led to hysteria.
Why did it not all remain on a normal psychological basis? In other
words, what justified the conversion under discussion? Why did she not
recall the scenes themselves instead of the sensations connected with
them which she preferred as symbols for her recollection? Such questions
might seem superfluous and impertinent when dealing with old hysterias
in whom the mechanism of conversion was habitual, but this girl first
acquired hysteria through this trauma, or at least through this slight
distress.
From the analysis of similar cases I already knew that where hysteria is
to be newly acquired one psychic determinant is indispensible; namely,
that some presentation must intentionally be repressed from
consciousness and excluded from associative elaboration.
In this intentional repression I also find the reason for the conversion
of the sum of excitement, be it partial or total. The sum of excitement
which is not to enter into psychic association more readily finds the
wrong road to bodily innervation. The reason for the repression itself
could only be a disagreeable feeling, the incompatibility of one of the
repressible ideas with the ruling presentation-mass of the ego. The
repressed presentation then avenges itself by becoming pathogenic.
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