Selected papers on hysteria and other psychoneurosesFreud, Sigmund
Science
Selected papers on hysteria and other psychoneuroses
Freud, Sigmund
Hysteria; Neuroses; Psychoanalysis
The technique is as follows: The patient lies on his back on a lounge,
the physician sitting behind the patient’s head at the head of the
lounge. In this way the patient remains free from all external
influences and impressions. The object is to avoid all muscular exertion
and distraction, thus allowing thorough concentration of attention on
the patient’s own psychic activities. The patient is then asked to give
a detailed account of his troubles, after having been told before to
repeat everything that occurs to his mind, even such thoughts as may
cause him embarrassment or mortification. On listening to such a history
one invariably notices many memory gaps, both in reference to time and
causal relations. These the patient is urged to fill in by concentration
of attention on the subject in question, and by repeating all the
unintentional thoughts originating in this connection. This is the so
called method of “free association!” The patient is required to relate
all his thoughts in the order of their sequence even if they seem
irrelevant to him. He must do away with all critique and remain
perfectly passive. It is in this way that we fathom the original meaning
of the symptom. But as the thoughts which originate in this manner are
of a disagreeable and painful nature they are pushed back with the
greatest resistance. This is further enhanced by the fact that the
hysterical symptom is the symbolic expression of the realization of a
repressed wish, and serves as a gratification for the patient. He
strives very hard, unconsciously of course, to retain the symptom, as it
is the only thing left to him from his former unattainable conscious
wishes and strivings. The object of the psychanalytic treatment is to
overcome all these resistances, and to reconduct to the patient’s
consciousness the thoughts underlying the symptoms. Here lies the
greatest difficulty, for just as in the normal life and the dream, a
psychoneurotic symptom is merely a symbolic or cryptic expression of the
original repressed thoughts. Every hysterical symptom, every obsession,
and every phobia, has a definite meaning, and as was shown by
Bleuler,[3] Jung,[4] Riklin,[5] and others,[6] the same holds true for
the psychoses proper.
Public-domain text, read in full here on John Shaqi.
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